2 May 2017

Political Critique: Meet the Women at the Centre of Ukraine’s Resurgent HIV epidemic

On International Women’s Day in early March, the Joint United Nations Programme on HIV/AIDS (UNAIDS) published a report stating there is an “urgent need” to increase HIV treatment and prevention for women and girls around the world. “Girls and women are still bearing the brunt of the AIDS epidemic,” Michel Sidibé, the Executive Director of UNAIDS, laments in the report’s introduction, pointing to stigma, discrimination and violence as factors that make women more vulnerable to HIV than men. [...]

Prior to 2014, Ukraine was putting up a strong fight against one of the worst HIV epidemics in Europe. Thanks to concerted efforts from government, civil society and international donors to provide treatment and prevention programmes to at-risk populations, by 2012 Ukraine had actually reported a decline in new HIV cases for the first time. It looked as though the country was about to turn a corner. [...]

The trends over the last year are worrying. According to the most recent statistics from Ukraine’s Public Health Center, part of Ukraine’s Ministry of Health, the number of new officially registered people with HIV/AIDS rose by almost eight percent in 2016; most (62%) of new infections came from sexual intercourse, while 22% from intravenous drug use. While deaths from HIV-related causes have been on a decline worldwide, the mortality rate from HIV-related causes increased in Ukraine by seven percent in 2016 – the majority (52%) caused by tuberculosis.

These official Ukrainian government statistics don’t include Crimea or the parts of Donetsk and Luhansk oblasts not controlled by Ukraine (the so-called “Donetsk People’s Republic” and “Luhansk People’s Republic”). This means these figures could actually be an underestimate, especially since Donetsk, says UNAIDS Ukraine country director Jacek Tymszko, has long been an epicentre of Ukraine’s HIV epidemic. More than half of all officially registered Ukrainians living with HIV live in Odessa, Dnipropetrovsk and Donetsk oblasts as well as in Kyiv.

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