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European Central Asia

Resources

Latest resources from across the Federation and our partners

Spotlight

A selection of resources from across the Federation

Cover image annual report - Ukraine humanitarian response
Resource

2022 IPPF EN Annual Report

Download our Annual Report to read about our activities and achievements in 2022.
Image of gynaecological medical setting
Resource

| 22 November 2022

Gynaecological and Obstetric Violence - a form of gender-based violence

The widespread and systemic mistreatment and violence against women experienced during childbirth and other reproductive health services has gained international visibility in recent years, following pioneering work in several Latin American countries to recognise and criminalise this form of gender-based violence.   International institutions have also spoken out on the issue. In 2014, gynaecological and obstetric violence was acknowledged by the World Health Organisation, and in 2019 the UN Special Rapporteur on Violence against Women described it as a “serious violation of women’s human rights occurring across all geographical and income-level settings”. In Europe, the parliaments of the Council of Europe and of the European Union have very recently adopted resolutions drawing attention to this phenomenon and calling for national and European measures to tackle it. But to date, no national government has put in place legislation specifically to criminalise gynaecological and obstetric violence. This means that currently, people living in EU Member States have few legal protections or means of redress.  With this in mind, IPPF EN produced this research and policy paper to provide an outline of the systemic and widespread nature of gynaecological and obstetric violence across many countries in Europe, and make recommendations to European and national decision-makers to tackle this form of gender-based violence. On this page you can download our full research and policy paper, as well as a short summary of the report.  Check out IPPF EN's Safe From Harm campaign, highlighting the EU action we support to combat gender-based violence.  ***     This work was funded by the European Union through the Citizens, Equality, Rights and Values Programme. Disclaimer: Views and opinions expressed are those of IPPF EN and do not necessarily reflect those of the European Union or the European Commission. Neither the European Union or the European Commission can be held responsible for them.   

Image of gynaecological medical setting
Resource

| 22 November 2022

Gynaecological and Obstetric Violence - a form of gender-based violence

The widespread and systemic mistreatment and violence against women experienced during childbirth and other reproductive health services has gained international visibility in recent years, following pioneering work in several Latin American countries to recognise and criminalise this form of gender-based violence.   International institutions have also spoken out on the issue. In 2014, gynaecological and obstetric violence was acknowledged by the World Health Organisation, and in 2019 the UN Special Rapporteur on Violence against Women described it as a “serious violation of women’s human rights occurring across all geographical and income-level settings”. In Europe, the parliaments of the Council of Europe and of the European Union have very recently adopted resolutions drawing attention to this phenomenon and calling for national and European measures to tackle it. But to date, no national government has put in place legislation specifically to criminalise gynaecological and obstetric violence. This means that currently, people living in EU Member States have few legal protections or means of redress.  With this in mind, IPPF EN produced this research and policy paper to provide an outline of the systemic and widespread nature of gynaecological and obstetric violence across many countries in Europe, and make recommendations to European and national decision-makers to tackle this form of gender-based violence. On this page you can download our full research and policy paper, as well as a short summary of the report.  Check out IPPF EN's Safe From Harm campaign, highlighting the EU action we support to combat gender-based violence.  ***     This work was funded by the European Union through the Citizens, Equality, Rights and Values Programme. Disclaimer: Views and opinions expressed are those of IPPF EN and do not necessarily reflect those of the European Union or the European Commission. Neither the European Union or the European Commission can be held responsible for them.   

EUKRAINE
Resource

| 30 March 2022

Ukraine: putting sexual and reproductive health and rights at the heart of the EU response

Since the outbreak of the war in Ukraine on 24th February 2022, humanitarian needs have been increasing by the hour. Millions of people across Ukraine are fighting for their lives. As of 6th April 2022, around 11.4 million people have been forcibly displaced, with 7.1 million internally displaced persons (IDPs) and nearly 4.3 million who have fled the country, seeking a safe haven in neighbouring countries. The majority of displaced people and refugees are women and children. The EU must put SRHR and protection from sexual and gender-based violence at the heart of its response to the crisis, in order to respond to the SRHR needs of Ukrainian people, especially of all women, girls and vulnerable and marginalized populations fleeing the war, whether they are in third countries or in EU Member States. Our brief includes recommendations that the EU can adopt within external and internal action in order to deliver on the sexual and reproductive health and rights of refugees and displaced persons. Credit photo: Fine Acts

EUKRAINE
Resource

| 06 April 2022

Ukraine: putting sexual and reproductive health and rights at the heart of the EU response

Since the outbreak of the war in Ukraine on 24th February 2022, humanitarian needs have been increasing by the hour. Millions of people across Ukraine are fighting for their lives. As of 6th April 2022, around 11.4 million people have been forcibly displaced, with 7.1 million internally displaced persons (IDPs) and nearly 4.3 million who have fled the country, seeking a safe haven in neighbouring countries. The majority of displaced people and refugees are women and children. The EU must put SRHR and protection from sexual and gender-based violence at the heart of its response to the crisis, in order to respond to the SRHR needs of Ukrainian people, especially of all women, girls and vulnerable and marginalized populations fleeing the war, whether they are in third countries or in EU Member States. Our brief includes recommendations that the EU can adopt within external and internal action in order to deliver on the sexual and reproductive health and rights of refugees and displaced persons. Credit photo: Fine Acts

ehimetalor-akhere-unuabona-Fj3Uf_2HWq8-unsplash.jpg
Resource

| 18 March 2022

Ukraine crisis: sexual and reproductive health and rights are non-negotiable and lifesaving

Since the outbreak of the war in Ukraine on 24th February 2022, humanitarian needs have been increasing by the hour. Millions of people across Ukraine are fighting for their lives. Anyone who has been forced to flee or who lives in an area of active fighting is particularly vulnerable, even more so women and girls. People’s access to health services may be suspended or the quality may be low, and they will not have access to lifesaving reproductive health care. They are in a dire state of emergency and further exposed to risk of sexual violence, sexually transmitted infections including HIV and unintended pregnancies. Amid the terrifying devastation experienced through a humanitarian crisis, people need first and foremost safety and protection. Sexual and reproductive health (SRH) services can save lives and prevent further suffering. Read below about the urgent actions to be taken by European humanitarian donors and actors.

ehimetalor-akhere-unuabona-Fj3Uf_2HWq8-unsplash.jpg
Resource

| 18 March 2022

Ukraine crisis: sexual and reproductive health and rights are non-negotiable and lifesaving

Since the outbreak of the war in Ukraine on 24th February 2022, humanitarian needs have been increasing by the hour. Millions of people across Ukraine are fighting for their lives. Anyone who has been forced to flee or who lives in an area of active fighting is particularly vulnerable, even more so women and girls. People’s access to health services may be suspended or the quality may be low, and they will not have access to lifesaving reproductive health care. They are in a dire state of emergency and further exposed to risk of sexual violence, sexually transmitted infections including HIV and unintended pregnancies. Amid the terrifying devastation experienced through a humanitarian crisis, people need first and foremost safety and protection. Sexual and reproductive health (SRH) services can save lives and prevent further suffering. Read below about the urgent actions to be taken by European humanitarian donors and actors.

Georgia IPPF
Resource

| 18 June 2018

SRH care services during humanitarian crisis in Eastern Europe and Central Asia

The Minimum Initial Service Package (MISP) for reproductive health (RH) is a coordinated set of priority activities designed to prevent excess morbidity and mortality, particularly among women and girls at the onset of humanitarian emergencies. This report shows the overall results regarding the MISP for reproductive health preparedness in Eastern Europe and Central Asia as of today compared with 2014. The main results show that there has been a significant improvement in the region from a fair level of preparedness in 2014 to a good level of preparedness in 2017. The most important achievements are linked to the establishment of national SRH working groups, which now exist in 16 countries. This is an extraordinary achievement, as this was one of the weakest areas in 2014. Improved coordination at the national level had an impact on several other areas, and the overall results reflect the importance of having coordination in place so as to be better prepared. For the future, it will be essential to maintain this momentum and continue improving SRH preparedness in the region. The report includes some recommendations in this direction. As the authors point out, we are also living at a unique time, when a light has been shone on sexual harassment and sexual violence against women and girls in developed and developing countries. In addition, refugees and migrants continue to arrive in Europe, fleeing war-ravaged countries. Although they are disappearing from the news, their situation has not improved enough in the region. Ensuring access to priority SRH services in every humanitarian crisis means making sure that everybody can receive life-saving SRH services. This includes preventing sexual violence and taking care of survivors. To ensure comprehensiveness, preparedness activities have to be enhanced to include, in a more systematic manner, adolescent girls and young female adults, unaccompanied children, LGBTI people and women and girls with disabilities or living with HIV, in line with the SDG pledge to “leave no one behind”.  

Georgia IPPF
Resource

| 18 June 2018

SRH care services during humanitarian crisis in Eastern Europe and Central Asia

The Minimum Initial Service Package (MISP) for reproductive health (RH) is a coordinated set of priority activities designed to prevent excess morbidity and mortality, particularly among women and girls at the onset of humanitarian emergencies. This report shows the overall results regarding the MISP for reproductive health preparedness in Eastern Europe and Central Asia as of today compared with 2014. The main results show that there has been a significant improvement in the region from a fair level of preparedness in 2014 to a good level of preparedness in 2017. The most important achievements are linked to the establishment of national SRH working groups, which now exist in 16 countries. This is an extraordinary achievement, as this was one of the weakest areas in 2014. Improved coordination at the national level had an impact on several other areas, and the overall results reflect the importance of having coordination in place so as to be better prepared. For the future, it will be essential to maintain this momentum and continue improving SRH preparedness in the region. The report includes some recommendations in this direction. As the authors point out, we are also living at a unique time, when a light has been shone on sexual harassment and sexual violence against women and girls in developed and developing countries. In addition, refugees and migrants continue to arrive in Europe, fleeing war-ravaged countries. Although they are disappearing from the news, their situation has not improved enough in the region. Ensuring access to priority SRH services in every humanitarian crisis means making sure that everybody can receive life-saving SRH services. This includes preventing sexual violence and taking care of survivors. To ensure comprehensiveness, preparedness activities have to be enhanced to include, in a more systematic manner, adolescent girls and young female adults, unaccompanied children, LGBTI people and women and girls with disabilities or living with HIV, in line with the SDG pledge to “leave no one behind”.  

aaron-burden-xG8IQMqMITM-unsplash_2.jpg
Resource

| 30 November 2017

Photo Gallery: Rising HIV numbers and funding cutbacks - Macedonia at the crossroads

This article was written in September 2017. Since then, thanks to the work of NGOs including our member HERA, Macedonia’s government has committed to providing long-term funding for all HIV programmes for marginalised people. Although HIV prevalence is low in Macedonia, with only 151 people registered as living with HIV, these small numbers mask a complex picture, and one that is rapidly changing. In 2016, there were 40 new HIV diagnoses, the majority of them among men who have sex with men.  Macedonia is not alone in facing a rise in HIV cases. In many parts of Central and Eastern Europe, the rate of new infections is growing. Between 2010 and 2015, the region saw a 50 per cent rise in new HIV infections annually. Another looming problem that threatens to send Macedonian HIV rates spiralling upwards is a funding crisis precipitated by donor cutbacks and political uncertainty. Between 2004 and 2016, Macedonian HIV programmes received almost $25 million from the Global Fund to Fight AIDS, Tuberculosis and Malaria. Much of this money was channelled into HIV prevention, funding NGOs that target those deemed most vulnerable to infection – sex workers, people who inject drugs, men who have sex with men and prisoners. But in 2016 this funding was phased out and NGOs on the frontline are left hoping that the new government will deliver fully on a recent commitment to step in with similar levels of funding in 2018. In the chasm left by the country’s public healthcare system, Macedonia’s sexual health and rights NGOs work tirelessly to plug the gap, often on a shoestring and in an increasingly uncertain funding landscape. HERA, IPPF's member in Macedonia, is a leading NGO providing free HIV testing services, sexual health support and advocacy. It works closely with smaller organisations around the country to ensure support for young people, sex workers, people who inject drugs and men who have sex with men. These NGOs are many people’s first port of call for HIV tests and other vital health care.  

aaron-burden-xG8IQMqMITM-unsplash_2.jpg
Resource

| 30 November 2017

Photo Gallery: Rising HIV numbers and funding cutbacks - Macedonia at the crossroads

This article was written in September 2017. Since then, thanks to the work of NGOs including our member HERA, Macedonia’s government has committed to providing long-term funding for all HIV programmes for marginalised people. Although HIV prevalence is low in Macedonia, with only 151 people registered as living with HIV, these small numbers mask a complex picture, and one that is rapidly changing. In 2016, there were 40 new HIV diagnoses, the majority of them among men who have sex with men.  Macedonia is not alone in facing a rise in HIV cases. In many parts of Central and Eastern Europe, the rate of new infections is growing. Between 2010 and 2015, the region saw a 50 per cent rise in new HIV infections annually. Another looming problem that threatens to send Macedonian HIV rates spiralling upwards is a funding crisis precipitated by donor cutbacks and political uncertainty. Between 2004 and 2016, Macedonian HIV programmes received almost $25 million from the Global Fund to Fight AIDS, Tuberculosis and Malaria. Much of this money was channelled into HIV prevention, funding NGOs that target those deemed most vulnerable to infection – sex workers, people who inject drugs, men who have sex with men and prisoners. But in 2016 this funding was phased out and NGOs on the frontline are left hoping that the new government will deliver fully on a recent commitment to step in with similar levels of funding in 2018. In the chasm left by the country’s public healthcare system, Macedonia’s sexual health and rights NGOs work tirelessly to plug the gap, often on a shoestring and in an increasingly uncertain funding landscape. HERA, IPPF's member in Macedonia, is a leading NGO providing free HIV testing services, sexual health support and advocacy. It works closely with smaller organisations around the country to ensure support for young people, sex workers, people who inject drugs and men who have sex with men. These NGOs are many people’s first port of call for HIV tests and other vital health care.  

Image of gynaecological medical setting
Resource

| 22 November 2022

Gynaecological and Obstetric Violence - a form of gender-based violence

The widespread and systemic mistreatment and violence against women experienced during childbirth and other reproductive health services has gained international visibility in recent years, following pioneering work in several Latin American countries to recognise and criminalise this form of gender-based violence.   International institutions have also spoken out on the issue. In 2014, gynaecological and obstetric violence was acknowledged by the World Health Organisation, and in 2019 the UN Special Rapporteur on Violence against Women described it as a “serious violation of women’s human rights occurring across all geographical and income-level settings”. In Europe, the parliaments of the Council of Europe and of the European Union have very recently adopted resolutions drawing attention to this phenomenon and calling for national and European measures to tackle it. But to date, no national government has put in place legislation specifically to criminalise gynaecological and obstetric violence. This means that currently, people living in EU Member States have few legal protections or means of redress.  With this in mind, IPPF EN produced this research and policy paper to provide an outline of the systemic and widespread nature of gynaecological and obstetric violence across many countries in Europe, and make recommendations to European and national decision-makers to tackle this form of gender-based violence. On this page you can download our full research and policy paper, as well as a short summary of the report.  Check out IPPF EN's Safe From Harm campaign, highlighting the EU action we support to combat gender-based violence.  ***     This work was funded by the European Union through the Citizens, Equality, Rights and Values Programme. Disclaimer: Views and opinions expressed are those of IPPF EN and do not necessarily reflect those of the European Union or the European Commission. Neither the European Union or the European Commission can be held responsible for them.   

Image of gynaecological medical setting
Resource

| 22 November 2022

Gynaecological and Obstetric Violence - a form of gender-based violence

The widespread and systemic mistreatment and violence against women experienced during childbirth and other reproductive health services has gained international visibility in recent years, following pioneering work in several Latin American countries to recognise and criminalise this form of gender-based violence.   International institutions have also spoken out on the issue. In 2014, gynaecological and obstetric violence was acknowledged by the World Health Organisation, and in 2019 the UN Special Rapporteur on Violence against Women described it as a “serious violation of women’s human rights occurring across all geographical and income-level settings”. In Europe, the parliaments of the Council of Europe and of the European Union have very recently adopted resolutions drawing attention to this phenomenon and calling for national and European measures to tackle it. But to date, no national government has put in place legislation specifically to criminalise gynaecological and obstetric violence. This means that currently, people living in EU Member States have few legal protections or means of redress.  With this in mind, IPPF EN produced this research and policy paper to provide an outline of the systemic and widespread nature of gynaecological and obstetric violence across many countries in Europe, and make recommendations to European and national decision-makers to tackle this form of gender-based violence. On this page you can download our full research and policy paper, as well as a short summary of the report.  Check out IPPF EN's Safe From Harm campaign, highlighting the EU action we support to combat gender-based violence.  ***     This work was funded by the European Union through the Citizens, Equality, Rights and Values Programme. Disclaimer: Views and opinions expressed are those of IPPF EN and do not necessarily reflect those of the European Union or the European Commission. Neither the European Union or the European Commission can be held responsible for them.   

EUKRAINE
Resource

| 30 March 2022

Ukraine: putting sexual and reproductive health and rights at the heart of the EU response

Since the outbreak of the war in Ukraine on 24th February 2022, humanitarian needs have been increasing by the hour. Millions of people across Ukraine are fighting for their lives. As of 6th April 2022, around 11.4 million people have been forcibly displaced, with 7.1 million internally displaced persons (IDPs) and nearly 4.3 million who have fled the country, seeking a safe haven in neighbouring countries. The majority of displaced people and refugees are women and children. The EU must put SRHR and protection from sexual and gender-based violence at the heart of its response to the crisis, in order to respond to the SRHR needs of Ukrainian people, especially of all women, girls and vulnerable and marginalized populations fleeing the war, whether they are in third countries or in EU Member States. Our brief includes recommendations that the EU can adopt within external and internal action in order to deliver on the sexual and reproductive health and rights of refugees and displaced persons. Credit photo: Fine Acts

EUKRAINE
Resource

| 06 April 2022

Ukraine: putting sexual and reproductive health and rights at the heart of the EU response

Since the outbreak of the war in Ukraine on 24th February 2022, humanitarian needs have been increasing by the hour. Millions of people across Ukraine are fighting for their lives. As of 6th April 2022, around 11.4 million people have been forcibly displaced, with 7.1 million internally displaced persons (IDPs) and nearly 4.3 million who have fled the country, seeking a safe haven in neighbouring countries. The majority of displaced people and refugees are women and children. The EU must put SRHR and protection from sexual and gender-based violence at the heart of its response to the crisis, in order to respond to the SRHR needs of Ukrainian people, especially of all women, girls and vulnerable and marginalized populations fleeing the war, whether they are in third countries or in EU Member States. Our brief includes recommendations that the EU can adopt within external and internal action in order to deliver on the sexual and reproductive health and rights of refugees and displaced persons. Credit photo: Fine Acts

ehimetalor-akhere-unuabona-Fj3Uf_2HWq8-unsplash.jpg
Resource

| 18 March 2022

Ukraine crisis: sexual and reproductive health and rights are non-negotiable and lifesaving

Since the outbreak of the war in Ukraine on 24th February 2022, humanitarian needs have been increasing by the hour. Millions of people across Ukraine are fighting for their lives. Anyone who has been forced to flee or who lives in an area of active fighting is particularly vulnerable, even more so women and girls. People’s access to health services may be suspended or the quality may be low, and they will not have access to lifesaving reproductive health care. They are in a dire state of emergency and further exposed to risk of sexual violence, sexually transmitted infections including HIV and unintended pregnancies. Amid the terrifying devastation experienced through a humanitarian crisis, people need first and foremost safety and protection. Sexual and reproductive health (SRH) services can save lives and prevent further suffering. Read below about the urgent actions to be taken by European humanitarian donors and actors.

ehimetalor-akhere-unuabona-Fj3Uf_2HWq8-unsplash.jpg
Resource

| 18 March 2022

Ukraine crisis: sexual and reproductive health and rights are non-negotiable and lifesaving

Since the outbreak of the war in Ukraine on 24th February 2022, humanitarian needs have been increasing by the hour. Millions of people across Ukraine are fighting for their lives. Anyone who has been forced to flee or who lives in an area of active fighting is particularly vulnerable, even more so women and girls. People’s access to health services may be suspended or the quality may be low, and they will not have access to lifesaving reproductive health care. They are in a dire state of emergency and further exposed to risk of sexual violence, sexually transmitted infections including HIV and unintended pregnancies. Amid the terrifying devastation experienced through a humanitarian crisis, people need first and foremost safety and protection. Sexual and reproductive health (SRH) services can save lives and prevent further suffering. Read below about the urgent actions to be taken by European humanitarian donors and actors.

Georgia IPPF
Resource

| 18 June 2018

SRH care services during humanitarian crisis in Eastern Europe and Central Asia

The Minimum Initial Service Package (MISP) for reproductive health (RH) is a coordinated set of priority activities designed to prevent excess morbidity and mortality, particularly among women and girls at the onset of humanitarian emergencies. This report shows the overall results regarding the MISP for reproductive health preparedness in Eastern Europe and Central Asia as of today compared with 2014. The main results show that there has been a significant improvement in the region from a fair level of preparedness in 2014 to a good level of preparedness in 2017. The most important achievements are linked to the establishment of national SRH working groups, which now exist in 16 countries. This is an extraordinary achievement, as this was one of the weakest areas in 2014. Improved coordination at the national level had an impact on several other areas, and the overall results reflect the importance of having coordination in place so as to be better prepared. For the future, it will be essential to maintain this momentum and continue improving SRH preparedness in the region. The report includes some recommendations in this direction. As the authors point out, we are also living at a unique time, when a light has been shone on sexual harassment and sexual violence against women and girls in developed and developing countries. In addition, refugees and migrants continue to arrive in Europe, fleeing war-ravaged countries. Although they are disappearing from the news, their situation has not improved enough in the region. Ensuring access to priority SRH services in every humanitarian crisis means making sure that everybody can receive life-saving SRH services. This includes preventing sexual violence and taking care of survivors. To ensure comprehensiveness, preparedness activities have to be enhanced to include, in a more systematic manner, adolescent girls and young female adults, unaccompanied children, LGBTI people and women and girls with disabilities or living with HIV, in line with the SDG pledge to “leave no one behind”.  

Georgia IPPF
Resource

| 18 June 2018

SRH care services during humanitarian crisis in Eastern Europe and Central Asia

The Minimum Initial Service Package (MISP) for reproductive health (RH) is a coordinated set of priority activities designed to prevent excess morbidity and mortality, particularly among women and girls at the onset of humanitarian emergencies. This report shows the overall results regarding the MISP for reproductive health preparedness in Eastern Europe and Central Asia as of today compared with 2014. The main results show that there has been a significant improvement in the region from a fair level of preparedness in 2014 to a good level of preparedness in 2017. The most important achievements are linked to the establishment of national SRH working groups, which now exist in 16 countries. This is an extraordinary achievement, as this was one of the weakest areas in 2014. Improved coordination at the national level had an impact on several other areas, and the overall results reflect the importance of having coordination in place so as to be better prepared. For the future, it will be essential to maintain this momentum and continue improving SRH preparedness in the region. The report includes some recommendations in this direction. As the authors point out, we are also living at a unique time, when a light has been shone on sexual harassment and sexual violence against women and girls in developed and developing countries. In addition, refugees and migrants continue to arrive in Europe, fleeing war-ravaged countries. Although they are disappearing from the news, their situation has not improved enough in the region. Ensuring access to priority SRH services in every humanitarian crisis means making sure that everybody can receive life-saving SRH services. This includes preventing sexual violence and taking care of survivors. To ensure comprehensiveness, preparedness activities have to be enhanced to include, in a more systematic manner, adolescent girls and young female adults, unaccompanied children, LGBTI people and women and girls with disabilities or living with HIV, in line with the SDG pledge to “leave no one behind”.  

aaron-burden-xG8IQMqMITM-unsplash_2.jpg
Resource

| 30 November 2017

Photo Gallery: Rising HIV numbers and funding cutbacks - Macedonia at the crossroads

This article was written in September 2017. Since then, thanks to the work of NGOs including our member HERA, Macedonia’s government has committed to providing long-term funding for all HIV programmes for marginalised people. Although HIV prevalence is low in Macedonia, with only 151 people registered as living with HIV, these small numbers mask a complex picture, and one that is rapidly changing. In 2016, there were 40 new HIV diagnoses, the majority of them among men who have sex with men.  Macedonia is not alone in facing a rise in HIV cases. In many parts of Central and Eastern Europe, the rate of new infections is growing. Between 2010 and 2015, the region saw a 50 per cent rise in new HIV infections annually. Another looming problem that threatens to send Macedonian HIV rates spiralling upwards is a funding crisis precipitated by donor cutbacks and political uncertainty. Between 2004 and 2016, Macedonian HIV programmes received almost $25 million from the Global Fund to Fight AIDS, Tuberculosis and Malaria. Much of this money was channelled into HIV prevention, funding NGOs that target those deemed most vulnerable to infection – sex workers, people who inject drugs, men who have sex with men and prisoners. But in 2016 this funding was phased out and NGOs on the frontline are left hoping that the new government will deliver fully on a recent commitment to step in with similar levels of funding in 2018. In the chasm left by the country’s public healthcare system, Macedonia’s sexual health and rights NGOs work tirelessly to plug the gap, often on a shoestring and in an increasingly uncertain funding landscape. HERA, IPPF's member in Macedonia, is a leading NGO providing free HIV testing services, sexual health support and advocacy. It works closely with smaller organisations around the country to ensure support for young people, sex workers, people who inject drugs and men who have sex with men. These NGOs are many people’s first port of call for HIV tests and other vital health care.  

aaron-burden-xG8IQMqMITM-unsplash_2.jpg
Resource

| 30 November 2017

Photo Gallery: Rising HIV numbers and funding cutbacks - Macedonia at the crossroads

This article was written in September 2017. Since then, thanks to the work of NGOs including our member HERA, Macedonia’s government has committed to providing long-term funding for all HIV programmes for marginalised people. Although HIV prevalence is low in Macedonia, with only 151 people registered as living with HIV, these small numbers mask a complex picture, and one that is rapidly changing. In 2016, there were 40 new HIV diagnoses, the majority of them among men who have sex with men.  Macedonia is not alone in facing a rise in HIV cases. In many parts of Central and Eastern Europe, the rate of new infections is growing. Between 2010 and 2015, the region saw a 50 per cent rise in new HIV infections annually. Another looming problem that threatens to send Macedonian HIV rates spiralling upwards is a funding crisis precipitated by donor cutbacks and political uncertainty. Between 2004 and 2016, Macedonian HIV programmes received almost $25 million from the Global Fund to Fight AIDS, Tuberculosis and Malaria. Much of this money was channelled into HIV prevention, funding NGOs that target those deemed most vulnerable to infection – sex workers, people who inject drugs, men who have sex with men and prisoners. But in 2016 this funding was phased out and NGOs on the frontline are left hoping that the new government will deliver fully on a recent commitment to step in with similar levels of funding in 2018. In the chasm left by the country’s public healthcare system, Macedonia’s sexual health and rights NGOs work tirelessly to plug the gap, often on a shoestring and in an increasingly uncertain funding landscape. HERA, IPPF's member in Macedonia, is a leading NGO providing free HIV testing services, sexual health support and advocacy. It works closely with smaller organisations around the country to ensure support for young people, sex workers, people who inject drugs and men who have sex with men. These NGOs are many people’s first port of call for HIV tests and other vital health care.