Multi-country Programs


Project title: “Sustainability of Services for Key Populations”, #SoS_project

Dates of the project: January 2019 – December 2020

Countries: Belarus, Bosnia and Herzegovina, Georgia, Kazakhstan, Kyrgyzstan, Macedonia, Moldova, Montenegro, Romania, Russia, Serbia, Tajikistan, Ukraine and Uzbekistan

Target populations: IDU, MSM, SW and Transgender people representing the key population.


Given the current state of the epidemic in the EECA region and the identified four main determining factors (see section 1), the program proposes to contribute to the solution by the following purpose and objectives.

The overall purpose of the regional program is to reduce the HIV epidemic in the EECA region and aims at accelerating progress on Fast-Track by 2020 and ensuring the sustainability of HIV services for key populations in nine potential high impact countries of the EECA region.

The objectives are:

  1. To improve the financial sustainability and allocative efficiency of HIV programs by having used accumulated savings from substantially reduced ARV prices and advocated budget re-allocations, thus to
  2. influence and shape the pricing policy of the key ARV patent holders and financial policy of the national decision makers;
  3. develop and present the strategies and mechanisms for budget re-allocation to finance HIV prevention and care services for KPs and PLHIV;
  4. improve the mechanisms for a responsible and timely transition from Global Fund to government funding, including social contracting mechanisms;
  5. optimize strategies on treatment and PSM models/drugs models, including ARV price reductions;
  6. To alleviate the most important human rights and gender barriers for access to HIV prevention and care service;
  7. To improve the efficiency and affordability of HIV service delivery models (testing and cascade) for key populations.

List of the project partners:

  • Alliance for Public health
  • Eurasian Key populations Health Network
  • 100% Life Network
  • Central Asian Network of PLHIV


Project title: “Eastern European Regional Platform for Accelerated Action for Women, Girls and Transgender in HIV/AIDS Context”

Dates of the project: January 2016 – December 2019

Countries: Armenia, Azerbaijan, Belarus, Georgia, Moldova, Russia and Ukraine

Target populations: Girls, Women and Transgender people representing the key population.


The number of new infections in EE among women and girls (WG) has grown over the last few years, indicating a shift in the nature and trajectory of the epidemic. In 2006, about 40 percent of newly registered HIV cases in the region were among women (Global Report: UNAIDS). In 2000, women comprised just over 20 percent of new infections; in 2003, this figure was 38.5 percent; and in 2007, the proportion had grown to 44 percent. Every hour 50 young women are newly infected with HIV in the world (UNAIDS Gap Report 2014). For women in their reproductive years (ages 15–49), HIV/AIDS is the leading cause of death and in 2013, almost 60% of all new HIV infections among young people occurred among adolescent girls and young women (UNAIDS Fact Sheet 2014). The region is dramatically missing any data on TG both biological and behavioural. MSM programs with no sensitized and special needs based approaches mostly cover them.

WG/TG from key populations, especially those of drug users, sex workers and transgender women are particularly likely to experience violence. Studies in different countries have detected the high prevalence of rape, physical violence, etc.

There is generally a growing recognition of and attention to gender equality – including GBV and harmful gender norms – as a cause and consequence of HIV. Despite this greater understanding, programming and policies to address the intersection have not yet reached the scale, depth, or breadth required to reverse the overlapping epidemics of GBV and of HIV.

In the EE there is a general lack of evidence related to the linkages between human rights/gender equality and HIV and approaches to ensuring regular documentation of cases with a platform for the voices of persons experiencing human rights violence, gender inequalities in the context of HIV.

This project is developed in response to the pressing need to address the persistent gender inequalities and human rights violations that put WG/TG at a greater risk of, and more vulnerable to HIV. Thus, EKHN focuses on actions in three areas, outlined below:

  • Strengthening strategic guidance and support to national partners to ‘know their epidemic and response’ in order to effectively meet the needs of WG/TG.
  • Assisting countries to ensure that national HIV and development strategies, operational plans, monitoring and evaluation frameworks and associated budgets address the needs and rights of WG/TG in the context of HIV.
  • Advocacy, capacity strengthening and mobilization of resources to deliver a comprehensive set of measures to address the needs and rights of WG/TG in the context of HIV.

The project is rooted in a broad-based human rights approach and reflects a number of principles, including participation, evidence-informed, tailored and ethical responses, partnership, the engagement of boys and men, leadership, multisectorality and accountability.


List of the project partners:

  • Alliance for Public health
  • Eurasian Key populations Health Network



Project title: “Broader Introduction of Effective HIV Prevention Strategies Targeting Populations at Most Risk in the ENPI-East Region”

Dates of the project: January 2012 – July 2015

Countries: Armenia, Azerbaijan, Belarus, Georgia, Moldova, Russia and Ukraine

Target populations: injecting drug users (IDU), commercial sex workers (CSW), men have sex with men (MSM).


Eastern Europe and South Caucasus countries are societies in transition linked by common history, similarity of contemporary changes in social policy and infrastructure, and fast growing epidemic of HIV infection which is driven by both unsafe injections of drugs and unprotected sex. For the last two decades international community provided these countries’ governments and community organizations with significant technical and financial assistance which promoted the ground for increasing the governments’ and civil society’ experience in prevention and overcoming negative consequences of the HIV epidemic, but in many cases sustaining national responses to the epidemic still is a challenge.

The project aims to summarize the best national and international practices in form of comprehensive Essential Service Packages for the most-at-risk populations, and utilize the Packages as tools for coordination between community organizations and governments and advocacy targeted to sustain and expand current national responses to the epidemic. The Packages will include preventive and medical services as well as the social support which is necessary for adequate access to medical treatment and care.

The project partners (see them listed below please) in coordination with key national and international stakeholders develop the Packages and conduct an assessment and mapping of existing services and their accessibility for the most-at-risk populations. Using the assessment results and with technical assistance from the project partners, national community organizations will empower their advocacy efforts to promote accessibility and sustainability of the essential services for IDU, CSW and MSM.

The main governing body of the project is the Project Coordination Group with includes representatives of the project partners. Another structure – the Project Advisory Group – ensures coordination with the key national and international stakeholders.


The total budget of the project is around 1 250 thousand Euro 998 602 of which granted by the European Union and the rest is an input of International HIV/AIDS Alliance in Ukraine.


List of the project partners:

  • NGO “We For Civil Equality” (Armenia)
  • “Gender ve Tereqqi” Maariflendirme I.B. (Azerbaijan)
  • Republican Youth Association “Vstrecha” (Belarus)
  • Public Association “Positive Movement” (Belarus)
  • The Georgian Harm Reduction Network (Georgia)
  • Center for Information and Counseling on Reproductive Health “Tanadgoma” (Georgia)
  • Center for Social Development and Men’s Health Support Foundation “menZDRAV” (Russia)
  • International HIV/AIDS Alliance in Ukraine, Regional Technical Support Center (Ukraine)
  • Associating partner: The Soros Foundation – Moldova (Moldova)


The project was funded by the European Union.