Scaling up Universal Access for Most at Risk Populations in Bosnia and Herzegovina (HIV/AIDS Round 9)
Function of the project
HIV/AIDS has had limited impact so far in Bosnia and Herzegovina (BiH) with only 74 reported cases of people living with the disease and currently on antiretroviral therapy. The prevalence of HIV/AIDS in BiH is low, but this does not preclude new infections, the prevention of which has been the focus of this project. Early identification and early treatment of the virus are two essential ways to prevent transmission to others, but prevention can only be realised with effective treatment and reliable adherence to antiretroviral therapy. BiH has been receiving funds from the Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM) since 2006, has very strongly impacted the country’s maintaining HIV prevalence below 1% in the general population and less than 5% in any of the higher risk populations.
What we do
The project is comprised of targeted actions to prevent transmission to the populations most at risk, and to provide treatment, care and support of existing patients. Within the project, and together with its partners, UNDP is specifically working on:
- Advocating the placement of HIV/AIDS at the centre of national planning and budgets;
- Strengthening the national capacity to manage initiatives that include people and institutions not typically involved with public health;
- Promoting decentralised responses that support community-level action;
- HIV testing is the foundation for both prevention and care efforts. Hence, 22 centres were established across BiH, which provide free, confidential HIV testing for all;
- 10 drop-in centres were established where intravenous drug users can receive free medical assistance and kits containing syringes, condoms and HIV prevention information;
- Support mechanisms in 12 prisons are now available through a network of 60 peer-educators aimed at preventing the spread of HIV and STDs;
- Appropriate medical care, including antiretroviral treatment, is now available for those living with HIV/AIDS. Individuals are also provided with psychosocial counselling, as well as food and nutrition supplements;
- Decreasing the stigma and discrimination against people living with HIV/AIDS, which is a non-negligible obstacle to HIV/AIDS prevention and care;
- Reducing the number of new cases by way of a public campaign that urges safe sex and proper condom use and discourages needle sharing.
Success thus far
- The Council of Minsiters in BiH adopted the “Response to HIV/AIDS in Bosnia and Herzegovina 2011-2016 Strategy” in September 2011;
- HIV prevalence among the general population is now below 1% and is less than 5% in higher risk demographics;
- There has been a marked improvement in inter-sectoral co-operation, leading to a more efficient system of public health supervision, monitoring and evaluation;
- Civil society has been notably more involved in policymaking.
Goals moving forward
The project has seen very tangible results, but we cannot forget to continue preventing new infections and providing quality treatment, care and support to sustain such low HIV/AIDS prevalence in BiH. This will entail:
- Maximising the extension of HIV prevention measures to the higher risk demographics;
- Ensuring appropriate prevention, treatment, care and support for people living with HIV/AIDS;
- Altering social constructs surrounding patients seeking prevention and care;
- Strengthening the capacity of co-ordinating and implementing agencies to respond to HIV/AIDS.
|Donor Name||Amount contributed per year|
|* The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM)|
Delivery in the previous fiscal years
|DEC 2012||$ 9,219,092.79*|
|DEC 2011||$ 3,896.487,59**|
|*resources 2012 Final Finacial Results (1 April 2013)|
|**resources 2011 Resources overview (12 January 2012)|
- Project start date:
- Estimated end date:
- Geographic coverage:
- Bosnia and Herzegovina
- Focus Area:
- Social Inclusion and Democratic Governance
- Programme manager
- Nesad Šeremet
- Ministry of Civil Affairs Bosnia and Herzegovina, Federal Ministry of Health, Ministry of Health and Social Welfare of Republika Srpska, Department of Health and Other Services, Brčko District, Public Health Institute of Federation of Bosnia and Herzegovina, Public Health Institute of Republika Srpska, NGO Association for sexual and reproductive health, NGO Consortium PROI/XY/Q, NGO Viktorija, NGO Margina, NGO Poenta, NGO Partnerships in Health, NGO Action Against AIDS, NGO World Vision
Video - Don't live in dark
TV Show CRTA - HIV/AIDS Story (BHT1 9 January 2014)
The overall growth of the global AIDS epidemic appears to have stabilized. The annual number of new HIV infections has been steadily declining since the late 1990s and there are fewer AIDS-related deaths due to the significant scale up of antiretroviral therapy over the past few years.
Research on HIV stigma and discrimination among health care workers in public and private health care sector in BIH
Bosnia and Herzegovina falls into the group of countries with the low HIV prevalence, lower than 1% among general population and lower than 5% among the population at risk.
Bosnia and Herzegovina is a country with a low incidence of HIV epidemic, but general circumstances in the country all present a potential danger of spread of HIV in the coming period.