6 Combat HIV/AIDS, malaria and other diseases

Where we are?

Memorial dedicated to people who died of AIDS in Chisinau. Photo: UNDP

None of the targets set for 2010 was achieved which makes extremely difficult to reach them by 2015. The fight against socially-conditioned infectious diseases – a major health priority – has not produced any major results, and the near future will bring new challenges, because of the financial constraints caused by the revision of financing mechanisms and countries’ eligibility conditions to the Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM). Although it is still concentrated in the key groups – injectable drug users, commercial sex workers, and men having sex with other men - the HIV/AIDS infection has shown a clear trend towards infection of their partners. The mode of transmission has changed, in the main it is now sexual. The infection has feminised and has shown a tendency to spread in the rural areas.

The Transnistrian region and the largest cities are leading in HIV prevalence, although the GFATM resources for prevention and treatment measures are provided throughout the country. In this respect, the Government collects relevant data for the MDG 6 from the both sides of the River Nistru,including the Transnistrian region, to monitor progress of UNGASS across the country. Over the few last years, trends have stabilized for TB-associated mortality, reflecting a decrease of 29% by 2012 in comparison to 2007, a decrease of the DOTS (Directly Observed Therapy) treatment drop-outs to 8.5% and an increase of the success rate up to 62.2% as compared with the previous years, when the figures did not exceed of 58%. The success of treatment depends partly on clinical factors, but also on economic factors and patients’ level of knowledge about TB and its treatment. TB continues to affect mainly socially vulnerable groups – unemployed people, persons with disabilities, homeless people, and persons suffering from alcoholism.

The main problems identified in fighting HIV and TB include the rigidity and unattractiveness of the services provided to patients, service provision which is limited to the big cities, the system’s incapacity to tackle the multifaceted needs of the sick people, including stigmatization and discrimination. However, the existence of a consolidated and participatory response of the stakeholders from the civil society, authorities, specialists, and development partners, is a source of optimism. The country mechanism for coordinating national programs (the National Coordination Council) has both qualitative and comprehensive data to support the development of efficient policies based on epidemiological evidence.

Targets for MDG6
  1. Halt and begin to reverse the spread of HIV/AIDS
    • HIV prevalence among population aged 15-24 years
    • Condom use at last high-risk sex
    • Proportion of population aged 15-24 years with comprehensive correct knowledge of HIV/AIDS
    • Ratio of school attendance of orphans to school attendance of non-orphans aged 10-14 years
  2. Achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need it
    • Proportion of population with advanced HIV infection with access to antiretroviral drugs