Project Factsheet
Tools for » HIV/AIDS Project in Transistri
Project ID 00093084 Description HIV/AIDS Project in Transistri
Fund
Moldova Toward Unity in Action
Start Date *: 12 Dec 2014
Theme
Governance and Human Rights
Project status Operationally Closed
Country Moldova, Republic of Participating Organization   Multiple
About

High HIV and TB morbidity and mortality rates place these infections at epidemic stage in Moldova, its Eastern region (Transnistria) being several times more affected. The situation in the Transnistrian region in that area has punitive legislation in place criminalizing drug use and sex work; allowing for state-level discrimination etc. Capacities are also underdeveloped, including decision makers’ capacities to address the problems in a multisectorial and integrated approach (weak dialogue within sectors, among sectors); poor health staff competencies and specialised knowledge due to lack of access to international standards and good practices. The services are mostly based on outdated standards and normative frameworks, they are fragmented and do not meet the basic need of the patients. Additionally, HIV and TB are mostly affecting the most vulnerable groups of populations, which are highly stigmatized and not recognised and addressed by public policies, limiting their access to services. Prisons are lagging behind in basic healthcare provision and public health approaches; even basic life-saving interventions are missing.

The project proposes to address these issues from several perspectives:

-        improve the dialogue and collaboration of responsible authorities from different sectors (health, social, prison and civil sector)  on both banks to promote and adopt integrated service approach in the region;

-        improve knowledge of decision-makers and health professional to use human rights principles and commitments and international standards to eliminate existing normative barriers impeding access to services for key populations and the general population, thereby fighting stigma and discrimination towards HIV most affected and vulnerable populations; and

-        build knowledge and competencies of health, prison, civil society personnel on integrated HIV/TB/drug addiction through trainings, site visits and through providing access to international standards and best practices.

UN collectively is best positioned to tackling a number of health related issues in a region direly lacking investments in human resources, health infrastructure, as well as evidence-based practices and knowledge. Besides the specific agency mandates guiding the work in technical areas, UN has started to scale up its activities in the Transnistrian region over the last couple of years, building good relationships with those responsible on health regionally and with various local stakeholders locally, both in civil and prison settings. It has the experience of organizing joint activities in TN in this field (needs assessment for the comprehensive subnational HIV M&E system; capacity building for representatives of various sectors on strategic planning for the HIV response; first regional workshop on integrated care for HIV/TB/IDU with civilian and prison sectors in September 2011; Joint Assessment of National HIV Strategy (NSA) in June 2011, development of the HIV application to Global Fund in 2014 etc.)

It is worth mentioning that the project will impact the quality of service provision, especially as it is focused on capacity building, but also will contribute to the extension of the services for most at risk populations. Provision of life-saving services - harm reduction services for most at risk populations (injecting drug users, sex workers, men doing sex with men (syringe and needle exchange services, condom distribution, information, education, communication, VCT, rapid test provision), as well as provision of ARV/treatment for Republic of Moldova, including Transnistria region, is covered through Global Fund grants. Being in country from 2003, Global Fund assisted Moldova to run the harm reduction projects as prevention measures, to create and consolidate laboratory capacities, to put the first patient on ARV treatment and to rapidly scale up access to it, ensuring all those who address the medical service get the treatment, to ensure treatment follow up and adherence to treatment, care and protection etc.

The latest country application has been developed at the beginning of 2014 to cover the period of 2015-2017 based on new funding model. The proposal sent to the Global Fund was designed to ensure continuity of life-saving interventions and the transition towards Government taking over. 

The current project activities are proposed to complement Global Fund (GF) financial resources and to add value to existent provided services on one hand, while GF resources are expected to cover any additional life-savings need if there is a boost of services requirement. 

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Contacts

If you have questions about this programme you may wish to contact the RC office in Moldova, Republic of or the lead agency for the programme.

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