Resources

Now is when standing by our values matters most. We must treat all people with dignity and humanity, not despite, but because we are faced with multiple crises caused by war, inflation, and a hard post-pandemic recovery. In 2021, European countries struggled to keep their promises to uphold sexual and reproductive freedom for all. They managed to maintain their overall support to sexual and reproductive health & rights worldwide by investing 2.780 billion euros. This includes 1.385 billion euros allocated to sexual health and family planning, which means at least 10.5 million women and couples had access to contraceptive care. But much more is needed. More investment and better policies around sexual and reproductive health will have a profound impact on people’s futures. It will give options to those of us without them. Which in turn will lead more people to thrive, thus creating safer, more just and prosperous communities. We have a shared moral responsibility to respond to global challenges in an equitable manner. In our most recent report, we are looking at 2021 funding data and 2022 political stances adopted by thirteen European governments and the EU institutions with regards to sexual and reproductive health and rights. Watch our video to get an overview of the findings and download the below resources for more information.

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.  

This series of four Report Cards explores the challenges of HIV prevention for sex workers in Kazakhstan, Kyrgyzstan, Tajikistan and Russia. It was produced by IPPF European Network with the support of the Sex Workers' Rights Advocacy Network (SWAN) and the United Nations Population Fund (UNFPA). The Report Cards are available for download here in English and Russian.