Monitoring harm reduction implementation in European ... · –The Global State of Harm Reduction...
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Monitoring harm reduction implementation in European prisons: public health and human rights approaches Cinzia Brentari, Harm Reduction International ~ 14 June 2015 ~ [email protected] www.ihra.net
Transcript of Monitoring harm reduction implementation in European ... · –The Global State of Harm Reduction...
Monitoring harm reduction implementation in European prisons: public health and human
rights approaches
Cinzia Brentari, Harm Reduction International
~ 14 June 2015 ~
www.ihra.net
ABOUT US: HARM REDUCTION
INTERNATIONAL
HRI is London based leading non-governmental organisation working to reduce the negative health, social and human rights impacts of drug use and drug policy by promoting evidence-based public health policies and practices, and human rights based approaches to drugs.
WHAT WE DO
Evidence and AdvocacyResearch and policy analysis informing advocacy across our sector:
– The Global State of Harm Reduction
– Funding for Harm Reduction
Human rights based policyHuman rights abuses and drug enforcement go hand in hand. HRI challenges laws, policies and practices that generate harm.
International conferencesHarm reduction is a
global movement.
Sector strengtheningHRI builds advocacy coalitions and supports emerging harm reduction networks to strengthen the international harm reduction sector.
- Coordinating the European Harm Reduction Network, www.eurohrn.eu
GLOBAL AVAILABILITY OF NEEDLE AND
SYRINGE PROGRAMMES
GLOBAL AVAILABILITY OF OPIOID
SUBSTITUTION PROGRAMMES
A PUBLIC HEALTH APPROACH TO
INFECTIOUS DISEASES PREVENTION IN PRISON
PRIDE EUROPE STUDY - Objective:
• Analise the levels of adherence on harm reduction services in prisons to national
and international guidelines – questionnaire to all prisons’ medical doctors
(UNODC 2012 HIV “Prevention, treatment and care in prisons and other closed
settings: a comprehensive package of interventions” and WHO/UNODC/UNAIDS
2007 “ Effectiveness of interventions to address HIV in prison”)
• Geographical coverage, 4 EU states:
• Belgium: 35 prisons. Research by the Prison Administration and Ghent
University
• Austria: 28 prisons. Research by the Prison Administration
• Italy: 205 prisons. Research by FederSerD,
• Denmark: 49 prisons, Centre for Alcohol and Drug Research, Aarhus
University
Co- funded by the EU
PRIDE EUROPE: AREAS INVESTIGATED
PRIDE EUROPE: AREAS INVESTIGATED
Total adherence score to international recommendations
Max
IQR 75%
Médiane
Moyenne
IQR 25%
Min
Maximum
adherence
level:12
All
countries
scoring
only
between
3.5 and 4.5
A HUMAN RIGHTS APPROACH TO
INFECTIOUS DISEASES PREVENTION IN PRISON
• Several human rights conventions enshrine prisoners’ rights, including their right to the highest attainable standard of health (UDHR, ICCPR, ICESCR, CAT, ECHR, etc.)
• Standards relating to prisoners’ health have been set by human rights and public health bodies
• International, regional and national human rights monitoring mechanisms have been put in place to ensure compliance with those conventions and standards, and to ultimately protect prisoners’ rights (SPT, CPT, NPMs…).
• Generally grounded in the prevention of torture and ill treatment, their mandates do encompass health issues and rights.
• The European Court of Human Rights also has growing body of case law of prisoners’ rights, including health rights.
IMPROVING PRISON CONDITIONS BY
STRENGTHENING INFECTIOUS DISEASE
MONITORING – A HRI PROJECT
Objective: reduce ill-treatment of persons in detention and improve
prison conditions through enhanced and standardised monitoring and
inspection mechanisms on infectious diseases (TB, HIV and HCV).
Develop a user-friendly tool to generate better informed, more
consistent, and sustained human rights monitoring of infectious diseases
in prisons by national, regional and international human rights
monitoring mechanisms.
Working at European level with specific mapping and advocacy work
in Greece, Ireland, Italy, Latvia, Portugal, Poland, Spain
This project is co-funded by the European Union under the Criminal Justice Programme
IN SUMMARY
Things we already know Things we need to do
• Increase civil society engagement and networks of people who use drugs in research
• Strategise on how best to gather data in key populations/areas
• Ensure independent mechanism for gathering global data
