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FINAL VERSION PROGRAMME
PROGRAMME BOOKLET


Programme European Conference
Social Inclusion and Health – Crossing the Borders
27 – 29 September 2007 in Sofia, Bulgaria

<Plenary sessions are translated simultaneously>

Thursday afternoon, 27 September 2007
14:30 – 16:00 Registration
16:00 – 16:05 Opening Conference – Correlation Network
16:05 – 16:30 Welcome
- Mrs Emel Etem, Deputy Prime Minister and Chair of the National Committee on Prevention of AIDS and STDs at the Council of Ministers, Bulgaria
- Mr Willem van Ee, Extraordinary and Plenipotentiary Ambassador of the Netherlands in Bulgaria
- Mr Rumen Donski, Chairman of Foundation Hope, Bulgaria
- Mrs Elena Kabakchieva, HESED, Bulgaria
16:30 – 16:35 Cultural intermezzo
16:35 – 17:00 Keynote Speech: Acceptance of human rights in the fight against HIV/Aids in Bulgaria
- Dr Tonka Varleva, Secretary of the National Committee on Prevention of AIDS and STDs at the Council of Ministers and Director of the program ‘Prevention and Control of HIV/AIDS’, Bulgaria
17:00 – 17:30 Break
17:30 – 17:40
17:40 – 18:00
18:00 – 19:00
Speeches and Discussion
- Correlation: Meaning, impact and scope of the conference. Eberhard Schatz, Correlation Network
- Communicable diseases in Europe: State of affairs. Jeff Lazarus, WHO
- Interactive Discussion: Social inclusion and health and the impact of Europe: Challenges and solutions.
Moderator: Ernst Buning, director Quest for Quality, co-founder IHRA
WHO, EC representative, policy makers, NGOs, community representatives
19:30
Reception, buffet


Friday morning, 28 September 2007
Major Workshop Sessions 09:00 – 10:30
1: Importance and impact of research and evidence base in the drug field
Chair: Dagmar Hedrich, European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Portugal


This session will provide insight into harm reduction data collection systems in different parts of Europe: speakers will critically reflect on weakness, strengths and lessons learnt and on the use that is made of the gathered information.

Xavier Majó-Roca (Department of Health of Catalonia, Spain): Designing a Harm Reduction Information System for Catalonia
Abdalla Toufik (OFDT, France): Monitoring Harm reduction : Lessons learned from the first French national survey of low-threshold services users
Artur Malczewski (NFP-NBDP, Poland): Development of harm reduction activities in Poland: Opportunities and difficulties
Janine Plaisier (Impact R&D, Netherlands): Monitoring and Evaluation of interventions
2: Prostitution policies and their impact on sex workers
Chair: Ruth Morgan Thomas, International Committee on the Rights of Sex workers in Europe (ICRSE)


In this workshop, a round table session will be organised with representatives of various organisations. Mr. Leo Platvoet member of the Parliamentary Assembly of the Council of Europe will give a short presentation based on the report “Prostitution- which stance to take? ‘, which is prepared for the Committee on Equal Opportunities for Women and Men of the Council of Europe. Members of the panel will react on this report and discuss a number of questions, in regard to prostitution policies and their impact on sex workers. This session is interactive, reactions and input from the public is very much appreciated and wanted.
Members of the panel:
Leo Platvoet (Member of the Parliamentary Assembly of the Council of Europe)
Marc Frankfurt (sexworker.at, ICRSE)
Licia Brussa (TAMPEP)
Camille Cabral (PASTT, France)
Katarina Jiresova (Odyseus/SWAN)
Daniela Danna (University of Milan, Italy)
3: Access to health for (undocumented) migrants
Chair: Georg Bröring, Netherlands


Migrants (especially undocumented) often have little access to health services in European countries. In this workshop, not only strategies to tackle barriers and exclusion will be discussed, but also the need to improve existing services for migrants and ethnic minorities.
Peter Wiessner (EATG, Germany): Community Recommendations on migrants access to information, treatment and care
Wayne Farah (Healthcare Project, UK/ Picum): Undocumented migrants and barriers to access to health care
Dagmar Domenig (Swiss Red Cross, Switzerland): Transcultural Competence as Basis for Health Equality
Jane Fountain (Centre for Ethnicity and Health, University of Central Lancashire,United Kingdom): Community engagement: The Centre for Ethnicity and Health model
Break 10:30 – 11:00
Major Workshop Sessions 11:00 – 12:30
4: New areas for harm reduction approaches
Chair: Jan Visser, De Rode Draad, Netherlands


Harm reduction methodologies mainly are associated with drug use. This workshop gives an overview over the relevance of harm reduction in divergent settings.
John-Peter Kools (Mainline, Netherlands): “From margins to mainstream”: Harm reduction and poverty
Jamie Bridge (IHRA, United Kingdom): Alcohol and Harm Reduction: What, Why and How?
Rick Lines (IHRA, United Kingdom): Harm reduction in prisons: An overview of international policy and best practice
Linda Cusick (University of Paisley, Scotland UK): Sex work and harm reduction
5: Increasing access to health care for Roma
Chair: Maria Metodieva, Open Society Institute (OSI), Bulgaria


Roma and Gipsy communities often face serious problems regarding access to health care, social services and prejudices. This workshop will highlight initiatives to improve the conditions and provides an overview about the situation in Europe.
Ellena Yankova (Initiative for Health, Bulgaria): Roma in Bulgaria - Approaching social exclusion, drugs and ethnicity
Teodora Krumova (Center Amalipe, Bulgaria): Health Situation of Romani women in Bulgaria - Research and Policy work
Maria Metodieva (OSI, Access Sofia Foundation): Roma health issues in Bulgarian media
Elena Kabakchieva (Global fund program “prevention and control of HIV/AIDS): Health Promotion Services within Roma Communities
6: Hepatitis
Chair: Jeff Lazarus, World Health Organization (WHO Europe
)

This session will provide the opportunity to raise awareness of viral hepatitis C in the context of access to hepatitis related services for those at highest risk, including drug users, prisoners and sex workers who use drugs. The session will serve as a lead-off for World Hepatitis Awareness Day.
Introduction by the chair Jeffrey Lazarus (WHO Europe)
Hepatitis C self organization and advocacy across Europe by Nadine Piorkowsky, European Liver Patient Association President
Hepatitis C and drug use in Europe: facts, issues and recommendations by Simona Merkinaite, Central and Eastern European Harm Reduction Network
Advocacy on national level: increasing access to treatment and care in Bulgaria – by Milena Naydenova, Hope-Sofia
Discussion and elaboration of concluding statement
Lunch 12:30 – 14:00


Friday afternoon, 28 September 2007
Parallel Workshop Sessions 14:00 – 15:30
1: Data collection Protocol for low-threshold services
Chair: Dagmar Hedrich, EMCDDA


A working group of Correlation partners and EMCDDA national Reitox focal points has analysed approaches to data collection at low threshold harm reduction agencies in Europe and developed a ‘Data-collection Protocol for Specialist Harm Reduction Service Providers’, which will be presented in this workshop.

Members of the working group and representatives of agencies participating in the field test will present the Protocol and report about experiences and outcomes:
Jozsef Racz, Ferenc Márványkövi (Research Institute on Drug Studies, ELTE University, Hungary)
Xavier Majó-Roca (Department of Health, Catalonia, Spain)
Abdalla Toufik (OFDT, France)
Marta Pinto (APDES, Portugal)
2: Drug use, peers and communities: Improving the impact
Chair: René Akeret, Fachverband Sucht, Switzerland


In this workshop, different methods for peer involvement in interventions, community reinforcement and community re-integration in the field of drug use harm reduction will be introduced and discussed.
Lorenzo Camoletto (Gruppo Abele, Italy):
Focus Groups: Methodology and impact
Jean-Paul Grund (CVO, Netherlands):
Beyond HIV: The Peer Driven Intervention and Empowerment of Vulnerable Populations
Mark Weeding (DISC, UK):
Cocaine Users Community Reinforcement
Sharron Erinle (Equinoxcare, UK): Community re-integration
3: Introduction to Rapid Assessment and Response (RAR)
Chair:Hans Verbraeck, CVO, Netherlands


In this workshop the Rapid Assessment and Response (RAR) methodology will be presented. RAR is a scientifically-led rapid survey method for recording the type, origin and need for action in respect of a recognised or presumed problem, within a short period of time, with limited expenditure and with high practice relevance. It can thus be regarded as forging a "link" between the needs of practice and the methods used by scientific research.
4: New technologies on the move – Experiences from the field
Chair: Pjer Vriens, MPHS, Netherlands


In this workshop, different presentations will show examples of using the internet and other new technologies and media for targeting specific vulnerable groups.
Daniel Varga (Bluepoint, Hungary): Criticalex: A powerful HR method in the Hungarian rave scene
Paul Harterink (MPHS, Netherlands): Gaycruise: A theory-based, tailored, interactive intervention directed at MSM who meet sexual partners through Internet chat sites
Mika Mikkonen (A-Clinic Foundation, Finland):
How to utilize mobile phones in low threshold customers' health counselling
Maciej Kubat (KTPU Monar):Open source – open mind. A brief introduction into free software and Linux. How it can be used in our daily life and work.
5. Best practices – outreach and prevention
Chair: Jan Visser, Netherlands


In this workshop a number of best practices are presented, covering issues of drug use and sex work.
Jason Farrell (Harm Reduction Consulting Services, USA): Outreach to Pregnant Drug Users
Hristofor Zjumbjulski (SOS-Families at Risk): HIV and Aids prevention among sex workers in Bulgaria
Eva van Rahden (SOPHIE, Austria): Outreach to female sex workers in Vienna -Experiences of Peer involvement
Georgi Vasilev (Global Fund Program Prevention and Control of HIV/AIDS, Bulgaria): HIV Prevention among IDU’s in Bulgaria
6: Sex Work
Chair: Aliya Rakhmetova, SWAN


In this workshop, different speakers will present hot topics among sex workers in different European countries: About the relationship between sex workers and social workers, how to reach sex workers, peer group involvement in outreach work or on practical aspects that sex workers deal with in daily life. Speakers will be sex workers, social workers, and researchers.
Marije van Stempvoort (Netherlands): Social workers and their perspective towards sex workers
Kathrin Schrader (Ragazza e.V., Germany)
The position of female sex workers who use drugs in Hamburg
Elena Zabadykina (Stellit, Russia):
Preventive actions as a form of work with sex workers in brothels
Irina Maslova (SWAN): Access to services and peer training among sex workers
7: POP-Training session Sex Work
Chair: Marieke Ridder-Wiskerke, STI-AIDS, the Netherlands


The Power of Prevention Project (POP) has been a three year project for sex workers in Belgrade, Serbia and Sofia, Bulgaria. The project was carried out by Hesed (Bulgaria) and JAZAS (Serbia) with the Dutch partner Soa Aids Nederland/Sti Aids Netherlands. The project was funded by the ministry of foreign affairs.
In the workshop the attendees will undergo a training in which attitudes and skills to communicate, for example as an outreach worker, on the topics of STI and HIV/AIDS prevention and sexual health in the field of prostitution, will be practiced. Talking about sex with sex workers will be a part of the programme.
8: Health care and undocumented migrants
Chair: Arianne De Jong, Médecins du Monde (MDM), France and the Netherlands


This workshop will deal with various ways to overcome bottlenecks in health care for undocumented migrants and other socially excluded groups access to health care.
We will start a debate on actual needs for targeted interventions. Feedback of participants on their experiences will be stimulated. Subsequently we will outline different tools, methods and strategies that we have used over the years to improve access to health. Important tools that we will discuss are the medical document for undocumented migrant (MEDOC) program and impact of bearing witnesses in achieving access to health care. This second phase is (highly) interactive with examples and discussions (what can we learn from each other).
Break 15:30 – 16:00

Parallel Workshop Sessions 16:00 – 17:30
9: Male Sex Work
Chair: Justin Gaffney, SohoBoyz, UK


With a policy shift for the funding of services that work with sex workers across the European Community, and the spread of the Swedish model that criminalizes men who buy sex to other countries, projects working with men who sell sex are finding that they face new challenges. Many are now having to base interventions on prevention of either entry into sex work or trafficking within the sex industry, or providing routes away from selling sex. In this workshop, participants are invited to explore and debate these challenges, particularly where the actual focus of their work may be to support men to make positive and healthy choices.
The workshop will be of interest to those who work with men selling sex, funders of services, policy makers and men who actually sell sex.
10: Drug use and families
Chair: Lorenzo Camoletto, Gruppo Abele, Italy


Drug use has a large impact on friends, relatives and parents of drug users, drug using parents need special care. This workshop will focus on parents- and relatives- organisations and how they face the problem and re-capture the initiative.
Dirce Blöchinger (VEVDAJ, Switzerland):
European parent and relative alliance
Nicole Verhoeven (Coke Van Jou, Netherlands): Needs and problems of relatives and friends of drug users
Galina Saganenko (Azaria, Russia): Features of the parent organisations combating drugs policy in Russia
Association of Family Support groups (Scotland): Second Generation Care
11:The Impact of migration on health
Chair: Peter Wiessner, EATG


In the presentations in this workshop, the impact of migration or belonging to an ethnic minority regarding health aspects will be highlighted.
Nikolaos Takis (Detoxification Unit for Adolescent Drug Users, Greece):
Psychological impact of membership to an ethnic minority group
Daniel J McCartney (Centre for Global Health, Ireland): The impact of migration on the sexual health of migrant men who have sex with men (MSM) in Ireland
Ramazan Salman (Ethno Medical Centre): Ensuring Minorities Access to Health Care
Peter Wiessner (EATG, Germany): Deportation of migrants living with HIV/AIDS in Europe
12: Media Advocacy – Methods and Challenges
Chair: Peter Sarosí, HCLU, Hungary


In this workshop, different methods of influencing policy by using media and advocacy campaigns will be discussed. Whether fighting for the rights of drug users, sex workers or other groups, it is always important to be aware of your goals, how to reach them, who you are dealing with and what are do’s and don’ts.
Milena Naydenova (Hope, Bulgaria):
Working with media and ways to influence decision makers
Peter Sarosí (HCLU, Hungary): How to use media in our advocacy? – innovative cases and tools
Petra Timmermans (ICRSE): How are technologies being used for activism and advocacy by sex workers and their allies?
13: Outreach: Approaches and experiences
Chair: Mika Mikkonen, A-Clinic Foundation, Finland


The main goal of this workshop is to share experiences with different approaches of outreach work. Examples of good practices will be presented as well as the problems that outreach workers face.
Mika Mikkonen (A-Clinic Foundation, Finland): Review of the achievements from the Helsinki Snowball Operation
Børge Erdal
Jaana Kauppinen (Pro-tukipiste, Finland): How to reduce burn-out risks and promote your self well being in the field of outreach
Nikola Nedeski (HOPS, Macedonia): Outreach work in Macedonia
14: Correlation Study ‘Barriers to Access to Health and Social Services’: Methodology and results
Chair: John Peter Kools, Mainline, Netherlands


Correlation carried out studies in 5 European countries in order to identify the specific needs of users, to gauge their satisfaction with existing services, to identify barriers of access to services and difficulties in obtaining treatment, to identify possible solutions and to detect the level of participation and involvement of service users. The study aimed to include service users and to make their voices heard within national debates, in which the study results were presented and discussed with national service providers, policy makers and policy users in order to influence national and local policies.
In this workshop, the results of the studies will be presented, as well as the methodology and the ‘toolkit’.
15: Migrant Sex Workers and barriers to access to health services
Chair: Licia Brussa, TAMPEP - European Network for HIV/STI Prevention and Health Promotion among Migrant Sex Workers
.

The main objective of this workshop is the exchange of knowledge and expertise regarding the factors that influence success or failure of interventions in the field of HIV/AIDS aimed at (migrant and mobile) sex workers. The following three broad themes – the first, Projects and Interventions, the second, Strategies and Environment, and the third, Policies and Legal Aspects – will be the themes of the workshop.
16: Hepatitis C: Practical approaches and ‘what’s new?’
Chair: Simone Merkinaite, CEEHRN


The subject of this workshop will be practical in nature: how to reduce Hepatitis C infection. Harm reduction techniques focussing on HIV prevention are, contrary to what a lot of people still think, not always sufficient to prevent hepatitis C. Standard needle exchange programs will be discussed and specific interventions targeting Hepatitis C.
Jason Farrell (Harm Reduction Consulting Services, Inc., USA):
Needle Exchange Programs Preventing Hepatitis C
Viara Georgieva (Global Fund Program
Prevention and Control of HIV/AIDS):
Strengthening and Promoting VCT Services in Bulgaria
(SDF, Scotland): Hep C in Scotland: A cause for concern?
Kristof Bryssinck Hep C treatment approach and further plans, Free Clinic, Belgium
Special Sessions 17:30 – 18:30
Films, Videos > See separate programme >Site visits
19:30
Dinner at Restaurant Forum, National Palace of Culture, on invitation of Bulgarian Ministry of Health ( shuttle bus transportation)

Saturday Morning, 29 September 2007
9:00 - 09:30 Introduction, Feedback workshop sessions, Chair: Jason Farrell
9:30 – 11:00 PLENARY SESSION 1: “Making voices heard”- How research and grassroot organisations can influence policy making
Moderators: John-Peter Kools, Mainline, Netherlands


During the two year Correlation project, the Policy Group has aimed to stimulate and support the development of national policies on social inclusion and health promotion among marginalised populations in the European Union. From the beginning, the Policy Group has been very enthusiastic and dynamic. At the first meeting it was decided that research was needed to influence policy in an effective way. Evidence-based knowledge would be the first tool in influencing policy. Subsequently national debates have been organised to bring the research results to the attention of policy makers.

Looking back at this process it is time to ask ourselves what we have learned. Did we choose the right way to fill the gap between marginalised groups and policy makers? The session will focus on research and debates as tools to influence policy with regard to marginalised groups such as drug users, sex workers and (undocumented) migrants. A number of experts will give their vision on this theme, and the public will be invited to participate actively in the debate.
Specific questions we hope to answer during this session are:
- What type of research is most suitable to obtain data for influencing policy?
- At what stage and how should the target group be involved in research?
- How to prevent (further) stigmatisation of marginalised groups through research?
- Is organising a national debate the most effective way to bring research results under the attention of policy makers (and service providers)?
- How to interest policy makers (and service providers) to attend a debate on the issue of social inclusion of marginalised groups?
- What to do after the debate in order to keep the issue under the attention of policy makers (and service providers)?

These questions will be discussed in a special debating session with a ‘panel of experts’, consisting of Ines Kvaternik (University of Ljubljana, Slovenia), Jane Fountain (University of Central Lancashire, United Kingdom), Susanna Ronconi (Forum Droghe, Italy), Licia Brussa (TAMPEP, Netherlands), Jean-Paul Grund (CVO, Netherlands), Dusan Nolimal (Institute of Public Health, Slovenia), and others.
11:00 – 11:30 Break
11:30 – 12:45 PLENARY SESSION 2: Advocacy and activism – Community organizing and self-representation in Harm Reduction (and beyond)
Moderator: Matt Curtis, Open Society Institute (OSI)


Building from foundations in a number of social justice movements – civil rights, women’s and GLBT empowerment, and economic justice organizing, among others – recent years have seen oppressed and stigmatized people make important new claims to their human rights and self-representation. This session will examine community organizing and activism by so-called ‘vulnerable populations’ with a focus on people who use drugs and sex workers.
Particularly in the developing world and former communist countries of Eastern Europe, drug user and sex worker activists are having an increasingly significant impact on public perceptions, policy, and international funding, meanwhile in Western Europe the situation differs from country to country. People who use drugs have worked to improve the quality of harm reduction services and access to HIV treatment, and effectively criticized the dominant law and order approach to drug policy. As well, sex workers have challenged their criminalization and international funding schemes that explicitly bar programs benefiting their health. The basic premise involved – that individuals have a right to be involved in political decisions affecting them – is otherwise taken for granted by many of the state and NGO officials whose own biases continue to deny this right to activists from marginalized communities. Such biases also contribute to the fragility of drug user and sex worker organizations by creating barriers to health, security, and resources.

With the emergence of strong drug user and sex worker activists, others working in drug policy, HIV, and related fields must take stock of these problems. Through several short presentations and a moderated discussion, the session will explore different models of drug user, sex worker and ethnic minority organizations, their approaches to public policies and community development issues affecting them, and the responsibilities of government and NGO actors engaged in overlapping issues. Finally, the session will aim to draw out common lessons from and routes of cooperation between stakeholders.
12:45 – 13:00 Final wrap up
13:00 – 14:00 Lunch
14:30 – 17:00 Satellite sessions (INPUD meeting, SWAN/ICRSE meeting)


 

The conference is co-organized and will take place under
the patronage of the Bulgarian National Committee on Prevention of AIDS and STDs at the Council of Ministers



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