Transcript we learned

TATJANA PETRUSEVSKA Spec. Pharm. MBA
Vice President of Inter Ministerial Commission for Narcotic Drugs (IMCND)
Head of Sector for Controlled substances
Ministry of Health
REPUBLIC OF MACEDONIA
E-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!
We learned…
ppreciate
articipate
elebrate
Appreciate:
physical characteristics
religion
marriage status
family
gender
ethnicity
Geograph
origin
language
race
Socioeconomic status
Managing Diversity Effectively
Makes Good Sense
• 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
WE LEARNED:
PLANNING PROCESS
PLANNING
CAPACITY
Assessment
Organize the
stakeholders to
profile the
needs and
readiness
Mobilize the
stakeholders &
build capacity
to address the
needs
Developed the
plan (activities,
programs and
strategies)
Implementation
Implementation
of the plan
SUSTAINABILITY
Evaluation
Evaluate the
Results and
estimation of
the Future
support
SYNERGY enables the total performance to be greater
Capacity building process
1. Assess the
resources and needs
Capacity building process
1. Assess the
resources and needs
2. Support services
expansion
Improve service
organization and financing
EFFECTIVNESS
IMPROVE QUALITY
Evidence-based approach
Trainings
Education
OUR VISION
Capacity building process
1. Assess the resources and
needs
2. Support services
expansion
3. Improve service
organization and financing
4. Recruit, educate and
retain workforce
5. Create interlocking
systems of care
6. Development a
standards to monitor the
system
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, BosniaHerzegovina, 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
Action Plan Criteria
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)
WE LEARNED:
Annual planning process
Stakeholder
involvement, i.e. in
expert committees
Coordination

level
Stakeholder
involvement
Feedback to
IMCD &
discussion
priorities
Stakeholder
involvement``
Political decision- Stakeholder
making
involvement
IMCD focus:
coherence &
selection
IMCD
Action plan
Proposal
Feedback on
compliance
(monitoring)
Next cycle

Feedback to
IMCD &
discussion
Coordination
Implementation
level 
Mid-term
assessment of
compliance
with Strategy
objectives
Prioritisation
within department
and with executive
agencies
Budgeting &
planning by
department &
executive
agencies
Implementation by
responsible
department &
agencies
Monitoring &
(external)
Evaluation
We learned about mentoring process…
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 …..
Reitox coaches for the
Macedonian National
Focal Point were
Mr.Ernestas Jasaitis ,
National Focal Point from Lithuania and
Mr. Neoklis Georgiades, Cyprus NFP
And EMCDDA Team
We learned…
1.
Establish standards
2.
Measure actual performance
3.
Compare
4.
Evaluate & take corrective action
IMPUTS
IMPUTS
PERFORMANCE
OUTCOMES
Time
Effort
Education
Experience
Skills
Knowledge
Contributes
to efficiency,
Effectiveness,
And the
attainment of
the goals
Accomplishment
satisfaction
Expected out come/impact
• 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
Cooperation with EMCDDA,
opened new Horizons
• 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.
MINISTRY OF HEALTH,
Sector for controlled substances
coordinate with
Institute
for Public Health
Centers for treatment
of drug abusers
EMCDDA
MINISTRY OF
INTERIOR
National Focal
Point
Ministry for labor and
social policy
Clinical Centers
MINISTRY FOR EDUCATION AND
SCIENCE
NGO sector
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