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HIV/AIDS and STI-prevention, diagnostic and therapy in crossing border regions among the current and the new EC-outer borders [BORDERNET] [2004107] - Project
General objectives

Objectives:
Assessing the HIV/AIDS and STD prevention, diagnostic and therapy situation in border areas. German and Polish experts recommend intervention measures in view of the EC entry of Poland and other CEE states. BORDERNET addresses regions along the former EC outer borders. 13 partners from 6 countries (Austria, Germany, Italy, Poland, Slovakia, Slovenia) will build 4 model regions in a first phase.

Goals and work plan:
- To improve the regional cross-border planning basis up to European standards
- To develop regionally situated HIV and STDs surveillance systems (local cohort)
- To carry out surveys among selected target groups regarding the needs of the pilot regions
- To establish regional cross-border networks adjusting and improving HIV/AIDS/STDs prevention services
- To improve prevention offers for groups at risk regarding to the needs of the pilot regions
- To support regional prevention campaigns regarding to the needs of the pilot regions
- To train multipliers regarding to the needs of the pilot regions
- To train multipliers in EC outer border countries inclusive Baltic States
- To improve and standardise pre- und post- counselling regarding to the needs of the pilot regions
- To improve and standardise HIV and STDs diagnostic regarding to the needs of the pilot regions

Strategic relevance and contribution to the public health programme

Health information strand. Improving information and knowledge for the development of public health. Co-operation between Member States.

Development and strengthening of crossing-border, regionally situated networks in the field of HIV/AIDS and STD-Prevention, diagnostic and treatment, involving the respective public and private sectors. This should bring the standards and the structures of the available services into line with each other, improve their quality and when necessary complement them with new offers. The access to information and education sources should be especially facilitated for young women and men and for especially vulnerable persons like (migrant) sex worker, drug addicts and MSM. The aim is to promote social and health policy cohesion in the light of the Dublin Statement in the participating countries.
This project is focusing on development of a crossing-border HIV/AIDS and STD prevention and service provision. The same developments and tendencies should be also observed in the future EC-outer borders. That is why this model programme intends to integrate such regions in the second half of projects live span.

Methods and means

Due to its regional focus and the overall goals, the project used a variety of methods. Especially for the tasks related to the crossing border networks, the Open Method of Co-ordination will be implemented by defining common objectives, exchanging views, making commitments and assessing implementation. Additionally the methods of capacity building and training (e.g. in cooperation with EPIET) to be used. Considered risks: overburden of the regional networks, lacks of communication due to cultural, political and structural differences. All research and documentation instruments to be developed by the partners on the basis of already existing and approved methods (Sentinel Surveillance RKI; survey on special target groups (SPI and UNZG, documentation instruments SPI) and agreed upon among the other partners. They matched European standards (such as ECHI) in the respective fields. Considered risks: lack of additional partners for the Sentinel surveillance.

Expected outcomes period

Work package n° 1 - Co-ordination, project management,monitoring and evaluation: To manage the project´s implementation process fulfilling its objectives from start-up to the concluding phase. To provide the fulfilment of the international dimension of the partnership by setting up effective co-operation and communication patterns between the participants on research and intervention actions. To guarantee an efficient budget allocation. To generate an effective strategy for dissemination. Process and impact evaluation: To ensure a well performed process of monitoring and reporting. Meetings with the regional co-ordination centres and cross-border networks to steer the implementation procedures. To strengthen the link between research and practice. To ensure, that the overall project`s implementation meets the quality standards of international research and European practices in the field interventions on HIV/STI Work package n° 2 - Establishing cooperation and networking with tandem regions and the Baltic States Work package n° 3 - Dissemination of the results and conclusions of the work packages to public bodies and policy makers, practitioners in the field of medicine, social work, psychology, pedagogic, further academics and the general public in the participating countries and throughout the European Union. Work package n° 4 - Cross-border Networking. To manage communication and co-operation between the international steering committee and the model regions to ensure the implementation of the project`s working. To set up co-operation structures among the pilot projects in charge. To develop dissemination strategies for different target groups. Extension of the networks on other offers of the health/social sector in the tandem regions. The cross-border networking as a task of the regional co-ordination centres will support the implementation and co-ordination of the following tasks for the model regions: adjustment and improvement of HIV/STI prevention and treatment measures for the target groups - supporting public prevention campaigns - definition of standards for networking, prevention, treatment and training Work package n° 5 - Sentinel Surveillance (local cohort): To develop border-crossing and regional situated Surveillance-systems of HIV/STI for: access to high quality data, epidemiological trends of HIV/STD in the precise areas, frequencies of HIV/STD and identification of high risk populations at high risk and certain factors on HIV/STI infections. To ensure prompt recommendations for practical use, programme and policy development and further epidemiological studies according to the data. To enable the participants to meet EU standards in research and requirements of interventions with regards to public health surveillance in co-operation with EPIET. Work package n° 6 - Survey among selected target groups: To carry out a quantitative survey among (migrant) prostitutes, drug users, MSM and the sex service clients with face-to face-interviews determining living conditions, cultural background, health related behaviour, knowledge and attitudes related to HIV/STI and access to health care services. To compile a set of indicators and recommendations for policy makers and professionals for improvement of the individual health awareness and behaviour. Work package n° 7- VCT Voluntary Counselling and Testing: Improvement of standardisation of pre- and post-test counselling based on the method of VCT (voluntary counselling and testing). Additional knowledge in reflecting diagnostic and risk factors for clients and professionals. Implementation of the approach into the health related offers of the model regions for client centred deferent counselling. Work package n° 8 - Improvement of Diagnostic: For improvement and further development of diagnostic of HIV/AIDS and STI a consortium of medical experts, belonging to the partner projects. Work package n° 9 - Reporting: Final Report including evaluation.

Details
Start date: 01/01/2005
End date: 01/01/2008
Duration: 36 month(s)
Current status: Finalised
Programme title: First Programme of Community action in the field of public health (2003-2008)
EC Contribution: € 1 945 118,70