Menahra

Training Title

Outlines and Sessions

Contact person

Outreach and proximity approach

• Harm Reduction for hard to reach drug users: definition and rationality
• Intravenous injection practices and risk of HIV infection and HCV
• Design of prevention messages
• Modalities of the mobile team and harm reduction Centre
• Information system and database
• Field visit: Tangier

KH-Arrazi:

• Director: Professor Jallal Toufiq:

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Advocacy workshop Harm Reduction as a Public Health Approach

• Situation of drug use in Morocco
• Drug use and linkages with HIV / AIDS
• Overview: Effects of Drugs
• Harm Reduction: Fundamentals
• Program Overview and strategic National plan against HIV/AIDS
• Presentation of the National Strategy of Harm Reduction
• Presentation of the experience of France
• Presentation of MDM system
• Presentation of advocacy actions (Subutex)
• Designing prevention messages

Opioid substitution therapy

• Launch of the methadone maintenance therapy in Morocco
• Fundamental principles of harm reduction
• OST: Paradigm shift in care
• Biological mechanisms of addiction
• Assumptions of addiction pharmacotherapy
• Substitution treatment for Opiates
• OST: Practices
• Solving Common Problems
• OST: clinical case
• Determinants of the effectiveness of OST
• Rapid Assessment and Response
• Implementing a methadone program
• Explain OST to the patients
• How to evaluate OST?

Development and Management of Harm Reduction Programs

• Epidemiology: Situation of drug use in North Africa, history of drug use, the definition of a drug, connection between drug use and HIV / AIDS.
• Harm reduction: Fundamentals.
• Harm Reduction Interventions: Develop a program of outreach and syringe distribution.
• Harm Reduction Interventions: Addiction Treatment.
• Harm reduction Interventions in prisons
• Involvement of IDUs in harm reduction programs.
• Monitoring and evaluation of Harm reduction programs
• Writing a Project Brief

Training of trainers on outreach

• Harm Reduction for hard to reach drug users : definition and rationality
  • Intravenous injection practices and risk of HIV infection and HCV.
  • Prevention messages
  • Peer Education: Behaviour Change
  • Behaviour Change
  • Training techniques/communication

HR fundamentals : informational seminar for policy makers

• Situation of Drug Use in Morocco, Tunisia and Algeria.
• Presentation of the Moroccan experience in harm reduction.
• Harm Reduction: Fundamentals
• The French experience: barriers and opportunities; public debate.
• Offering services in harm reduction.
• French and international results: issues and debates.
• New intervention strategies: community health, counseling, street team (outreach).
• The construction of an intervention strategy
• Field visit: Tangier

Information Seminar for Media

• Situation of Drug Use in Morocco, Tunisia and Algeria.
• Harm reduction: Fundamentals
• Offering services in harm reduction

Outreach and proximity training aiming at highly marginalized drug users and social exclusion

• Situation of Drug Use in Morocco, Tunisia and Algeria
• Approaches for proximity to highly marginalized populations
• Experiences of AIDS Paroles and mission Rave of Médecins du Monde
• Difficulty approaching a population of stakeholders on a health issue
• Definitions and theoretical references: health, community health, harm reduction
• Harm Reduction tools and outreach

Setting targets for universal access of IDUs to prevention, treatment and care for HIV / AIDS

• Components of harm reduction (package of interventions)
• Framework for the selection of indicators
• Sources of data for setting targets and monitoring and evaluation

Harm reduction advocacy with media

• Situation of drug use in North Africa - Links of Drug use and HIV / AIDS.
• Harm reduction: history and principles.
• Harm reduction: the services and the role of media

Health in prisons and Harm Reduction approach

• Background: health characteristics of the prison environment
  • Care and treatment of prisoners in the MENA region
  • Definition and concept of harm reduction
  • How to reduce harm practices in prisons: OST, distribution of condoms, needles and syringes program, IEC and VCT, treatment of TB
  • Harm reduction in prison: what are the minimum services? ARVs and IEC
  • Axis of advocacy for harm reduction in prisons

Training in opioid substitution therapy

• Presentation of opiate effects on the body, Consequences and risks of the use (HIV, hepatitis, overdose) Dependence and addiction assessment.
• Introduction to OST: History and overview
• Discussion of public health and social development. Political vision and consensus conferences.
• Mode of action and positive impact of the OST.
• epidemiology: different national surveys monitoring - Europe and North Africa
• The OST in the world - Example of France and Iran, Morocco Pilot Program.
• Implementation of an OST program.
• OST and specific Populations

Training on the implementation and management of needles and syringes programs (NSP)

• Harm Reduction: Key Elements
• The approach to harm reduction and its various applications
• Actions of proximity
• Reducing the risks of injections
• The harm reduction in practices

Training of trainers in street work and outreach approach

• Harm reduction and outreach with the population of injecting drug users
• Injection at low risk
• Other modes of consumption
• Prevention messages
• The self-help approach
• The HR approach: difficulties and obstacles
• sexuality, stigma and discrimination
• Substitution program with women who use drugs
• Outreach and gender approach

Advocacy workshop on HR for decision makers

• General notions on Harm Reduction related to injecting drug use
• HR and human rights
• Advocacy techniques
• Advocacy Area

Advocacy workshop with media professionals

• Harm Reduction: History and principles
• HR situation in the region
• Harm Reduction & the media