"Harm reduction in the Baltic States - the way forward"




25 October 2010

09.30 - 10.00


10.00 - 10.20

Welcome and opening remarks


Inga Šmate, Head of the  National Coordination Commission on Limitation Spread of HIV, STI and TB

Signe Rotberga, UNODC Regional Project Coordinator

10.20 - 11.30

Peer-Driven Interventions: aims, methodology and lessons learn ed

PDI method and experience in Ukraine

Oksana Matiyash, International HIV/AIDS Alliance, Ukraine

11.30 - 12:00

Coffee break

12:00 - 13:30

Using drug user networks for HIV prevention

Piloting a Peer-Driven Intervention model in Latvia and Lithuania: results and information gained

Evija Dompalma, UNODC National Project Officer in Latvia
Loreta Stonienė, UNODC National Project Officer in Lithuania


13.30 - 14.30


14.30 - 16.00

Analysis of needle and syringe programmes (NSP) in the Baltic States


NSPs in Estonia: current situation and future challenges

Aljona Kurbatova, Estonian National Institute for Health Development

Overview on NSP results in Latvia

Inga Upmace, Latvian Infectology Centre

Monitoring of NSPs in Lithuania

Rimantas Šagždavičius, Drug Control Department, Lithuania

16.00 - 16:30

Coffee break

16.30 - 17.30

EMCDDA data collection protocol for specialist harm reduction agencies


Inventory of harm reduction agencies in Latvia and Lithuania

Signe Rotberga, UNODC Regional Project Coordinator


From 18.30

Networking dinner in Hotel "Konventa sēta"


26 October 2010


09:00 - 16:00

Workshop on harm reduction interventions for amphetamine type stimulant users

Liudmyla Shulga, International HIV/AIDS Alliance, Ukraine

09.00 - 09.20

Amphetamine Use in Eastern Europe and Central Asia: History of Use and Production

09.20 - 10.30

Chemical components of ATS

Ways of ATS consumption and consequences for health

10.30 - 11.00

Coffee break
11.00 - 13.00

Prolonged ATS use ("marathon")

ATS overdose

Polydrug use

Harm Reduction strategies - an overview of interventions offered internationally

13.00 - 14.00


14.00 - 14.40

Group work


1. What do we know?

  • What ATS are used in the region

  • Methods of consumption

  • Who use ATS in your region. (Males/females/young/adult)

2. What do we already have?

  • List as many services available for IDUs in the region as you can

  • Indicate how those services can be adjusted for the needs of ATS users

3. What else needs to be done?

  • What are the obstacles for adjusting those services

  • What changes should be made to overcome those obstacles. Who should be involved. (For example, programmatic changes, knowledge changes, staff education)

14.40 - 15.40

Presentations of group work & discussion

15.40 - 16.00

Conclusions: main messages for social workers and their clients

16.00 - 16.30

Certificates & wrap-up of the day


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Group work