Harm Reduction Services in Thailand

Realitäten Bureau supports reprogramming and capacity building to service providers

In Thailand, harm reduction services to persons who inject drugs (PWID) are provided with funds from the Global Fund under the STAR-Programme. Evaluations of the STAR-Programme revealed that only 63% of PWID were reached and only 49% of the target group got tested for HIV and Hepatitis. Patricia Kramarz and Susanne Schardt of Realitäten Bureau support the principal recipient Raks Thai Foundation and the subrecipients OZONE and Thai Drug Users Network in improving their performance and effectiveness through a process of data collection, identifying current weaknesses in the outreach programme, and building strategies and capacity in the three regions of the country.

As a first step, Susanne Schardt conducted a training workshop with more than 40 staff members and volunteers of the three organisations about methods for a rapid situation assessment (RSA). Service providers will conduct the RSA during the coming weeks in their service areas and the results will form the basis for recommendations to improve the overall service package for PWID. A capacity building plan will be developed on the basis of a capacity needs assessment among the service staff. Until 2020, Raks Thai Foundation and its partners seek to provide more HIV testing to PWID and to reach out to new target groups at risk, including young and female PWID.

Capacity Building for medical staff in Uzbekistan

Susanne Schardt on appraisal mission

Usbekizstan is currently in a process of transformation. The new president, Shavkat Mirziyoyev, launched numerous reforms and changes, among them also a health-system reform. GIZ has been supporting the country in the use of minimal-invasive and modern imaging equipment within the public health system and trained medical, nursing, and technical staff in their safe use. This has lead to considerable progress, especially in mother-and-child-health and paedicatrics. Beginning in April 2019, the pre- and post-graduate eductation in this field is to be systematized and the connection between theory and practice will be intensified with the support of GIZ and KfW. Susanne Schardt conducted an appraisal mission for the new project for GIZ and will support their offer writing and planning.

Project management in development

A seminar at the Colegio de San Louis Potosi, Mexico

In September 2017, Birgit Stanzel carried out a block seminar in the Colegio de San Louis Potosi. It consist of three course modules, each lasting five hours. Different models of participatory and creative models of project development project management are introduced based on the theory that every project is a continuous sequence of actions based upon each other, which makes it, in fact, a change process. At the same time methods and instruments which facilitate these processes are discussed. Every module is based on the learning processes and results developed by the participants during the preceding modules. Although the methods and instruments can be applied to personal, professional, business and social projects alike, Birgit Stanzel lays her main focus on projects for the support of social cohesion and participation. Project ideas are also developed by the seminar participants and evaluated.

Information about the seminar (in Spanish)>>>>

Opioid Substitution Therapy in Nepal

lessons from building a national programme

The German Health Practice Collection (GHPC) on the BMZ website recently published a case study that explores learnings generated during the establish-ment of Nepal’s national opioid substitution therapy (OST) programme, a process which has been led by the government of Nepal and Nepalese civil society organisations with support from international partners, such as the GIZ Harm Reduction Project in Nepal, lead by our team member Patricia Kramarz.

You may find the publication at the GHPC site


This isn't nice! - everyday life in outpatient care

the new book by Peter Klös and Bernard Simon

Ugliness, illness, old age with its various ailments are among the taboos of modern society. Getting old, being ill doesn't have any lobby in our modern world. Getting old is associated with costs - which the younger generation has to bear. Being old is a burden - not only for the elderly, but also for those who cannot imagine being old themselves some time. The authors Peter Klös and Bernard Simon have compiled only a small part of the wealth of funny and sad stories they are confronted with in their every-day work. The book opens a window into the reality of mobile outpatient care for the elderly in Germany in the year 2015. It paints 17 portraits of carers and those who are being cared for. This picture is being framed by additional chapters on the context of care in Germany spanning from legal and professional aspects across social recognition to management experiences.

The book has been published in German at Paolo Freire Verlag


A decade of HIV-prevention in Ukraine

overview of 10 years of support to the GIZ in Ukraine

Ukraine has one of the fastest growing HIV epidemics in Europe since years. More than 200,000 people live with the virus and official statistics estimate that 57 new cases of HIV infection are diagnosed every day. But we have to reckon with a much higher unofficial number of cases. Since 2008, GIZ has supported the development of a national HIV Prevention Campaign modelled on the German BZgA-campaign "Don't give AIDS a Chance" and the recent health-system reform. Susanne Schardt has supported the GIZ project through numerous consultancies and trainings over the time.

Realitäten Bureau compiled a documentation of the various measures under the Ukrainian campaign that you may download here in German.