1. Law Enforcement agencies and civil society organizations: critical partners in HIV services provision for people who use drugs Zhannat Kosmukhamedova, HIV/AIDS Section

2. Co-sponsor HIV among People who Use Drugs HIV in Prison Settings CONVENING AGENCY

3. Prevalence of people who inject drugs 12.7 million PWID (0.27 % )

4. Prevalence of HIV among people who inject drugs 1.7 million PWID living with HIV (13.1% of PWID)

5. 24 HPCs selected for maximum impact on the epidemic RegionsRecommended byCountries Asia 1UNODC & CSOIndonesia 2UNODC & CSOChina 3UNODC & CSOPakistan 4UNODC & CSOIndia 5UNODC & CSOVietnam 6UNODC & CSOThailand 7UNODCPhilippines 8UNODCMyanmar Eurasia 9UNODC & CSOTajikistan 10UNODC & CSOBelarus 11UNODC & CSOUkraine 12UNODC & CSOKyrgyzstan 13UNODC & CSOMoldova 14UNODC & CSOUzbekistan 15UNODCKazakhstan Latin America 16UNODC & CSOBrazil 17UNODC & CSOArgentina MENA 18UNODC & CSOMorocco 19UNODC & CSOEgypt 20UNODCIran Africa 21UNODC & CSOKenya 22UNODC & CSOSouth Africa 23UNODC & CSONigeria 24UNODCTanzania, Zanzibar Epidemiological data Country readiness (policy, legal framework) Resources/Capacity

6. Focus on High Priority Countries  Concentrating efforts and resources in 24 HPCs  Engaging key in-country stakeholders  Identifying key bottle-necks/challenges in scaling up  Developing prioritized work plan for each HPC Law enforcement agencies National drug control agencies National AIDS Programmes Ministries of Justice, Interior and Health Prison administrations Civil society organizations UN partners Donors

7. Bottlenecks

8. Supportive legal and policy environment and law enforcement practices A strong multi-sectoral partnership and collaboration is critical, particularly involving:  Law Enforcement Agencies (LEA),  Health Sector,  Social Services,  Community Based Organizations (CBO)  Civil Society Organizations (CSO)

9. Why partnership between LEA and CBO/CSO? LE officials intersects with key populations in situations that often challenges the boundaries of how police are meant to respond LEA and CSOs are the ones working on ground – they are the ones with access, the ones that can make a difference Building bridges, enhancing capacities and creating healthy space for dialogue between LEA and CBO/CSO are key here

10. UNODC’s response: Dialogue between CBO/CSO and LEA on HIV and people who use drugs Since 2013, UNODC conducted CBO/CSOs/LEA workshops in 16 countries: 1.Sensitised law enforcement officials about harm reduction and on their role in facilitating service provision 2.Built capacity of the CSOs to advocate with LEAs 3.Created a space for LEAs and CSOs to share their concerns 4.Facilitated strategic partnership between CSOs and LEA

11. UNODC’s response: Training manual for law enforcement officials on HIV services for people who inject drugs -Focus on evidence-based and current best practice -To assist law enforcement and other uniformed services build their capacity and enhance their role as part of the national HIV response. Belarus, Brazil, Moldova, Kazakhstan, Kyrgyzstan, Tajikistan, Thailand, Vietnam

12. UNODC’s response: A practical guide for civil society HIV services providers for people who use drugs: improving working relationships and collaboration with police services Benefits of collaboration between police and CS HIV services providers. Understanding the role of the police in creating an enabling environment. Knowledge of ways in which collaboration between police and civil society services providers can be increased and maintained. Introduce some working approaches with different levels of the police sector. Awareness of practical ‘tools’ used by police that can allow the HIV services to be implemented. To outline measures CSOs can take in response to harmful practices by law enforcement.

13. …Unfortunately, many national drug control systems rely on sanctions and imprisonment, rather than evidence-based health care in full compliance with human rights standards … … These are major barriers to HIV and to harm reduction services, including in prisons and other closed settings… UNAIDS Programme Coordinating Board,1 July 2014

14. Thank you! Zhannat.kosmukhamedova@ www.unodc.org