在具有挑战性的环境中获得减少伤害的关键资金:IvaJovović讨论了LET,“克罗地亚的生活质量改善”

下列的a workshop in Budapest去年秋天,杰弗里·拉扎鲁斯(Jeffrey Lazarus)在中欧和东欧的减少损害中获得可持续资金,一直与参与者谈论其国家正在运作的事情。由此产生的访谈are part of theEuropean Joint Action on HIV and Co-infection Prevention and Harm Reduction((HA-REACT). In this blog, he interviews Iva Jovović, executive director ofLET这是克罗地亚非政府组织,重点是减少损害和使用毒品的人的生活质量改善。

告诉我一些关于LET及其参与克罗地亚伤害的参与

Since Zagreb is so large and some clients never leave their neighborhoods, we have to be mobile to offer everyone access

让[英语中的“飞行”]成立于2002年,并于2003年开始向使用毒品和性工作者的人提供减少危害。如今,我们的外展工作者已直接与200多名街头性工作者接触,而对于使用毒品的人来说,我们使用两个移动外展单位。大多数克罗地亚非政府组织都专注于倒入中心,但是由于Zagreb是如此之大,有些客户从未离开社区,因此我们必须移动才能为每个人提供访问权限。客户通过电话或文字与我们联系,我们将针头和注射器正确地带给他们 - 从一开始就提供的一种外卖服务。

当克罗地亚不再有资格获得全球基金赠款时,您的融资如何变化?

我们设法保留了所有四名员工。全球基金资金为我们采购了两辆车,我们仍然依靠。他们现在已经13-14岁了,需要更换,但我不知道我们将如何做到这一点。

卫生部试图确保减少危害计划像以前一样继续;资金水平不允许任何扩展。So they provide money for harm reduction supplies: needles, syringes, condoms, etc. The LET budget has shrunk, but we’ve been able to continue almost everything we did under the Global Fund except for the youth health education service, which was formerly our biggest programme.

克罗地亚有许多减少伤害的资金来源,卫生部有助于非政府组织适用于尽可能多的人。我们还从联合行动中收到了一些欧盟的钱,因此我们能够将一些东西修补在一起。

Our major challenge is the long delays in government funding – often more than six months. We receive 90% of our financing from the Ministry of Health, but we typically don’t get the annual signed contract until April, and disbursements two months afterward. Somehow we have to survive in the meantime, but we can’t stop delivering services without breaching our contract.

For the type of clientele we have, we have to be always available, otherwise we’ll lose them

对于我们拥有的客户类型,我们必须始终可用,否则我们将失去它们。因此,要找到其他资金来源以弥补延误的压力很大。这意味着我们非常关注仅在今年年初的差距上。我经常拿出个人贷款,以便我可以支付员工薪水,直到钱通过。

事实证明,在确保减少损害资金的最重要方面是什么?

对于该部的资助,与已经在该部工作了10 - 20年的技术人员保持良好的合作关系是至关重要的。他们与我们一起在现场,知道我们的工作方式。

The problem lies with the political changes at the top of the government hierarchy. The technical staff draw up the documents and makes the initial decisions, but then they lie on the minister’s desk for months because he has to sign some other things. Not that he doesn’t want to sign our contracts…

We don’t use the media or organize public demonstrations; instead, we lobby technical staff and officials in the ministry and the relevant commissions

In Croatia, the HIV NGOs try not to make too much noise. We’re a strongly Catholic country, and the constitution defines marriage as being between a man and a woman. So, we don’t use the media or organize public demonstrations; instead, we lobby technical staff and officials in the ministry and the relevant commissions.

您认为有任何资金来源被忽略了减少伤害吗?

Yes, the EU structural funds. The欧洲社会基金has a certain amount of funding for public health prevention programs, though last year the Ministry of Health didn’t call for proposals because of national elections. So the money was there but we couldn’t access it.

此外,只有在交付最终报告时,最后一系列欧盟资金才会支付。在克罗地亚,一些政府部门达到了将资金的最后20%从欧盟转移到已授予的计划。

All this funding uncertainty means it takes a lot of energy to keep staff morale up and our programmes running without interruption

All this funding uncertainty means it takes a lot of energy to keep staff morale up and our programmes running without interruption. Fortunately, coordinators from the different NGOs are in constant contact and support each other. If one organization runs out of needles, another will supply them. But we talk about leaving the field sometimes, and the stress has made some outreach workers quit and caused some NGOs to finally succumb and close their doors.

让网站

让出版物下载(主要在克罗地亚人)

查看有关健康主页的最新帖子

Comments