Annexes to SWD(2014)106 - Action Plan on HIV/AIDS in the EU and neighbouring countries: 2014-2016 - Main contents

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dossier	SWD(2014)106 - Action Plan on HIV/AIDS in the EU and neighbouring countries: 2014-2016.
document	SWD(2014)106
date	March 14, 2014

agreements and/or actions plans between the EU/Commission and neighbouring countries

National

Composite Policy Index

Existence of one national HIV/AIDS plan, including surveillance monitoring and evaluation
Better use of existing policy dialogue mechanisms to promote effective political leadership particularly in countries with concentrated epidemics

Better public awareness on HIV/AIDS

Political

support for the

implementation

of cost-effective, and

evidence based

measures to combat

HIV/AIDS

HIV is

mainstreamed in EU policies
Regular HIV/AIDS Think Tank and Civil Society Forum meetings including linkage to relevant other EU civil society foraCommission

Member States and

neighbouring countries

Civil Society

International organisations
Ongoing -2016Number of meetings

Dissemination and implementation of results from meetings

Actions agreed and implemented
Know-how transfer Effective

cooperation between all key players

Joint actions carried out
Address HIV/AIDS and Human Rights: Tackle stigma, discrimination, and legal barriers in relation to HIV status, ensuring equal access and quality ofMember States and

neighbouring countries Civil Society

Commission
Ongoing-2016Level of

discrimination in relation to HIV status, i.e. as monitored by the stigma index

Monitoring of national policies and legislation in place (related to
Integrated antidiscrimination policies applied in EU and

neighbouring states,

Prohibition of discrimination in relation to HIV status in national legislation

	prevention,			HIV-specific	Better quality of life
	testing and			discrimination of	of people living with
	treatment			People living with	HIV/AIDS
				HIV and key
				populations)	Promotion of a
					public health
				Number of actions	approach (as an
				and measures	alternative to
				taken to protect	criminalization) in
				fundamental rights	managing
				including expected	behaviours that put
				results of initiatives	people at risk of HIV
				supported at	acquisition
				international level
					Better awareness of
					legal aspects of
					discrimination
					among Member
					States and
					integrated anti-
					discrimination
					policies with a
					particular focus on
					legislative solutions
					and their correct
					implementation
HIV/AIDS	Development,	Member States	Ongoing	National European	Scaling up of
policies and	budgeting	and	-2016	and international	development and
strategies	implementation,	neighbouring		AIDS spending by	effective
	monitoring and	countries		categories and	implementation of
	evaluation of	ECDC		financing sources	innovative HIV/AIDS
	targeted ,				policies at regional,
	regional, national	Civil Society		Number of	national and sub-
	and supranational			explicit	national level
	HIV/AIDS and co-	International		HIV/AIDS policies	leading to a
	infection policies	organisations		in place, scale and	reduction of HIV
				quality of	transmission
				implementation
				Sustainability of
				funding for HIV
				and co-infection
				programmes
Civil society	Support of civil	National	Ongoing	NGOs and	Larger number of
	society through	authorities in the	-2016	vulnerable groups	effective NGOs in
	funding and legal	EU and		actively involved in	EU Member States
	support at EU and	neighbouring		planning, policy	and neighbouring
	national levels in	countries		formulation,	countries
	the EU and			budgeting,
	neighbouring	Commission		monitoring	Higher degree of
	countries			&evaluation of HIV	NGO participation in
		Other		activities at EU,	decision making
	Involve and	stakeholders		national and
	consult civil			subnational levels
	society including
	people living with			Number of NGOs
	HIV/AIDS and			which have access
	other vulnerable			to specific funding
	groups in			instruments (as a
	development and			result of their

	implementation of			participation in
	HIV policies			competitive calls for funding)
	Ensure
	sustainable			Percentage of
	funding			NGOs with
	opportunities for			projected income
	NGOs in relevant			for the next 2/3/5
	EU instruments			years
The private	Intensify	Business &	Ongoing	Number of	Successful
sector	cooperation with the private sector	Industry	-2016	partnerships programmes	partnership projects
	and invite all	National		between	Solidarity with
	relevant	authorities		stakeholders	people living with
	stakeholders to				HIV
	develop and	Commission		Number of ARV
	implement			price rebate	Affordable and
	initiatives	Civil Society		agreements	accessible HIV
	addressing				prevention
	HIV/AIDS				measures including
	including in the				condoms
	workplace				Affordable and fair
	Work with				ARV prices
	pharmaceutical
	industry to				Early treatment and
	improve access				care, better
	and availability of				treatment coverage,
	HIV/AIDS				improved health
	treatment across				status of people
	the EU and				living with HIV
	neighbouring
	countries				Development of new business models to facilitate development and access to testing and treatment for HIV and co-infections

2. Prevention
Targeted and	Identify	National /	Ongoing	Percentage of	Most at risk and
combination	prevention needs	Regional	-2016	most at risk groups	general populations,
prevention	and integrated	authorities		reached with HIV-	and particularly
and	strategies based			prevention	young people better
treatment	on current	Civil Society		programmes	informed about HIV
	evidence and best				prevention
	practice targeted	Commission		Number of health	measures
	to sub-national			facilities that
	realities	ECDC		provide HIV testing	Reduction of new
				and counselling	HIV infections
	Targeted		2014-	services
	integrated		2016		Access to
	prevention and				comprehensive and
	treatment to			Funding level of	integrated
	most at risk			integrated	prevention, and
	groups			prevention and	early testing
	(including sex			treatment	services and
	workers and			strategies for HIV-	commodities for
	prisoners) as			AIDS and co-	most at risk
	central focus of			infections including	populations
	national HIV-			proportion of	including sex
	AIDS and STI			funding targeting	workers and
	strategies		Ongoing	most at risk groups	prisoners
			-2016	done in
	Improve			collaboration with
	exchange of best			civil society
	practice,			organisations
	information and
	education on HIV			Number of national
	and HIV			policy documents
	prevention and			and guidelines in
	treatment			which treatment as
				prevention is
				mentioned.
HIV	Apply evidence	ECDC,	Ongoing	Precise,	Improved
transmission	based knowledge		-2016	geographically	understanding of
and risk	from behavioural	EMCDDA		distinct	behavioural
behaviour	research in order			disaggregated	parameters
	to develop	Academia		data and resulting	contributing to the
	effective			policies	epidemic
	measures leading	*Civil Society*
	to reduced risk			Number of	Adaptation of
	behaviour	Commission		developed	policies and
				guidelines and	prevention
	Support the		2014-	measures leading	measures
	enhancing of		2016	to reduced risk
	treatment			behaviour and	Reduction of new
	literacy			increased	HIV cases in most at
				treatment uptake	risk populations
				and adherence.
				Percentage of
				health care
				facilities providing
				basic-level HIV
				testing and
				HIV/AIDS clinical
				management

Education	Better	Member States	Ongoing-	Number of	Reduced incidence
	awareness on		2016	awareness raising	of HIV and sexually
	sexual and	International		actions carried out	transmitted
	reproductive	Organisations			infections in
	health				particular among
		Civil Society			young people
		Commission			Less stigma and
					discrimination of
					groups at risk of HIV
					and sexually
					transmitted
					infections
3. Priority regions and settings
Eastern	Reach universal	National	Ongoing	Domestic and	More people under
European	access to	authorities	-2016	international	treatment, decline of
Member	voluntary testing,			HIV/AIDS	AIDS related deaths
States,	treatment and	Civil society		spending
Enlargement,	care			(including harm	Reduction of HIV
ENP		Regional (Health)		reduction	and co-infections
countries and	Introduction and	Networks (i.e.		measures) by	infection rate among
the Russian	implementation of	Northern		categories,	injecting drug users
Federation	effective harm	Dimension		financing source,
	reduction	Partnership in		and allocation to	Better health status
	measures for	Public Health and		priority groups.	of IDUs and
	prevention of HIV	Social Wellbeing)			prisoners and their
	and co-infections			Number of basic	partners
		Commission		activities and
	Prevention and			programmes in	Decreased HIV and
	integrated HIV,			place, scale and	co-infections
	and co-infections			quality of	incidence in prisons
	treatment,			implementation,
	including in			synergies
	prisons and other			developed and
	particular settings,			critical enablers
	using innovative			funded
	strategies to
	reach target			Coverage of
	groups,			integrated
	particularly MSM,			prevention and
	IDUs and Sex			treatment services
	Workers			in prisons
				Provision of
				integrated HIV and
				co-infections
				services
Enlargement,	Promote	Commission	Ongoing	HIV/AIDS and co-	Improved national
ENP	Cooperation on		-2016	infections as an	HIV/AIDS and co-
countries and	HIV/AIDS and co-	Member States		agenda point in	infections plans for
the Russian	infections	and		regular health	prevention,
Federation	between the	neighbouring		policy dialogues	treatment, care and
	EU, and	countries		with relevant	support
	neighbouring			Enlargement,
	countries through	WHO		ENP countries,	Effective
	established policy			and the Russian	implementation of
	dialogue	UNAIDS		Federation	antidiscrimination
	mechanisms				policies
		ECDC		Alignment of
	Invitation and			actions with

involvement of			international
neighbouring			organizations
countries in HIV			working on HIV-
related meetings			AIDS to generate
at EU level			synergies and
			maximize impact
Monitoring and		2014-
reporting		2016	Number of
progress in			Enlargement and
implementation			ENP annual
of HIV-related			progress reports
actions agreed			addressing
in bilateral			HIV/AIDS and co-
cooperation			infections
agreements
and/or Action
Plans between
the EU and
neighbouring
countries
Strengthen the	ECDC, WHO-	Ongoing	Increased	Better surveillance,
surveillance by	Euro, EMCDDA,	-2016	interaction with	monitoring and
stepping up			and involvement of	evaluation
cooperation	Surveillance		Enlargement and
between the	institutions in		ENP countries in	Improved integrated
ECDC, WHO-	Neighbouring		ECDC HIV/AIDS	HIV policies and
Euro, EMCDDA	countries and		and co-infection	programmes in the
and surveillance	Russian		programmes	EU and
authorities in	Federation			neighbouring
Enlargement and				countries
ENP countries	Commission
and Russian
Federation	ENP partners
	Member States
	Civil society
Exchange	Health	Ongoing	Number of	Better trained clinical
programmes	Professional	-2016	exchange	and social staff and
between Member	associations		programmes	NGOs
States and
neighbouring	Member States
countries for
training of medical	Neighbouring
and social and	countries
NGO staff
	Civil Society
	Industry

4. Priority groups
Men having	Intensify the	Civil Society	Ongoing-	HIV incidence and	Adaptation in risk
sex	promotion of safer		2016	prevalence	behaviour
with men	sex behaviour among MSM	*Member States*		among MSM	Reduction in HIV
	Information on	*Neighbouring*		Changes	transmission among
	HIV prevention	*countries*		(increase/decreas	MSM
	integrated in			e) in rates of
	sexual and	Commission		unsafe sex	Less stigma and
	reproductive			practices amongst	discrimination
	health education	ECDC		MSM
	and health care				Better knowledge on
	services				sexual and reproductive health
	Intensify	Member	Ongoing	Rate of late	Decrease of late
	implementation of	States	-2016	diagnoses among	diagnoses, timely
	voluntary			MSM	start of treatment
	counselling and	Neighbouring
	testing programs	countries		HIV testing rates	Reduction in HIV
	(VCT) among			among MSM	transmission among
	MSM	Health			MSM
	and other most at	Professional		Rate of unknown
	risk groups at	Associations		HIV status
	healthcare, and	and community
	community based	based		Percentage of
	facilities, ensuring	organisations		MSM who
	effective link to			received an HIV
	treatment and	Commission		test in the last 12
	care	Civil Society		months and who know their results
	Increase
	innovative testing			Percentage of
	strategies			MSM reached
	including outreach			with HIV
	and peer support			programmes
	to ensure access
	to voluntary
	counselling and
	testing to most at
	risk groups
Injecting drug	Implementation of	Member States	Ongoing	Coverage of harm	Decreased HIV
users (IDUs)	risk and harm		-2016	reduction	incidence among
	reduction	Neighbouring		programmes,	people who inject
	measures to IDUs	countries		including syringe	drugs
	and their partners			exchange and
	for prevention and	Civil Society		clean needles	Better access for
	treatment of HIV,				IDUs to harm
	co-infections and	Commission		Coverage of drug	reduction measures,
	drug dependency			substitution, HIV	including clean
	in the community	ECDC		and co-infections	syringes and needles
	and prisons			treatment programmes Percentage of IDUs reached with HIV	Availability of specific, effective prevention programmes for IDUs and their

				programmes	partners
Migrants and	Targeted	Migrants and	Ongoing	Number of	Better information of
mobile	prevention	ethnic minorities	-2016	programmes and	migrants on risk
populations⁷	measures and	organisations		policies	prevention, HIV/AIDS
	access to			developed and	and treatment, care
	services and	National		implemented	and support
	treatment for	authorities
	migrants, and			Coverage of	Improved access and
	mobile	Commission		prevention	information on rights
	populations			services and	and possibilities for
		Civil society		treatment for	migrants and mobile
	Sustain and		2014-	migrants,	population
	promote testing		2016	including
	and treatment			undocumented
				migrants, and
				mobile
				populations
	Abolish HIV	National	Ongoing	Number of	Non-discrimination of
	associated travel	authorities	-2016	countries/regions	migrants and mobile
	and residence			with restrictions	populations with
	restrictions				regard to HIV status
5. Improving the knowledge
Research	Promote research	Commission	Ongoing-	Projects and	Moving towards a
	for the		2016	programmes	cure and
	development of	Member States		funded	development of new
	new, or better				or better diagnostic
	prevention,	Industry			and preventive tools
	diagnostic and				and treatment
	treatment	Research			options
	solutions for HIV,	institutions
	co-infections and
	co-morbidity	Public health
		Institutions
		Civil Society
	In depth analysis	ECDC	2014-	Studies, reports,	More adequate,
	of trends and		2016	recommendations	evidence based
	dynamics in	EMCDDA			prevention
	sexual and drug			Number of actions	programmes, in
	use related risk	Academia		funded under EU	particular for risk
	behaviour			programmes	populations
		Commission
	Ensure adequate
	allocation of	Member States
	funding for social
	and behavioural	Civil society

⁷ By "migrants" we understand third-country nationals. By "mobile populations" we understand EU citizens exercising their right to free movement. It also include ethnic minorities defined as, national minorities, in line with the Charter of Fundamental Rights prohibiting discrimination on any ground, such as sex, race, colour, ethnic or social origin, etc. http://ec.europa.eu/justice/fundamental-rights/minorities/index_en.htm.

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	research, socio-
	economic
	analysis
Health care	Improve	Health	Ongoing-	Broad application	Timely diagnosis and
	capacities and	professionals	2016	of international	more effective
	knowledge of	associations and		testing and	treatment solutions
	medical staff and	community		treatment
	community based	based		guidelines
	organisations with	organisations
	regards to
	HIV/AIDS and co-	Member States
	infections
	prevention,	WHO
	testing, treatment
	and care including	Academia
	larger
	dissemination of	Industry
	clinical best
	practice
Surveillance	Enhanced and	ECDC	Ongoing-	Comprehensive	Powerful
	integrated		2016	overview of	epidemiology
	surveillance of all	EMCDDA		HIV/AIDS and co-	resulting in
	relevant aspects			infections in the	comprehensive and
	on HIV/AIDS and	WHO		European region	evidence based
	CO	- infections			disaggregated	policies
	(including	Commission		data to identify
	strengthened bio-			epidemiology
	behavioural	Member States		including those
	surveillance)	and neighbouring		linked to
			countries		behavioural
					issues
			Civil society
6. Monitoring and
evaluation
Commitments of	Regular	ECDC	Ongoing	Progress reports	Realisation of
Dublin, Vilnius		monitoring		(Every 2		commitments
and Bremen		on scale and	WHO	years)
declarations		quality				Improved quality of
	of	Commission			life of people living
	implementatio				and affected by HIV
	n	UNAIDS
					Reduced incidence
		Civil Society
		Member
		States and
		neighbouring
		countries
Implementation	On-going	ECDC	Ongoing-	Progress reports	More effective
of this action		monitoring on		2016		policies, less new
plan		scale and	Commission			HIV infections, better
	quality of				medical, social and
	implementatio	Think Tank			legal conditions for
	n				people affected by
		HIV/AIDS Civil			HIV
		Society Forum