Project on overdose management and naloxone distribution in Russia

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Project on overdose management and naloxone
distribution in Russia Presented by Anya
Sarang (AFEW), Larisa Mikhailova Tim Rhodes
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AIDS Foundation East-West (AFEW)

• - International
• Humanitarian
• Non-governmental
• Public health organisation
• Focussing on HIV prevention, treatment, care
  and support for people living with HIV/AIDS in
  the Newly Independent States (NIS) of the former
  Soviet Union (FSU).
• AFEW was founded on 4 January 2001 in Amsterdam,
  the Netherlands.

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Last year Ljubljana Presentation on Overdose

• According to this research
• 2001 survey administered in 16 Russian cities
  amongst 763 IDUs (opiate users)
• 59 had experienced overdose, 15 had witnessed a
  fatal overdose, and 81 had seen others overdose
• The most common drug associated with opiate
  overdose was heroin (74) -- in some cases, a
  home-produced opiates
• Over half (57) of IDUs said they lacked the
  appropriate skills to treat overdose

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After the Conference

• Dan Bigg (CRA, USA) visited Moscow and provided
• a seminar to Moscow outreach workers, health
  specialists which included information on
  overdose prevention and the management of and use
  of Naloxone
• Decision made to pilot Naloxone distribution via
  outreach
• Determine if legal impediments to Naloxone use
  exist in the Russian Federation (RF)

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Togliatti, RF

• NGO Parents Against Drugs (PAD)
• HR project initiated in 2000
• Supported by the Municipal budget, OSI-Russia,
  Imperial College (IC), PSI and other partners
• The project developed strong outreach capacities
• Targets opiate (i.e., heroin, khanka, etc.)
  users
• AFEW has been involved in partnership with PAD
  and IC aimed at research and project development

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Togliatti - OD

• A community survey amongst 426 IDUs took place in
  October 2002
• 53 (223/419) had ever overdosed
• of which 57 were men (128/223)
• 43 women (95/223)
• 0 to 24 years 49 (109/223)
• 25 years 51 (114/223)

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Togliatti Naloxone

• Aug 2002 translation of materials, etc
• Sept 2002 AFEW training to the outreach team in
  Togliatti based on CRA manual
• Togliatti design of training for IDUs
• Naloxone distribution to the training
  participants

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Information Materials

• Translated and adopted (from CRA)
• Training guidelines
• Leaflet
• Evaluation forms

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Other Developments

• AFEW prepared a brochure on overdose to be
  distributed among HR projects in RF (in addition
  to Ukraine and Moldova)
• Small leaflet on first aid included in kits for
  prison staff

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Other Developments, cont.

• Segment of OD included as usual part of training
  for outreach workers
• In preparation reader for health specialists
  with translation of articles on OD
• Publication in the Journal of Urban Health
• Small Russian advocacy working group created

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THANKS!!!

• Dan Bigg Phil Coffin
• For their support during the last year in the
  development of this project!

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AIDS Foundation East-West (AFEW)
Anya Sarang anya_sarang_at_afew.org Tel. [phone]
6377, Fax [phone] web-site www.afew.org