For transitions to be successful, governments have to be ready to take over programs previously supported by the Global Fund, EECA dialogue concludes
Transitioning away from Global Fund support is about money, of course, but it is much more about the readiness of national systems to take over all services currently covered by the programs financing by the Fund.
A workshop hosted on July 21-22 in Istanbul aimed to provide more nuanced guidance to the countries in Eastern Europe and Central Asia on sustainability of HIV and TB programs, as most of them are bracing for what they see as an inevitable further reduction in their support from the Global Fund.
At around 11:30 every morning, Chiku begins her work day. Carefully gathering her syringes and needles, she'll work steadily preparing doses for her clients -- all of whom wait inside her tin-roofed shack in the slum known as Nigeria: one of Nairobi, Kenya's toughest neighborhoods. The money she earns will be enough to pay her rent, and feed her own heroin habit.
Just a glance at a map is enough to determine why Morocco is in the throes of an epidemic of injecting drug use. Sitting at the gates of Europe, its northern-most cities of Tangier, Tetouan and Nador are but a stone's throw from the Spanish territories of Ceuta and Melilla: the crossroads of the African migration routes where all kinds of trafficking occur.
Georgia is planning to submit its HIV concept note on 20 April, in Window 6, and its TB note in Window 7 on 15 July. In anticipation, the country coordinating mechanism has scheduled a series of civil society and stakeholder forums for consultation, in order to identify priority areas and high-impact activities that will help the country overcome its concentrated epidemics.
The Global Fund is urging Ukraine's government to approve a resolution paving the way for emergency deliveries of critical medicines and other health commodities into the country's restive east, part of which is currently controlled by pro- Russian troops.
The concept note delivered on 8 September for Russia's last HIV grant from the Global Fund was a perfect illustration of the conundrum facing a growing number of Eastern European/Central Asian countries: how to do more with less to fight a widening HIV epidemic.
Georgian Harm Reduction Network (GHRN) advocates are hailing the decision by government to overturn a requirement that ambulance and emergency personnel notify police when they respond to a possible drug overdose.
The decision, taken in August, means that people who inject drugs can access the care they may need without fear of persecution -- or prosecution.
For activists who hand out clean syringes and HIV tests outside a shop in northern Moscow, the reaction from some of the area's users of injected drugs has become routine: they avert their eyes, either in fear or shame, and quicken their steps to get out of sight.