The region of Eastern Europe and Central Asia (EECA) is the only region in the world where the HIV epidemic continues to grow, and Russia could be considered a driving force of the epidemic in the region.
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Key affected populations
Engaging with national human rights institutions key to advancing rights of hijra and transgender people
Hoping to seize on momentum begun in Bangladesh in November 2013 with the decision to recognize a third gender on official documents, the Global Fund-supported Multi-Country South Asia HIV Program is working with national human rights institutions alongside civil society to improve the promotion a
Papua New Guinea has signed a $14.2 million grant with the Global Fund under the new funding model that emphasizes outreach and targeted prevention messages for key populations, as well as continuing service delivery even to the most remote areas in the Pacific nation.
There is mounting evidence that within southern Africa’s generalized HIV epidemic there are under-estimated concentrated epidemics among key affected populations (KAPs) such as sex workers and men who have sex with men (MSM).
At the global epicenter of the HIV epidemic, intravenous drug use and sharing of syringes, needles and drug use paraphernalia, unprotected sex, multiple sexual partners, and low and inconsistent condom use are among the drivers of the spread of the virus . Equally, prisoners comprise a key vulnerable population contributing to the epidemic.
An expression of interest for a $10.18 million regional initiative to develop a harmonized response to a TB crisis among Syrian refugees scattered across neighboring countries was rejected by the Global Fund.
The Global Fund has expressed “deep concern” about a law signed by Ugandan President Yoweri Museveni that imposes jail terms of up to seven years for those who ‘aid or abet’ homosexual relations, which could implicate health workers providing services and counseling to people living with HIV.
Public health program managers and activists, many of whom receive support from the Global Fund, have warned of potentially catastrophic consequences for reducing Uganda's HIV infection rate should President Yoweri Museveni follow through on a plan announced on 14 February to sign into law a repressive bill effectively banning homosexuality.
Global Fund efforts to target key affected populations including sexual minorities in the fight against HIV may continue to face an uphill battle in sub-Saharan Africa, new studies have shown, because of prevailing stigma and marginalization even within existing programming.
When the Country Coordinating Mechanism (CCM) Guidelines are revised later this year, they will include strategies to strengthen gender expertise and achieve balanced gender representation on CCMs.