AFEW International in Uzbekistan

AFEW International represented by Daria Alekseeva, Program Director and Yuri de Boer, Senior Program Manager, and Ainura Batyrbekova, Project Manager of AFEW Kazakhstan concluded a scoping mission to Tashkent from 15-17 January.

At the invitation of the Ministry of Health and with the support of the Ministry of Foreign Affairs of Uzbekistan, the team met with the Republican AIDS Center and the Municipal AIDS Center of the City of Tashkent, the Country Coordinating Mechanism (CCM) on HIV/AIDS, international organizations, as well as a broad range of community based organisations, including networks of people living with HIV.

At the center of the discussion are several proposed interventions to further develop and improve the quality of HIV testing and prevention services for key populations and support to people living with HIV. The overall aims of the proposed projects is to strength the role of civil society and key populations in inclusive health care in Uzbekistan, in particularly in motivating the most difficult to reach groups to get an HIV testing,  and to further strengthen the capacity of AIDS Centers and service providers. During the meetings, all parties involved acknowledged the need to keep focus particularly on key populations (people who use drugs, men who have sex with men, transgender people, and sex workers) and use the expertise of the AIDS Centers as well as the community organizations to better access these groups. Optimized ART adherence for people on treatment was also seen as a possible outcome of joint interventions.

In the coming months, project proposals will be further developed, and formal endorsement from governmental stakeholders and the CCM will be sought.

AFEW International has already supported projects for people living with HIV in Uzbekistan, and actively involved participants from the country in the AIDS2018 conference. In addition, representatives from Uzbekistan participated in AFEW International’s community based research education project.

 

Prospects for cooperation in the health sector in Uzbekistan

On January 10, 2020, AFEW International, represented by Anke van Dam, Executive Director, and Daria Alexeeva, Program Director, met with Ambassador of Uzbekistan in Benelux countries Dilier Hakimov.

AFEW International is considering possibilities to implement two projects in Uzbekistan. The first one is to develop and improve the quality of HIV testing and prevention services for key populations and support people living with HIV.

The second project, entitled “Strengthening civil society in inclusive health care in Uzbekistan”, is currently under consideration by the European Commission and is on the reserve list of projects.

At the end of the meeting, the parties agreed on a schedule for the AFEW International delegation to visit Tashkent on 15-16 January 2020. AFEW International’s team will have negotiations with the Republican AIDS Center, as well as with representatives of some international organizations, which may act as donors for the implementation of projects of the non-governmental organization in Uzbekistan.

AFEW International already has experience in working in Uzbekistan: the organization supported several projects in the country through ESF, as well as was involved in preparations for the AIDS2018 conference. In addition, representatives from Uzbekistan participated in AFEW International’s community based research education project.

Uzbekistan Eliminates Vertical HIV Transmission

Evgeniya Korotkova from Ishonch va Hayot NGO, photo from the personal archive

Author: Inna Gavrilova, Ukraine

The rate of mother-to-child HIV transmission in the Republic of Uzbekistan is approaching the zero mark. In 2017, only 11 cases of such transmission were documented or 0.3% of all the HIV cases registered.

“Such trend has been observed for several years already,” says Evgeniya Korotkova from Ishonch va Hayot NGO, which has been advocating for the rights of women and children from the families affected by HIV/AIDS epidemic in Uzbekistan. “It gives me confidence that in the nearest two years our country will be able to get well prepared, do its best at the national level to successfully go through the procedure to validate the elimination of mother-to-child HIV transmission and to become the fourth country in Eastern Europe and Central Asia to receive an elimination validation certificate from the World Health Organization (WHO).”

According to Korotkova, WHO validation of the elimination of vertical HIV transmission is a rather lengthy and complicated process, but in the recent seven years, patients’ groups and civil society organizations were able to gain support from the government, which is also interested in healthy newborns who would get a good start in their lives. Only the joint efforts of civil society activists and government allowed fighting stigma and discrimination – which are the main obstacle on the way to 90-90-90 targets – in an effective and comprehensive way. It is not enough to just find all the people living with HIV (PLWH), the task is to convince them not to be afraid of their diagnosis and take the therapy.

“Stigma and discrimination remain serious obstacles on the way to HIV prevention, prevention of mother-to-child HIV transmission, expansion of HIV testing as well as enhanced access and adherence to HIV care and support,” said Evgeniya Korotkova. “The government committed to take over the procurement of all antiretroviral (ARV) drugs by 2021 to make sure all people who need treatment have access to it. At the same time, it is important for PLWH to be willing to take ARV drugs and adhere to treatment, despite stigma and discrimination, which is still present today in health institutions and in the society as a whole. We help our doctors and actively work with PLWH to ensure their adherence to ART.”

It bears reminding that the WHO officially validated the elimination of mother-to-child HIV transmission in three countries of Eastern Europe and Central Asia: Belarus, Armenia and Moldova.

We Fight, We Hide or We Unite

We Fight, We Hide or We Unite: coping strategies amongst resilient harm reduction organisations and community networks in the context of shrinking space for civil society in Eastern Europe and Central Asia

The title of this report, ‘We Fight, We Hide or We Unite’, reflects the survival strategies we identified amongst resilient harm reduction non-governmental organisations and community networks of people who use drugs (PWUD) in Eastern Europe and Central Asia (EECA). This assessment forms a part of the regional approach of the AFEW Network within the ‘Bridging the Gaps: health and rights of key populations’ programme, financed by the Ministry of Foreign Affairs of The Netherlands. This report presents the primary findings from the assessment, ‘Shrinking Space for Civil Society Organisations in Eastern Europe and Central Asia’, conducted between June and September 2017 at the international level by AFEW International and at the regional level.

We provide a detailed description of the overall study purpose, methodology, background and context regarding the shrinking civil society space and the coping strategies of HIV and PWUD CSOs working under these circumstances. The results of this assessment will be used to develop ideas and strategies on how to cope with the local contexts of the shrinking civil society space. In this way, it will contribute to the survival of CSOs and improving the current situation. This assessment represents the first step in the development of this focus within the AFEW Network’s regional approach within the ‘Bridging the Gaps’ programme. It will be followed by an analysis of existing gaps in the support necessary for specific interventions and initiatives to support specific coping strategies; the development of pilot projects on advocacy, service delivery or capacity building; and the continuous monitoring of results.

The full version of the report is available here.