Resources

In many countries in Eastern Europe and Central Asia, young people from marginalised groups most vulnerable to HIV are being harmed by high levels of violence, discrimination and stigma, and it is enormously difficult for them to access the care they need. This is the only region in the world where the HIV epidemic continues to rise rapidly, and yet many governments are failing to take action. IPPF EN champions free, safe and dignified lives for all people, especially those who are neglected by their governments and the societies they live in. Find out more about about how we are empowering and improving care for marginalised young people in Eastern Europe and Central Asia.  

This new toolkit aims to support young people in Eastern Europe and Central Asia who are particularly vulnerable to HIV infection and are facing widespread stigma, discrimination and violence. “Health, rights and well-being” is a practical guide for programming on HIV and sexual and reproductive health care with young key populations in Eastern Europe and Central Asia, available in both English and Russian. It was developed on the basis of discussions in eight countries with young people from groups that are most at risk of HIV infection: sex workers, drug users, men who have sex with men and prisoners. The toolkit describes the situations they face, policy and legal contexts, and includes examples of good practice and tips for implementing successful programmes from the young people themselves. We believe that it provides very practical support to all those working to ensure that the rights of these young people are met, that discrimination is stopped, and that they can fulfil their potential. The guide is designed for public health care professionals, health workers, managers of HIV and SRHR programmes and NGOs, including community groups. We hope that it will also be of interest for international funding organisations as well as advocates and decision-makers.  

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.  

Meet Marian and Nicoleta. Their unique love story highlights the importance of ensuring that everyone, everywhere has the love and happiness they deserve.

Meet Eugenia Behar, a clinical psychologist working with young people with learning difficulties in Romania, a country where there is still no obligatory sexuality education across all schools, particularly for those with learning difficulties.

People with learning disabilities have a right to be protected from sexual violence and abuse, yet 90% of them will experience sexual abuse at some point in their life, most frequently from family members or others in their close circle. Safeguarding this right can only be achieved if people with learning disabilities are empowered to protect themselves. Increasing their autonomy in relation to their sexual lives, relationships, bodies and privacy is key. But how can people with learning disabilities be expected to say no to sexual violence and abuse, if even the smallest aspects of daily life are decided for them by others? In this context, it is crucial to strengthen their overall autonomy, active participation and integration in society, and the transition from institutions to community based-care. The 2-year ‘Keep me Safe’ project aimed to empower young people with learning disabilities to protect themselves against sexual abuse and violence across Europe. It was co-funded by the European Commission Daphne III Programme. On 11-12 December 2014, IPPF Member Associations, NGOs, parents of young people with learning disabilities, decision-makers and authorities from Bulgaria, Cyprus, Germany, Ireland, Latvia, The Netherlands, Macedonia, Romania, Spain, and UK, as well as staff from the IPPF EN regional office, gathered in Madrid for its final event. Here you can download the set of Policy recommendations they developed and endorsed at the meeting.