EECAAC 2018: Treatment or Epidemic

The problems of EECA were discussed at the VI Eastern Europe and Central Asia AIDS Conference in Moscow on 8 – 20 April 2018

Author: Anastasia Petrova

Russia accounts for two-thirds of the new HIV cases in Europe and Central Asia. This is what the UNAIDS data show. One of the key factors contributing to the further spread of the epidemic is low treatment coverage: only one-third of people who need treatment get it. This fact, as well as other problems of the region, were discussed at the VI Eastern Europe and Central Asia AIDS Conference (EECAAC 2018) held in Moscow on 8 – 20 April 2018.

“What should be done to make sure that every HIV positive person has access to high-quality modern treatment from the day he is diagnosed with HIV in any place of our huge country? Maybe we should all – activists, business, government – honestly recognize that the AIDS war is lost, should join our efforts and reconsider where we are and where we go,” said Aleksandr Chebin, the activist of the Patient Control Movement, Yekaterinburg.

Patients demand treatment

“A special program was adopted in Russia to prevent the spread of the virus in the country, which allowed significantly increasing HIV/AIDS patients’ coverage with treatment services,” told Olga Golodets, Deputy Prime Minister of the Russian Federation at the EECAAC 2018 opening ceremony. However, experts say that the measures taken are not enough.

According to Vadim Pokrovskiy, Head of the Russian Federal AIDS Centre, only 35.5% of people living with HIV in Russia receive treatment. Even those who are registered in HIV care are not guaranteed treatment. In early 2018, fifteen regions of the country have reported stock-outs of antiretrovirals (ARVs).

On activists’ of the Patient Control Movement made attempts to voice this message at the opening ceremony T-shirts there was a message STOP, STOCK-OUTS!

Activists of the Patient Control Movement made attempts to voice this message at the opening ceremony. During the speech of Olga Golodets, people present at the ceremony stood up and took their coats off. Red letters on their snow-white T-shirts read STOP, STOCK-OUTS! This silent protest was a way for the patients to express their indignation with access to treatment in the country.

“Fight with HIV is a joint fight, which includes civil society and the volunteers who are now standing in front of us,” said the public official about the protest.

Disease of the system

According to experts from the International Treatment Preparedness Coalition in EECA (ITPCru), stock-outs are a systematic problem in Russia.

“The Ministry of Health announces tenders too late, and then the suppliers fail to supply drugs to the regions in time,” said Natalia Yegorova, Monitoring and Advocacy Officer, ITPCru.

Svetlana Prosvirina representing SIMONA+ project mentioned that according to the survey held by the patients’ community, 50% of patients of the AIDS centres faced problems when receiving their antiretroviral therapy (ART), such as stock-outs and frequent changes of treatment regimens.

“Apart from the stock-outs, we also identified other barriers in access to the health services: location of the AIDS centres, queues, long list of medical examinations to be completed before ART initiation (which is a significant barrier for injecting drug users), long-term before treatment start – 1 to 3 months, and health care system-related problems, such as stock-outs of ARV drugs and diagnostic tools,” told Svetlana.

Tim Martino, Deputy Director of UNAIDS called Russia to adopt the international ‘test and treat’ strategy. This approach stipulates treatment initiation not waiting for the immune status going down. Such strategy proved effective in the African states. However, it is still ignored in Russia.

Vinay P. Saldanha, UNAIDS Regional Director for Eastern Europe & Central Asia explained that to cover all patients with treatment the price of a yearly course per patient should not exceed USD 100

Timofey Nizhegorodtsev, expert of the Russian Federal Antimonopoly Service delivered a speech at the session “Strategies to Enhance Access to ARVT and Drugs to Treat Comorbidities in the EECA in the Light of Current State of Affairs.”

“Currently, a draft law on public health is prepared, which will allow local producers to manufacture the required drugs at affordable prices,” he said

Price reduction is the key

Only a sharp price reduction will make it possible to provide all people in need with treatment in the country, experts say. Vinay P. Saldanha, UNAIDS Regional Director for Eastern Europe & Central Asia explained that to cover all patients with treatment the price of a yearly course per patient should not exceed USD 100.

“Only in this case, the Russian Federation has a chance to achieve the 90-90-90 targets and meet the commitment to end the HIV epidemic by 2030,” pointed out Mr. Saldanha.

The key results of EECAAC 2018, as well as the actions to be taken, are included to the Final Statement of the VI Conference. The document is currently to be adopted by the Russian Federal Service for Surveillance on Consumer Rights Protection and Human Well-being (Rospotrebnadzor) and will be published before the end of April.

Deadline Extended: Stipends for Dutch Based Delegates to Visit EECAAC 2018

VI Eastern Europe and Central Asia AIDS Conference (EECAAC 2018)

“Mobilizing resources: experience, investments, innovations”

18-20 April 2018, Moscow, Russian Federation

The organizers of the VI International Eastern Europe and Central Asia AIDS Conference (EECAAC 2018) provide 10 stipends for Netherlands-based organizations to participate in the Conference. The forum will be held three months before the XXII International AIDS Conference (AIDS 2018), which will be hosted by Amsterdam on 23-27 July 2018.

The Dutch Ministry of Foreign Affairs acts as the observer in the EECAAC 2018 Organising Committee to enable clear links and continuity of discussions at both conferences. Why is it important? One of the five objectives of AIDS 2018 is to spotlight the state of the epidemic and the HIV response in Eastern Europe and Central Asia with a focus on investments, structural determinants and services. EECAAC 2018 is a platform for scientific exchange in the EECA region and will open the dialogue on partnerships and joint effort coordination in HIV response which will be continued at AIDS 2018.

The main goal of EECAAC 2018 is to focus on measures for eliminating the HIV epidemic and other public health concerns in Eastern Europe and Central Asia, present high-performance programs and provide experience exchange opportunities for scientists, experts, policy makers, healthcare professionals, activists and public figures in relation to the best HIV response strategies.

VI International Eastern Europe and Central Asia AIDS Conference is expected to convene up to 3000 participants and will feature:

  • Presentation of innovative approaches to the prevention and treatment of HIV/AIDS, opportunistic and concomitant infections.
  • Strengthening the link between science and practice.
  • Development of regional healthcare systems.
  • Exploring ideas around the new “AIDS/HIV-free generation”.
  • Expanding the role of sport in HIV response.
  • Discussing HIV and migration.
  • Expanding the role of partnerships and joint effort coordination in HIV response.
  • Examining economic aspects of HIV response.

 Conference organizers:

  • Joint United Nations Programme on HIV/AIDS (UNAIDS)
  • Russian Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing (Rospotrebnadzor)

Why stipends for Dutch organizations?

The stipends will be provided to 10 representatives of Netherlands-based organizations in order to stimulate greater presence of these organizations at EECAAC 2018 as well as facilitate cooperation between the Netherlands and the EECA countries in HIV/AIDS response and related areas. The XXII International AIDS Conference will be specifically featured at EECAAC 2018.

Representatives of the Dutch NGOs and scientific institutes, activists working in the field of HIV/AIDS, SRHR, HIV and co-infections are invited to apply for a stipend to visit EECAAC 2018 and support the Dutch delegation at the Conference. Representatives will also be encouraged to occasionally represent the Netherlands at the Dutch Booth and/or to promote their NGO at the Community Village.

What do the stipends cover?

  1. Return economy class flight.
  2. Airport – hotel – airport transfer.
  3. Hotel – Conference – hotel transfers.
  4. Accommodation in the hotel (3-4 stars).
  5. Meals (breakfasts, lunches or dinners) for all days of the Conference.
  6. Per diems will not be provided.
  7. Support in obtaining visa if required.

Who can apply?

Individuals complying with all of the following criteria may apply:

  1. The applicant is 18 years of age by the time of the Conference and a staff member of an NGO, community-based organisation, scientific institution, network, association, or non-registered entity, located in the Netherlands
  2. An organisation, represented by the applicant, works in one of the following areas:
    1. HIV/AIDS prevention or service provision.
    2. HIV/AIDS and co-infection with TB and/or viral Hepatitis prevention or service provision.
    3. HIV/AIDS related non-medical research.
    4. HIV/AIDS and co-infection with TB and/or viral Hepatitis research.
    5. Support and service provision to the most vulnerable population including people using drugs, sex workers, LGBTQ, MSM.
    6. HIV/AIDS prevention and/or sexual health education for young people.
  3. An organisation, represented by the applicant is non-profit.
  4. An organisation, represented by the applicant, is working in the EECA region or has a demonstrable interest in this region.
  5. The applicant commits to actively participate in the whole duration of the Conference.
  6. The applicant is eager to contribute to the preparation for AIDS 2018 after the return from EECAAC by sharing knowledge and experiences at the events, which will be eventually organised in the run of the AIDS 2018 in the Netherlands.

How to apply?

In order to apply, please follow these simple steps:

  1. Follow this link in order to register for the Conference.
  2. Fill in the required fields at STEP 4 of the registration process.3. Wait for the decision of the Selection Commission regarding your application.

Deadline extended: applications submission closes at 24 January 2018.

Stipend awardees announcement: 31 January 2018.

The Selection Commission

The Selection Commission will consist of representatives of the AFEW International, the Dutch Ministry of Foreign Affairs, GNP+, and independent consultants. The selection of the candidates will be based on criteria listed above and the following considerations:

  1. Even representation of the different areas and target groups.
  2. Strong commitment for active participation in EECAAC 2018.
  3. Strong commitment to share knowledge and experiences after returning to the Netherlands.
  4. Preference will be given to those candidates who otherwise wouldn’t be able to visit EECAAC 2018.
  5. A maximum of one representative per organization.