The Eastern Europe and Central Asia (EECA) is one of the three regions globally where the HIV epidemic is increasing. In 2019, the incidence/prevalence ratio was higher than in any other part of the world: 10.1. The number of people living with HIV in the region was 1.7 million; the number of new HIV infections was 170,000 and the number of AIDS-related deaths – 35,000. In 2019, according to the data for testing and treatment cascade, 70% of people living with HIV knew their status, 44% of people living with HIV were on treatment, and 41% of people living with HIV were virally suppressed. Eastern Europe and Central Asia have seen a staggering 72% rise in new HIV infections since 2010.
Domestic funding of HIV programs and health systems, both in nominal terms and as share of total investments, has been increasing. The Global Fund and various other partners are providing further support to specific areas of interventions at regional, sub-regional and country levels.
Stigma and discrimination, together with other social inequalities and exclusion, are proving to be key barriers. Marginalized populations who fear judgement, violence or arrest struggle to access sexual and reproductive health services, especially those related to contraception and HIV prevention. Stigma against people living with HIV is still commonplace.
The COVID-19 pandemic has seriously affected the AIDS response and could disrupt it more. A six-month complete disruption in HIV treatment could cause more additional deaths, bringing the region back to 2008 AIDS mortality levels.
The main project activities include
- developing strategies for optimizing the cost of ART regimens that will reduce the average cost of first-line ART;
- development/updating of the functional mechanisms of public procurement of services for the prevention and care and support services from NGOs;
- establishment and functioning of working groups/city/oblast coordination councils on HIV/AIDS to implement HIV programs aiming 90-90-90;
- introducing new strategies for detecting HIV cases and starting antiretroviral therapy for key populations;
- implementation of the municipal/oblast HIV/AIDS program to fill gaps in the current municipal response;
- developing and conducting operational research to improve coverage of key groups and the treatment cascade;
- launching a monitoring system for the cascade of HIV treatment at the city level;
- provision of legal assistance in cases of violation of the rights of key groups;
- establishment of a Regional Commission on Drug Policy in the EECA region.
Alliance for Public Health invites eligible Consulting firms (Consultants) to indicate their interest in conducting the evaluation. Interested Consulting firms (Consultants) should provide information demonstrating that they have the required qualifications and relevant experience in successful implementation of similar engagements, relevant to the scope and size to the current project.
Consulting firms (Consultants) should enclose a resume for key-personnel anticipated to be assigned to the project and should include specific information on staff experience and roles.
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