Country level activities
- Select a country
- Albania
- Bosnia and Herzegovina
- Georgia
- Kazakhstan
- Moldova
- Montenegro
- North Macedonia
- Serbia
- Tajikistan
- Select an objective
- 1. HIV care cascade
- 2. Removing HR barriers
- 3. Increasing the capacity of health systems
- Select an implementer
- 100% Life
- APH
- ECECAСD
- ECOM
- EHRA
- ENPUD
- REG
- SEE RCN
- SEH
- WHO
- Select a period
- 2025
- 2026
- 2027
Albania
1. HIV care cascade
Identification of relevant policy makers and engagement to support the inclusion of PrEP in national HIV prevention strategies and clinical guidelines in Albania and Serbia
SEE RCN Technical assistance on PrEP activities for national stakeholders (NGOs and clinicians) in 2 project countries (Albania, Serbia)
WHO Online meetings with national counterparts and regional partners to discuss the current state of PrEP implementation and next steps, including ensuring access to long-acting injectable PrEP and needs for WHO technical assistance in Albania, Serbia is planned for the second half of 2025.
WHO Technical assistance to the implementing partners in the process of de-medicalizing PrEP provision in selected SEE countries by strengthening community-based and other innovative delivery models
WHO 2. Removing HR barriers
Establishment of a legal advisory service to provide remote legal assistance and advocate for the protection of human rights for people living with HIV and key populations in five Balkan countries
SEE RCN Development of the AI based SoS Chat Platform to support scaled and efficient access to HIV services, reporting cases of human rights violations, and provision of legal assistance in five Balkan countries.
SEE RCN 3. Increasing the capacity of health systems
E-Social Worker Platform:Development of the ToR for an online consultations platform for social workers to provide remote support and counseling for individuals affected by HIV.
SEE RCN Development of strategies on sustained financial support for HIV/AIDS services for certain stakeholders, preparation of briefs, evidence based reports, case studies and presentation of the findings at meetings with stakeholders.
SEE RCN Across the region, SEE RCN worked closely with ministries of health, national HIV commissions, and CCMs. Conducted high-level policy discussions on sustainable financing, which are now translating into future national budget allocations dedicated to HIV services.
Engagement with policymakers to allocate more national resources toward HIV/AIDS programs, emphasizing the long-term cost-effectiveness of early intervention and prevention
SEE RCN High-level meetings with Ministry of Health and Social Protection on sustainable financing and system strengthening for HIV responses in Albania to guarantee budget allocations for 2026.
Strengthen Health System Integration: Advocate for Incorporating HIV/AIDS services into broader health initiatives to optimize resource utilization and ensure sustainability.
SEE RCN Strategic meeting was held with the Ministry of Health and Social Protection to discuss the long-term sustainability of HIV services in Albania. During this meeting, model examples were presented, particularly the Estonia model, showcasing successful integration of HIV services into the broader health system through sustained government investment and collaboration with civil society
Raising awareness on impact of HIV/AIDS funding to relevant in-country stakeholders and engage discussion of stakeholders from the SEE region in exchanging best practices.
SEE RCN SEE RCN combined technical support, advocacy, and strategic partnerships, to create a stronger, more predictable funding environment for HIV services across the Balkans, ensuring that both governments and civil society are equipped to sustain and scale the response well into the future.
Preparation of reports on the utilization of funds and share findings with stakeholders with the aim of providing more effective and informed allocation of resources, ensuring funds are directed towards the most impactful activities and interventions.
SEE RCN SEE RCN worked closely with ministries of health, national HIV commissions, and CCMs to strengthen social contracting mechanisms — ensuring that civil society organizations remain key partners in service delivery. In several countries, these efforts have already resulted in concrete commitments
Establishment of regular communication channels with NGOs to discuss their funding needs and challenges
SEE RCN Established regular communication channels with NGOs to discuss their funding needs and challenges for further advocacy work with stakeholders
Conduction of lobbying efforts with an emphasis on demonstrating the positive outcomes from the previous year’s funding
SEE RCN Lobbying efforts conducted with local stakeholders in order to emphasize the positive outcomes from the previous year’s funding. Level of national funding for HIV programs for KPs will be available in the end of the year
Enhancing the monitoring system to include detailed impact analysis of fund utilization
SEE RCN Development of collaborative projects with NGOs to showcase the effective use of funds allocated from national/municipal budgets
SEE RCN Presenting comprehensive reports on the sustained impact of HIV/AIDS funding to in-country stakeholders in 5 project countries.
SEE RCN Advocacy for the integration of HIV/AIDS funding into long-term national health budgets
SEE RCN Provision of technical support to NGOs in developing long-term strategic plans for sustainable funding
SEE RCN Bosnia and Herzegovina
1. HIV care cascade
Development of community-based PrEP delivery models to enhance accessibility in Bosnia and Herzegovina, Montenegro, North Macedonia
SEE RCN This activity is mostly envisaged for Y2 and Y3 of iSoS, but consultations were held with relevant national stakeholders to review existing community-based PrEP delivery models.
Community-led Monitoring (CLM) on PrEP service delivery
SEE RCN This activity is mostly envisaged for Y2 and Y3 of iSoS, but consultations were held with relevant national stakeholders to review existing CLM mechanisms.
2. Removing HR barriers
Establishment of a legal advisory service to provide remote legal assistance and advocate for the protection of human rights for people living with HIV and key populations in five Balkan countries
SEE RCN Development of the AI based SoS Chat Platform to support scaled and efficient access to HIV services, reporting cases of human rights violations, and provision of legal assistance in five Balkan countries.
SEE RCN 3. Increasing the capacity of health systems
E-Social Worker Platform:Development of the ToR for an online consultations platform for social workers to provide remote support and counseling for individuals affected by HIV.
SEE RCN Development of strategies on sustained financial support for HIV/AIDS services for certain stakeholders, preparation of briefs, evidence based reports, case studies and presentation of the findings at meetings with stakeholders.
SEE RCN Across the region, SEE RCN worked closely with ministries of health, national HIV commissions, and CCMs. Conducted high-level policy discussions on sustainable financing, which are now translating into future national budget allocations dedicated to HIV services.
Development and implementation of a National HIV/AIDS Funding Plan: Collaboration with government entities to create a comprehensive funding strategy that combines domestic resources with potential international assistance
SEE RCN Secured additional funding for contracting of CSOs for service provision in Bosnia and Herzegovina in 2025. Advocacy efforts aimed at increasing government grants in 2026 for social contracting, specifically for VCT.
Raising awareness on impact of HIV/AIDS funding to relevant in-country stakeholders and engage discussion of stakeholders from the SEE region in exchanging best practices.
SEE RCN SEE RCN combined technical support, advocacy, and strategic partnerships, to create a stronger, more predictable funding environment for HIV services across the Balkans, ensuring that both governments and civil society are equipped to sustain and scale the response well into the future.
Preparation of reports on the utilization of funds and share findings with stakeholders with the aim of providing more effective and informed allocation of resources, ensuring funds are directed towards the most impactful activities and interventions.
SEE RCN SEE RCN worked closely with ministries of health, national HIV commissions, and CCMs to strengthen social contracting mechanisms — ensuring that civil society organizations remain key partners in service delivery. In several countries, these efforts have already resulted in concrete commitments
Establishment of regular communication channels with NGOs to discuss their funding needs and challenges
SEE RCN Established regular communication channels with NGOs to discuss their funding needs and challenges for further advocacy work with stakeholders
Conduction of lobbying efforts with an emphasis on demonstrating the positive outcomes from the previous year’s funding
SEE RCN Lobbying efforts conducted with local stakeholders in order to emphasize the positive outcomes from the previous year’s funding. Level of national funding for HIV programs for KPs will be available in the end of the year
Enhancing the monitoring system to include detailed impact analysis of fund utilization
SEE RCN Development of collaborative projects with NGOs to showcase the effective use of funds allocated from national/municipal budgets
SEE RCN Presenting comprehensive reports on the sustained impact of HIV/AIDS funding to in-country stakeholders in 5 project countries.
SEE RCN Advocacy for the integration of HIV/AIDS funding into long-term national health budgets
SEE RCN Provision of technical support to NGOs in developing long-term strategic plans for sustainable funding
SEE RCN Georgia
1. HIV care cascade
Advocacy for removing barriers for quality harm reduction services particularly OAT via regular tripartite meetings in Moldova, Georgia, Kazakhstan between service providers, clients of services and those who pay, with a specific focus on take-home dosages, registering and introducing new OAT drugs, overcoming drug registry and other legal regulations as barriers for access.
EHRA On 25 June 2025, a tripartite meeting was held in the Republic of Moldova to reaffirm the importance of opioid agonist therapy (OAT) and related support programmes, and to identify sustainable solutions for improving their implementation. Discussions focused on challenges related to expanding access and strengthening service quality.
Participants included representatives of the Ministry of Health, the Republican Narcology Dispensary, civil society organizations, communities of people who use drugs, and service providers operating within the OAT framework.
Similar meetings are scheduled to take place in Georgia and Kazakhstan in Q3–Q4 2025
WHO Technical assistance to the implementing partners (ECOM, national partners) in the process of de-medicalizing PrEP provision in EECA by strengthening community-based and other innovative delivery models
WHO Jointly with WHO HQ, the regional office organized the regional webinar on integration of STIs into HIV PrEP services on 8 April 2025. During the webinar, an overview of the rationale for integrating STI and PrEP services was provided and best practices from the European region were highlighted. Practical WHO guidance to support implementing and improving integration of STI management and PrEP services was presented.
Introducing in EECA countries a mathematical model that is constructed to identify where new HIV infections occur by looking at the new infections in different populations
WHO HIV treatment cascade among key populations for EECA countries, broken by key populations
WHO A draft protocol and data collection tool was developed for analyzing the HIV prevention, testing, and treatment cascade among key populations (KPs) in Eastern Europe and Central Asia (EECA).
Technical assistance to introduce and disseminate the BBS-lite guidance
WHO Technical assistance to support in-country implementation of PrEP
ECOM From April 7–11, 2025 ECOM carried out a joint technical assistance mission in Tajikistan (Dushanbe and Khujand). The purpose of the visit was: to assess the current state of PrEP implementation, to strengthen collaboration with national and international stakeholders, and to explore ways to integrate iSoS project activities into national HIV responses.
Adaptation of the regional info PrEP campaign to national levels
ECOM Community-led monitoring of PrEP services in three countries
ECOM Development of guide for PrEP implementers on how to create demand for PrEP among communities
ECOM HIV cascades among MSM and trans people in 4 countries and one regional HIV cascade
ECOM Expanding access to PrEP in EECA through Case Studies of Anonymous Unique Identifier (AUI) in Georgia as best practice
ECOM 2. Removing HR barriers
Advocacy for the right to health of people who use drugs through submitting shadow reports to UN treaty bodies, participating at UN sessions, and promoting the implementation of UN recommendations at national events.
EHRA EHRA with national partners took part in the online CEDAW session, where statements on women who use drugs human rights situation was presented. More information
Also, EHRA engaged with Human Rights Committee on review of Kazakhstan (CCPR)
Development of shadow reports on Georgia’s and Moldova’s EU accession processes, focusing on criminal drug law and policy.
EHRA It is planned that methodology will be ready by September, 2025. Draft of the methodology will be shared with key partners for the feedback, thus we can have a quality methodology, which reflects different aspects of drug policy and public health in EU accession process.
Follow-up advocacy at the national level in Moldova, including drafting laws and implementing advocacy actions on drug policy and harm reduction, after high-level country visits by the Eastern and Central European and Central Asian Commission on Drug Policy (ECECACD).
ECECAСD Provision of legal support and consultations for NGOs/CBOs, as well as documentation of the impact of crisis situation in Georgia on HIV/TB and other health response for key populations
ECECAСD EHRA prepared a regional publication that documents the rise of punitive “foreign agent” laws, drug propaganda bans, and anti-LGBTQI+ legislation across 29 countries in the CEECA region, revealing how authoritarian legal measures are undermining human rights, public health, and civic freedoms - “Mapping Repression: Legal Trends Impacting Civil Society in Central and Eastern Europe and Central Asia” in English.
Presentation for care providers on migrant sensitive services and cross border cooperation
REG On May 20, 2025, online presentation of the publication: HIV Service Package for Migrants and Refugees in the EECA region was held. The document in English and Russian is available at link.
On June 17, 2025, the meeting of the Regional Working Group (WG) on remote registration and treatment of migrants with HIV was held. Representatives from 6 EECA countries discussed the issues of remote registration of migrants with HIV and ways of delivering ARVs to them.
Holding online event devoted to the international migrants day
REG Migrant populations size estimation in Georgia (based on REG - UNAIDS methodology), development of report and policy brief with recommendations
REG Presentation for care providers on migrant sensitive services and cross border cooperation in Georgia
REG Working meeting to discuss and advocate for access to HIV care continuum for international migrants in Georgia
REG Preparation of the Georgia National Legal Environment Assessment Reports related to SOGI and HIV
ECOM Annual regional summary reports of human rights violations among gay men, other MSM and trans people
ECOM The annual regional summary report will be prepared in the 4Q.
Strategic litigation, monitoring and documentation of human rights violations among gay men, other MSM and trans people.
ECOM In the second quarter of 2025, a total of 32 cases were documented, with 19 reported in Tajikistan and 3 in Kazakhstan.
Webinars for community members on meaninful involvment with UN Treaty Bodies, UPR and UN Special Procedures. Webinar holding, publication
ECOM Submission and presentation of the alternative reports to UN Treaty Bodies, civil society reports to the UN UPR on SOGI-based violations
ECOM In collaboration with partner organizations, an alternative report "Human Rights Violations Based on Sexual Orientation, Gender Identity and Expression, and Sex Characteristics (SOGIESC) in Kazakhstan" was prepared for the 144th session of the Human Rights Committee.
ECOM prepared an alternative report on Georgia as part of the 4th cycle of the Universal Periodic Review, highlighting ongoing human rights challenges faced by LGBT communities due to the political landscape and adoption of anti-LGBT legislation.
Technical support and country visits to Georgia and Kazakhstan to advocate for improved access to health services among gay men, other MSM and trans people
ECOM No requests for technical support or M&E assistance were received from project countries during Q2. ECOM monitors the legal situation in the countries. ECOM plans to provide technical support to partners in Georgia.
Ensuring progress in advocating for free access to life-saving medications for program participants by removing the possibility of punitive measures involving OAT medications from regulatory documents.
ENPUD NarcoFeminism: education on gender equality, development, and implementation of gender policies within the ENPUD Community.
ENPUD ENPUD SafeDrive Mob App: Ensure progress in attracting partners for the development of a test version of a Mobile Application to assess drivers' attention and reaction without using urine tests.
ENPUD 3. Increasing the capacity of health systems
Adaptation/expansion of the HIV Testing risk assessment and service provision sites map (incl. data collection, development of ToR, adaptation, piloting and launch)
100% Life Local consultants in Moldova, Georgia, Kazakhstan and Tajikistan and an IT provider have been identified to collaborate on the adaptation and implementation of the HIV Testing tool; the ToRs are being developed.
Elaborating Web3 and AI educational and practical guides for CSOs on integrating and using solutions.
SEH The project team developed three strategic documents exploring the application of Web3 and AI tools to enhance health system sustainability, with a particular focus on HIV services.
● “Bridging Web3 and Web2” – Introduced a conceptual vision for linking decentralized Web3 technologies with existing digital health systems to improve transparency, trust, and data integration.
● “Web3 and AI-Enabled Transition Framework” – Outlined a phased roadmap for deploying smart contracts, predictive AI tools, and decentralized ID systems to strengthen HIV service delivery and crisis response.
● “Web3 Enhanced Sustainability” – Proposed models for decentralized health governance, blockchain-based accountability, and token-driven community engagement.
The project team developed three strategic documents exploring the application of Web3 and AI tools to enhance health system sustainability, with a particular focus on HIV services.
- “Bridging Web3 and Web2” – Introduced a conceptual vision for linking decentralized Web3 technologies with existing digital health systems to improve transparency, trust, and data integration.
- “Web3 and AI-Enabled Transition Framework” – Outlined a phased roadmap for deploying smart contracts, predictive AI tools, and decentralized ID systems to strengthen HIV service delivery and crisis response.
- “Web3 Enhanced Sustainability” – Proposed models for decentralized health governance, blockchain-based accountability, and token-driven community engagement.
Onboarding of organizations into HelpSpace platform - a curated Web3 gateway for social impact.
SEH As part of efforts to develop the HelpSpace platform into a practical Web3 gateway for social impact, the team initiated a survey among CSOs to better understand their awareness, needs, and expectations regarding Web3 and AI technologies. The feedback gathered will help shape the platform’s design, making it more accessible, relevant, and aligned with the day-to-day needs of nonprofit organizations
Ensuring networking and partnership building with web3 stakeholders through organizing online workshops/webinars
SEH On June 30, 2025, the project team convened a regional online session titled “Digital Resilience for Health: Tools for Tomorrow.” This dynamic event brought together over 30 representatives from civil society organizations (CSOs) across Eastern Europe and Central Asia, creating a space to explore how emerging technologies like Web3 and Artificial Intelligence can contribute to the long-term sustainability of HIV services and strengthen health system resilience.
Adoption of a package of mental health services for people living with and affected by HIV, including key populations.
SEH As a critical foundational step toward the integration of mental health services into HIV care, the project team developed a Comprehensive Mental Health Services Package designed for adaptation across all target countries. The package translates and tailors key international guidelines—including the World Health Organization’s mhGAP framework, UNAIDS recommendations, and other global best practices—into a practical, context-sensitive reference for national use.
Inclusion of mental health services into the package of services for key populations (guidelines, protocols and standards) in 3 countries
SEH Georgia continues coordination despite funding and political constraints.
Development of a health systems sustainability and resilience framework, including elaboration of EECA Regional Position Document and Strategic Framework on Bridging with Web3 to Ensure Sustainability of HIV Response Measures
SEH The concept of the framework is being further elaborated based on discussions held during the webinars, taking into account the needs of local and regional organizations. The work focuses on developing a health system sustainability and resilience framework, including the preparation of the EECA regional position document and strategic framework, with integration of Web3 solutions to support the sustainability of HIV response measures.
Integration of Business and Health Service Continuity Frameworks - develop a unified, AI-supported continuity management framework for HIV response
SEH Develop a unified AI supported continuity planning as a key instrument for strengthening health system resilience and recovery. - In Moldova, within the National HIV, STI, and Viral Hepatitis Program (2026–2030), crisis response plans were developed to ensure continuity of HIV services, information systems, and related processes during emergencies, with the integration of new technologies.
Development and adoption policy recommendations to advance health service continuity planning as a key instrument for strengthening health system resilience and recovery
SEH Georgia plans to align with ISO-based approaches and is reviewing program documents.
Development of AI-Based Continuity Management Tools
SEH Adaptation, customization, launch and ongoing support of the DHIS2 based National HIV prevention, care and support system system for Georgia
APH The ToR/Specification for adaptation of the solution for Georgia (on the basis of GHRN) has been developed and development of the solution itself is underway, it is planned to launch the pilot in Q4 of 2025.
Building and (supporting) maintaining(nance) a DHIS2 expert community in the region (HISP or analogue)
APH Communication is held with the University of Oslo, the optimal decisionto work towards the establishment of EECA HISP is made, negotiations and planning are carried out to hold a regional online meeting/conference on this topic to bring together key stakeholders and lay the necessary foundations for this process.
Sustained functioning of the basic "mother" version of virtual outreach worker/digital assistant (TWIIN) (Ukrainian version). Ongoing update and improvement of content and functionality.
APH TWIIN digital assistant is being further improved and actively promoted and used in Ukraine (co-funding from Gilead and upcoming - SIDA).
Localisation, adaptation, customization and piloting of the virtual outreach worker/digital assistant (TWIIN) for Moldova and Georgia.
APH Discussions are being held as to TWIIN's adaptation for Moldova and Georgia. A “new country adaptation, localisation and deployment” guide has been developed, including templates for new countries to prepare what is required for the localisation (ToRs).
Ongoing support to the EECA Regional HIV data dashboard
APH The Regional HIV data dashboard is being maintained and fundraising efforts will be put forth
to further develop and scale it up.
Development of a digital tool for improved decision making and management of NGOs (incl. data collection, ToR development, development, piloting and launch)
100% Life Organisations in Moldova, Georgia, Kazakhstan and Tajikistan have been identified to collaborate on the adaptation and implementation of the NGO Management tool that will enhance the organisations’ internal decision-making processes and thus significantly improve performance
Kazakhstan
1. HIV care cascade
Advocacy for removing barriers for quality harm reduction services particularly OAT via regular tripartite meetings in Moldova, Georgia, Kazakhstan between service providers, clients of services and those who pay, with a specific focus on take-home dosages, registering and introducing new OAT drugs, overcoming drug registry and other legal regulations as barriers for access.
EHRA On 25 June 2025, a tripartite meeting was held in the Republic of Moldova to reaffirm the importance of opioid agonist therapy (OAT) and related support programmes, and to identify sustainable solutions for improving their implementation. Discussions focused on challenges related to expanding access and strengthening service quality.
Participants included representatives of the Ministry of Health, the Republican Narcology Dispensary, civil society organizations, communities of people who use drugs, and service providers operating within the OAT framework.
Similar meetings are scheduled to take place in Georgia and Kazakhstan in Q3–Q4 2025
WHO Technical assistance to the implementing partners (ECOM, national partners) in the process of de-medicalizing PrEP provision in EECA by strengthening community-based and other innovative delivery models
WHO Jointly with WHO HQ, the regional office organized the regional webinar on integration of STIs into HIV PrEP services on 8 April 2025. During the webinar, an overview of the rationale for integrating STI and PrEP services was provided and best practices from the European region were highlighted. Practical WHO guidance to support implementing and improving integration of STI management and PrEP services was presented.
Technical support in selecting a combination of rapid diagnostic tests for the updated HIV testing algorithm in Kazakhstan and discuss the roadmap of its implementation in the country
WHO Meetings with national counterparts from Kazakh Scientific Center of Dermatology and Infectious Diseases were held; timeline for completing the study in 2025 was established. The collection of negative serum samples for the study panel has started. Training for the national study team and representatives of the regional labs was conducted in August.
Introducing in EECA countries a mathematical model that is constructed to identify where new HIV infections occur by looking at the new infections in different populations
WHO HIV treatment cascade among key populations for EECA countries, broken by key populations
WHO A draft protocol and data collection tool was developed for analyzing the HIV prevention, testing, and treatment cascade among key populations (KPs) in Eastern Europe and Central Asia (EECA).
Technical assistance to introduce and disseminate the BBS-lite guidance
WHO Evaluation and provision of PrEP service for migrants in Kazakhstan
ECOM Technical support for module certification with MOH for health care providers outside HIV services
ECOM A coordination meeting was held with representatives of the Kazakh Scientific Centre for Dermatology and Infectious Diseases to review key topic areas to be included in the programme and agree on overall learning objectives. Those responsible for content development were identified. A preliminary draft of the curriculum was developed and shared with key national partners for initial feedback.
Technical assistance to support in-country implementation of PrEP
ECOM From April 7–11, 2025 ECOM carried out a joint technical assistance mission in Tajikistan (Dushanbe and Khujand). The purpose of the visit was: to assess the current state of PrEP implementation, to strengthen collaboration with national and international stakeholders, and to explore ways to integrate iSoS project activities into national HIV responses.
Adaptation of the regional info PrEP campaign to national levels
ECOM Community-led monitoring of PrEP services in three countries
ECOM Development of guide for PrEP implementers on how to create demand for PrEP among communities
ECOM HIV cascades among MSM and trans people in 4 countries and one regional HIV cascade
ECOM 2. Removing HR barriers
Advocacy for the right to health of people who use drugs through submitting shadow reports on Moldova and Kazakhstan to UN treaty bodies, participating in UN sessions, and promoting the implementation of UN recommendations at national events.
EHRA EHRA submitted 4 reports (2 on Moldova, 2 on Kazakhstan).
What is more, EHRA prepared shadow reports to Special rapporteurs:
- EHRA Submits Shadow Report to UN Special Rapporteur on Freedom of Assembly and Association,
- Eurasian Harm Reduction Association (EHRA) submission to thematic report to the UN General Assembly
and we hope that those rapporteurs will include regional perspectives into the final reports.
Advocacy for the right to health of people who use drugs through submitting shadow reports to UN treaty bodies, participating at UN sessions, and promoting the implementation of UN recommendations at national events.
EHRA EHRA with national partners took part in the online CEDAW session, where statements on women who use drugs human rights situation was presented. More information
Also, EHRA engaged with Human Rights Committee on review of Kazakhstan (CCPR)
Presentation for care providers on migrant sensitive services and cross border cooperation
REG On May 20, 2025, online presentation of the publication: HIV Service Package for Migrants and Refugees in the EECA region was held. The document in English and Russian is available at link.
On June 17, 2025, the meeting of the Regional Working Group (WG) on remote registration and treatment of migrants with HIV was held. Representatives from 6 EECA countries discussed the issues of remote registration of migrants with HIV and ways of delivering ARVs to them.
Migrant populations size estimation in Kazakhstan (based on REG - UNAIDS methodology), development of report and policy brief with recommendations
REG Development of the analytical paper “Mapping population size and HIV service needs for migrant key populations in Kazakhstan” has started: methodology was developed, the ToRs for consultants prepared, selection of consultants completed
Presentarion and advocacy campaign to expand migrants access to HIV care continuum including female migrants and other vulnerable people among international migants and refugees; monitoring of implementation of transnational services in Kazakhstan
REG Presentation and discussion of HIV standards of care for migrants in Kazakhstan, update of standards
REG Holding online event devoted to the international migrants day
REG Preparation of the Kazakhstan National Legal Environment Assessment Reports related to SOGI and HIV
ECOM Annual regional summary reports of human rights violations among gay men, other MSM and trans people
ECOM The annual regional summary report will be prepared in the 4Q.
Rights Sensitization training webinars to prepare community members for monitoring of human rights violations
ECOM A rights sensitization training webinar is planned to be conducted in the 3Q, but within the framework of another project.
Strategic litigation, monitoring and documentation of human rights violations among gay men, other MSM and trans people.
ECOM In the second quarter of 2025, a total of 32 cases were documented, with 19 reported in Tajikistan and 3 in Kazakhstan.
Webinars for community members on meaninful involvment with UN Treaty Bodies, UPR and UN Special Procedures. Webinar holding, publication
ECOM Submission and presentation of the alternative reports on Kazakhstan and Moldova to UN Treaty Bodies, civil society reports to the UN UPR on SOGI-based violations
ECOM Submission and presentation of the alternative reports to UN Treaty Bodies, civil society reports to the UN UPR on SOGI-based violations
ECOM In collaboration with partner organizations, an alternative report "Human Rights Violations Based on Sexual Orientation, Gender Identity and Expression, and Sex Characteristics (SOGIESC) in Kazakhstan" was prepared for the 144th session of the Human Rights Committee.
ECOM prepared an alternative report on Georgia as part of the 4th cycle of the Universal Periodic Review, highlighting ongoing human rights challenges faced by LGBT communities due to the political landscape and adoption of anti-LGBT legislation.
Technical support and country visits to Georgia and Kazakhstan to advocate for improved access to health services among gay men, other MSM and trans people
ECOM No requests for technical support or M&E assistance were received from project countries during Q2. ECOM monitors the legal situation in the countries. ECOM plans to provide technical support to partners in Georgia.
Ensuring progress in advocating for free access to life-saving medications for program participants by removing the possibility of punitive measures involving OAT medications from regulatory documents.
ENPUD NarcoFeminism: education on gender equality, development, and implementation of gender policies within the ENPUD Community.
ENPUD ENPUD SafeDrive Mob App: Ensure progress in attracting partners for the development of a test version of a Mobile Application to assess drivers' attention and reaction without using urine tests.
ENPUD 3. Increasing the capacity of health systems
Development of HIV data system (incl. situation analysis, ToR development, data protection system development; development of the system, piloting and launch), using DataCheck solution
100% Life Negotiations have been held and agreements signed for the adaptation of DataCheck in Kazakhstan (CAPLA). ToR development has started. As a result of this work, by the end of 2026 the organisation will gain a system that will allow to verify the provision of services, enabling control over service delivery and distribution among organizations, consultants, and clients.
Adaptation/expansion of the HIV Testing risk assessment and service provision sites map (incl. data collection, development of ToR, adaptation, piloting and launch)
100% Life Local consultants in Moldova, Georgia, Kazakhstan and Tajikistan and an IT provider have been identified to collaborate on the adaptation and implementation of the HIV Testing tool; the ToRs are being developed.
Elaborating Web3 and AI educational and practical guides for CSOs on integrating and using solutions.
SEH The project team developed three strategic documents exploring the application of Web3 and AI tools to enhance health system sustainability, with a particular focus on HIV services.
● “Bridging Web3 and Web2” – Introduced a conceptual vision for linking decentralized Web3 technologies with existing digital health systems to improve transparency, trust, and data integration.
● “Web3 and AI-Enabled Transition Framework” – Outlined a phased roadmap for deploying smart contracts, predictive AI tools, and decentralized ID systems to strengthen HIV service delivery and crisis response.
● “Web3 Enhanced Sustainability” – Proposed models for decentralized health governance, blockchain-based accountability, and token-driven community engagement.
The project team developed three strategic documents exploring the application of Web3 and AI tools to enhance health system sustainability, with a particular focus on HIV services.
- “Bridging Web3 and Web2” – Introduced a conceptual vision for linking decentralized Web3 technologies with existing digital health systems to improve transparency, trust, and data integration.
- “Web3 and AI-Enabled Transition Framework” – Outlined a phased roadmap for deploying smart contracts, predictive AI tools, and decentralized ID systems to strengthen HIV service delivery and crisis response.
- “Web3 Enhanced Sustainability” – Proposed models for decentralized health governance, blockchain-based accountability, and token-driven community engagement.
Onboarding of organizations into HelpSpace platform - a curated Web3 gateway for social impact.
SEH As part of efforts to develop the HelpSpace platform into a practical Web3 gateway for social impact, the team initiated a survey among CSOs to better understand their awareness, needs, and expectations regarding Web3 and AI technologies. The feedback gathered will help shape the platform’s design, making it more accessible, relevant, and aligned with the day-to-day needs of nonprofit organizations
Ensuring networking and partnership building with web3 stakeholders through organizing online workshops/webinars
SEH On June 30, 2025, the project team convened a regional online session titled “Digital Resilience for Health: Tools for Tomorrow.” This dynamic event brought together over 30 representatives from civil society organizations (CSOs) across Eastern Europe and Central Asia, creating a space to explore how emerging technologies like Web3 and Artificial Intelligence can contribute to the long-term sustainability of HIV services and strengthen health system resilience.
Development of a health systems sustainability and resilience framework, including elaboration of EECA Regional Position Document and Strategic Framework on Bridging with Web3 to Ensure Sustainability of HIV Response Measures
SEH The concept of the framework is being further elaborated based on discussions held during the webinars, taking into account the needs of local and regional organizations. The work focuses on developing a health system sustainability and resilience framework, including the preparation of the EECA regional position document and strategic framework, with integration of Web3 solutions to support the sustainability of HIV response measures.
Integration of Business and Health Service Continuity Frameworks - develop a unified, AI-supported continuity management framework for HIV response
SEH Develop a unified AI supported continuity planning as a key instrument for strengthening health system resilience and recovery. - In Moldova, within the National HIV, STI, and Viral Hepatitis Program (2026–2030), crisis response plans were developed to ensure continuity of HIV services, information systems, and related processes during emergencies, with the integration of new technologies.
Development of AI-Based Continuity Management Tools
SEH Development of a digital tool for improved decision making and management of NGOs (incl. data collection, ToR development, development, piloting and launch)
100% Life Organisations in Moldova, Georgia, Kazakhstan and Tajikistan have been identified to collaborate on the adaptation and implementation of the NGO Management tool that will enhance the organisations’ internal decision-making processes and thus significantly improve performance
Moldova
1. HIV care cascade
Advocacy for removing barriers for quality harm reduction services particularly OAT via regular tripartite meetings in Moldova, Georgia, Kazakhstan between service providers, clients of services and those who pay, with a specific focus on take-home dosages, registering and introducing new OAT drugs, overcoming drug registry and other legal regulations as barriers for access.
EHRA On 25 June 2025, a tripartite meeting was held in the Republic of Moldova to reaffirm the importance of opioid agonist therapy (OAT) and related support programmes, and to identify sustainable solutions for improving their implementation. Discussions focused on challenges related to expanding access and strengthening service quality.
Participants included representatives of the Ministry of Health, the Republican Narcology Dispensary, civil society organizations, communities of people who use drugs, and service providers operating within the OAT framework.
Similar meetings are scheduled to take place in Georgia and Kazakhstan in Q3–Q4 2025
WHO Technical assistance to the implementing partners (ECOM, national partners) in the process of de-medicalizing PrEP provision in EECA by strengthening community-based and other innovative delivery models
WHO Jointly with WHO HQ, the regional office organized the regional webinar on integration of STIs into HIV PrEP services on 8 April 2025. During the webinar, an overview of the rationale for integrating STI and PrEP services was provided and best practices from the European region were highlighted. Practical WHO guidance to support implementing and improving integration of STI management and PrEP services was presented.
Introducing in EECA countries a mathematical model that is constructed to identify where new HIV infections occur by looking at the new infections in different populations
WHO HIV treatment cascade among key populations for EECA countries, broken by key populations
WHO A draft protocol and data collection tool was developed for analyzing the HIV prevention, testing, and treatment cascade among key populations (KPs) in Eastern Europe and Central Asia (EECA).
Technical assistance to introduce and disseminate the BBS-lite guidance
WHO Technical assistance to support in-country implementation of PrEP
ECOM From April 7–11, 2025 ECOM carried out a joint technical assistance mission in Tajikistan (Dushanbe and Khujand). The purpose of the visit was: to assess the current state of PrEP implementation, to strengthen collaboration with national and international stakeholders, and to explore ways to integrate iSoS project activities into national HIV responses.
Adaptation of the regional info PrEP campaign to national levels
ECOM Community-led monitoring of PrEP services in three countries
ECOM Development of guide for PrEP implementers on how to create demand for PrEP among communities
ECOM HIV cascades among MSM and trans people in 4 countries and one regional HIV cascade
ECOM 2. Removing HR barriers
Advocacy for the right to health of people who use drugs through submitting shadow reports on Moldova and Kazakhstan to UN treaty bodies, participating in UN sessions, and promoting the implementation of UN recommendations at national events.
EHRA EHRA submitted 4 reports (2 on Moldova, 2 on Kazakhstan).
What is more, EHRA prepared shadow reports to Special rapporteurs:
- EHRA Submits Shadow Report to UN Special Rapporteur on Freedom of Assembly and Association,
- Eurasian Harm Reduction Association (EHRA) submission to thematic report to the UN General Assembly
and we hope that those rapporteurs will include regional perspectives into the final reports.
Advocacy for the right to health of people who use drugs through submitting shadow reports to UN treaty bodies, participating at UN sessions, and promoting the implementation of UN recommendations at national events.
EHRA EHRA with national partners took part in the online CEDAW session, where statements on women who use drugs human rights situation was presented. More information
Also, EHRA engaged with Human Rights Committee on review of Kazakhstan (CCPR)
Development of shadow reports on Georgia’s and Moldova’s EU accession processes, focusing on criminal drug law and policy.
EHRA It is planned that methodology will be ready by September, 2025. Draft of the methodology will be shared with key partners for the feedback, thus we can have a quality methodology, which reflects different aspects of drug policy and public health in EU accession process.
High-level country visits and international advocacy in Moldova and Serbia by the Eastern and Central European and Central Asian Commission on Drug Policy (ECECACD)
ECECAСD In June 2025, a commission visit to Ukraine took place. More details are available here. A visit to Montenegro is planned for October.
Follow-up advocacy at the national level in Moldova, including drafting laws and implementing advocacy actions on drug policy and harm reduction, after high-level country visits by the Eastern and Central European and Central Asian Commission on Drug Policy (ECECACD).
ECECAСD Presentation for care providers on migrant sensitive services and cross border cooperation
REG On May 20, 2025, online presentation of the publication: HIV Service Package for Migrants and Refugees in the EECA region was held. The document in English and Russian is available at link.
On June 17, 2025, the meeting of the Regional Working Group (WG) on remote registration and treatment of migrants with HIV was held. Representatives from 6 EECA countries discussed the issues of remote registration of migrants with HIV and ways of delivering ARVs to them.
Holding online event devoted to the international migrants day
REG Analysis of the APH DHIS2 National HIV prevention, care and support system and development of recommendations for improvement in regards to service provision for migrants
REG Migrant populations size estimation in Moldova (based on REG - UNAIDS methodology), development of report and policy brief with recommendations
REG Presentation for care providers on migrant sensitive services and cross border cooperation in Moldova
REG Working meeting to discuss and advocate for access to HIV care continuum for international migrants in Moldova
REG Annual regional summary reports of human rights violations among gay men, other MSM and trans people
ECOM The annual regional summary report will be prepared in the 4Q.
Strategic litigation, monitoring and documentation of human rights violations among gay men, other MSM and trans people.
ECOM In the second quarter of 2025, a total of 32 cases were documented, with 19 reported in Tajikistan and 3 in Kazakhstan.
Webinars for community members on meaninful involvment with UN Treaty Bodies, UPR and UN Special Procedures. Webinar holding, publication
ECOM Submission and presentation of the alternative reports on Kazakhstan and Moldova to UN Treaty Bodies, civil society reports to the UN UPR on SOGI-based violations
ECOM Submission and presentation of the alternative reports to UN Treaty Bodies, civil society reports to the UN UPR on SOGI-based violations
ECOM In collaboration with partner organizations, an alternative report "Human Rights Violations Based on Sexual Orientation, Gender Identity and Expression, and Sex Characteristics (SOGIESC) in Kazakhstan" was prepared for the 144th session of the Human Rights Committee.
ECOM prepared an alternative report on Georgia as part of the 4th cycle of the Universal Periodic Review, highlighting ongoing human rights challenges faced by LGBT communities due to the political landscape and adoption of anti-LGBT legislation.
Ensuring progress in advocating for free access to life-saving medications for program participants by removing the possibility of punitive measures involving OAT medications from regulatory documents.
ENPUD NarcoFeminism: education on gender equality, development, and implementation of gender policies within the ENPUD Community.
ENPUD ENPUD SafeDrive Mob App: Ensure progress in attracting partners for the development of a test version of a Mobile Application to assess drivers' attention and reaction without using urine tests.
ENPUD 3. Increasing the capacity of health systems
Adaptation/expansion of the HIV Testing risk assessment and service provision sites map (incl. data collection, development of ToR, adaptation, piloting and launch)
100% Life Local consultants in Moldova, Georgia, Kazakhstan and Tajikistan and an IT provider have been identified to collaborate on the adaptation and implementation of the HIV Testing tool; the ToRs are being developed.
Elaborating Web3 and AI educational and practical guides for CSOs on integrating and using solutions.
SEH The project team developed three strategic documents exploring the application of Web3 and AI tools to enhance health system sustainability, with a particular focus on HIV services.
● “Bridging Web3 and Web2” – Introduced a conceptual vision for linking decentralized Web3 technologies with existing digital health systems to improve transparency, trust, and data integration.
● “Web3 and AI-Enabled Transition Framework” – Outlined a phased roadmap for deploying smart contracts, predictive AI tools, and decentralized ID systems to strengthen HIV service delivery and crisis response.
● “Web3 Enhanced Sustainability” – Proposed models for decentralized health governance, blockchain-based accountability, and token-driven community engagement.
The project team developed three strategic documents exploring the application of Web3 and AI tools to enhance health system sustainability, with a particular focus on HIV services.
- “Bridging Web3 and Web2” – Introduced a conceptual vision for linking decentralized Web3 technologies with existing digital health systems to improve transparency, trust, and data integration.
- “Web3 and AI-Enabled Transition Framework” – Outlined a phased roadmap for deploying smart contracts, predictive AI tools, and decentralized ID systems to strengthen HIV service delivery and crisis response.
- “Web3 Enhanced Sustainability” – Proposed models for decentralized health governance, blockchain-based accountability, and token-driven community engagement.
Onboarding of organizations into HelpSpace platform - a curated Web3 gateway for social impact.
SEH As part of efforts to develop the HelpSpace platform into a practical Web3 gateway for social impact, the team initiated a survey among CSOs to better understand their awareness, needs, and expectations regarding Web3 and AI technologies. The feedback gathered will help shape the platform’s design, making it more accessible, relevant, and aligned with the day-to-day needs of nonprofit organizations
Ensuring networking and partnership building with web3 stakeholders through organizing online workshops/webinars
SEH On June 30, 2025, the project team convened a regional online session titled “Digital Resilience for Health: Tools for Tomorrow.” This dynamic event brought together over 30 representatives from civil society organizations (CSOs) across Eastern Europe and Central Asia, creating a space to explore how emerging technologies like Web3 and Artificial Intelligence can contribute to the long-term sustainability of HIV services and strengthen health system resilience.
Adoption of a package of mental health services for people living with and affected by HIV, including key populations.
SEH As a critical foundational step toward the integration of mental health services into HIV care, the project team developed a Comprehensive Mental Health Services Package designed for adaptation across all target countries. The package translates and tailors key international guidelines—including the World Health Organization’s mhGAP framework, UNAIDS recommendations, and other global best practices—into a practical, context-sensitive reference for national use.
Inclusion of mental health services into the package of services for key populations (guidelines, protocols and standards) in 3 countries
SEH Moldova finalized and aligned the mental health integration standard with national legislation.
Development of a health systems sustainability and resilience framework, including elaboration of EECA Regional Position Document and Strategic Framework on Bridging with Web3 to Ensure Sustainability of HIV Response Measures
SEH The concept of the framework is being further elaborated based on discussions held during the webinars, taking into account the needs of local and regional organizations. The work focuses on developing a health system sustainability and resilience framework, including the preparation of the EECA regional position document and strategic framework, with integration of Web3 solutions to support the sustainability of HIV response measures.
Integration of Business and Health Service Continuity Frameworks - develop a unified, AI-supported continuity management framework for HIV response
SEH Develop a unified AI supported continuity planning as a key instrument for strengthening health system resilience and recovery. - In Moldova, within the National HIV, STI, and Viral Hepatitis Program (2026–2030), crisis response plans were developed to ensure continuity of HIV services, information systems, and related processes during emergencies, with the integration of new technologies.
Development and adoption policy recommendations to advance health service continuity planning as a key instrument for strengthening health system resilience and recovery
SEH Moldova integrated recommendations into its 2026–2030 IC WPB and initiated internal validation.
Development of AI-Based Continuity Management Tools
SEH Sustained functioning of the basic "mother" version of virtual outreach worker/digital assistant (TWIIN) (Ukrainian version). Ongoing update and improvement of content and functionality.
APH TWIIN digital assistant is being further improved and actively promoted and used in Ukraine (co-funding from Gilead and upcoming - SIDA).
Localisation, adaptation, customization and piloting of the virtual outreach worker/digital assistant (TWIIN) for Moldova and Georgia.
APH Discussions are being held as to TWIIN's adaptation for Moldova and Georgia. A “new country adaptation, localisation and deployment” guide has been developed, including templates for new countries to prepare what is required for the localisation (ToRs).
Ongoing support to the EECA Regional HIV data dashboard
APH The Regional HIV data dashboard is being maintained and fundraising efforts will be put forth
to further develop and scale it up.
Ongoing support to EECA ART reference prices portal
APH The ART reference prices portal is being maintained and fundraising efforts will be put forth
to further develop and scale it up.
Development of a digital tool for improved decision making and management of NGOs (incl. data collection, ToR development, development, piloting and launch)
100% Life Organisations in Moldova, Georgia, Kazakhstan and Tajikistan have been identified to collaborate on the adaptation and implementation of the NGO Management tool that will enhance the organisations’ internal decision-making processes and thus significantly improve performance
Montenegro
1. HIV care cascade
Development of community-based PrEP delivery models to enhance accessibility in Bosnia and Herzegovina, Montenegro, North Macedonia
SEE RCN This activity is mostly envisaged for Y2 and Y3 of iSoS, but consultations were held with relevant national stakeholders to review existing community-based PrEP delivery models.
Community-led Monitoring (CLM) on PrEP service delivery
SEE RCN This activity is mostly envisaged for Y2 and Y3 of iSoS, but consultations were held with relevant national stakeholders to review existing CLM mechanisms.
2. Removing HR barriers
Establishment of a legal advisory service to provide remote legal assistance and advocate for the protection of human rights for people living with HIV and key populations in five Balkan countries
SEE RCN Development of the AI based SoS Chat Platform to support scaled and efficient access to HIV services, reporting cases of human rights violations, and provision of legal assistance in five Balkan countries.
SEE RCN 3. Increasing the capacity of health systems
E-Social Worker Platform:Development of the ToR for an online consultations platform for social workers to provide remote support and counseling for individuals affected by HIV.
SEE RCN Development of strategies on sustained financial support for HIV/AIDS services for certain stakeholders, preparation of briefs, evidence based reports, case studies and presentation of the findings at meetings with stakeholders.
SEE RCN Across the region, SEE RCN worked closely with ministries of health, national HIV commissions, and CCMs. Conducted high-level policy discussions on sustainable financing, which are now translating into future national budget allocations dedicated to HIV services.
Implementation of Social Contracting Mechanisms: Advocate for government partnerships with NGOs to deliver HIV/AIDS services, ensuring continuity as external funding decreases
SEE RCN Implementation of social contracting mechanisms were discussed with the MoH and CCM to maintain and improve government partnerships with NGOs to deliver HIV/AIDS services, ensuring continuity
Advocacy for Allocating resources to programs targeting high-risk groups, demonstrating commitment to reducing new infections and aligning with international best practices
SEE RCN To better prioritize key populations, a contribution to the Annual EU report has been prepared, highlighting the urgent need to increase funding and expand services for key populations.
Raising awareness on impact of HIV/AIDS funding to relevant in-country stakeholders and engage discussion of stakeholders from the SEE region in exchanging best practices.
SEE RCN SEE RCN combined technical support, advocacy, and strategic partnerships, to create a stronger, more predictable funding environment for HIV services across the Balkans, ensuring that both governments and civil society are equipped to sustain and scale the response well into the future.
Preparation of reports on the utilization of funds and share findings with stakeholders with the aim of providing more effective and informed allocation of resources, ensuring funds are directed towards the most impactful activities and interventions.
SEE RCN SEE RCN worked closely with ministries of health, national HIV commissions, and CCMs to strengthen social contracting mechanisms — ensuring that civil society organizations remain key partners in service delivery. In several countries, these efforts have already resulted in concrete commitments
Establishment of regular communication channels with NGOs to discuss their funding needs and challenges
SEE RCN Established regular communication channels with NGOs to discuss their funding needs and challenges for further advocacy work with stakeholders
Conduction of lobbying efforts with an emphasis on demonstrating the positive outcomes from the previous year’s funding
SEE RCN Lobbying efforts conducted with local stakeholders in order to emphasize the positive outcomes from the previous year’s funding. Level of national funding for HIV programs for KPs will be available in the end of the year
Enhancing the monitoring system to include detailed impact analysis of fund utilization
SEE RCN Development of collaborative projects with NGOs to showcase the effective use of funds allocated from national/municipal budgets
SEE RCN Presenting comprehensive reports on the sustained impact of HIV/AIDS funding to in-country stakeholders in 5 project countries.
SEE RCN Advocacy for the integration of HIV/AIDS funding into long-term national health budgets
SEE RCN Provision of technical support to NGOs in developing long-term strategic plans for sustainable funding
SEE RCN North Macedonia
1. HIV care cascade
Development of community-based PrEP delivery models to enhance accessibility in Bosnia and Herzegovina, Montenegro, North Macedonia
SEE RCN This activity is mostly envisaged for Y2 and Y3 of iSoS, but consultations were held with relevant national stakeholders to review existing community-based PrEP delivery models.
Community-led Monitoring (CLM) on PrEP service delivery
SEE RCN This activity is mostly envisaged for Y2 and Y3 of iSoS, but consultations were held with relevant national stakeholders to review existing CLM mechanisms.
2. Removing HR barriers
Establishment of a legal advisory service to provide remote legal assistance and advocate for the protection of human rights for people living with HIV and key populations in five Balkan countries
SEE RCN Development of the AI based SoS Chat Platform to support scaled and efficient access to HIV services, reporting cases of human rights violations, and provision of legal assistance in five Balkan countries.
SEE RCN 3. Increasing the capacity of health systems
E-Social Worker Platform:Development of the ToR for an online consultations platform for social workers to provide remote support and counseling for individuals affected by HIV.
SEE RCN Development of strategies on sustained financial support for HIV/AIDS services for certain stakeholders, preparation of briefs, evidence based reports, case studies and presentation of the findings at meetings with stakeholders.
SEE RCN Across the region, SEE RCN worked closely with ministries of health, national HIV commissions, and CCMs. Conducted high-level policy discussions on sustainable financing, which are now translating into future national budget allocations dedicated to HIV services.
Advocacy for Restoration of National Funds: Engage stakeholders to highlight the risks of funding cuts, advocating for the reinstatement and enhancement of national HIV/AIDS budgets
SEE RCN Technical support to the Ministry of Health and National HIV Commission in planning the National HIV Program and preparing the public call for CSOs in North Macedonia. For the first time approved a multi-year procurement of ARV which will lead to savings.
Raising awareness on impact of HIV/AIDS funding to relevant in-country stakeholders and engage discussion of stakeholders from the SEE region in exchanging best practices.
SEE RCN SEE RCN combined technical support, advocacy, and strategic partnerships, to create a stronger, more predictable funding environment for HIV services across the Balkans, ensuring that both governments and civil society are equipped to sustain and scale the response well into the future.
Preparation of reports on the utilization of funds and share findings with stakeholders with the aim of providing more effective and informed allocation of resources, ensuring funds are directed towards the most impactful activities and interventions.
SEE RCN SEE RCN worked closely with ministries of health, national HIV commissions, and CCMs to strengthen social contracting mechanisms — ensuring that civil society organizations remain key partners in service delivery. In several countries, these efforts have already resulted in concrete commitments
Establishment of regular communication channels with NGOs to discuss their funding needs and challenges
SEE RCN Established regular communication channels with NGOs to discuss their funding needs and challenges for further advocacy work with stakeholders
Conduction of lobbying efforts with an emphasis on demonstrating the positive outcomes from the previous year’s funding
SEE RCN Lobbying efforts conducted with local stakeholders in order to emphasize the positive outcomes from the previous year’s funding. Level of national funding for HIV programs for KPs will be available in the end of the year
Enhancing the monitoring system to include detailed impact analysis of fund utilization
SEE RCN Development of collaborative projects with NGOs to showcase the effective use of funds allocated from national/municipal budgets
SEE RCN Presenting comprehensive reports on the sustained impact of HIV/AIDS funding to in-country stakeholders in 5 project countries.
SEE RCN Advocacy for the integration of HIV/AIDS funding into long-term national health budgets
SEE RCN Provision of technical support to NGOs in developing long-term strategic plans for sustainable funding
SEE RCN Serbia
1. HIV care cascade
Identification of relevant policy makers and engagement to support the inclusion of PrEP in national HIV prevention strategies and clinical guidelines in Albania and Serbia
SEE RCN Technical assistance on PrEP activities for national stakeholders (NGOs and clinicians) in 2 project countries (Albania, Serbia)
WHO Online meetings with national counterparts and regional partners to discuss the current state of PrEP implementation and next steps, including ensuring access to long-acting injectable PrEP and needs for WHO technical assistance in Albania, Serbia is planned for the second half of 2025.
WHO Technical assistance to the implementing partners in the process of de-medicalizing PrEP provision in selected SEE countries by strengthening community-based and other innovative delivery models
WHO 2. Removing HR barriers
High-level country visits and international advocacy in Moldova and Serbia by the Eastern and Central European and Central Asian Commission on Drug Policy (ECECACD)
ECECAСD In June 2025, a commission visit to Ukraine took place. More details are available here. A visit to Montenegro is planned for October.
Establishment of a legal advisory service to provide remote legal assistance and advocate for the protection of human rights for people living with HIV and key populations in five Balkan countries
SEE RCN Development of the AI based SoS Chat Platform to support scaled and efficient access to HIV services, reporting cases of human rights violations, and provision of legal assistance in five Balkan countries.
SEE RCN 3. Increasing the capacity of health systems
E-Social Worker Platform:Development of the ToR for an online consultations platform for social workers to provide remote support and counseling for individuals affected by HIV.
SEE RCN Development of strategies on sustained financial support for HIV/AIDS services for certain stakeholders, preparation of briefs, evidence based reports, case studies and presentation of the findings at meetings with stakeholders.
SEE RCN Across the region, SEE RCN worked closely with ministries of health, national HIV commissions, and CCMs. Conducted high-level policy discussions on sustainable financing, which are now translating into future national budget allocations dedicated to HIV services.
Strengthening Government Commitment: Advocate for explicit governmental policies that prioritize HIV/AIDS funding, ensuring the integration of these services into national health agendas
SEE RCN Advocacy work with the Government of Serbia to allocate national budget to support CSO through social contracting mechanisms – 1.3 million of euros for 2026-2028
Raising awareness on impact of HIV/AIDS funding to relevant in-country stakeholders and engage discussion of stakeholders from the SEE region in exchanging best practices.
SEE RCN SEE RCN combined technical support, advocacy, and strategic partnerships, to create a stronger, more predictable funding environment for HIV services across the Balkans, ensuring that both governments and civil society are equipped to sustain and scale the response well into the future.
Preparation of reports on the utilization of funds and share findings with stakeholders with the aim of providing more effective and informed allocation of resources, ensuring funds are directed towards the most impactful activities and interventions.
SEE RCN SEE RCN worked closely with ministries of health, national HIV commissions, and CCMs to strengthen social contracting mechanisms — ensuring that civil society organizations remain key partners in service delivery. In several countries, these efforts have already resulted in concrete commitments
Establishment of regular communication channels with NGOs to discuss their funding needs and challenges
SEE RCN Established regular communication channels with NGOs to discuss their funding needs and challenges for further advocacy work with stakeholders
Conduction of lobbying efforts with an emphasis on demonstrating the positive outcomes from the previous year’s funding
SEE RCN Lobbying efforts conducted with local stakeholders in order to emphasize the positive outcomes from the previous year’s funding. Level of national funding for HIV programs for KPs will be available in the end of the year
Enhancing the monitoring system to include detailed impact analysis of fund utilization
SEE RCN Development of collaborative projects with NGOs to showcase the effective use of funds allocated from national/municipal budgets
SEE RCN Presenting comprehensive reports on the sustained impact of HIV/AIDS funding to in-country stakeholders in 5 project countries.
SEE RCN Advocacy for the integration of HIV/AIDS funding into long-term national health budgets
SEE RCN Provision of technical support to NGOs in developing long-term strategic plans for sustainable funding
SEE RCN Tajikistan
1. HIV care cascade
WHO Technical assistance to the implementing partners (ECOM, national partners) in the process of de-medicalizing PrEP provision in EECA by strengthening community-based and other innovative delivery models
WHO Jointly with WHO HQ, the regional office organized the regional webinar on integration of STIs into HIV PrEP services on 8 April 2025. During the webinar, an overview of the rationale for integrating STI and PrEP services was provided and best practices from the European region were highlighted. Practical WHO guidance to support implementing and improving integration of STI management and PrEP services was presented.
Introducing in EECA countries a mathematical model that is constructed to identify where new HIV infections occur by looking at the new infections in different populations
WHO HIV treatment cascade among key populations for EECA countries, broken by key populations
WHO A draft protocol and data collection tool was developed for analyzing the HIV prevention, testing, and treatment cascade among key populations (KPs) in Eastern Europe and Central Asia (EECA).
Technical assistance to introduce and disseminate the BBS-lite guidance
WHO Technical assistance to support in-country implementation of PrEP
ECOM From April 7–11, 2025 ECOM carried out a joint technical assistance mission in Tajikistan (Dushanbe and Khujand). The purpose of the visit was: to assess the current state of PrEP implementation, to strengthen collaboration with national and international stakeholders, and to explore ways to integrate iSoS project activities into national HIV responses.
Adaptation of the regional info PrEP campaign to national levels
ECOM Community-led monitoring of PrEP services in three countries
ECOM Development of guide for PrEP implementers on how to create demand for PrEP among communities
ECOM HIV cascades among MSM and trans people in 4 countries and one regional HIV cascade
ECOM 2. Removing HR barriers
Advocacy for the right to health of people who use drugs through submitting shadow reports to UN treaty bodies, participating at UN sessions, and promoting the implementation of UN recommendations at national events.
EHRA EHRA with national partners took part in the online CEDAW session, where statements on women who use drugs human rights situation was presented. More information
Also, EHRA engaged with Human Rights Committee on review of Kazakhstan (CCPR)
Presentation for care providers on migrant sensitive services and cross border cooperation
REG On May 20, 2025, online presentation of the publication: HIV Service Package for Migrants and Refugees in the EECA region was held. The document in English and Russian is available at link.
On June 17, 2025, the meeting of the Regional Working Group (WG) on remote registration and treatment of migrants with HIV was held. Representatives from 6 EECA countries discussed the issues of remote registration of migrants with HIV and ways of delivering ARVs to them.
Holding online event devoted to the international migrants day
REG Preparation of the Tajikistan National Legal Environment Assessment Reports related to SOGI and HIV
ECOM The report is scheduled for the end of the 2025.
Annual regional summary reports of human rights violations among gay men, other MSM and trans people
ECOM The annual regional summary report will be prepared in the 4Q.
Rights Sensitization training webinars to prepare community members for monitoring of human rights violations
ECOM A rights sensitization training webinar is planned to be conducted in the 3Q, but within the framework of another project.
Strategic litigation, monitoring and documentation of human rights violations among gay men, other MSM and trans people.
ECOM In the second quarter of 2025, a total of 32 cases were documented, with 19 reported in Tajikistan and 3 in Kazakhstan.
Webinars for community members on meaninful involvment with UN Treaty Bodies, UPR and UN Special Procedures. Webinar holding, publication
ECOM Submission and presentation of the alternative reports to UN Treaty Bodies, civil society reports to the UN UPR on SOGI-based violations
ECOM In collaboration with partner organizations, an alternative report "Human Rights Violations Based on Sexual Orientation, Gender Identity and Expression, and Sex Characteristics (SOGIESC) in Kazakhstan" was prepared for the 144th session of the Human Rights Committee.
ECOM prepared an alternative report on Georgia as part of the 4th cycle of the Universal Periodic Review, highlighting ongoing human rights challenges faced by LGBT communities due to the political landscape and adoption of anti-LGBT legislation.
3. Increasing the capacity of health systems
Adaptation/expansion of the HIV Testing risk assessment and service provision sites map (incl. data collection, development of ToR, adaptation, piloting and launch)
100% Life Local consultants in Moldova, Georgia, Kazakhstan and Tajikistan and an IT provider have been identified to collaborate on the adaptation and implementation of the HIV Testing tool; the ToRs are being developed.
Elaborating Web3 and AI educational and practical guides for CSOs on integrating and using solutions.
SEH The project team developed three strategic documents exploring the application of Web3 and AI tools to enhance health system sustainability, with a particular focus on HIV services.
● “Bridging Web3 and Web2” – Introduced a conceptual vision for linking decentralized Web3 technologies with existing digital health systems to improve transparency, trust, and data integration.
● “Web3 and AI-Enabled Transition Framework” – Outlined a phased roadmap for deploying smart contracts, predictive AI tools, and decentralized ID systems to strengthen HIV service delivery and crisis response.
● “Web3 Enhanced Sustainability” – Proposed models for decentralized health governance, blockchain-based accountability, and token-driven community engagement.
The project team developed three strategic documents exploring the application of Web3 and AI tools to enhance health system sustainability, with a particular focus on HIV services.
- “Bridging Web3 and Web2” – Introduced a conceptual vision for linking decentralized Web3 technologies with existing digital health systems to improve transparency, trust, and data integration.
- “Web3 and AI-Enabled Transition Framework” – Outlined a phased roadmap for deploying smart contracts, predictive AI tools, and decentralized ID systems to strengthen HIV service delivery and crisis response.
- “Web3 Enhanced Sustainability” – Proposed models for decentralized health governance, blockchain-based accountability, and token-driven community engagement.
Onboarding of organizations into HelpSpace platform - a curated Web3 gateway for social impact.
SEH As part of efforts to develop the HelpSpace platform into a practical Web3 gateway for social impact, the team initiated a survey among CSOs to better understand their awareness, needs, and expectations regarding Web3 and AI technologies. The feedback gathered will help shape the platform’s design, making it more accessible, relevant, and aligned with the day-to-day needs of nonprofit organizations
Ensuring networking and partnership building with web3 stakeholders through organizing online workshops/webinars
SEH On June 30, 2025, the project team convened a regional online session titled “Digital Resilience for Health: Tools for Tomorrow.” This dynamic event brought together over 30 representatives from civil society organizations (CSOs) across Eastern Europe and Central Asia, creating a space to explore how emerging technologies like Web3 and Artificial Intelligence can contribute to the long-term sustainability of HIV services and strengthen health system resilience.
Adoption of a package of mental health services for people living with and affected by HIV, including key populations.
SEH As a critical foundational step toward the integration of mental health services into HIV care, the project team developed a Comprehensive Mental Health Services Package designed for adaptation across all target countries. The package translates and tailors key international guidelines—including the World Health Organization’s mhGAP framework, UNAIDS recommendations, and other global best practices—into a practical, context-sensitive reference for national use.
Inclusion of mental health services into the package of services for key populations (guidelines, protocols and standards) in 3 countries
SEH Tajikistan initiated program drafting and budget planning for mental health integration.
Development of a health systems sustainability and resilience framework, including elaboration of EECA Regional Position Document and Strategic Framework on Bridging with Web3 to Ensure Sustainability of HIV Response Measures
SEH The concept of the framework is being further elaborated based on discussions held during the webinars, taking into account the needs of local and regional organizations. The work focuses on developing a health system sustainability and resilience framework, including the preparation of the EECA regional position document and strategic framework, with integration of Web3 solutions to support the sustainability of HIV response measures.
Integration of Business and Health Service Continuity Frameworks - develop a unified, AI-supported continuity management framework for HIV response
SEH Develop a unified AI supported continuity planning as a key instrument for strengthening health system resilience and recovery. - In Moldova, within the National HIV, STI, and Viral Hepatitis Program (2026–2030), crisis response plans were developed to ensure continuity of HIV services, information systems, and related processes during emergencies, with the integration of new technologies.
Development of AI-Based Continuity Management Tools
SEH Ongoing support for the DHIS2 based National HIV prevention, care and support system system running in Tajikistan
APH The APH DHIS2 National HIV Prevention, Care and Support System is being maintained with national scale up in Tajikistan, in-country capacity to further sustain the solution and implement it without the need for APH involvement is being carried out
Development and piloting of additional blocks into the running DHIS2 based National HIV prevention, care and support systems - journal entry, reporting, dashbaords, AI prediction, various integrations (incl. vending machines)
APH The APH DHIS2 National HIV Prevention, Care and Support System new blocks have been developed - prevention indicators, system integration, tablet input, geolocation mapping, key populations model, journal entry
Building and (supporting) maintaining(nance) a DHIS2 expert community in the region (HISP or analogue)
APH Communication is held with the University of Oslo, the optimal decisionto work towards the establishment of EECA HISP is made, negotiations and planning are carried out to hold a regional online meeting/conference on this topic to bring together key stakeholders and lay the necessary foundations for this process.
Ongoing support to the EECA Regional HIV data dashboard
APH The Regional HIV data dashboard is being maintained and fundraising efforts will be put forth
to further develop and scale it up.
Development of a digital tool for improved decision making and management of NGOs (incl. data collection, ToR development, development, piloting and launch)
100% Life Organisations in Moldova, Georgia, Kazakhstan and Tajikistan have been identified to collaborate on the adaptation and implementation of the NGO Management tool that will enhance the organisations’ internal decision-making processes and thus significantly improve performance