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Outcome Statement
5th International Conference on AIDS in Eastern Europe and Central Asia
March 23-25, 2016
Moscow, Russia

The 5th International Conference on AIDS in Eastern Europe and Central Asia AIDS Conference (EECAAC), co-organised by the Russian Federation and the Joint United Nations Programme on HIV/AIDS (UNAIDS), was held in Moscow, Russia, March 23-25, 2016. The Conference was attended by 2,500 delegates from 79 countries.

The presentations by Conference participants indicated progress in response to the epidemic, highlighting the growing share of domestic investments in the response to HIV infection in several countries. This was made possible by the joint efforts by state institutions, international organisations, religious communities, foundations, civil society and the business community.

At the same time, the progress made by the countries of Eastern Europe and Central Asia has been very uneven. The number of new HIV cases especially in key and most at-risk populations1, continues to grow. The course of the growth of the epidemic is impacted by various economic, political, organizational, social and other factors.

The Conference participants therefore recognise that the current measures and approaches must be reinforced to end the AIDS epidemic by 2030.

Expressing commitment to achieving the Sustainable Development Goals related to HIV/AIDS in Eastern Europe and Central Asia, the Conference participants, representing government agencies, science and health institutions, public and religious associations, international organizations and the business community in Eastern Europe, Central Asia and other regions call for:

The Governments of Eastern Europe and Central Asia:

  • to reaffirm their commitment to the goal of ending the AIDS epidemic by 2030, in line with Sustainable Development Goals 2015-2030 at the forthcoming UN General Assembly High-Level Meeting of on HIV/AIDS, 8-10 June 2016;
  • to achieve the 90-90-902 targets by 2020 in all countries of Eastern Europe and Central Asia, consistent with the latest recommendations of UNAIDS and WHO;
  • to review national HIV strategies in order to reach by 2020 the reduction in the number of new HIV infections and AIDS-related deaths, the full elimination of HIV/AIDS-related discrimination, as proposed by the UNAIDS ‘Fast-Track’ approach for 2016-2021;
  • to increase domestic funding provided for national HIV programmes, including through expanding innovative financing mechanisms and public-private partnerships, in order to reduce dependence on donor funding;
  • to invest at least 25% of all resources for the HIV response in combined prevention programmes, including harm reduction programmes, foremost among key populations;
  • to improve mechanisms of financial support of public associations and non-governmental organizations that are working in the area of HIV prevention and the provision of care for people living with HIV;
  • to consistently increase efforts to implement programmes for the prevention, diagnosis and treatment programmes for HIV-infection and co-morbidities, including tuberculosis and viral hepatitis B and C;
  • to significantly expand access to antiretroviral therapy by reducing the price of medication and diagnostic systems, primarily through improving the procurement system; using, wherever possible, the flexibilities of the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS), including the judicious use of mechanisms for compulsory licensing, and in exceptional cases, decisions by courts;
  • to promote the production of drugs in the countries of the region and the creation of effective mechanisms for the interaction between governments and manufacturers of drugs and diagnostic systems;
  • to ensure sustainable funding for scientific research in the areas of epidemiology, prevention and treatment of HIV-infection in the biotechnology and pharmaceutical industries;
  • to promote systems of public-private partnerships and private sector social initiatives in the field of prevention, care and treatment of HIV-infection and related diseases, including through improving legal and regulatory frameworks;
  • to pay special attention to the establishment of sustainable mechanisms for the implementation of programmes that promote the empowerment of women and girls affected by the epidemic, develop their leadership potential and prevent gender-based violence;
  • to remove legal barriers to HIV prevention, treatment and care for people living with HIV;
  • to use the experience and expertise of civil associations and non-governmental organizations in the planning, implementing and evaluating HIV/AIDS programmes;
  • to facilitate the access of migrant workers to programmes for prevention, diagnosis and treatment of HIV-infection and concomitant diseases in all countries of the region;
  • to develop inter-governmental co-operation in the area of the HIV/AIDS response and to support initiatives to combat infectious diseases in the framework of multilateral organizations in the region of Eastern Europe and Central Asia.

International Organisations:

  • to facilitate the adaptation of international approaches and practices in the response to the HIV epidemic to the needs and conditions of the region, with due consideration to the local epidemiological, economic, social and cultural context;
  • to support the efforts undertaken by the governmental sector and civil society organizations in defending the rights of key populations and ensuring their access to HIV prevention, treatment and care;
  • to help to raise stable financing for programmes for the preventing the spread of the HIV epidemic in the countries in the EECA region, and facilitate the transition of such programmes to sustainable domestic funding;
  • to support regional initiatives for the prevention of HIV-infection and concomitant diseases that are implemented as part of international development programmes.

Business Community:

  • to introduce corporate programmes for awareness among employees on contemporary methods of HIV prevention, especially in enterprises located in high-prevalence areas;
  • to support specialised government agencies and civil society organizations in conducting activities for HIV prevention in enterprises, including testing;
  • to oppose any instances of stigma or discrimination against employees living with HIV.

Civil Society:

  • to actively participate in the development, implementation, monitoring and evaluation of programmes for HIV / AIDS prevention, treatment and care,  in order to improve their quality, while contributing unique knowledge of the needs of population groups affected by HIV-infection;
  • to strengthen the capacity of communities vulnerable to HIV; to support the sharing of experience and the continuity of ongoing and completed programmes through building partnerships between non-governmental organisations;
  • to cooperate with domestic, international, and other partners in order to improve access of key populations that are at risk for HIV-infection to social, medical, legal, and other services;
  •  to improve cooperation with mass media in order to curtail stigma and discrimination; spread truthful information on HIV and ways of its transmission and treatment.

Religious Organisations:

  • to strengthen co-operation between different faiths of religious communities on the prevention of HIV/AIDS;
  • to promote awareness and education among religious leaders and members of religious communities about HIV prevention, and reduce stigma and discrimination against people living with HIV;
  • to widen the network of religious organizations providing spiritual support, palliative care and other forms of support to people living with HIV and their families.

We thank the Russian Federation and the Joint United Nations Programme on HIV/AIDS for organizing the Conference, and we support the proposal of the Russian Federation to host the 6th Eastern Europe and Central Asian AIDS Conference in 2018, in Moscow.

1. In line with definition given in the “Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations,” WHO, 2014.

2. Global 90-90-90 targets: 90% of people living with HIV will know their HIV status; 90% of people diagnosed with HIV will receive ART, 90% of people living with HIV on ART will have viral suppression. 


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