Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 11029
Country/Region: Russia
Year: 2010
Main Partner: United Nations Office on Drugs and Crime
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: USAID
Total Funding: $250,000

The Grant Agreement with the United Nations Office on Drugs and Crime Control (UNODC), started in 2006, works on HIV/AIDS and drug abuse prevention in the two PEPFAR priority regions and at the federal level. At the regional level the project has established partnerships with local NGOs in each region to promote a pre and post release HIV prevention and care program in the prison system. The grant has made great progress in setting up a sustainable approach that will continue to promote intervention for most-at-risk populations (MARPs), especially, injecting drug users (IDUs).

Among PEPFAR/Russia implementing partners UNODC plays a leading role in addressing IDU and drug abuse issues. As the leading UN agency working in this area they are the liaison with the leading substance abuse (narcological) services at the federal level and the Federal Drug Control Service as well as strong contacts in the two PEPFAR regions and other regions given their broader mandate. The advocacy and advisory role of UNODC is carried out in compliance with the three UN Drug Conventions, namely the June 1998 UNGASS Political Declaration and Guiding Principles of Drug Demand Reduction; the June 2001 UNGASS Declaration of Commitment on HIV/AIDS; and June 2006 UNGASS Political Declaration on HIV/AIDS.

The goal of UNODC's program is to increase access to effective HIV/AIDS and drug abuse interventions. The main objectives include:

1. Increased awareness and knowledge on the delivery of effective HIV/AIDS and drug treatment programs, including medication assisted treatment of opiate dependence, for high risk groups among public health workers, Federal Drug Control Service officers and penitentiary staff;

2. Increased capacity to deliver effective drug treatment, rehabilitation and HIV/AIDS prevention and treatment services for IDUs and PLWHA in places of detention and after release in St. Petersburg and Orenburg for detainees who are HIV-positive and IDUs;

3. Monitoring and evaluation system for HIV/AIDS and drug abuse treatment and rehabilitation interventions strengthened.

The project objectives are intended to complement the Russian Decree from the Federal Agency for Surveillance in Consumer Rights Protection and Human Welfare (Rospotrebnadzor, Ministry of Health and Social Development) signed by the Chief Sanitary Doctor on April 24, 2005 that allows for special attention to the implementation of prevention activities among IDUs, commercial sex workers (CSWs) and special risk youth, and also to financially support NGOs that are working with these groups.

UNODC operates on two levels:

- At the federal level the project targets senior policy makers and leading researchers to increase awareness about international best practices for HIV and drug abuse prevention and treatment. At the federal level UNODC cooperates with the Ministry of Health and Social Development, the National Research Institute on Addictions; the Federal Drug Control Service and the Department of Postgraduate Education of Medical Universities;

- At the regional level UNODC supports the local partners (governmental centres, NGOs, etc.) to implement and/or access the application of the international best practices.

Funding for Care: Adult Care and Support (HBHC): $250,000

With FY10 funds UNODC will work on consolidation of the work done in the narcology services and activities focused on IDUs, including packaging of the UNODC best practices to improve adherence to ARTs and patient follow up once released from the prison system. This work will compliment the new HIV prevention and care projects, which target transition of USG work done and lessons learnt to the national government to ensure sustainability of PEPFAR/Russia results.

Specifically it is expected that UNODC will work on developing and packaging guidelines for improved rehab services and drug abuse treatment services that integrate HIV prevention care and support. The activities in the two PEPFAR regions will wind down and a more systematic approach to evaluating, monitoring and disseminating the approach will be developed in FY10. This process will directly contribute to and add value to the new HIV prevention project by reflecting the importance of narcological services' involvement into HIV prevention among IDUs. The UNODC program will also supplement the other USG accomplishments under USG-funded partners, for example, HIV testing and counselling, buffer groups, and case management based in narcological facilities, referrals between primary care and narcological services, etc.

UNODC will also continue to work at the Federal level advocating for greater awareness of internationally recognized best practices for HIV and drug dependency issues. This action may include conferences, master classes and policy advocacy activities.

Subpartners Total: $0
Healthy Russia Foundation: NA
Cross Cutting Budget Categories and Known Amounts Total: $200,000
Human Resources for Health $200,000
Key Issues Identified in Mechanism
Increasing gender equity in HIV/AIDS activities and services