The framework document
The government approved the strategy of combating HIV in Russia up to 2020 the corresponding decree of the Prime Minister Dmitry Medvedev published on the website of the Cabinet. In Russia it was not so ambitious plan to tackle the problem of HIV transmission. The strategy involves the preparation of special programs on informing the population, particularly vulnerable groups of citizens and the establishment of a register of infected patients.
The Ministry of health began to develop a strategy after a meeting of the government Commission for the protection of health of citizens, which took place on 23 October 2015. The meeting was almost entirely devoted to the problem of HIV in Russia.
According to the adopted world health organization global strategy on HIV for the years 2016-2021, ending the epidemic of HIV infection must be identified at least 90% of possible HIV-infected and to provide at least 90% of HIV-infected antiretroviral therapy.
The ratified document is a framework, says the Director of the Federal scientific and methodological center for prevention and control of AIDS Central research Institute of Epidemiology of Rospotrebnadzor (Federal AIDS center) Vadim Pokrovsky. The strategy outlines needed for the HIV response measures are superficial and do not contain the plans to Finance them. “We are dealing with the Protocol of intentions”, — says Basil.
As the orders of Medvedev, in the next three months the Ministry of health in conjunction with relevant agencies will develop a detailed action plan for the implementation of this strategy. The plan and will be a defining document for HIV-infection in Russia
Strategy for combating the spread of HIV are needed, noticed Basil. According to the Federal AIDS center, in 2016, the prevalence of HIV infection in Russia reached RUB 1 million Since 2006 in Russia there is an annual increase in the number of new HIV infections by an average of 10% per year, cites the government.
The Ministry of health at the time of writing, the request is not answered.
What money — such an effect
In the Annex to the strategy specified the indicators to be achieved by the implementation of the document until 2020. Ministry of health officials evaluate the effectiveness of strategy implementation, depending on funding. According to the document, in the coming years the government plans several times to increase the number of medobsledovanie citizens for the presence of HIV infection. Until 2020 it is planned to test 24% of Russians in the context of the current budget for health care and 35% if the additional funds will be allocated.
No extra money in 2020 the number of HIV-infected persons who should receive vital antiretroviral therapy will account for 38.3% of the total number infected, the strategy says. If additional funds will be allocated, the proportion receiving the drugs must reach 90%. In 2015 for HIV tested for 19.3% of the population, provided the necessary therapy for 26.3% of the patients and conducted the prevention of HIV transmission from mother to child at 88.8% of pregnancies.
Insufficient obsledovanii of the population today, the government explain the low motivation of the most part HIV-positive injecting drug users, who are not shown to doctors and are not treated. In addition, according to officials, the state does not have enough money for conducting surveys and providing all those in need of antiretroviral therapy.
“The government has adopted a strategy in which very themselves asking, will you give it to itself money or not,” says Pokrovsky. Funds for the implementation of the strategy should be allocated under a separate programme, which should be developed, says Pokrovsky.
As the fight against HIV abroad
At the end of 2015, the UK Department of health published a strategic plan of action on sexual and reproductive health and HIV, designed for three years. He expanded the scope of the previous plan focused primarily on gay men and blacks, including outreach to heterosexual citizens. Program, the cost of which is estimated at 2.25 million pounds ($2.75 million), includes the scale-up of HIV testing, condom promotion, promotion of healthy lifestyles and informing target groups. The program’s budget has decreased compared with the previous year to 150 thousand pounds ($183 thousand) (of 6.7%).
The national strategy on HIV in the United States are from the late 1980s. Recent adopted five-year plan covers the period from 2015 to 2020. The plan puts the state’s ten goals: the number of patients who begin receiving treatment in the period of one month from the date of diagnosis, must be not less than 85% of the total number infected, the number of carriers with minimal viral load must be at least 80%, 90% of people living with HIV should know their status. In the US budget 2016 on the implementation of the program is expected to spend $33 billion in budget 2017 $34 billion in 2011, this amount is growing steadily.
In South Africa, a leader of the ranking of countries by number of registered HIV carriers in 2012 was adopted the third five-year national strategic plan for predotvrasenie and treatment of HIV / AIDS and tuberculosis and sexually transmitted diseases. Among the objectives of the programme: providing at least 80% of the patients antiretroviral therapy and a reduction of 50% of new cases. In 2015-2016, the program spent nearly 29,7 trillion African Rand ($2.08 million), and in the 2016/2017 budget for the years laid the financing of the program at 32.2 trillion Rand ($2.26 and
Now government measures to combat HIV can be reduced to the procurement of medicines, prevention of virus transmission from mother to child and to identify infected individuals. According to the Coalition’s readiness to HIV/AIDS treatment (ITPC.ru; dedicated to helping people living with HIV) in 2014 and in 2015, the government allocated for the purchase of drugs for HIV-positive for 20 billion rubles this year drugs will purchase approximately the same amount in the first nine months is spent for these purposes 18.5 billion RUB Until therapy for patients provide regions, but from 2017 the procurement should be submitted to federalniy level. This should optimize public spending on antiretroviral therapy, said in ITPC.ru. But while maintaining the current funding to stopping the spread of HIV fail, I’m sure Basil.
In addition to the allocation of additional funds to stop the spread of HIV can savings on purchases of drugs, said a member of ITPC.ru Gregory Vergus. The reduction in prices of antiretroviral drugs through import substitution can allow to achieve much better performance than those outlined in the government strategy, he said.
Import substitution in this segment of the drugs involved included in “rostec” company “national immunobiological company”. CEO Maryam Hubiev, said that at present, “national immunobiological company” is negotiating with several potential partners on the issue of localization in Russia of production of antiretroviral drugs.