Die AIDS-Hilfe Potsdam e.V. wird im Rahmen des Projektes BORDERNETwork ( Phase 2010-12) durch das Public Health Programme der EU und durch das Ministerium für Umwelt, Gesundheit und Verbraucherschutz des Landes Brandenburg aus der Konzessionsabgabe Lotto gefördert.
Das Projekt wird von der SPI Forschung gGmbH koordiniert.
Highly active prevention: scale up HIV/AIDS/STI prevention, diagnostic and therapy across sectors andborders in CEE and SEE.
Contract Number: 20091202 Duration: 36 Months Start: 1 January 2010
Overarching goal is to improve prevention, diagnostic and treatment of HIV/AIDS (incl. co-infections) and STIs through bridging gaps in practice, policies and cross-country cooperation and enhancing capacity in interdisciplinary response. Based on multi-sectoral network commitment, BORDERNETwork elaborates on outcomes of the EU project BORDERNET and produces new practice-relevant models transferred to Central, Eastern and South Eastern Europe. 8 EU Member States (6 CEE countries) and 4 ENP countries (as collaborating partners or via subcontracting of tasks), divided in 5 model regions take part A balanced blend of 3 core strands will be envisaged:
-Prevention: Given that highly active prevention is the main vehicle to decrease HIV rates, the project will: boost regional networks in public health sector and mobilise civil society resources in order to increase local response impact, enhance links between epidemiological and behavioural research and evidence-based interventions and contribute to coordination of practices for increase of quality assurance.
-Diagnostic: In this domain the project shall foster early HIV/STIs diagnostic via scaling up the uptake of voluntary testing and counselling (VCT) and provider-initiated testing among groups at high risk, contributing to increase the number of those who know their HIV status. Further, harmonisation of HIV/AIDS and STI diagnostic and treatment offers and provision of basic prevention, care and support packages to the most vulnerable (ethnic minorities, migrants, mobile populations) and most at risk groups (SWs, IDUs) will be achieved.
-Treatment: In this domain better nexus of the various interfaces in the referral systems (STIs/HIV) will be achieved and links will be established between HIV/TB/Hepatitis and drug treatment systems, incl. access to HAART for IDUs. Thus the project will contribute to reduce health and social inequalities among various vulnerable population groups in the European Region promoting human rights and gender equity.
Global health targets can be met only if social determinants of health are tackled. BORDERNETwork focuses both disease causes and underlying factors, aiming to comprehend and change from low responses to prevention offers, to pertinence of risk behaviour and low accessibility of care services. The advanced state of research and furthermore the bridging of solid findings to practice will add to the existing host of public health knowledge, not least with positive implications for the citizens’ health. Strategic relevance is assured also by the approach’s cornerstone – highly active prevention. The concurrent advancement of HIV/STIs prevention, diagnostic and treatment avoids currently spread pitfalls, aggravating health inequalities (increasing knowledge of HIV without offering treatment). The wide cross-topic focus with robust inter-links contributes substantially to action 3.3.2. “Promote healthier ways of life and reduce major diseases by tackling health determinants” and in particular to sub-action 18.104.22.168. “Sexual health and HIV-AIDS” of the annual work programme. The project is also relevant to sub-action 22.214.171.124. “Public health capacity building” improving communication competence of health professionals, inter-sectoral exchange and dissemination of good practices, linkage among interfaces of the treatment systems (HIV/STI,TB,drug).
Methods and means:
These are both hierarchically and temporally applied ensuring optimal information flow and synergy effects between work packages. Thereby results produced by research and development methods will be further worked out by direct prevention and service provision methods and by outline of manuals, guides and policy recommendations.
Proven selected methods: networking and capacity building (eg communication and method competence trainings), behaviour HIV/STIs surveillance among sex workers (incl. IDUs), sentinel surveillance (STI-clients/patients), qualitative survey, self-assessment of HIV-testing sites, exchange of best practice in early diagnostic for vulnerable groups, evidence based models of participatory community HIV prevention among ethnic minorities, quality assurance tools for youth HIV prevention, sexual and reproductive health programmes.
- Main partner: SPI Forschung gGmbH, Berlin (DE), coordinator of BORDERNETwork
- 12 Associated Partners: AHW (AT), HESED (BG), NIHD (EE), AISC (EE), RKI (DE), MAT (DE), AHP (DE), LIC (LV), SPWSZ (PL), POMOST (PL), ARAS (RO), PRIMA (SK)
- 15 Collaborating Partners
- Experts from European Neighbourhood Countries
No. – Title -Leader
1. – Coordination – SPI Forschung, Berlin, Germany
2. – Dissemination – SPI Forschung, Berlin, Germany
3. – Evaluation – SPI Forschung, Berlin, Germany
4. – Interdisciplinary networking – SPI Forschung, Berlin, Germany
5. – Bridging research on HIV/STIs prevalence and risks to evidence-based effective practice – SPI Forschung, Berlin, Germany
6. – Access to early HIV and STIs diagnostic for vulnerable groups – NIHD, Tallinn, Estonia
7. – Referral, management, treatment and care of HIV/STIs and co-infections – AHP, Potsdam, Germany
8. – Participatory approaches to community based HIV/STIs prevention in ethnic minority (Roma) and migrant – HESED, Sofia, Bulgaria
9. – Accountability and evidence-based evaluation in youth prevention and sexual and reproductive health and rights – AHW, Vienna, Austria
The improved effectiveness and efficiency on regional and cross-border level in interdisciplinary response to AIDS/STIs and scale up of HIV/STI-testing put forward the practical implementation of HIV combination prevention. Not least synergies in inter-sectoral cooperation, improved permeability of health services and sustainability of transferred intervention models will be assured by the generated network competency. The involvement of the national AIDS programme levels (also co-financing, eg German MoH) will contribute to the sustainable deployment of the outcomes.
Here you can download the BORDERNETwork- Executive Summary .
Praxisorientierte Weiterentwicklung von HIV/AIDS- und STI-Prävention, Diagnostik und Therapie in Europa
BORDERNET work will ganz im Sinne einer nachhaltigen gesundheitspolitischen Entwicklung die Vorhaben von BODERNET aufgreifen und fortführen. Darüber hinaus werden aber durch die Setzung neuer Akzente und eine andere geografische Gestaltung neue und von der alten Konzeption unabhängige Projekte gestaltet.
Die Grundannahme und die hauptsächliche Zielsetzung bleibt jedoch gleich. Es geht auch in BORDERNET work um die Verbesserung von HIV und STI Prävention, Diagnostik und Therapie in grenzüberschreitender Kooperation von interdisziplinären Netzwerken.
BORDERNET work verbindet 13 Partnerorganisationen in sieben Ländern:
Mecklenburg Vorpommern(D) / Zachodniopomoskie(P)
Brandenburg(D) / Lubuskie(P)
Österreich / Slowakische Republik
Italien / Slowenien reserviert.
Neu dazugekommene Modellregionen:
Podkarpackie (PL) / Lvivska oblast (UA)
Estland / Russland
Bulgarien / Rumänien und Moldawien