Montenegro

Montenegro

Key informant

Miso Pejkovic, MD, head of NGO CAZAS

Sources of information
  • WHO HIV Fact Sheet: https://cfs.hivci.org/country-factsheet.html
  • Montenegro Law and Policy Analytics (UNAIDS): http://lawsandpolicies.unaids.org/country?id=MNE&lan=en
  • World Self Testing Status (WHO): https://www.who.int/hiv/topics/self-testing/HIVST-policy_map-jul2019-a.png?ua=1

Situation with HIVST in the country

Are HIV self-testing kits registered in the country?
No
What type of tests?
-
Sales to the country
0
How many HIV self-testing kits are conducted per year?
0
Does the protocol for HIV testing include HIV self-testing?
No.
HIV testing is carried out only in medical institutions using ELISA, PCR
Algorithm of actions after receiving HIV + self-test result
-
Whether HIV self-testing kits are sold in a pharmacy?
No
Cost
-
Whether HIV self-testing kits are sold online?
Нет
Cost
-
Projects in the country (last 3 years)
No
Country studies (last 3 years)
-
Information and media campaigns to promote HIV self-testing (last 3 years)
-
Project Plans / Campaigns / HIV self-testing studies 2021 and beyond
Advocating for the ability to conduct tests in an NGO, independently

Orasure is searching for distributor.

Ukraine

Ukraine

Key informant
  • Konstantin Grabitchenko “Empiric”
  • Kateryna Kovalchuk, Alliance Public Health 
  • Kuznetsova Ulia, Alliance Public Health
Sources of informations
  • Analytics of Laws and Policies of Ukraine (UNAIDS) http://lawsandpolicies.unaids.org/country?id=UKR&lan=en
  • New clinical protocol on the use of antiretroviral drugs for the treatment and prevention of HIV infection: https://moz.gov.ua/uploads/2/12794-dn_20190605_1292_dod.pdf

Situation with HIVST in the country

Are HIV self-testing kits registered in the country?
Yes
What type of tests?
Blood, saliva
Sales to the country
Number of OraQuick® HIV tests delivered:
In 2019 - 2 700 pcs.
In 2020 - about 18000 pcs.
Delivery of about 20,000 pieces is planned for 2021
How many HIV self-testing kits are conducted per year?
-
Does the protocol for HIV testing include HIV self-testing?
Yes
https://moz.gov.ua/uploads/2/12794-dn_20190605_1292_dod.pdf
Algorithm of actions after receiving HIV + self-test result
If the result is positive, a confirmatory test is required
Whether HIV self-testing kits are sold in a pharmacy?
Yes
Cost
Nearly 140 - 280 UAH
Whether HIV self-testing kits are sold online?
Yes
Cost
Saliva- 300 UAH, blood - 33-180 UAH
Projects in the country (last 3 years)
100% Life Network, Alliance for Public Health - The HealthLink Project «Accelerating Ukraine’s Efforts to End HIV» USAID
Country studies (last 3 years)
-
Information and media campaigns to promote HIV self-testing (last 3 years)
Within the framework of the HealthLink Project «Accelerating Ukraine’s Efforts to End HIV» USAID
Project Plans / Campaigns / HIV self-testing studies 2021 and beyond
-

Uzbekistan

Uzbekistan

Key informant

Orasure

Sources of information
  • WHO HIV Fact Sheet: https://cfs.hivci.org/country-factsheet.html
  • Uzbekistan Law and Policy Analytics (UNAIDS): http://lawsandpolicies.unaids.org/country?id=UZB&lan=en
  • World Self Testing Status (WHO): https://www.who.int/hiv/topics/self-testing/HIVST-policy_map-jul2019-a.png?ua=1

Situation with HIVST in the country

Are HIV self-testing kits registered in the country?
No
What type of tests?
-
Saliva tests are expected in Q2 2021
Sales to the country
2021 - 5000
How many HIV self-testing kits are conducted per year?
-
Does the protocol for HIV testing include HIV self-testing?
No
Algorithm of actions after receiving HIV+ self-test result
-
Whether HIV self-testing kits are sold in a pharmacy?
No
Cost
-

After registration in 2021, sales in pharmacies and online will start. Price about USD 10
Whether HIV self-testing kits are sold online?
No
Cost
-

After registration in 2021, sales in pharmacies and online will start. Price about USD 10
Projects in the country (last 3 years)
-
Country studies (last 3 years)
-
Information and media campaigns to promote HIV self-testing (last 3 years)
-
Project Plans / Campaigns / HIV self-testing studies 2021 and beyond
Registration and delivery of tests in 2021

Tajikistan

Tajikistan

Key informant
  • Pulod Jamolov, head of the “SPIN Plus” organization
Sources of information
  • WHO HIV Fact Sheet: https://cfs.hivci.org/country-factsheet.html
  • Tajikistan Law and Policy Analytics (UNAIDS): http://lawsandpolicies.unaids.org/country?id=TJK&lan=en
  • World Self Testing Status (WHO): https://www.who.int/hiv/topics/self-testing/HIVST-policy_map-jul2019-a.png?ua=1

Situation with HIVST in the country

Are HIV self-testing kits registered in the country?
Yes
What type of tests?
Blood.
Saliva tests to be registered in 2021 (Orasure)
Sales to the country
5350 for self-test. until 2019.
10000 saliva tests is planned to deliver in 2021 (Orasure)
How many HIV self-testing kits are conducted per year?
≈ 8 per year
Does the protocol for HIV testing include HIV self-testing?
It is planned
Algorithm of actions after receiving HIV + self-test result
-
Whether HIV self-testing kits are sold in a pharmacy?
No
Cost
-
Whether HIV self-testing kits are sold online?
No
Cost
Online and pharmacy sales are expected to begin around the second quarter of 2021. Expected price - about $ 10 retail.
Projects in the country (last 3 years)
1. Self-testing within the framework of the EpiC project (FHI360).
2. PSI project until 2019.

Country studies (last 3 years)
2020
Public organization "SPIN Plus" - "Research of the level of knowledge and attitude of employees of pharmacies on HIV infection, as well as an assessment of the implementation of self-testing for HIV through the pharmacy network in Dushanbe"
Information and media campaigns to promote HIV self-testing (last 3 years)
No
Project Plans / Campaigns / HIV self-testing studies 2021 and beyond
Registration of saliva tests in 2021.

Serbia

Serbia

Key informant
  • Goran Radisavljevic, executive director, Timok Youth Center
Sources of information
  • WHO HIV Fact Sheet: https://cfs.hivci.org/country-factsheet.html
  • Serbia Law and Policy Analytics (UNAIDS): http://lawsandpolicies.unaids.org/country?id=SRB&lan=en
  • World Self Testing Status (WHO): https://www.who.int/hiv/topics/self-testing/HIVST-policy_map-jul2019-a.png?ua=1

Situation with HIVST in the country

Are HIV self-testing kits registered in the country?
No
What type of tests?
-
Sales to the country
0
How many HIV self-testing kits are conducted per year?
0
Does the protocol for HIV testing include HIV self-testing?
No
Algorithm of actions after receiving HIV + self-test result
-
Whether HIV self-testing kits are sold in a pharmacy?
No
Cost
-
Whether HIV self-testing kits are sold online?
No
Cost
-
Projects in the country (last 3 years)
No
Country studies (last 3 years)
No
Information and media campaigns to promote HIV self-testing (last 3 years)
No
Project Plans / Campaigns / HIV self-testing studies 2021 and beyond
Not defined

Romania

Romania

Key informants
  • Camellia Raita, project manager, Romanian Angel Appeal Foundation
  • Mihai Lixandru, CFO, Romanian Angel Appeal Foundation
  • Iulian Petre, project coordinator, legal advocate, UNOPA
Sources of information
  • WHO HIV Fact Sheet: https://cfs.hivci.org/country-factsheet.html
  • Romania Law and Policy Analysis (UNAIDS): http://lawsandpolicies.unaids.org/country?id=ROU&lan=en
  • World Self Testing Status (WHO): https://www.who.int/hiv/topics/self-testing/HIVST-policy_map-jul2019-a.png?ua=1
References to additional information
  • Article “Attitudes, Practices and Priorities of HIV Screening and Testing Among Health Care Workers in Transylvania and Moldova, Romania” 2019: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4823-5
  • Online purchase of tests with delivery within the EU: http://autotest-vih.eu/ro/8-autotest-vih.html

Situation with HIVST in the country

Are HIV self-testing kits registered in the country?
No
What type of tests?
-
Sales to the country
-
How many HIV self-testing kits are conducted per year?
-
Does the protocol for HIV testing include HIV self-testing?
No
Algorithm of actions after receiving HIV + self-test result
-
Whether HIV self-testing kits are sold in a pharmacy?
No
Cost
-
Whether HIV self-testing kits are sold online?
Yes
http://autotest-vih.eu/ro/8-autotest-vih.html
Cost
24 Euro
Projects in the country (last 3 years)
Self-testing campaign during International Testing Week (23-29.11.2020)
Country studies (last 3 years)
-
Information and media campaigns to promote HIV self-testing (last 3 years)
Campaign on the Internet and Social Media (ARAS) in support of the International Testing Week campaign (23-29.11.2020) with financial support from Coalition Plus. During the campaign, 650 HIV self-tesing kits were distributed.
Project Plans / Campaigns / HIV self-testing studies 2021 and beyond
Not defined

Russia

Russia

Key informants
  • Kirill Barsky, Program Manager of the “Steps” Foundation
  • Anna Markelova, Humanitarian Action
  • Elena Romanyak, consultant Alliance Public Health Alliance
Sources of information
  • WHO HIV Fact Sheet: https://cfs.hivci.org/country-factsheet.html
  • Analytics of Russian Laws and Policy (UNAIDS): http://lawsandpolicies.unaids.org/country?id=RUS&lan=en
  • World Self Testing Status (WHO): https://www.who.int/hiv/topics/self-testing/HIVST-policy_map-jul2019-a.png?ua=1
References to additional information
  • Information on self-testing in the DRAFT resolution https://cutt.ly/zkabWnE
  • Online purchase of tests in Russia:

shorturl.at/abeP0

https://cutt.ly/bkab1iV

https://cutt.ly/Ukab8WY

Situation with HIVST in the country

Are HIV self-testing kits registered in the country?
Yes
What type of tests?
Saliva and blood
Sales to the country
About 200 thousand tests per year

Orasure plans for 2021 - 180 000 saliva tests
How many HIV self-testing kits are conducted per year?
150 thousands per year
(Conducted in NGOs)
Does the protocol for HIV testing include HIV self-testing?
No. Only, RosZdrav recommendation within prevention, but
not under treatment.

Information on self-testing in the DRAFT regulation https://cutt.ly/zkabWnE

Algorithm of actions after receiving HIV + self-test result
-
Whether HIV self-testing kits are sold in a pharmacy?
Yes - till August 2020.
Tests OraQuick were
were removed from
pharmacy turnover after Federal Service for Surveillance in Healthcare of Russia caveat.
Cost
180 -300 RUB- blood 2.5 $
800 - 900 RUB - saliva, 11 $
Whether HIV self-testing kits are sold online?
Yes in several online pharmacies.
Tests OraQuick were removed from pharmacy turnover from August 2020 after Federal Service for Surveillance in Healthcare of Russia caveat.

shorturl.at/abeP0

https://cutt.ly/bkab1iV

https://cutt.ly/Ukab8WY
Cost
180 -300 RUB- blood 2.5 $
800 - 900 RUB - saliva, 11 $
Projects in the country (last 3 years)
-
Country studies (last 3 years)
-
Information and media campaigns to promote HIV self-testing (last 3 years)
Media programs in Internet communities, social networks. Participation in exhibitions, promotional materials. Publications in professional journals like "Steps" and others.
Project Plans / Campaigns / HIV self-testing studies 2021 and beyond
-

Moldova

Moldova

Key informant
  • Ruslan Poverga, CEO A.O. “Iniţiativa Pozitivă”
Sources of information
  • WHO HIV Fact Sheet: https://cfs.hivci.org/country-factsheet.html
  • Analytics of Laws and Policies of Moldova (UNAIDS): http://lawsandpolicies.unaids.org/country?id=MDA&lan=en
  • World Self Testing Status (WHO): https://www.who.int/hiv/topics/self-testing/HIVST-policy_map-jul2019-a.png?ua=1
References to additional information

Monitoring HIV control in Moldova: https://sdmc.md

Situation with HIVST in the country

Are HIV self-testing kits registered in the country?
Yes
What type of tests?
Saliva and blood

NATIONAL GUIDELINES FOR HIV / AIDS TESTING, adopted by the order of the Ministry of Health, Labor and Social Protection of the Republic of Moldova, no. 409 from 03/16/2018
Sales to the country
-
How many HIV self-testing kits are conducted per year?
Over the past three years, approximately 5000 saliva self-tests have been performed annually
Monitorizarea controlului infecției HIV în Republica Moldova, anul 2018, 2019, https://sdmc.md
Does the protocol for HIV testing include HIV self-testing?
Yes
Algorithm of actions after receiving HIV + self-test result
After a positive self-test, a standard confirmation algorithm is applied - two rapid tests on capillary blood and one test on VL GeneXpert
Whether HIV self-testing kits are sold in a pharmacy?
Not yet
Cost
-
Whether HIV self-testing kits are sold online?
Not yet
Cost
-
Projects in the country (last 3 years)
Testing of risk groups (IDUs, SWs, MSM, prisoners) is routinely carried out within the framework of a project funded by the Global Fund; testing is carried out through NGOs, using both capillary blood and saliva tests. The testing itself is planned from 2021 and is included in a new grant from the GF

STANDARDUL DE ORGANIZARE ȘI FUNCȚIONARE
A SERVICIILOR DE PREVENIRE HIV ÎN MEDIUL POPULAȚIILOR-CHEIE, INCLUSIV A TINERILOR DIN ACESTE GRUPURI, Aprobat prin Ordinul MSMPS nr.278 din 18.03.2020 Cu privire la aprobarea Standardului de organizare și funcționare a serviciilor de prevenire HIV în mediul populațiilor-cheie, inclusiv a tinerilor din aceste grupuri
Country studies (last 3 years)
Biobehavioral study used rapid blood tests, but not for self-testing.
Information and media campaigns to promote HIV self-testing (last 3 years)
Self-testing (saliva) has been promoted only in NGOs working in the field of harm reduction programs since 2012.
Self-test tests were not issued in Moldova until December 2020.
Project Plans / Campaigns / HIV self-testing studies 2021 and beyond
For the period 2021-2023, information campaigns are planned from the money of the GF grant, both for risk groups and for other vulnerable groups, as well as the general population.

From 2021, self-testing tests will be available for all key groups (IDUs, SWs, MSM, TG, prisoners, discordant couples, as well as for the general population.

Macedonia

Macedonia

Key informants
  • Andrei Senikh, Executive Director, Stronger Together, Association for Assisting People Living with HIV
  • Vesna Ilievska Utevska, project coordinator, HERA organization

 

Sources of information
  • WHO HIV Fact Sheet: https://cfs.hivci.org/country-factsheet.html
  • North Macedonian Law and Policy Analytics (UNAIDS): http://lawsandpolicies.unaids.org/country?id=MKD&lan=en
  • World Self Testing Status (WHO): https://www.who.int/hiv/topics/self-testing/HIVST-policy_map-jul2019-a.png?ua=1
References to additional information
  • Annual program to protect the population of North Macedonia from HIV infection for 2020: https://hera.org.mk/samotestiranje-za-hiv-kaj-gej-mazhi-i-msm-vo-rsm/?lang=en

Situation with HIVST in the country

Are HIV self-testing kits registered in the country?
No
What type of tests?
-
Sales to the country
-
How many HIV self-testing kits are conducted per year?
-
Does the protocol for HIV testing include HIV self-testing?
No
Algorithm of actions after receiving HIV + self-test result
-
Whether HIV self-testing kits are sold in a pharmacy?
No
Cost
-
Whether HIV self-testing kits are sold online?
No
Cost
-
Projects in the country (last 3 years)
1. Sustainability of Services for Key Populations in Eastern Europe and Central Asia, funded by the Public Health Alliance - Ukraine.
2. "Activities for HIV outreach testing among key populations" - MoH, National Prevention Program

A pilot for HIV self-testing was planned for 2020, but was not implemented due to the Covid-19 situation and due to the fact that the planned procurement of tests for self-testing at the national level was not implemented. However, a brochure is being prepared in preparation for piloting, which will include a self-test kit and guidance.

Country studies (last 3 years)
A study on HIV self-testing among gay men and other men who have sex with men in the Republic of North Macedonia: attitudes, acceptability within the framework of the Sustainability of Services for Key Populations in Eastern Europe and Central Asia project funded by the Alliance Public Health - Ukraine
https://hera.org.mk/samotestiranje-za-hiv-kaj-gej-mazhi-i-msm-vo-rsm/?lang=en
Information and media campaigns to promote HIV self-testing (last 3 years)
No
Project Plans / Campaigns / HIV self-testing studies 2021 and beyond
Pilot HIV self-testing scheduled for 2021

Orasure is searching for distributor

Kyrgyzstan

Kyrgyzstan

Key informants
  • Aybar Sultangaziev, project coordinator, head of the Association “Partner Network”
  • Aibek Bekbolotov, Aibek Bekbolotov, Deputy Director of the Republican AIDS Center Kyrgyzstan
  • Meruert Bektemisova, Association “Partner Network”

 

Sources of information
  • WHO HIV Fact Sheet: https://cfs.hivci.org/country-factsheet.html
  • Kyrgyz Law and Policy Analytics (UNAIDS): http://lawsandpolicies.unaids.org/country?id=KGZ&lan=en
  • World Self Testing Status (WHO): https://www.who.int/hiv/topics/self-testing/HIVST-policy_map-jul2019-a.png?ua=1
References to additional information

Information work of the AIDS Center in Kyrgyzstan to involve in testing and self-testing for HIV: https://www.facebook.com/aidscenter.kg/

Situation with HIVST in the country

Are HIV self-testing kits registered in the country?
Yes
What type of tests?
Saliva
Sales to the country
2021 - 5000 (planned)

Supplied under the GF project, UNAIDS
How many HIV self-testing kits are conducted per year?
-
Does the protocol for HIV testing include HIV self-testing?
No
Algorithm of actions after receiving HIV + self-test result
-
Whether HIV self-testing kits are sold in a pharmacy?
No

Planned start of sales - 1st quarter 2021
Cost
-

The planned price is about 10 - 12 US dollars
Whether HIV self-testing kits are sold online?
No

Planned start of sales - 1st quarter 2021
Cost
-

The planned price is about 10 - 12 US dollars
Projects in the country (last 3 years)
Meetings with key opinion leaders, blogger advertisements, marketing events, AIDS Center promotions, online marketing campaigns, collaboration with NGOs
Country studies (last 3 years)
No
Information and media campaigns to promote HIV self-testing (last 3 years)
The AIDS Center conducts information work on the Internet with the involvement of politicians, bloggers

https://www.facebook.com/aidscenter.kg/
Project Plans / Campaigns / HIV self-testing studies 2021 and beyond
Sales in pharmacies, online sales, blogger campaigns, interaction with NGOs,