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Bosnia and Herzegovina

01. HIV care cascade

Institutionalizing effective models of, and processes in, HIV responses in the EECA region to impact the HIV care cascade in the region
ACTIVITIES

Introduction of the piloted PrEP models to the healthcare systems and advocate to revise and update national policy documents

Implementer
Contact
Period
SEE RCN
Damir Lalicic
2022-2024
Progress to date

Bosnia and Herzegovina and Montenegro are awaiting the launch of the PrEP pilot project between MCM (Protocols have been developed, client waiting lists are available, study-visits have been carried out for the project staff). The first clients are expected to receive PrEP in Q1 2023.

Advocacy for PrEP financial costs to be covered by national funding schemes (including health insurance)

Implementer
Contact
Period
SEE RCN
Damir Lalicic
2022-2024
Progress to date

The second main activity regarding of PrEP was advocacy for PrEP financial costs to be covered by national funding schemes. Our focus in 2022 was preparation of set of recommendations for institutionalization of PrEP in Bosnia and Herzegovina and Montenegro and by the end of the year we finalized first drafts which is distributed to the stakeholders.

Provision of HIV prevention services with precautions against COVID-19

Implementer
Contact
Period
APH
Nadiya Yanhol
2022
Progress to date

Work on shelters has expanded – in addition to 5 shelters for working with women who use drugs in conditions of violence (Ukraine, Serbia, North Macedonia, Kazakhstan), support for flexible shelters for representatives of the LGBT community in Kazakhstan, Uzbekistan, Kyrgyzstan and Tajikistan has been added. The program was distinguished by a special programmatic approach to working with clients – about 3,200 clients received material assistance in the form of food packages (Georgia, Kazakhstan). PPE support in Kaz for migrants and KGP (124,000 disposable masks, 1,000 antiseptics); CLM to provide quality services for clients of OST programs in 7 countries.

Procurement and distribution of Ag-RDTs

Implementer
Contact
Period
APH
Nadiya Yanhol
2022-2023
Progress to date

Purchased 120 thousand rapid antigen tests for COVID (Bosnia and Herzegovina, Serbia, Tajikistan, Ukraine) and 4,000 PCR tests for Ukraine to test key population groups and their close contacts.

National Contingency Planning

Implementer
Contact
Period
APH
Nadiya Yanhol
2022
Progress to date

Supporting key group populations in a COVID setting “General contingency planning guide developed in the frames of the C19RM is available here.

Guide by APH for Contingency Planning for Key Population HIV Services during COVID-19 and Other Emergencies for North Macedonia, Serbia, Bosnia and Herzegovina, Montenegro, Moldova, Georgia, Kazakhstan, Uzbekistan, Tajikistan and Kyrgyzstan in English is available at the link https://aph.org.ua/en/eeca/ in the folders with the names of each country.

02. Removing HR/gender barriers

Removing barriers to services for key populations to promote quality health interventions based on human rights principles; addressing gender barriers to services
ACTIVITIES

Developing and launching call for “Gender and HIV” small grants with special eligibility focus on Monitoring situation with human rights of Trans* people

Implementer
Contact
Period
EKPC
Dr. Karen Badalyan
2022-2024
Progress to date

Small Grants Programme with 4 selected projects run by grass-root NGOs in 2022 included:

  • “National Trans Coalition” NGO with the project titled “HIV prevention in Armenia through gender mainstreaming” (Armenia);
  • “The Public Association “Union for Equity and Health” NGO with the project titled “Gender Equality for sex workers” (Moldova);
  • “Rromnjako Ilo” Zrenjanin he Public Association” NGO with the project titled “Check your health – Equality for Trans Roma and Roma women/girls sex workers” (Serbia);
  • “NON-GOVERNMENTAL ORGANIZATION «NASHA DOPOMOGA»” with the project titled “RIGHT TO HEALTH!” (Ukraine).

REAct (https://react-aph.org/): Monitoring of human rights violations and discrimination against PLHIV and KPs. Responding to such cases through provision or referring to legal or social services to victims and through advocacy actions. In Georgia, Kyrgyzstan, Moldova and Tajikistan, REAct system was initiated within SoS_project#1.0 in 2020, and in 2022 is transferred to national funding, meanwhile APH continues to provide technical support to users. In Ukraine, REAct was implemented in 2019 and is functional within national GF grant. REAct system is supported by APH in Uzbekistan for 2022-2023, in 5 Balkan countries – for 2022-2024, and in Armenia and Azerbaijan – for 2023-2024. At the same time, regional networks ECOM and ENPUD started to use REAct program for documentation in several countries of the region and are supported for 2022-2024 within SoS_project#2.0 grant.

Implementer
Contact
Period
APH
Victoria Kalyniuk
SEE RCN
Haris Karabegovic
2022-2024
Progress to date

Cumulatively, during 2022 there were registered 6700+ cases in 13 countries (Albania, Armenia, Bosnia and Herzegovina, Georgia, North Macedonia, Moldova, Montenegro, Kazakhstan, Kyrgyzstan, Tajikistan, Serbia, Ukraine, Uzbekistan) involving 170+ CBOs, as well as regional networks such as ECOM (in Uzbekistan, Tajikistan, Armenia, Kazakhstan, Kyrgyzstan) and ENPUD (Georgia, Moldova, Ukraine, Kyrgyzstan, Kazakhstan, Tajikistan, Belarus).

The following publications are available:

03. Budget advocacy

Budget advocacy for sustainable services for key populations in the EECA region
ACTIVITIES

Assessment of the legal framework to fund HIV services with domestic funds: sustainability planning; advocacy campaign on change of laws and regulations; establishment of Parliamentary group for HIV,TB, Hepatitis and STIs

Implementer
Contact
Period
SEE RCN
Damir Lalicic
2022-2024
Progress to date

Preliminary consultations were held in 2022and assessment was planned in 2023.Domestic funding for HIV services is increased. The funding of Tirana municipality for NGOs offer HIV services was $32,000. The level of funding for HIV-related activities from the City of Skopje remained approximately the same as is in 2021 –approximately 35,000 USD. MoH from Montenegro allocated 100.000 EUR for funding NGO HIV programs in 2022. In Bosnia and Herzegovina for increase services for key populations and PLWHA. was two grants. One grant was from Ministry of Civil affairs, Department for Health and it was about 26 000 Euro for nine CSOs, Partnerships in Health was one of them but also our partners from the Project, Victoria and Ruka Ruci. The second grant was from Federal Ministry of Health, and it was for HIV testing and counselling on HIV, education for KAP and youth. It was about 13 500 Euro and it was granted to the Partnerships in Health. In Serbia there was 19214 USD in total from municipality funding for HIV services in Serbia.
Until now there is Parliamentary group for HIV, TB Hepatitis and STIs established in Bosnia and Herzegovina.

Regulation of service packages for key groups

Implementer
Contact
Period
SEE RCN
Damir Lalicic
2023

Municipal budget advocacy for cities that chose the Fast Track approach: Sarajevo, Mostar, Bijelina cities in the Balkan region

Implementer
Contact
Period
SEE RCN
Damir Lalicic
2022-2024
Progress to date

As the result of budget advocacy the city administrations in Dushanbe ($130 000), Podgorica ($43 000), Skopje ($35 000), Tirana (USD 32,000), Novi Sad (USD 9,000), Sabac ($7 500) and Zvezdara ($4 000) allocated funds for the implementation of activities that would achieve the goals of the Paris Declaration.