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TATJANA PETRUSEVSKA Spec. Pharm. MBAVice President of Inter Ministerial Commission for Narcotic Drugs (IMCND)Head of Sector for Controlled substancesMinistry of Health
REPUBLIC OF MACEDONIAE-mail: [email protected]
COMMUNITY AGENCIES
PARTNERS IN ACCESSION 25-27 November 2009, Sintra, Portugal
LESSONS LEARNED
Experiences of the IMCND of the Republic of Macedonia and EU
Agency EMCDDA
Membership of the European Union is the highest strategic interest and priority for the Government of the Republic of Macedonia, an objective shared by an overwhelming majority of Macedonia’s citizens and all political parties. Macedonia was the first country in South East Europe to sign a Stabilization and Association Agreement with the European Union in 2001 in Luxemburg. Recognizing the progress that Macedonia has made in meeting the Copenhagen criteria, the European Commission recommended granting Macedonia candidate country status for membership in the EU. On 17 December 2005, the European Council decided to grant the Republic of Macedonia official candidate status for EU membership.
MACEDONIAN EXPERIENCES WITH EU INSTRUMENTS:
2001 PHARE Project for synthetic drugs 2001 PHARE Project for precursor control
*Within this project we prepared Law for control of precursors in line with EU directives
2006-2007 CARDS Project for combating drugs related criminal activities:
*we prepared National Drug strategy, Action Plan, Law for control of narcotics and psychotropic substances
*NFP has been established 2008 CARDS Project with EMCDDA:ESPAD study. Need assessment report, Country overview, Info
Map,
…..Where we were…..
Where we want to be, with support of our ....
Colleagues
Partners and Friends
“United in diversity” is the motto of the European Union
We learned…
…A diverse workforce provides talent, creativity, flexibility, world vision and strength, that we need to
successfully complete Global goals…
Finding yourself in Diversity!
ppreciate
articipate
elebrate
We learned…
Appreciate:
religion
physical characteristics
race
gender
marriage status
family
ethnicity
language
Geographic origin
Socioeconomic status
• What a Diversity Provides?– A variety of points of view and approaches to problems and
opportunities can improve managerial decision making.– Diverse can provide a wider range of creative ideas.– Needs of diverse stakeholders,– Factors that Influence Managerial Perception– Accommodation for Religious Beliefs– Scheduling of critical meetings,– Providing flexible time off for holy days– Perceptions,– Avoid stereotyping, – Recognize & celebrate differences,– Language translations
Managing Diversity Effectively Makes Good Sense
PLANNING PROCESS
Organize the stakeholders to
profile the needs and readiness
Assessment
Mobilize the stakeholders & build capacity to address the
needs
Developed the plan (activities, programs and
strategies) Implementation of the plan
Evaluate the Results and estimation of
the Future support
CAPACITY
PLANNING
Implementation
Evaluation
SUSTAINABILITY
WE LEARNED:
SYNERGY enables the total performance to be greater
WE LEARNED:
Capacity building process1. Assess the 1. Assess the
resources and needsresources and needs
2. Support services 2. Support services expansionexpansion
Improve service Improve service organization and financingorganization and financing
1. Assess the 1. Assess the resources and needsresources and needs
Capacity building process
EFFECTIVNESS
IMPROVE QUALITYIMPROVE QUALITY
Evidence-based approachEvidence-based approach
TrainingsTrainings
EducationEducation
OUR VISION
Capacity building process
2. Support services 2. Support services expansionexpansion
3. Improve service 3. Improve service organization and financingorganization and financing
4. Recruit, educate and 4. Recruit, educate and retain workforceretain workforce
1. Assess the resources and 1. Assess the resources and needsneeds
5. Create interlocking 5. Create interlocking systems of caresystems of care
6. Development a 6. Development a standards to monitor the standards to monitor the
systemsystem
EMCDDA–CARDS project• Objective 32 of the EU drugs action plan 2005–08
foresees that particular efforts must be made to improve assistance given to applicant countries.
On 1 December 2007, the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) initiated a technical cooperation and assistance project with the Western Balkans countries — comprising Albania, Bosnia-Herzegovina, Republic of Macedonia, Montenegro, Serbia — financed by the European Commission’s (CARDS) fund.
• The aim of the project was to assess the capacity of the Western Balkans countries to establish a drug information system that is compatible with the EMCDDA, and to provide direct support for data collection and reporting.
• During this first cooperation project with the Western Balkans, the EMCDDA and the Reitox coaches assisted the partner countries in drafting a first Country overview following the European standards.
WE LEARNED:
The central role of networking, multidisciplinary work and care coordination
The use of reliable and valid screening instruments for assessments
What information and/or data exists that is of relevance for
the implementation of the action?– International databases (scientific, legislation)– Epidemiology surveys on drug use (patterns, treatment, etc.)– Policy research (evaluation research, etc.)– Registries (e.g. clients in treatment)– Qualitative data e.g. rapid assessment information– Effectiveness/ implementation studies
Ideally Actions are: • Specific (focusing on a specific problem or issue)• Measurable (the progress and outcome must be measurable through objective
indicators and assessed with existing verification tools as much as possible)• Acceptable (the priority aims and actions must be in agreement with generally
supported principles and contexts in society and in the Strategy)• Realistic (the priority aims and actions can be ambitious, but should be feasible
within the given context, resources and timeframe of the Strategy)• Time bound (priority aims need to be reachable in 8 years time, actions in (at
maximum) 4 years time))Have: • Added value (priority aims and actions need to provide an added value to the
current situation)Respect:• Proportionality (The scope and consequences of priority aims and actions are
proportional compared to the problem they aim to address)Reflect: • Effectiveness & Efficiency (Priority aims and actions are expected to provide best
results at the most economic cost)• Knowledge base (Priority aims and actions are based upon evidence)
Action Plan Criteria
Annual planning process
Mid-term assessment of compliance with Strategy objectives
Prioritisation within department and with executive agencies
Feedback to IMCD & discussion priorities
IMCD focus: coherence & selection
IMCDAction plan Proposal Feedback on
compliance(monitoring)
Political decision-making
Stakeholder involvement, i.e. in expert committees
Implemen-tation by responsible department & agencies
Budgeting & planning by department & executive agencies
Monitoring & (external) Evaluation
Coordination
Feedback to IMCD & discussion
Next cycle
Coordination level
Implementation level
Stakeholder involvement
Stakeholder involvement``
Stakeholder involvement
WE LEARNED:
A process by which an experienced member of an organization (the mentor) provides
advice and guidance to an less experienced member (the protégé) and helps the less
experienced member learn how …..
We learned about mentoring process…
Mr.Ernestas Jasaitis ,National Focal Point from Lithuania and Mr. Neoklis Georgiades, Cyprus NFP
And EMCDDA Team
Reitox coaches for the Macedonian National
Focal Point were
We learned…
Establish standardsEstablish standards
Measure actual performanceMeasure actual performance
CompareCompare
Evaluate & take corrective actionEvaluate & take corrective action
1.
2.
3.
4.
Time
Effort
Education
Experience
Skills
Knowledge
Contributes to efficiency,
Effectiveness,
And the attainment of
the goals
Accomplishment satisfaction
IMPUTS
IMPUTS PERFORMANCE OUTCOMES
• Objectively verifiable INDICATOR – Clear measurement that can be directly attributed to the
action.
• Example– Increase coverage and availability of effective
treatment for drug addiction– Indicator: Treatment Demand Indicator
Expected out come/impact
• New approaches to maximize the analytical value of the available information;
• To combine different types of information (qualitative/quantitative) and levels of analysis (local/national, regional)
• Multi-methods approaches, sensitivity and timeliness, value in working together,
• Strong commitment to evidence-driven policies,• We appreciate EMCDDA to continue to monitor and
support research developments in Macedonia.
Cooperation with EMCDDA, opened new Horizons
EMCDDA
National Focal Point
MINISTRY OF HEALTH, Sector for controlled substances
coordinate with
Institute for Public Health
Centers for treatment of drug abusers
Clinical Centers
MINISTRY OF INTERIOR
NGO sectorMINISTRY FOR EDUCATION AND
SCIENCE
Ministry for labor and social policy
Key challenges:To strengthen MKD NFP role as platform
for knowledge exchange,Making better use of expert networks,Developing best practice portal,Support the development of EMCDDA
guidelines based on national and international experiences,
Working in partnership with EMCDDA to set out programs, reporting structures & instruments and quality standards,
Provided added value at national level.
Key challenges…Quality and standardization of data
collection and analysis,Quality assurance of information out puts,Development of National Information
System,Maintaining support and co-operation at
national level,Encouraging collection of standardized
data with recognising national needs and deferences
Information exchange within REITOX network,
Adapting to changing requirement with limited resources.
To Increase common understanding of complex drug phenomenon…
For the next IPA in cooperation with EMCDDA we will work on:
Awareness raising for the importance of collecting reliable and comparable information on the drug situation and on response to it,
The need of evidence based policies,
The importance of providing timely and relevant information to policy makers and professionals in the field,
The need to maintain high scientific standards and procedures,
To maintain balanced approached between policy and science.
THANK YOU
