The quicker the response to a medical epidemic the better. This proved to be the case for Moldova in their response to the HIV/AIDS epidemic. An effective response is one to be learned, repeated and implemented for future use.

Moldova’s Problem

HIV and AIDS cases were the highest in Moldova around the 1990s and began to decrease progressively after Moldova’s response to the epidemic.  The National Institute of Health found that in the “Republic of Moldova during 1987-2013, there were 8,557 reported HIV+ cases, of which 2,464 (28.8%) developed AIDS, 1,752 (20.5%) died.” This is compared to more recent statistics showing that “AIDS was confirmed in 286 cases…Of these, in 168 cases (58.74%) AIDS disease was confirmed in persons diagnosed with HIV in 2019.”

The epidemic originally affected select groups of people and only spread from there. Efforts occurred to target treatments to these select groups; however, more work is necessary to address the problem of HIV/AIDS in Moldova. 

Moldova’s Response to HIV/AIDS

The nation of Moldova began to lead the way in creating services that assist in treating HIV/AIDs quickly. Starting it all was a 1993 law which led to medical reforms and provisions in the Republic of Moldova. According to the International Labor Organization (ILO), “the Law on AIDS Prevention of 1993 guarantees people living with HIV/AIDS the right to medical assistance and social insurance.” This was a crucial step toward protecting Moldova’s citizens from the epidemic and providing them with the help they need.

Moldova’s HIV/AIDS National Programme

This law led to the development of the first National Programme on Prevention and Control of HIV/AIDS and STIs which the country established in 1995. This program focused on prevention, improvement and ensuring safety in medical procedures. Prevention is key in stopping the spread, and according to UNAIDS, the priority is for preventing “infections among youth, vulnerable groups, [and] first of all among injecting drug users.” These concentrated groups are still a large focus for the Program today because of the high rates of infection among drug users along with homosexual men.

The National Programme on Prevention and Control of HIV/AIDS and STIs began initially as a response to national statistics and information concerning HIV/AIDS in Moldova. In more recent years (2016-2020), the program has worked to provide more access to NGO testing and various treatments.  The partnerships with various NGOs have expanded the program’s outreach greatly, allotting for a greater amount of testing. 

Furthermore, the improvement of patients’ conditions is a large focus of the program as well as ensuring safe medical procedures. The trifold purpose of this program is something to learn from. Its aim is to reduce the severity and number of HIV/AIDS cases. Currently, HIV/AIDS in “Moldova is classified as a concentrated/low prevalence country”. This may be due to the effective initiatives the country implemented from the beginning. The quick action to prevent but also serve those affected is something inspiring to implement in the future.  

– Abigail Johnson

Abigail is based in Sapulpa, OK, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr