Michel Kazatchkine Became the Special Advisor to UNAIDS

Michel Kazatchkine joined Undetectable means Untransmittable campaign

United Nations Special Envoy for HIV/AIDS in Eastern Europe and Central Asia (EECA) Michel Kazatchkine was recently announced to serve as special advisor to UNAIDS for HIV, tuberculosis and hepatitis C. Such announcement was made by the UNAIDS executive director Michel Sidibe. The term of Michel Kazatchkine as the Special Envoy for HIV/AIDS is coming to an end.

AFEW International is happy to greet Prof. Michel Kazatchkine with his new position. It is important to have Prof Kazatchkine continue his work as a special advisor to UNAIDS, we believe however that the urgency of three epidemics in the EECA region would have justified a position as UN special envoy for the region. The annual number of new HIV infections in EECA increased with 60% between 2010 and 2016. From all regions in the world, the EECA region is furthest away from reaching the UNAIDS 90-90-90 targets by 2020. Treatment coverage remains alarmingly low (28%), and less than a quarter of people living with HIV had suppressed viral loads (end-2016). Specific populations, such as men who have sex with men, drug users and sex workers face specific human rights violations, impeding their access to prevention and health services.

AFEW International is also hoping for the support of Prof. Michel Kazatchkine during the 22nd International AIDS Conference that will take place in Amsterdam in 2018. The largest health conference in the world will have a special focus on Eastern Europe and Central Asia. The need and the urgency to show the challenges of the EECA region during the Conference are extremely vital.

Michel Kazatchkine was appointed United Nations Secretary-General’s Special Envoy for AIDS in Eastern Europe and Central Asia in July 2012. Mr Kazatchkine has devoted thirty years of his professional life to the AIDS response. From 2007 to 2012 he served as the Executive Director of the Global Fund to fight AIDS, Tuberculosis and Malaria and from 1998 to 2005 he was Director of the French National Agency for AIDS Research. Between 2005 and 2007 he served as France’s Global Ambassador for HIV and Communicable Diseases.

IAS is Looking for Global Village and Youth Activity Reviewers and Rapporteurs

International AIDS Society (IAS) is looking for Global Village and Youth Activity (GV&YA) Reviewers and Rapporteurs for 22nd International AIDS Conference AIDS 2018 in Amsterdam.

GV&YA reviewers will be responsible for reading and revising activity submissions to GV and then recommend their favorites to GV&YP working group. In the document, you can read more about the requirements, such as English fluency, availability, experience in an activity category etc.

GV&YA rapporteurs will be in charge of producing sessions summaries during AIDS 2018, presenting final summaries at the Rapporteur Session, and/or managing other rapporteurs. In the second file, you can learn more about the requirements, such as specific experience in HIV response, English fluency, writing skills, team work abilities etc. Here you can find more about the selection criteria.

All the Reviewer candidates need to provide the following data: 

  1. Name, gender, institution/organization, country, email(s)
  2. Activities (choose one): Exhibition Booth; Networking Zone; Global Village Zone; Cultural Activity.

All the Rapporteur candidates need to provide the following data: 

  1. Name, gender, nationality, institution/organization, professional title, country, telephone, email(s)
  2. Please indicate which committee this person is nominated to cover:

Track A – Basic and Translational Research

Track B – Clinical Research

Track C – Epidemiology and Prevention Research

Track D – Social and Political Research, Law, Policy and Human Rights

Track E – Implementation Research, Economics, Systems and Synergies with other Health and Development Sectors

Community and Leadership

Global Village and Youth Activities

  1. Is this nomination for Lead Rapporteur (managing other rapporteurs, higher-level responsibilities) or Rapporteur?
  2. English fluency.
  3. Has the nominee previously attended an International AIDS Conference? Has the nominee previously served as a rapporteur for a major conference event?
  4. Which of these groups does the nominee and their organization represent? (check all that apply)

Academia, Advocacy/campaigning, Business/private sector, Children, Community-based, Ex-prisoners, Faith-based, Foundations, Health care worker, Human rights, Indigenous people, Labour, Men who have sex with men, Migrants, NGO, Older persons, People living with HIV, People who use drugs, Persons with disabilities, Public sector/government, Refugee/ displaced persons, Service provider, Sex workers, Transgender/Transsexual, Women, Young people, Other

  1. Nominee’s area of expertise: min. 20 characters.
  2. Brief biography of the nominee: min. 100 characters.

Please, email all the nominations to Nadiia Dubchak nadiiadubchak@gmail.com and Anna Pustovoit pustovoyt.anna99@gmail.com before the 31st of December 2017. 

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.

European and Central Asian Countries Can End TB Ahead of The Rest of the World

Stop TB Partnership engage with partners in regional meetings in Kazakhstan, Estonia and Belarus

15 December 2017 – Geneva, Switzerland – Stop TB Partnership Secretariat engaged with essential partners to support their efforts and country TB programmes to advance in the fight to end TB in the European Region to prepare the ground for the UN High Level Meeting for TB in 2018.

In just one week, three regional meetings held in Astana, Kazakhstan, in Tallinn, Estonia and Minsk, Belarus put TB in the spotlight in a region that can lead the way towards a world free of TB.  The discussions were centered around migration and migrants and their access to services, how to sustain and expand programmes after donor support ends and how communities, civil society, and networks of people affected by TB can work together.

“It is very impressive. We managed to focus our efforts on Europe this week and we organized and participated in meetings discussing essential aspects if we want to end TB: vulnerable groups, political leadership, domestic financing, and donor support — including the European Commission’s vision, issues around migration, advocacy and civil society engagement and the UN HLM for TB in 2018. The European region benefits from strong TB programmes and health systems, and amazing partners, especially the European Commission, WHO European Region team, ECDC, networks of civil society and communities, TB people as a network of people affected by TB, IFRC, Project HOPE, IOM, as well as UNAIDS and the Global Fund.  As a European, I hope this region will actually end TB before 2030. There is absolutely no reason not to do it,” said Dr Lucica Ditiu, Executive Director of the Stop TB Partnership.

 

Migration and TB were front and center in Astana, Kazakhstan, when TB experts, policymakers and advocates convened for the third high-level regional meeting on “Migration and Tuberculosis: Cross-border TB Control and Care in the Central Asian Region.”

The meeting, held 6–7 December, was organized by the Ministry of Health of the Republic of Kazakhstan, Project HOPE, the Global Fund and the United States Agency for International Development (USAID) with participants from government agencies, national TB programmes and migration authorities from Central Asia; representatives of civil society and communities, experts from the WHO, Stop TB Partnership, IOM, and IFRC.  The event was organized in line with the

 

Comprehensive Plan to Fight TB in the Republic of Kazakhstan for 2014-2020, which calls for activities to address TB among migrants and expand their access to services, as well as the programme “Addressing Cross-border Control of TB, MDR/XDR-TB and TB/HIV among Labor Migrants in the Republic of Kazakhstan” implemented by Project HOPE and funded by the Global Fund. The meeting advanced the regional dialogue on migration matters between Kazakhstan and neighboring countries in Central Asia. The dialogue takes place on a mutually beneficial basis, towards signing of bilateral agreements for effective regional cooperation on cross-border control, prevention, and care of TB in the region.

TALLINN, ESTONIA

For two days, 100 participants from TB and HIV programmes in EU member states and neighboring countries met in Tallinn, Estonia at an event organized by the Ministry of Social Affairs and National Institute for Health Development from Estonia, WHO European Region, UNAIDS, and the Global Fund. The participants, panelists, and speakers discussed challenges and opportunities in ensuring sustainability of programmes when transitioning from donor support to sustainable health systems.

Stop TB Partnership was part of the opening panel and centered its discussion around the need for vision and political leadership in TB and the ambition towards concrete asks for the UN HLM on TB in September 2018. Participants had an opportunity to hear how the Estonian government and TB and HIV programme, in strong collaboration with civil society and community, managed to decrease the number of new HIV cases from 1, 474 in 2001 to 229 in 2016.  Additionally, TB incidence decreased from 47/100,000 to 12.7/100 000.  The meeting discussed concrete steps towards strengthening the national TB and HIV programmes as well as the need for more significant advances in the integration of TB and HIV services.

MINSK, BELARUS

TB advocates in the Eastern Europe and Central Asia region came together in Minsk, Belarus, this week for a three-day workshop on strengthening community TB advocacy and engagement.

The workshop, held 11–13 December, was organized by International Federation of the Red Cross (IFRC) and Stop TB Partnership, in collaboration with national Red Cross and Red Crescent societies, and support of community advocates from the regional networks, TBPeople and TB Europe Coalition (TBEC). Activities broached on subjects as diverse as community challenges in the regional TB response, regional epidemiology, TB treatment literacy and communities, rights and gender tools to build an evidence base for an effective TB response. There was also a community consultation focusing on the rights and responsibilities of people affected by TB. This event was the second of five regional workshops that will focus on building stronger, more-coordinated affected communities, advancing strategic partnerships – particularly between Stop TB Partnership, IFRC, national Red Cross societies and community TB advocates – and composing of an advocacy plan and engagement strategy to ensure community priorities are represented and stakeholders are engaged during the UN HLM on TB in 2018. We look forward to continue to support the advocates of the region as we continue toward the HLM and work together to end TB.

Source: European AIDS Treatment Group 

AFEW Builds Models for the Future with Improved TB/HIV Care

AFEW, Hivos and PharmAccess and KNCV representatives after the presentation on the Dutch congress ‘Soa.Hiv.Seks’

Author: Olesya Kravchuk, AFEW International

The ‘Improved TB/HIV Prevention & Care – Building Models for the Future’ project was presented during the Dutch National Congress ‘Soa.Hiv.Seks’ on 1 December 2017 in Amsterdam, the Netherlands. Three working models from Kazakhstan, the Philippines, and Nigeria implemented by AFEW, Hivos and PharmAccess with KNCV Tuberculosis Foundation as the lead agency were shown to the Congress audience.

HIV and TB are two of the biggest public health threats in the world. Mounting challenges associated with these mutually reinforcing diseases are both medical and socio-political. In the efforts to address many of the common challenges, AFEW, HIVOS, PharmAccess and KNCV, with support from the Dutch Ministry of Foreign Affairs, collaborate in different parts of the world via the ‘Improved TB/HIV prevention and care-building models for the future’ alliance to jointly design and pilot innovative models of cooperation between the public, private and community sectors involved in the fight against HIV and TB, to find new ways of ensuring and expanding affordable, patient-centred and high quality access to care for key affected populations.

“After the project has started in Almaty, Kazakhstan, we can observe positive changes. A patient has information about good quality care, knows where to go for treatment and support, and has a choice in seeking care in the public sector, private sector and civil society,” the executive director of AFEW International Anke van Dam is saying. “Self-support groups and client management for TB patients are being organized and the HIV and TB working group is supported by the head of the Almaty City Health Department.”

Private clinics in Kazakhstan are now engaged in the public healthcare sector. They are integrated into the national monitoring and evaluation system for public/non-public TB/HIV care provision in Almaty city.

AIDS Day in Ukraine: Online Test, Quest for Adolescents

Author: Yana Kazmirenko, Ukraine

On December 1, an online HIV test was presented in Kyiv

On December 1, a wide range of activities marked the World AIDS in Ukraine. On this day, the first in Ukraine online test for HIV was presented in Kyiv. It is available at HIVtest.com.ua or via a mobile application ‘HIV test.’

“The test makes an audit of your health, rapidly assessing the risk of infection, and offers information about the nearest testing sites,” said Dmitry Sherembey, the Chairman of the Coordination Council of the All-Ukrainian Network of PLWH.

Four weeks before the campaign, organizers placed billboards with the intriguing social advertising – a dangerous blade hidden in a juicy burger ­– in the streets of Kyiv. Dmitry Sherembey reveals the intrigue: for many people HIV is invisible, with 130 thousand out of 250 thousand people living with HIV in Ukraine not aware of their diagnosis.

The test contains about two dozen of questions – their number depends on the respondent’s lifestyle. For example, the question “Do you use condoms when having sex or not?” is relevant in Ukraine, where 51% of people living with HIV get infected through the sexual route of transmission. After a person answers all the questions, the test will show the probability of HIV infection and will show the information about the nearest clinic or confidential counseling room to get tested. The online test has been developed for two months and, according to Dmitry Sherembey, it shows the result that person is getting after the testing in 40% of cases.

Testing should become a routine procedure

Dmitry Sherembey shows the online test on his phone

According to Pavel Skala, Director of the Policy and Partnership at the Alliance for Public Health, the annual campaigns dedicated to the World AIDS Day should be changing and moving forward. On one hand, public awareness on HIV is growing, but on the other hand – people are losing interest in the repeating topics.

Testing should become a routine procedure for every Ukrainian, emphasizes Roman Ilyk, the Deputy Minister of Health. He says that over 50% of cases are diagnosed at the third and fourth clinical stages of HIV infection, when the person’s health is poor. 80% of people who die are 25-49 years old. The Ministry of Health called on Ukrainians to get tested for HIV and underlined that early detection of the disease allows to timely access treatment.

Interactive activities for teenagers

Every year, civil society organizations conduct campaigns for teenagers dedicated to the World AIDS Day. Alexander Mogilka, the coordinator of the social support project for adolescents at the Kharkiv Day Care Center for Children and Youth “Compass” thinks that the success of Ukraine in curbing the HIV epidemic largely depends on the progress in working with this target group. This year, “Compass” organized a quest called “The Safety Route” in Chervonohrad, Kharkiv region.

Teenagers from Chervonohrad walked the Safety Route

“The format of this game was developed by the German agency GIZ. The teams are to go through several checkpoints: contraception, routes of HIV transmission, environment assessment. When you answer a question, you may go to the next point,” tells Alexander.

He claims that 70% of “troubled” teenagers have experience of using drugs. Usually, these are children from dysfunctional families.

“Before, teenagers could access drugs through dens, but now they can just use internet and stashes hidden in agreed venues. There is a sad contrast: the drug business is developing and taking new forms and the prevention is lagging behind,” sums up Alexander.

He underlines that to develop new formats of working with young people – combining quests, flash mobs, and social campaigns – is a new challenge for civil society organizations.

The Train is off but HIV Stays

Author: Anastasia Petrova, Russia

Testing in Kurgan

From 8 July to 20 October 2017, a train carriage went throughout the territory of Russia offering HIV testing services to everyone interested. The campaign was aimed at raising the awareness and increasing the coverage with testing services among the general public.

The strategic train

The train offering HIV testing is a project of the Russian Ministry of Health in cooperation with the Russian Railways. The campaign was initiated within the State Strategy to Combat the Spread of HIV in Russia through 2020. Long-distance passenger trains were equipped with an additional carriage offering free and confidential testing. Project workers conducted pre- and post-test counseling and informed people about HIV and the ways of its transmission. The route lied from Vladivostok to St. Petersburg and included the regions most affected with HIV. Apart from offering HIV testing on the way, mobile laboratories were also functioning on the railway stations. The campaign was aimed at the first component of the global 90/90/90 strategy, which stipulates that 90% of people living with HIV should be aware of their status.

The silent epidemic

The carriage where the testing was conducted

The testing campaign covered 24 regions, with the following cities leading in terms of people tested: Chelyabinsk (2,039 people), Nizhnevartovsk (1,645 people), Irkutsk (1,446 people), Kurgan (1,290 people), and Samara (1,227 people). Moscow was the city with the lowest coverage – only 290 people got tested there. According to the Ministry of Health, within the campaign 25 thousand people were able to get tested and receive professional counseling in the carriage and in railway stations.

“The fact that those 24 regions were covered is important. Here in Russia, 10 out of 85 regions have 50% of new HIV cases, and as for the 24 regions covered, they have over 70% of such cases. That is why I think that this campaign has a concrete result as it is focused on the most affected regions,” the chief independent expert in HIV diagnostics and treatment at the Russian Ministry of Health, Yevgeny Voronin is saying.

Awareness-raising materials in the format of railway tickets

It is interesting that no official statistics was announced on the total number of HIV cases detected. However, according to the Minister of Health, Veronika Skvortsova, as of the date when the train was passing Moscow the number of HIV positive cases detected was 248. Thus, the total number of such cases is more than 250 or 1% of the people tested. Considering the fact that testing was conducted in the general population, this number shows the severe epidemiological situation in the country and proves the tendency of HIV epidemic going beyond the key populations.

The train is off

Such campaign is an unprecedented intervention aimed at raising the awareness of people in the area of HIV/AIDS. Apart from testing passengers, the campaign was an important newsmaker. Reports in federal and regional mass media allowed millions of people in Russia to learn about the importance of this problem and about the necessity of regular testing. A positive outcome is that after the train left mobile sites to continue testing remained at some railway stations.

Closing ceremony in St. Petersburg

Alongside with that, if the data about one percent of the HIV cases detected in the general population is confirmed, it will mean that the situation has got out of control. In this case, the measures taken by the Ministry of Health are to be scaled up a hundred times and are to be aimed not only at awareness raising and detection of new cases but also at treatment. Testing as it is is not a measure of response to the epidemic. Every patient should receive therapy in order to achieve minimal viral load not to transmit the virus to other people. However, in Russia less than a half of people living with HIV get the necessary medications.

 

In Kazakhstan Students Debated on HIV

Author: Marina Maksimova, Kazakhstan

Opening ceremony of the first international debate tournament in Almaty “SpeakUp: AIDS”

Over 400 students from universities of the CIS countries took part in the first international debate tournament on HIV “SpeakUp: AIDS” in Almaty, Kazakhstan.

“Almaty is the city of students and active young people, who are interested in gaining knowledge, in particular in the area of healthy lifestyle and HIV prevention. Out of 5 000 people living with HIV in Almaty one-third is young people. Our city has a tradition to conduct spectacular campaigns dedicated to the World AIDS Day. This year, it was the first time we held debates on this topic among young people,” said Murat Daribayev, deputy akim (akim  is the head of a local government in Kazakhstan and Kyrgyzstan – note of editor) of Almaty.

Among the debate participants, there was the best 2017 speaker in the world representing the international debate movement, the main judge Raffy Marshall (Oxford), students from the major higher educational institutions of the country as well as from the UK, Kyrgyzstan, Russia, Tajikistan, and Sweden. The international panel selected 120 teams to take part in debates on this critical social issue. The tournament was held in line with the British parliament model.

The right to argue

Aleksandr Semenov, a student of the law department at the Kazakh National University is not a newbie in the debate movement. For the seventh year in a row, he wins his right to take part in the debates. He got through to the final round ten times, won five tournaments and even trained other debaters.

“The debates are a separate culture. It is sort of a recharger for your brain to always keep you thinking and analyzing to be able to assess a problem from various points of view. Additionally, you have to do it as fast as possible. The topics are always different: politics, culture, religion, sports… It was the first time when we had our debates on HIV. Therefore, the first conclusion is that we cannot keep silent, we should talk about it and ruin the stereotypes. Young people may be the opinion leaders,” says Aleksandr.

There are two people on his team: he and Altynay Dzhumasheva, a student of the American University of Central Asia from Kyrgyzstan. For debaters, it is not important which country or university the team members represent, the main thing is the efficiency of their joint efforts, mutual support, ability to swiftly catch the idea voiced by the partner and develop it in an emotional and convincing manner.

Stronger arguments

At the tournament, the debaters could use any of the three languages: English, Kazakh or Russian. The organizers selected several key topics. They included digitalization of the health care, drug use problems, sexual education, HIV and children, stigma and discrimination of people living with HIV. The participants were to be competent in all the topics.

“One of the rounds addressed the topic of drug addiction. What should change in the countries and in minds to give information about drugs and for drug users to have a choice of treatment and rehabilitation options? Our “opposition” team had to resist a storm of arguments from the “government.” Finally, the victory was ours! Our arguments on the need to adopt an efficient state drug policy and open state rehabilitation centres appeared to be stronger,” tells Altynay Dzhumasheva.

Counting on the young people

Debates among young people in Kazakhstan are a new instrument in response to AIDS. Organizers of the debates included the local Almaty administration, the Ministry of Health of the Republic of Kazakhstan, the Republican AIDS Center, the Health Department of Almaty, UNAIDS, and UNICEF.

Search for the new formats of HIV prevention among young people is an important topic to be discussed at the International AIDS Conference (AIDS 2018) in Amsterdam.

“Kazakhstan has already started its preparations to declare the elimination of mother-to-child transmission of HIV. We hope that information about HIV will continue to be accessible and accurate. The progress we have achieved has been to a great extent made possible thanks to people not being silent and youth being actively engaged,” HIV/AIDS Specialist from UNICEF Ruslan Malyuta is saying.

The winner of the English league of the first international debate tournament on HIV was a team from the People’s Friendship University of Russia. The best team in the Kazakh league was from the Taraz State University (Kazakhstan), and in the Russian league – from the Eurasian National University (Astana).

Five People Disclosed their HIV Status to Mark the World AIDS Day in Kyrgyzstan

Author: Olga Ochneva, Kyrgyzstan

The Shukurov family tells about their HIV status during the campaign in the Kara-Balta school

Kyrgyzstan marked the World AIDS Day on December 1 under the Slogan “My Health, My Right.” Competitions, quizzes, a flash mob, debates, a race, a fashion show, and meetings with journalists were dedicated to the World AIDS Day. The most surprising thing during these events was the number of people who publicly disclosed their HIV status.

“Live” stories

Every year on the first winter day mass media publish a year’s supply of reports on the situation with HIV and its prevention. This time, the main message in this load of media reports was the topic of fighting stigma against people living with HIV (PLWH). This message was delivered by people who decided to publicly disclose their HIV status and tell their stories. The start to this spontaneous campaign for the freedom from fears, myths and prejudices was given by Baktygul Shukurova in September this year at the National HIV Conference. Baktygul says that she decided to make this step for all PLWH, to refute myths and give people an opportunity to reflect on the fact that everyone has a right to life and health. Back then, Yevgeniy Yuldashev also made a decision to have an open conversation with journalists.

Charitable race to help children living with HIV was supported by people of different ages and occupations

Following the example of his wife Baktygul, Umid Shukurov also disclosed his HIV status during the December 1 campaign in his home town of Kara-Balta. The spouses opened the truth, which they had been hiding for seven years, and that, as they say, helped them to feel free. On November 29, two more women disclosed their status.

Race to support people living with HIV

A charitable race “My Health, My Right” was organized in one of the Bishkek parks with the USAID support. Despite the cold Saturday morning, over two hundred people took part in the three- and six-kilometre races. Participants had a chance to donate some money to buy New Year presents for children living with HIV. The task of this race was to raise the awareness on the need to be responsible about one’s health and to prevent the spread of HIV.

HIV Quiz Night

Participants of the Quiz Night had only one minute to think over the questions, but many of them replied ahead of time

UNAIDS organized a Quiz Night dedicated to the topic “Right to Health” in the context of HIV. The battle for the title of the smartest brought together 18 teams, each of them making a money contribution. Among the participants, there were teams of journalists, health professionals, students, staff members of AIDS organizations and fans of the Quiz Night game. The participants had to answer 20 questions. Questions about HIV related to the areas of medicine, cinema, history, and music. The best performing team got the game bank and the viewers learned many unexpected facts about HIV and health.

Prevention month

The Republican AIDS Centre dedicated its activities within the month to mark the World AIDS Day to prevention and fighting stigma against PLWH. There was a contest for the best materials on HIV among college and high school students and journalists in three nominations: video, poster, and article. Twenty teams took part in the debate tournament.

Female penal colony against HIV and violence

Women from the penal colony No. 2 demonstrate creativity while talking about important issues

This day was also marked in the penal institutions. AIDS Foundation East-West in the Kyrgyz Republic organized a creative contest in the female penal colony No. 2. Each team presented a leaflet, a dance, a song and two theatre performances on two cross-cutting topics – how to prevent HIV and how to protect yourself from violence. Women spent a month on working on the scenarios and creating the costumes and, as a result, the event was very informative and impressive.

 

 

“I have HIV and it is not a verdict”

Amina from Tajikistan lives with HIV for nine years

Author: Nargis Hamrabaeva, Tajikistan

In her memories, her life is divided into ‘before’ and ‘after’ she learned she had HIV. As strange as it may seem, with the therapy ‘after’ is not a verdict, not a tragedy, not the end…

We are meeting 29-year-old Amina (the name has been changed) in one of the coffee houses in Dushanbe, Tajikistan. She came to our meeting after work, short of breath, as she was afraid to be late. Good looking, with a glow of health on her cheeks, a strand of hair appearing from under her neatly tied headscarf, and snow-white teeth. One could say that she was to the full of her health.

Sipping her coffee, she tells her story. Amina has been living with HIV for nine years and she is not at all ashamed of her status. She is convinced that a person with such diagnosis may live the same life as with any other chronic disease. The main thing is to take antiretroviral (ART) therapy on time and attend medical check-ups.

Fire, hospital, blood transfusions…

In 2007, Amina married her distant family member. In fact, as it often happens in Tajik families, her parents arranged their marriage.

“It happened that my two sisters married the relatives of my father and to keep some kind of “balance,” my marriage was arranged with my mother’s family relative. I struggled. We lived in the house of my husband’s parents. My sisters-in-law, who moved back to their parents’ house after the divorce, also lived with us. I could only dream of a quiet life,” tells Amina.

Sometimes, the young woman became an object of her sisters-in-law’s vengeance after their quarrels with her husband. Once, after another big quarrel, Amina made a bonfire in the yard and was cooking some food in a big pot. She already had a one-year-old and was pregnant with her second baby. The girl was throwing more brushwood into the fire to make it stronger when suddenly someone approached her from behind and pushed her right into the flame…

Amina woke up in a hospital ward several days after. She was in awful pain – she had 40% of her skin burnt. Ahead, she had two months of hospital stay, treatment, loss of her baby, interrogations of police officers and many blood transfusions. It turned out that it was one of her sisters-in-law who pushed her into the fire.

After several months, the wounds of her body and soul were healed and Amina got pregnant again. As all pregnant women, she did all the required tests, including an HIV test. It came back positive. She was worried, desperate, scared. She did not know what to do. Professional psychologists of the AIDS center talked to her and explained that it was not the end, that she would need to take her therapy and would be able to live a normal life with certain conditions.

“You have HIV and you will die in half a year”

However, the conversation with her husband was hard.

“He also got tested and his result was negative. He blamed it all on me; said that if I have HIV, I would die in half a year. He said that he wanted neither me nor our child. Soon I gave birth to our second son, but it did not save our marriage. We broke up. Both my boys are HIV-negative,” adds Amina.

She thinks that she got infected during one of the blood transfusions in the hospital.

“After the diagnosis, you can and should go on living your life,” the woman is saying now. Earlier, she was alone and hopeless. Her children were her only comfort. For them, she was fighting for her life. “I have been taking ART for five years. It includes several drugs, each of which influences a certain stage in the HIV replication cycle. In other words, when a person takes the therapy, the virus no longer replicates in the cells of his immune system.”

Building a house and finding a true love

A local organisation working with HIV-positive women helped Amina to become stronger and believe in herself. Now the young woman works as an outreach worker there, helping other women who are diagnosed with HIV to overcome their fears and depression. Her two wonderful boys are growing up. One of them goes to the third grade, and the second one has started his first year in school.

“To my ex-husband’s surprise, I am still alive, though nine years have already passed,” she says with a smile on her face. “Money that I make here is enough for us, but I am afraid to think about what can happen if the project is closed. Now there is a crisis everywhere. I could go to Russia to earn some money, but there I would have to make a mandatory HIV test to get a job and then I might face deportation.”

“What is your dream?”, I am asking her.

“Now I am on a waiting list to get a land plot and I would like to build a house for my children,” says Amina. Currently, she lives with her mother and her brother’s family. “They are all well aware of HIV, they know the routes of transmission, so they are not afraid to give me a hug or to eat from one bowl with me, and my brother’s wife sometimes leaves her children for me to look after.”

Besides, Amina is dreaming about meeting her true love and creating a family. This strong and self-confident young woman may be a role model for many people living with HIV.