DRUG CHECKING: An Essential Response to Emerging Harm Reduction Needs
Georgia has observed increasing trends of use of new psychoactive substances (NPS), as well as increased rates of non-injecting drug use in recreational settings, based on the latest available evidence. Additionally, the circulation of unknown NPS poses significant risks to people who use drugs, due to the highly toxic nature of these substances. In the last years, an increasing number of cases of overdose, health complications, and overdose-related deaths have been reported by media and civil society organizations.
These challenges are paired with the fact, that Harm Reduction (HR) interventions available in-country are primarily directed to injecting drug use practices (needle and syringe program) and HIV prevention, but do not respond to harm reduction needs in line with risks related to developments in the drug market and drug use scene.
Accordingly, these challenges create an emerging need to introduce novel harm reduction interventions, targeted at non-injecting and recreational drug use, including Drug Checking Services (DCS). Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Based on the review of the available evidence, international practice, as well as technical documents on DCS, this policy brief provides descriptive analyses and key conclusions on the rationale behind DCS, their purpose, impact and positive effect, legal regulation, as well as technical aspects of types of dug checking techniques and best practices for their implementation.
The policy document has been prepared jointly by CIF in the frame of the Strategic Policy Fellowship Program authored by Giorgi Soselia, Maia Uchaneishvili, and Temo Khatiashvili. The program is launched as part of the K2P Mentorship Program for Building Institutional Capacity for HPSR and Delivery Science. The project is funded by The Alliance for Health Policy and Systems Research.
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Modeling of Four Possible Scenarios of COVID-19 epidemics in Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Application for Summer Internship program is closed
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LNCT Webinar: Key Considerations for Integrating Immunization with Other Primary Health Care Services
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Workshop on using modern technology for TB prevention, diagnosis and increased quality treatment
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Introductory Meeting on the project ‘Embedding Rapid Reviews in Health Policy-Making’
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Taavy Miller from University of North Carolina shares her internship experience
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Building Institutional Capacity for HPSR and Delivery Science- CIF is Europe region HUB
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Inter-regional workshop in preparation for transitioning towards domestic financing in TB, HIV and Malaria programmes
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Memorandum of Cooperation between the Health and Social Issues Committee of the Parliament of Georgia and Curatio International Foundation
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Embedding Rapid Reviews in Health Systems Decision-Making (ERA)
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Curatio International Foundation at the Global Symposium on Health Systems Research
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
The civil society gathered for the fourth time to discuss healthcare system challenges in Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Project: HIV risk behavior among Men who have Sex with Men – Bio-Behavioral Surveillance Survey and Population Size Estimation
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Curatio International Foundation at AIDS2018
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Big Pharma Greed and Artificial Prices – Knocking on Door to Limit Access to HIV Medicines in Georgia
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Civil society is gathering for the third time to hold a discussion about the healthcare
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Webinar: Gavi Vaccine Prices Post-Transition
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Webinar: Mapping and consensus of global competencies set for the field of HPSR: A progress update and HSG round table discussion
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Health Systems Global Publishes Annual Report 2017
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Webinar: Vaccine Forecasting and Budgeting Tools and Best Practices
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Technical Assistance for evaluation of transition readiness and preparation of Transition and Sustainability Plan for Global Fund-supported programs in Tajikistan
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Technical Assistance for the preparation of Transition and Sustainability Plan for HIV program in Philippines
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Discussing the accessibility of medicines in Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Webinar: Integrating gender into health system strengthening in conflict and crisis-affected settings; what’s in our toolkit?
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Article: Barriers to mental health care utilization among internally displaced persons in the republic of Georgia: a rapid appraisal study
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Why Georgians second-guess their doctors – Deregulation has left Georgian medical care something many Georgians would rather avoid
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Ara Srinagesh from New York University Shares her Internship Experience
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Webinar on The peer review process – what happens when you send your manuscript to a journal
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Webinar on Improving Quality of Care during Childbirth: Learnings and Next Steps from the BetterBirth Trial
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Civil Society is Being United to Discuss Healthcare System Issues
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Curatio International Foundation for a TB-Free World
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Closing Project: Tuberculosis Community Systems Strengthening in Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Primary Health Care Systems: Georgia case study
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Integrated Bio-behavioral surveillance and population size estimation survey among Female Sex Workers in Tbilisi and Batumi, Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Applying a Health Policy and Systems Research lens to Human Resources for Health: Capacity building, leadership and politics
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
CIF hosts Aradhana Srinagesh throughout the winter internship program
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Empowering civil society for engagement in and monitoring the decision making in health sector in Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Curatio International Foundation presented BBS and PSE study findings at the Civil Society Forum
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Article: Barriers to delivering mental health services in Georgia with an economic and financial focus: informing policy and acting on evidence
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
The Interview on population size and Human Immunodeficiency Virus risk behaviors of People who Inject Drugs in Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
HIV risk and prevention behaviors among People Who Inject Drugs in seven cities of Georgia, 2017
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Conference paper: The Study of Barriers and Facilitators to Adherence to Treatment among Drug Resistant Tuberculosis Patients in Georgia to Inform Policy Decision
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Article: Human immunodeficiency virus prevalence and risk determinants among people who inject drugs in the Republic of Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Conference paper about realist evaluation: Informing policy, assessing its effects and understanding how it works for improved Tuberculosis management in Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Georgian Healthcare and its Challenges: Healthcare Expert George Gotsadze will host the lecture
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
17 years in Curatio International Foundation: President Ketevan Chkhatarashvili to Leave Organization
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Be ready for the Best Internship Experience
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Apply for Our Winter Internship Program
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Georgian Solution for a Post-Soviet TB Program: Can Integration into Primary Health Care Improve TB Care?
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Moving Forward: Second PT workshop with TB stakeholders in Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Article: Determinants analysis of outpatient service utilization in Georgia: can the approach help inform benefit package design?
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Designing and evaluating provider results-based financing for tuberculosis care in Georgia (RBF4TB)
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Forbes Georgia: The Importance of Evidence in Decision Making
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Barriers and Facilitators to Adherence to Treatment Among Drug Resistant TB Patients in Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Summer internship program 2017 is open now!
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Curatio International Foundation: Transition and Sustainability Portfolio
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Article: Privilege and inclusivity in shaping Global Health agendas
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Eastern Europe and Central Asia Regional Sustainability and Transition Coordination Summit 20-21 October, 2016 Vilnius, Lithuania
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Internship Announcement, Winter 2016-17
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Evaluation of UNICEF’s Contribution in Central and Eastern European Five Countries
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
CIF researchers represented on Global Conference AIDS2016
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
UHC 2030: Building an Alliance to Strengthen Health Systems
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
CIF Pharmaceutical Price and Availability Study (Fifth Wave Results)
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
HIV risk and prevention behaviours among Prison Inmates in Georgia, 2015
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Bio-Behavioral Surveillance Survey among Men who have Sex with Men in two major cities of Georgia, 2015
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
EPIC Studies – Governments Finance, On Average, More Than 50 Percent Of Immunization Expenses, 2010–11
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Bio-Behavioral Surveillance Survey among People Who Inject Drugs in 7 cities of Georgia, 2015
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
TB Community Systems Strengthening in Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
What can be done to improve treatment adherence among tuberculosis patients in Georgia: Looking through health systems lens
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Announcing Winter Internship Program 2016
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Regional High Level Dialogue ‘Road to Success’, Tbilisi, Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
CIF study results on 8th IAS Conference on HIV Pathogenesis, Treatment and Prevention
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Response to the “Final evaluation of GAVI support to Bosnia and Herzegovina”
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
The drivers of facility-based immunization performance and costs. An application to Moldova
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Curatio International Foundation Hosts Health Systems Global Secretariat in Tbilisi, Georgia
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
An Impact Evaluation of Medical Insurance for Poor in Georgia: Preliminary Results and Policy Implications
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
Civil Society Forum organized by Country Coordination Mechanism
Nowadays, these services, including DCS, are totally absent or fragmented, in particular, they are provided by only one organization that lacks funding and sustainability, thus has limited capabilities to comprehensively introduce and operate service delivery.
