AIDS 2018 March in Amsterdam

AFEW International received the invitation to join AIDS 2018 march in Amsterdam, and we are sharing this message with you. Please fill in the form below in case you are planning to join the march:

Hello everybody,

In a couple of months the International AIDS Conference 2018 will be held in Amsterdam. We are excited and are looking forward to work together with activists all over the world and make this event one to be remembered.

As you might know from previous conferences, traditionally there will be a march or demonstration of HIV and AIDS activists. This year the march will take place just before the official opening of the conference at the RAI Amsterdam Convention Centre in the afternoon of Monday, 23rd of July 2018. With this email we would like to introduce us to you and ask you to join us in the march/demonstration to raise our voices for and with people living with HIV.

We are aware that we might be a little ahead of time. But it gives us together with you more time to activate more people and to organise a good march in cooperation with the local authorities. Please forward this email to more organisations, people, living with HIV or relatives and friends you know and who might like to become part or support the march. 

For some organisational matters we kindly ask you to let us know if you and your organization are interested in updates or possibly want to get  involved. You can do so by filling out an online form:

You will soon hear from us again (if you want).

Kind regards,
Alexander P. &
Hans V.  &
Alexander S.


Do we Treat or Harm: how Ukraine is Fighting against Tuberculosis

Olga Klimenko in the children’s ward of the tuberculosis dispensary. Photos from the personal archive

Author: Yana Kazmyrenko, Ukraine

At the entrance to any public polyclinic in Ukraine, an announcement is greeting a patient: visit a doctor is possible after a fluorography only. The obligatory lungs X-ray maintains a semblance of the fight against tuberculosis. In Ukraine, most of the patients get to know their status very late. The country has not been able to take the tuberculosis epidemic under control for more than twenty years. Ukraine has the world record of multidrug-resistant forms of tuberculosis and is still treating patients, sending them to prolonged isolation in overcrowded dispensaries.

An activist of the All-Ukrainian Association of People who have had tuberculosis ‘Stronger for TB’, Olga Klimenko, was diagnosed with tuberculosis in 2015. By the time of hospitalization, she was sick for at least six months. In 2016, Olga published a book The world inside me. Confession of the tubercular woman in which she described her life experience with the disease.

Now Olga is trying to help patients with this diagnose. On the webpage of her community in Facebook The world inside me, requests appear every day: to transfer money for the purchase of inaccessible drugs, which for the most part are not licensed in Ukraine, to purchase washing machines for tuberculosis dispensaries or diapers for recumbent patients. Last month, Olga was “coaching” 34 patients.

“I do not know when and where I contracted tuberculosis. No one knows. Everyone remembers the last long-lasting flu after which he or she felt weakened and broken down. Ukrainians usually do not go to the doctor, we go to the drug store and buy a full set of antiviral drugs. We remove symptoms, but do not cure diseases,” says Olga.

During the treatment, Olga had good and bad times. The most difficult was the separation from her daughter: the girl was sent to a special boarding school for children who were in contact with infected people, where her homegrown girl spent six months with children from dysfunctional families. Olga still did not forgive doctors who did not tell her that after two weeks from the start of the treatment she was not contagious anymore.

Ukraine is breaking records

Olga’s story is typical for Ukraine where the epidemic of tuberculosis is spreading for several years. More than 30 thousand of Ukrainians are diagnosed with a not active tuberculosis and more than 10 thousand – with an active form. Every day 90 people get their status. These figures are underestimated: according to the World Health Organization (WHO), every fourth patient in the country stays undiagnosed.

Back in 1995, WHO announced that Ukraine has exceeded the epidemic threshold – 50 cases per 100,000 people. Since then, the situation has only worsened – the conflict in the East of the country forced 1.5 million residents of Lugansk and Donetsk regions to resettle. In these regions, there were 15% of Ukrainians who were diagnosed with tuberculosis. Every fifth TB patient is HIV-positive.

Tuberculosis for export

The resettlers are at risk of tuberculosis in Ukraine. Photo by UNIAN

Compared to the other post-Soviet countries, indicators of Ukraine look particularly depressing. If in Ukraine the incidence rate according to the data for 2016 was 67.6 per 100 thousand people, in Belarus it was at the level of 39.9, in Kazakhstan – 52.2, in Poland – 17. The European average is 12 people per 100,000 population.

In the top 20 countries of the world, tuberculosis has already become an exotic disease. The epidemic in Ukraine frightens the neighbors – about 5 million Ukrainians work in the EU countries and Polish media write that a visa-free regime with the EU will allow tuberculosis to migrate to Europe. Warsaw is even discussing the possibility of medical control on the border with Ukraine.

Resistant mycobacteria

Director of the Public Health Center of the Ministry of Health of Ukraine Vladimir Kurpita says that the prevalence of multidrug-resistant tuberculosis (MDR-TB) is the main feature of the Ukrainian epidemic.

Many patients refuse to continue treatment the moment they start feeling better. They do not want to spend at least six months in the dispensary and to be unemployed, staying on the verge of poverty. Due to discontinued treatment the health situation worsens – mycobacteria becomes resistant to drugs. To treat this form, more toxic drugs should be used, the duration of treatment gets longer and it becomes several times more expensive. Now in Ukraine, 85% of the funds allocated for tuberculosis are spent for treatment of multidrug-resistant tuberculosis.

According to Kurpita, treatment of regular tuberculosis lasts six months and costs the state about 30 euros, compared to the treatment of a complicated form of infection, which takes up to 20 months, and the price for that reaches 400 thousand euros. Currently, there are 1.2 thousand cases of such highly resistant bacteria diagnosed in Ukraine. In this sad rating, only India overtakes Ukraine.

Family doctors will start to treat tuberculosis

Experts agree that it is possible to defeat tuberculosis if compulsory hospitalization will be replaced by outpatient treatment. This step may reduce the chance for reinfection in the hospital. Now patients at different stages of recovery are getting treatment in hospital rooms for 5-7 people for years, and they have the risk of catching a nosocomial infection at any time.

A health reform that is currently ongoing in Ukraine, involves the transfer of patients with non-active tuberculosis under the responsibility of family doctors. The last ones are supposed to get extra paid for each of the cured patients.

“The main idea is that doctors will be in closer contact with patients, will know their health history. Responsible people will receive their pills and will lead a familiar lifestyle,” explains Olga Klimenko.

She dreams for three Ukraine-wide days off not because of some celebration but because of a mass medical examination for the all Ukrainians so that people could find out that they have some dangerous disease before it gets to the last stage.

Post-Soviet Countries Need a Single Document on HIV in the Field of Migration

Presidium of the seminar

Author: Marina Maksimova, Kazakhstan

In the post-Soviet countries, there is no single document that would regulate the issues of HIV prevention, diagnosis, and treatment for migrants as well as their legal status. Migrant workers do not get the adequate services in the countries where they work which inevitably leads to the decline of their health status and to the growth of the HIV epidemic in the region. This message was the main one in the discussion at the sub-regional technical seminar in Astana, Kazakhstan on February 19-20, 2018. The event was organized by the United Nations Population Fund (UNFPA) in cooperation with the Joint United Nations Program on HIV/AIDS (UNAIDS) with the support of the Ministry of Foreign Affairs of the Kingdom of the Netherlands.

HIV rates continue to grow in EECA only

The seminar became a platform for a dialogue between representatives of governments, international and non-governmental public organizations from Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Russia, Uzbekistan and interested regional partners.

Extraordinary and Plenipotentiary Ambassador of the Kingdom of the Netherlands to the Republic of Kazakhstan, the Kyrgyz Republic and the Republic of Tajikistan Dirk Jan Kop

“The incidence of HIV is predominantly stabilizing around the world. Even if the indicators are very high, they do not grow. However, in Central Asia and Eastern Europe (EECA), HIV incidence is increasing. HIV is not a problem of marginalized groups only. HIV is closer than you think. It must and can be stopped, also it must be stopped in Central Asia,” says Extraordinary and Plenipotentiary Ambassador of the Kingdom of the Netherlands in the Republic of Kazakhstan, the Kyrgyz Republic and the Republic of Tajikistan Dirk Jan Kop.

This concern was supported by all the participants after considering the situation, strategies used in different countries, best practices, main priorities for the effective response to the HIV epidemic among labor migrants.

The way HIV affects labor migration

Labor migration and HIV prevalence are increasing. This already became a stable trend of the region. There are numerous examples where migrant workers with HIV have no access to antiretroviral therapy in the places of temporary residence. Legislation of some countries provides for the deportation of foreign citizens with HIV. Migrant workers often experience stigma and discrimination.

UNFPA Regional Director for EECA countries Alanna Armitage

“Recent epidemiological surveillance data in Uzbekistan and Tajikistan have shown that the prevalence of HIV among people returning from labor migration is 2-4 times higher than among the general population. Migrant workers from Central Asian countries face serious challenges in access to the full information and adequate HIV prevention, care and treatment services,” said UNFPA Regional Director for EECA countries Alanna Armitage.

Experts unanimously admit that better access to HIV prevention and treatment in Central Asian countries is the key to elimination of the HIV epidemic.

Aid for migrants with HIV started in Kazakhstan

In 2018, HIV-positive migrants in Kazakhstan begin to receive aid with the support of the Global Fund to Fight AIDS, Tuberculosis and Malaria. Treatment and laboratory testing will be provided to 150 people.

“Kazakhstan is a country with a low HIV prevalence. Last year, more than 16,000 foreigners were tested for HIV. 0.2% HIV cases were found. If we take the vulnerable groups only, this figure among foreigners will reach nine percent,” says the vice-minister of health of the Republic of Kazakhstan Lyazzat Aktayeva.

In a country where migrants with HIV do not have to be deported, 61 thousand people were tested. This is a heavy burden on the national budget. So far, migrant workers have no legal status and opportunities to receive even a minimal medical service are very limited. Therefore, we need new strategies for working with this category of the population and not only within a single country.

First shot in the battle

The participants called the seminar the first shot in the battle for an overall strategy for the prevention, diagnosis, and treatment of migrants in the post-Soviet space. The creation of a special structure located in Russia as the biggest receiving country of migrant workers was approved to regulate this process.

Recommendations of the seminar will be presented for discussions at the forthcoming international conferences on HIV/AIDS, which will take place this year: The VI International AIDS Conference for Eastern Europe and Central Asia (April, Moscow) and 22nd International AIDS Conference AIDS 2018 (July, Amsterdam).

Happy with HIV in Tajikistan

Tajik wedding. Source:

Author: Nargis Hamrabaeva, Tajikistan

A Tadjik girl Nozanin was diagnosed with HIV after her husband-migrant returned home a few years ago. As the man has found it out, he walked out on her… Now the 40-year-old woman is happily married again.

Everything was like a fairy tale

“It happened unexpectedly, like in a fairy tale. Once I was taking care of the household, when my friend, who liked me, called. He said that he would come with a mullah (a clergyman conducting the wedding ceremony according to the Muslim canons – editor’s note) and some of our colleagues. They really came. After the religious wedding ceremony, we went to his parents,” Nozanin is saying.

This friend turned out to be a client of the Republican Network of Women Living with HIV, where Nozanin has been working. He was also HIV positive. He wanted to marry a woman with the same status and Nozanin somehow even tried to find him a suitable candidate. It turned out that the man was already in love with her…

“I never thought that I could ever get married again, especially having HIV status,” she says.

Today Nozanin considers herself to be a happy woman. Together with her husband they have a lot of plans and ideas, and they also want to give birth to a healthy child. Many couples living with HIV have the same desire.

A marriage contract is not needed

700 people in Tajikistan receive support from the Republican Network of Women Living with HIV. For the most part, these are young people who want to start a happy family.

Tahmina Haydarova, the head of the network, says that young men between the ages of 18 and 35 come to them searching for a soulmate with the same HIV status. Often these are labor migrants, former drug users or prisoners who have never been married before. Brides are usually those who have already been married. These women contracted the virus from a migrant husband or partner who used drugs.

Such brides do not ask to sign a marriage contract; they do not ask for an apartment or dacha. The most important thing for them is the timely use of antiretroviral therapy by their future spouse and a healthy life.

HIV is not a barrier

Each year the Republican Network of Women Living with HIV helps at least 5-6 young HIV positive people to find their spouses. Takhmina Haydarova is telling about 10 couples who decided to start a family with the fact that one of the spouses is HIV positive.

“If a person loves and accepts you for who you are, then HIV is not an obstacle to start a family. Today antiretroviral drugs that block the HIV are available. A person living with HIV with a suppressed viral load can start a family, give birth to a healthy child, live a full and happy life the way our clients do,” she says.

According to the Republican AIDS Center, the total number of HIV positive citizens in Tajikistan has reached 10 thousand people, one third of them are women. Since 2004, women with HIV have given birth to 1,000 children, 600 of these children have no HIV.

HIV Risks Grow in Kazakhstan

The number of new HIV cases in Kazakhstan is still growing

Author: Marina Maximova, Kazakhstan

In Kazakhstan, the key alarming trend of the recent years is the growing sexual transmission of HIV. Before, most people in Kazakhstan contracted HIV when sharing injecting equipment, but now most infections are transmitted through sexual contacts.

A commonplace story

Zhaniya (the name is changed) learned about her positive HIV status when she got pregnant and went to the maternity clinic for the medical check-up. She got tested and could not believe her eyes when she saw the test result as she never used drugs and her husband was her first and only man. Repeated testing confirmed the positive result. The woman was afraid to tell her husband and family about her status, feeling scared, ashamed, hurt and confused. She could not remain silent either as any news are spread quickly in her village, let alone bad news. The conversation with her husband made it all clear.

“He confessed that he used to inject drugs. It was long ago, when he was still very young. Now he is sorry about that and wants to have a family and children. My husband also got tested for HIV and his result was positive too. He did not know about his disease and did not want to infect me. Now the main thing is for our baby to be born healthy. Doctors say that it is possible,” says Zhaniya.

In Kazakhstan, 99% of pregnant women living with HIV give birth to healthy children. These women often give birth to two or even three children. In the recent decade, the rate of mother-to-child transmission of HIV dropped four times.

Taking into the account the achievements of the national AIDS service, the stories of Zhaniya and other women living with HIV sound commonplace. The face of the epidemic is becoming more and more female. If earlier mostly men got infected with HIV, now the gender proportion looks more equal. The statistics is illustrated by the following trend: most men rarely go to clinics or make appointments with doctors. Women take more care of their health in general, while pregnant women twice get tested for HIV free of charge.

No sexual education in schools

Natalia Rudokvas, Director of the Answer Charitable Foundation

Another problem contributing to the increased risks of HIV is lack of relevant educational programs in schools and colleges. High school and college students have no access to the information about the routes of HIV transmission and ways to protect themselves at special classes or lectures. There are no guidelines or instructions for educators on this topic. In families, where the topic of sex is a taboo due to the peculiarities of local mentality, children fail to get any information or advice from their parents.

“When our activists make attempts to offer school lectures on the safer sex – we are told we cannot do it. For some reason, promotion of condoms and other contraceptives is considered equal to… debauchery. People blame us, saying that this is what our presentations cause,” tells Natalia Rudokvas, Director of the Answer Charitable Foundation from Ust-Kamenogorsk. She is puzzled with such attitude and hopes that this crucial topic will be discussed at the upcoming 22nd International AIDS Conference AIDS 2018.

Lack of any systematic sexuality education in past years loudly echoes today. Natalia says that people over 30 years of age more and more often seek counselling at their charitable foundation. While young people injecting drugs regularly get tested for HIV and fall under control of the health professionals, older people with “forgotten” histories of drug use stay in the shadow.

The epidemic is growing older

Baurzhan Bayserkin, General Director of the Republican AIDS Centre at the Ministry of Health of Kazakhstan

Several years ago, mostly young people aged 20-29 got infected with HIV in Kazakhstan. Now the age threshold went up to 30-39 years old. Most people got infected twelve or more months ago, and only 10% of the patients were infected within the recent nine months.

“The data received became the ground to carry out an additional epidemiological survey to determine the network of contacts and expand the list of potential risks of infection. High proportion of people who got infected long time ago demonstrates that people have low concerns about contracting HIV. The new approach shows the real picture of the morbidity and allows evaluating the efficiency of prevention measures,” sums up Baurzhan Bayserkin, General Director of the Republican AIDS Centre at the Ministry of Health of Kazakhstan.

The number of new HIV cases in Kazakhstan is still growing. As of today, there are about 29,000 of Kazakhstani and about 2,000 of foreign citizens living with HIV in Kazakhstan.


Georgia: Problems under the Tip of the Iceberg

Lasha Tvaliashvili, the Executive Director of Organization of PLHIV Real People, Real Vision

Author: Irma Kakhurashvili, Georgia

A middle-aged man comes into a dental clinic and explains to the dentist that he is HIV-positive. The dentist refuses to treat the patient. Under the rules, the doctor must sterilize all instruments and the patient is not obligated to inform about the diagnosis, but the patient is being honest and is ‘punished’ by the dentist for it. The man asks the doctor what he is to do, where to turn. The doctor’s response is that it is none of his concern. The dentist is not aware he is being recorded with a hidden camera…

As reported by the Infectious Diseases, AIDS and Clinical Immunology Research Centre, around 600 to 700 new HIV cases are registered in Georgia annually. Although every citizen is able to receive publicly-funded free treatment, this is insufficient to end HIV. NGO Real People, Real Vision is a member of East Europe and Central Asia Union of People Living with HIV (PLHIV), which has implemented interesting projects on prevention, support and mobilization of people involved in HIV treatment. Discrimination and stigmatisation of HIV-positive people is just one of the problems obstructing prevention of HIV epidemic in Georgia. This and other topics are part of our conversation with Lasha Tvaliashvili, the initiator of multiple video-experiments and the Executive Director of Organization of PLHIV Real People, Real Vision.

Lasha, in your opinion, what is the greatest achievement in the field of HIV/AIDS treatment?

– For instance, the fact that during the past two years there has not been a single case of mother-to-child transmission. This is a result of daily efforts of the AIDS Centre, which does not even have its own building. The Centre operates under critical conditions, resulting in serious violations of rights of patients and medical staff, violation of sanitary, epidemiological and other norms. There is not enough space where an HIV-positive person could receive all services. There can be no talk of anonymity when there is one office where two physicians are seeing two patients at the same time. Government entities promised to allocate premises to the Centre but never did. Such attitude puts the existence of this strategic medical facility into question.

Is late testing the main reason for the increase in the number of new cases? Is that the only reason?

– Many patients come to the Centre already with clearly marked symptoms. Of course, timely testing followed by therapy would have protected them from various illnesses. However, lack of awareness among the population is not the only reason; it also concerns approaches of medical staff. I still hear stories about doctors, who keep treating patients for various illnesses for years, and it does not occur to them to refer patients for HIV testing.

Nevertheless, there has been a positive trend. When friends and family find out about the status of a close person, they treat that person with more sympathy than it used to be in the past. However, I am puzzled at the situation with medical staff, when sizeable finances are invested in their education… The level of discrimination and stigmatisation is high in Georgia. Several days ago, one of the micro-lending organizations requested HIV test results from its employees. Should the test be positive, the employee must leave, which is a direct stigma. Regular work at the office with zero risk of HIV transmission shall not be equivalent to cruel treatment of people.

– What stands in the way of defending rights of patients who have lost their jobs?

– The patients themselves. At first, the discriminated person feels insulted, but then emotions quiet down and he or she refuses to continue the argument in a courtroom. People are afraid of publicity of their positive status. They are not sure they will continue on living peacefully. They are afraid of complicating their public position. For reasons above, such precedents are not made public, thus increasing discrimination.

What is your view on treatment availability in Georgia from geographic standpoint?

– HIV/AIDS more frequently occur in socially lower-standing population segments. These people often live in regions without AIDS Centres. For instance, patients from Samtskhe–Javakheti region go to Tbilisi for medications once a month. The same is also true for a huge region of Kakheti, Guria, Racha, and Svaneti. Treatment must be continuous, and every month patients travel long distances. It is harder in winter when roads in mountainous areas are closed. AIDS Centres are located in big cities only – Tbilisi, Kutaisi, Zugdidi and Batumi.

Please share your experience about the lowest-budget but effective project.

– In 2012-2013, we had a project that saved 300 patients. Throughout the year our activists were on duty at the AIDS Centre. During registration of new cases, when patients were most shocked at the test results, our activists tried to explain in a non-medical language about HIV/AIDS, and further assisted in the course of treatment. Throughout the year 10% of patients diagnosed with AIDS did not return to the Centre. The project objective was not to lose those 10%. The project budget was 10 thousand US Dollars, but above that, we have found a lot of like-minded fellows and friends, some of whom even got married. This project was implemented jointly with the HIV/AIDS Patients’ Support Foundation. Currently, we are thinking about a new project – psychological and moral support for those convicted persons, who found out about their status in prison. I am confident this will be a humane and successful project.

Blind Response: Experts Offer Different HIV Estimates in Russia

National campaign: HIV testing in a train carriage, 2017

Author: Anastasia Petrova, Russia

According to the UNAIDS, Russia ranks third based on the rate of the new HIV cases in the world after South Africa and Nigeria. However, there are inconsistencies in the data on HIV incidence dynamics in the country provided by different offices.

Mixed opinions

In May 2017, it became clear that there are some discrepancies in the data on the growth rate of new HIV cases in Russia presented by different government offices. Comparing statistics for the previous years, Veronika Skvortsova, Russian Minister of Health announced that in 2016 HIV incidence dropped down twofold.

“We had the total of 86.8 thousand new cases of HIV, while a year ago, in 2015, there were over 100 thousand. Thus, the number of HIV cases fell down by 15%,” said Veronika Skvortsova.

However, Vadim Pokrovskiy, Head of the Russian Federal AIDS Centre presented different data, which, vice versa, demonstrate a growing number of HIV cases in the country. The scientist told about the growth of HIV incidence by 5.3%. According to the recent data of the Russian Federal AIDS Centre presented shortly before the World AIDS Day, in the first 10 months of 2017 regional AIDS centres reported 79,075 new cases of HIV. This is 2.9% more than during the same period of 2016. This data shows the continuing growing trend in HIV incidence.

Such discrepancies became visible to the public, so the Ministry of Health offered relevant explanations on its official website. In the article dated 17 May 2017, it is written that “in his report, Dr. Pokrovskiy presents the results of scientific epidemiological monitoring of the Institute of Epidemiology of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing (Rospotrebnadzor) based on the positive laboratory tests for HIV and not the statistical data on HIV incidence for the previous year. The incidence, however, shows the number of people with the confirmed diagnosis (not the number of laboratory tests).”

Thus, according to the Ministry of Health, the calculation method used by Rospotrebnadzor is less accurate considering that one person tested for HIV several times is calculated as several new cases. Some experts, however, say that both statistical approaches may be used as there is a growth of the HIV incidence in the country, but the rate of such growth is decreasing.

“Positive” statistics

Veronika Skvortsova, the Russian Minister of Health

The data on the total number of people living with HIV in Russia is also not quite clear. The Rospotrebnadzor report mentioned above states that as of 1 November 2017 there were 924,608 Russian citizens living with HIV. As for the Ministry of Health data, we have not received any reply to our official request on the number of people living with HIV as of the date of this article. The Ministry fails to submit such data to the UNAIDS to prepare annual reports on the HIV epidemic in the region.

However, some data suggest that the number of people living with HIV in Russia is much higher. Thus, 25,000 Russian citizens were tested in the course of the famous free anonymous testing campaign run by the Ministry of Health in a train carriage, which was held from 7 July to 28 October 2017. Out of them, 375 results were positive. If such statistics is extended to the general population, up to 1.5% of people in Russia may be diagnosed with HIV.

Creating a register

Experts say that the country needs an accurate estimate of the number of people living with HIV.

“The first and the most important goal is to understand the situation and have full information on the number of people living with HIV, the treatment regimens they use and the need in medicines,” says Sergey Krayevoy, Deputy Minister of Health.

It is planned to introduce a Federal Register of People Living with HIV in Russia to analyse the scope of medicines needed and to systematize the statistics. Such database will be administered by the Ministry of Health. Apart from the diagnosis, records will also be made on the health state of the patients, medicines prescribed to them and other data allowing to see the full picture of their health. Thanks to such register, a person relocating within the country will be able to get help in any region.

Win $10,000 for the Film on Mother to Child Transmission of HIV

The Positive Action for Children Fund (PACF) in association with MTV/Staying Alive Foundation and the International AIDS Society are inviting NGOs and community groups worldwide to take part in our film competition – Every Footstep Counts. The competition aims to showcase and celebrate the successes community partners are making worldwide that are integral to end mother-to-child transmission and paediatric HIV.

Two winners will be awarded an unrestricted grant of $10,000 and will be invited to attend the International AIDS Conference in Amsterdam on 23-27th July. Here, they will both get the chance to showcase their work and be recognised for their achievements.

We are asking that you produce a short film documenting how your work is contributing to the end of mother to child transmission of HIV in your community.

The films should be ‘in the footsteps’ of either beneficiaries, your team, community health workers, clinic teams or others involved in your project to showcase the people making positive change a reality. We also ask that you demonstrate the impact of the intervention on people in your community and in so doing, highlight how Every Footstep Counts.

The Every Footstep Counts film competition is an initiative of the Positive Action for Children Fund, part of ViiV Healthcare’s commitment to supporting vulnerable communities worldwide. We want to showcase the brilliant work taking place in communitites around the world aiming to eliminate mother-to-child transmission and paediatric HIV. The prize money of $10,000 is intended to help continue the great work that is being showcased, so put your best foot forward and show us what you do for your communities.

Source: Every Footstep Counts


Georgia is getting ready to end the AIDS epidemic

Author: Irma Kakhurashvili, Georgia

The Director of the Infectious Diseases, AIDS and Clinical Immunology Research and Development Centre Tengiz Tsertsvadze estimates that number of people with HIV/AIDS in 2017 in Georgia was as high as 12,000

The UNAIDS 90-90-90 target, stipulating that 90% of all people living with HIV will know their HIV status, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy, and 90% of all people receiving antiretroviral therapy will have viral suppression, was the key issue brought up at the National Conference dedicated to the World AIDS Day in Tbilisi. The conference was organized by the Infectious Diseases, AIDS and Clinical Immunology Research and Development Centre and the Georgian AIDS Association. Its motto was ‘Test All, Treat All, End the AIDS Epidemic in Georgia!’ Conference participants signed the Declaration ‘End the AIDS Epidemic in Georgia.’ The Declaration is a summary of the key effective measures to be taken to curb the AIDS epidemic in the country.

In 2004, Georgia became the first and remains the only Eastern European country providing universal access to the antiretroviral therapy (ART), which allows significantly increasing the life expectancy and the quality of life of people living with HIV/AIDS. In the period from 2004 to 2015, AIDS mortality in the country decreased almost fivefold.

New efforts and new results needed

However, despite the significant progress in the response to HIV, there are still unresolved issues in the country.

“In Georgia, the main problem is that a big number of new HIV infections are not diagnosed. 2010-2016 data confirm this trend. That is why the total number of HIV/AIDS patients is growing. Usually, the real indicators are several times higher than the official statistics. According to our estimates, in 2010 the real number of new infections was about 1,000 cases, while only 455 cases were diagnosed. In 2017, the estimated number of people with HIV/AIDS was as high as 12,000, with only 719 new cases diagnosed,” says Tengiz Tsertsvadze, the Director of the Infectious Diseases, AIDS and Clinical Immunology Research and Development Centre. “Most people learn about their status by chance. 55% of HIV patients become aware of the infection at later stages, and 30% are already at the advanced stages when HIV is diagnosed.”

The most promising intervention to curb the AIDS epidemic in Georgia is the so-called treatment as prevention approach. A person living with HIV who has access to the effective ART does not transmit the virus to others. That is why, if such “treatment as prevention” strategy is applied to detect all HIV/AIDS cases and cover all HIV-positive people with health services, the epidemic can be eliminated.

According to Tengiz Tsertsvadze, this goal may be achieved through implementation of a unique national hepatitis C elimination program, which can play a crucial role in ending not only hepatitis C, but also HIV.

The fact is that the HIV/AIDS detection rate may be significantly improved through integration of HIV and hepatitis C testing within this program, stipulating provision of free treatment to about 20,000 patients a year. The Georgian Ministry of Health expects that thanks to this program in the nearest future there will be zero new cases of hepatitis C, and 95% of patients will be cured. All patients, irrespective of the stage of their disease, will be able to become participants of this national program.

Recent trends

HIV/AIDS Prevention Program Director at the Georgian Harm Reduction Network Maka Gogia says that in 2011-2017 there was a sharp reduction in the HIV rate among people who inject drugs

In two recent years, there were no babies born with HIV in Georgia. Besides, according to Maka Gogia, HIV/AIDS Prevention Program Director at the Georgian Harm Reduction Network, in 2011-2017 there was a sharp reduction in the HIV rate among people who inject drugs. While in 2011 the share of such people in the total number of detected cases was 45%, by 2017 such share fell down to 24%. This is a result of free syringe distribution.

The annual dynamics of HIV transmission routes in the new cases of HIV/AIDS shows reduction in new cases among injecting drug users with a growing proportion in the sexual route of transmission, especially in MSM (men who have sex with men). Nino Tsereteli, Executive Director of the Centre for Information and Counselling on Reproductive Health “Tanadgoma” says that a joint study of the AIDS Centre and “Tanadgoma” showed that in the recent years HIV/AIDS prevalence among men who have sex with men exceeds 20%.

According to the AIDS Centre the current statistics are: 43.1% of people living with HIV are injecting drug users; 44.4% get infected through heterosexual contacts, 9.8% – through homo- and bisexual contacts; about 1.5% are children who contracted HIV from their mothers during pregnancy; 0.5% cases are attributed to blood transfusions.


As of 1 December 2017, the Georgian AIDS Centre registered 6,711 cases of HIV (5,013 men, 1,698 women). Most patients are 29-39 years old.

577 new HIV/AIDS cases have been detected in 11 months of 2017. ARV therapy is provided to 4,018 patients, including 48 children.

As of 2017, about 12,000 people were infected with HIV, 3,648 patients developed AIDS, and 1,339 died.

HIV Voluntary Counselling and Rapid Testing Points in Three More Cities in Tajikistan

Voluntary counselling and rapid HIV testing points (VCT) on the premises of public organizations were opened in three more cities of Tajikistan – Dushanbe, Kulob and Khujand – on December 1, 2017. On this day, voluntary counselling and rapid HIV testing services were launched in public organizations Vita, SVON Plus and Amali nek.

“Opening a VCT point on the premises of our organisation will undoubtedly increase the detection of HIV among the key populations. Our clients and AIDS centres are very much interested in this because the timely treatment will help them to save their health and life,” the director of the public organization Amali nek Abduholik Abdurakhmonov is saying.

Creating HIV voluntary counselling and rapid testing points, namely training of medical personnel, making the reparations, purchasing necessary furniture and equipment, became possible because of the project ‘Bridging the Gaps: Health and Rights for Key Populations 2.0’ and due to the regular consultations with AFEW-Tajikistan’s specialists.

“In 2015, AFEW-Tajikistan appealed to the Ministry of Health and Social Protection of the Republic of Tajikistan with a proposal to open a VCT point on the premises of the second office of our organisation in Khatlon region. This initiative was approved by the order of the Ministry and since October 2015, all HIV service organizations of the country had the opportunity to introduce the VCT service. Exactly one year ago, on December 1, 2016, the first point that provides voluntary counselling and rapid HIV testing service started its work in the city of Kurgan-Tube. It operates on the premises of our office in Khatlon region. Now our experience helps other public organizations to create and equip similar offices,” the project manager of AFEW-Tajikistan Dilshod Pulatov is sharing.

In April and September 2017, in Qurghonteppa and Khujand, AFEW-Tajikistan organised a seminar and workshop to share the experience of the organisation on the introduction of VCT services on the premises of a public non-profit organization. The participants also studied the procedures for documenting and planning the costs for maintaining VCT points.

“The seminar-meeting on the introduction of VCT service helped me to understand the main stages of work, what documentation is needed, what requirements for equipping the premises are, how to train staff and what the process of budgeting activities is to introduce VCT service,” the director of the Public Association VITA Eraj Nazarov is saying. “AFEW-Tajikistan helped us to renew the premises according to the necessary requirements, and also trained two of our medical workers for providing pre-test counselling and HIV testing services.”

During the opening ceremony of voluntary counselling and rapid HIV testing points, everyone had an opportunity to be counselled and tested for HIV.