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Sixth Regional Conference on HIV and
AIDS
17-18, May, 2012

HUMAN RIGHTS AND HIV
   SKENDER FIFO
   alga22@hotmail.com
Criminalization and human rights
     violations towards MSM
      population in Albania.
Men who have sex with men
(MSM)
   Although there is stigmatized in Albania a gay community that
    is trying to organize.
   A low level of condom use among men who have sex with
    men
   Lack of knowledge and to practice safer sexual behaviors
    associated with a lack of friendly services for men who have
    sex with men.
   MSM have difficulty providing appropriate condoms for anal
    sex and lubricants.
   Stigma and discrimination often constitute an obstacle to the
    community to use existing services or organizing.
   Sex work has served as a survival tool for many Albanian men
    who have emigrated.
Antidiscrimination Law
   IMPORTANCE:
Diversity and nondiscrimination are fundamental elements of a modern
    society, and the development of a democratic legal system can not
    be thought without a law prohibiting all forms of discrimination. In all
    international and regional documents governing the protection of
    human rights, now includes provisions for the prohibition of
    discrimination.
Law Against Discrimination was a necessary first step towards creating a
    legal framework for combating discrimination in all spheres of public
    life, and towards ending the phenomenon of unequal treatment of
    individuals in society.
This law will fill the institutional vacuum to ensure equal rights to everyone
    regardless of the reason for some of the groups that are easily
    distinguishable from the others and I put in an inferior position
    because they have something different from what was labeled as
    normal.
SITUATION:
   In Albania, the awareness of society regarding the
    principle of discrimination and the fight against it is
    still very low.
   All reports on the situation of human rights, in
    particular those dealing with groups of so-called
    "vulnerable" people such as minority communities,
    persons with disabilities, women, children, people of
    color, etc.. , make a great word for discrimination of
    these categories of people, indicating the presence
    of such practices in all spheres of public life.
Adoption of the Law Against
Discrimination
   As a key measure in combating all
    forms of discrimination
   As a defense mechanism to guarantee
    human rights and that makes these
    groups less exposed to this type of
    reaction and aggression of institutions
    and the community at large.
Important factors:
In Albania:
 Awareness of society regarding the principle of
    discrimination and the fight against it is still very
    low.
 All reports on the situation of human rights, in
    particular those dealing with groups of so-called
    "vulnerable" people such as minority communities,
    persons with disabilities, women, children, people of
    color, etc.. , make a great word for discrimination of
    these categories of people, indicating the presence
    of such practices in all spheres of public life
 Sexual minority devijacione considered and
    regarded as a moral crime
Effects of different forms of
stigma can lead to:
   Discrimination
   Violation of basic human rights
   Exclusion or denial
   Violence
   Difficulty in accessing services
   Isolation
   Compulsory testing for HIV
Discriminatory practices in
health care centers
   Going public status of the patient
   Mandatory Testing
   The result Advertising
   Isolation of patients
   Placing gloves during noclinical raids
   Denial of care etc.
MSM and their male and
female partners;

Challenges:
  Low condom use
  Number of male and female partners
  Inadequate STI and HIV screening
   and treatment procedures,
   mechanisms, and facilities
  Drug taking and consequential
   needle sharing.
Obstacles to expanding the
national response
   Inadequate data on the scale and location of the
    HIV and STI problem makes planning for and
    providing strategic and adequate services for
    MSM extremely difficult.
   Inadequate and under-funded national prevention,
    treatment and care programs, and lack of
    integration of existing health programs results in
    ineffective services and awareness, especially for
    MSM
   Legal status of CSWs means that it is very difficult
    to provide meaningful outreach, social, and health
    services to this large at risk group.
…
   Health systems which discourage many at risk
    groups from attending primary health care services
    and obtaining appropriate treatment and very poor
    referral systems to HIV and STI diagnostic services.
   Inadequate HIV and STI testing and treatment
    facilities which means that people do not know their
    HIV status and, as a result, carry on with prior
    behaviour. Additionally, STIs may not be detected
    or inadequately treated leaving people more
    vulnerable to HIV infection.
   Inability to track and monitor migrants means that
    many people who could be affected go undetected
   THANK YOU!

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skender fifo - human rights and hiv

  • 1. Sixth Regional Conference on HIV and AIDS 17-18, May, 2012 HUMAN RIGHTS AND HIV SKENDER FIFO alga22@hotmail.com
  • 2. Criminalization and human rights violations towards MSM population in Albania.
  • 3. Men who have sex with men (MSM)  Although there is stigmatized in Albania a gay community that is trying to organize.  A low level of condom use among men who have sex with men  Lack of knowledge and to practice safer sexual behaviors associated with a lack of friendly services for men who have sex with men.  MSM have difficulty providing appropriate condoms for anal sex and lubricants.  Stigma and discrimination often constitute an obstacle to the community to use existing services or organizing.  Sex work has served as a survival tool for many Albanian men who have emigrated.
  • 4. Antidiscrimination Law  IMPORTANCE: Diversity and nondiscrimination are fundamental elements of a modern society, and the development of a democratic legal system can not be thought without a law prohibiting all forms of discrimination. In all international and regional documents governing the protection of human rights, now includes provisions for the prohibition of discrimination. Law Against Discrimination was a necessary first step towards creating a legal framework for combating discrimination in all spheres of public life, and towards ending the phenomenon of unequal treatment of individuals in society. This law will fill the institutional vacuum to ensure equal rights to everyone regardless of the reason for some of the groups that are easily distinguishable from the others and I put in an inferior position because they have something different from what was labeled as normal.
  • 5. SITUATION:  In Albania, the awareness of society regarding the principle of discrimination and the fight against it is still very low.  All reports on the situation of human rights, in particular those dealing with groups of so-called "vulnerable" people such as minority communities, persons with disabilities, women, children, people of color, etc.. , make a great word for discrimination of these categories of people, indicating the presence of such practices in all spheres of public life.
  • 6. Adoption of the Law Against Discrimination  As a key measure in combating all forms of discrimination  As a defense mechanism to guarantee human rights and that makes these groups less exposed to this type of reaction and aggression of institutions and the community at large.
  • 7. Important factors: In Albania:  Awareness of society regarding the principle of discrimination and the fight against it is still very low.  All reports on the situation of human rights, in particular those dealing with groups of so-called "vulnerable" people such as minority communities, persons with disabilities, women, children, people of color, etc.. , make a great word for discrimination of these categories of people, indicating the presence of such practices in all spheres of public life  Sexual minority devijacione considered and regarded as a moral crime
  • 8. Effects of different forms of stigma can lead to:  Discrimination  Violation of basic human rights  Exclusion or denial  Violence  Difficulty in accessing services  Isolation  Compulsory testing for HIV
  • 9. Discriminatory practices in health care centers  Going public status of the patient  Mandatory Testing  The result Advertising  Isolation of patients  Placing gloves during noclinical raids  Denial of care etc.
  • 10. MSM and their male and female partners; Challenges:  Low condom use  Number of male and female partners  Inadequate STI and HIV screening and treatment procedures, mechanisms, and facilities  Drug taking and consequential needle sharing.
  • 11. Obstacles to expanding the national response  Inadequate data on the scale and location of the HIV and STI problem makes planning for and providing strategic and adequate services for MSM extremely difficult.  Inadequate and under-funded national prevention, treatment and care programs, and lack of integration of existing health programs results in ineffective services and awareness, especially for MSM  Legal status of CSWs means that it is very difficult to provide meaningful outreach, social, and health services to this large at risk group.
  • 12. …  Health systems which discourage many at risk groups from attending primary health care services and obtaining appropriate treatment and very poor referral systems to HIV and STI diagnostic services.  Inadequate HIV and STI testing and treatment facilities which means that people do not know their HIV status and, as a result, carry on with prior behaviour. Additionally, STIs may not be detected or inadequately treated leaving people more vulnerable to HIV infection.  Inability to track and monitor migrants means that many people who could be affected go undetected
  • 13. THANK YOU!