Resources

Young people are often denied care in societies where sex is taboo and parents can control their children’s access to medical providers. These challenges are amplified in conservative contexts where women and girls are made to feel uncomfortable when talking about contraception. The Tajikistan Family Planning Association (TFPA) has pioneered a phone application - available free of charge - that allows young people to gain crucial knowledge about modern contraception and sexually transmitted infections/HIV and connects them with health care providers. Through its innovative app, TFPA has created a safe space for young people to access stigma-free care, and to explore methods of sexual and reproductive self-care. This app has changed attitudes towards people living with STIs/HIV and inspired young people to have open and honest conversations about sexual and reproductive health care with their peers. "Before using the app, she thought STIs could only be caught by sex workers or people lacking morals, and that something like that could never happen to her or to her close friends. But now she realises that it can happen to anyone, even by accident. Now she tries to understand people who might have an STI." Young person in Tajikistan recounting an interview with a 19-year old woman as part of TFPA’s project

IPPF European Network is breaking down barriers to contraceptive freedom, helping to ensure that all people can lead safe and dignified reproductive lives. Across Europe and Central Asia, women are being denied control over their sexual and reproductive lives as a result of hostile chauvinist policies, gender inequality and social oppression. Many governments are not doing enough to ensure that women and girls have true access to contraceptive care, and it is the poorest and most marginalised who bear the brunt of this neglect. Too often, contraception is the privilege of the few, and women from low-income backgrounds are five times more likely to be forced into pregnancy through denial of care. In Eastern Europe and Central Asia, the level of modern contraceptive use (meaning all non-emergency, reversible methods) is alarmingly low. And overall in Europe, 43% of pregnancies are unintended (EPF, 2018), a result of denial of contraceptive care and of governments refusing to ensure sex and relationships education for all young people. Young people are also being let down by health care systems in which they face institutionalised stigma and discrimination when seeking contraception.  IPPF EN is working across Europe and Central Asia to break through these barriers. We are fighting to redefine contraceptive care as a policy priority and to offer stigma-free care to all, especially to those who are most in need.

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.  

Our member SRH Serbia (the Serbian Association for Sexual and Reproductive Health and Rights) decided to challenge gender stereotypes in Serbian society through the act of theatre-based workshops, in partnership with IPAK Center. In a country where social issues like gender are rarely a serious part of public debate, boys and girls taking part literally walk in one another's shoes to help challenge and dismantle 'gender roles'. As SRH Serbia's Dragana Stojanović says, "gender roles are merely roles that we are playing all our lives, and this is why playing them on the stage makes perfect sense." The project was funded by IPPF's Innovation Fund.