1. Improving health and protecting human rights Improving health and protecting human rights for individuals, communities, and society Harm reduction and the law: fighting TB and HIV in Eastern Europe International AIDS conference, Melbourne, Australia 23 July, 2014

2. Improving health and protecting human rights Improving health and protecting human rights for individuals, communities, and society TB is a curable disease BUT… It is the leading cause of death among people who use drugs and live with HIV

3. Common problems – TB Absence of appropriate TB care Lack of resources 25% of world’s MDR-TB burden in the region 15 out of 27 high burden countries are located in Europe and Central Asia Improving health and protecting human rights Improving health and protecting human rights for individuals, communities, and society

4. People who use drugs and TB Over 3.7 million people who inject drugs People who use drugs (PWUD) particularly vulnerable to contracting TB ( imprisonment, lack of access to opiate substitution treatment, inadequate healthcare services ) Restricted access to TB services Improving health and protecting human rights Improving health and protecting human rights for individuals, communities, and society

5. Policies we are targeting: Drug policies Public health Human rights Mainstreaming human rights Improving health and protecting human rights Improving health and protecting human rights for individuals, communities, and society

6. SOCIAL Stigma Violence Discrimination Disgust Insult Abuse HEALTH Poor health-care Medical confidentiality Inability to access healthcare Improving health and protecting human rights Improving health and protecting human rights for individuals, communities, and society

7. Basic human rights framework Equality Non- discrimination Right to life No Torture RIGHT TO HEALTH Fair Trial Arbitrary detention Right to privacy Right to free movement Right to family Freedom of religion and thought Freedom of assembly Social security Right to work Right to education.. Etc…. Improving health and protecting human rights Improving health and protecting human rights for individuals, communities, and society

8. Right to health – NOT be healthy Availability Accessibility Acceptability Quality The right to prevention, treatment and control of diseases: HIV, TB HCV Improving health and protecting human rights Improving health and protecting human rights for individuals, communities, and society

9. Human Rights mechanisms The UN Committee on Economic Social Cultural Rights The Human Rights Committee The Universal Periodic Review Special Rapporteur on Health Special Rapporteur on Violence against Women And others Improving health and protecting human rights Improving health and protecting human rights for individuals, communities, and society

10. Thank you! Eka Iakobishvili Eka@harm-reduction.org Twitter: @Eka_ia www.harm-reduction.org Improving health and protecting human rights Improving health and protecting human rights for individuals, communities, and society