Lithuanian AIDS Centre
Conference Secretariat
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e-mail: aids@aids.lt

 

Harm and risk reduction of HIV and drug use in Republic of Moldova.
 

Virgiliu Popa.
NGO "VitAs", Republic of Moldova.

  Objective. Nowadays according UNAIDS, HIV/AIDS epidemic the highest rhythms are registered in the Eastern Europe. The Russian Federation, Ucraine, Belarus and the Republic of Moldova are placed among the first states with a rapid development of the HIV epidemics in the region. In 2000 the Republic of Moldova was situated in the third place after the Ucraine and Belarus. In these states the usage of ingected drugs is on the base of the spreading of infection.
  Results. In the Republic of Moldova the infection with HIV virus by means of ingected drugs takes place in 84,21% cases. The number of persons who consume drugs officially encreased in the period of 1991-2001 by 6,5 times. In Moldova the spreading of HIV is the following: at the beginning the illness infects the persons of risk groups - the persons who use the ingected drugs, then they go to the other groups of populations within heterosexuale impacts. The spreading of the infection through heterosexual relations are in 13,42%. The other factor of spreading of HIV/AIDS by sexual means is the high percent of STI. In the Republic of Moldova the morbidity through syphilis in 1989-1999 encreacesed more then 25 times.
  Besides these nowadays in the Republic of Moldova the next factors contribute the spreading of the epidemic: the high percent of youth who use drugs, the encreasing of unemployment, poverty, social and economic crisis, the rapid social changes the insuficient control of prostitution, the liberalization of social and cultural norms. On the first place is the migration looking for job, especial women who engage the comercial sex in the countries with a high morbidity of HIV/AIDS. We have to mind all these factors in realization of prophylaxis.
  A great part of these problems are waiting their solving in the implementation of the National Programme on Prevention and Control of HIV/AIDS and STI for the years of 2001-2005. The reprezentatives of ministries and departaments, of UN and NGO contribute in development of the programme.
  Conclusions. The Republic of Moldova is at the beginning of epidemic of HIV/AIDS, so the energic measures will limit the size of the epidemic. For harm and risk reduction of HIV and drug use in Republic of Moldova will be necessary: the realization of some complex prophilactic measures towards reducing of the spreading of ingected drugs and the sexual behaviour with the high risk among young people, the improvement of the social-economic conditions, the increasing of the National Programme anti HIV/AIDS and STI, the improvement of the relationships between the governement, the private sector and NGO.

 
 
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