The government intends to spend on countering the spread of human immunodeficiency virus (HIV) additional RUB 52.9 billion in the next four years. Annual increase in expenditure of approximately RUB 13.2 billion stated in the feasibility study to project HIV strategies up to 2020. A copy of the document is available; its authenticity was confirmed by a source close to the government.
The need to increase spending for HIV is long overdue, experts say. In the last ten years Russia has seen a steady annual growth of infected an average of 10% a year, according to the government. This year, the prevalence of HIV infection in Russia reached 1 million people, data from the Federal scientific and methodological center for prevention and control of AIDS Central research Institute of epidemiology of Rospotrebnadzor (Federal AIDS center).
The more the better
Till 2016 in Russia, there was an ambitious plan to combat HIV infection. The Ministry of health began to develop a strategy to counter its dissemination after the meeting of the government Commission for the protection of health of citizens, which took place in October of 2015. A year later, the government approved the final version of the document. However, it does not contain a financing needs.
In the three-year draft Federal budget for the purposes connected with the prevention and treatment of HIV and viral hepatitis B and C, given to RUB 17.8 bn in 2017, RUB 17.5 billion in 2018, and 17.1 billion rubles in 2019. The health Ministry did not specify what portion of these amounts will go towards the treatment and detection of HIV infection.
In 2014 and 2015 Russia spent on the purchase of drugs for HIV-infected approximately RUB 20 billion, as analysts estimated aid to HIV-positive Coalition of readiness for treatment of HIV/AIDS (ITPC.ru). This year the amount will be approximately the same: in the first nine months is spent for these purposes 18.5 billion rubles.
Look for and treat
Now the Ministry of health together with other agencies to develop a detailed action plan for implementing HIV strategies. This should happen in January 2017. The amount of funding included in the draft strategy is preliminary in nature.
Thus on the targets of the approved document of the government that the project is slightly different. In both versions the effectiveness of the implementation depends on whether the additional funds. So, in the project and approved strategy fully match the figures on the number of medical examinations for HIV infection: by 2020, the authorities plan to annually test 35% of the population. Without additional funding this percentage will be 24%. It polutorakratnoe growth, according to calculations of the Ministry of health, will cost 3.2 billion rubles. annually. For that money you will additionally have to examine more than 20 million citizens. The Ministry evaluates the conduct of one research 150 RUB.
Other indicators approved strategy even beyond the project. In the final version the proportion of HIV patients consisting on the dispensary account and receive special treatment in 2017 should be 69.7 percent. The draft budget includes a 60%. To achieve the level indicated in the project, the Ministry was planning to additionally spend 9.2 billion rubles — 70 thousand RUB. per person. This, according to the calculations Department, should be enough for maintenance therapy for 132 thousand patients. Plus additional 792,3 million rubles for laboratory support these patients, which will allow four times per year to evaluate the results of their treatment.
Experts say that this money is enough for the treatment to even greater number of people living with HIV. 9.2 billion RUB will be enough for the 390 thousand patients, calculated in ITPC.ru. A popular scheme is the first stage of treatment of HIV costs an average of about 25 thousand, which is almost three times below the government’s estimates, explained in ITPC.ru. This money will be enough to help 90-100% of the patients consisting on the dispensary account.
In theory, such indicators in detection of HIV at 90% will stop the epidemic of infection, expressed in the adopted world health organization global strategy on HIV for the years 2016-2021.
State funds should be allocated not only for testing and treatment, or HIV-epidemic is not stopped, says Vadim Pokrovsky, Director, Federal AIDS center. “Test-and-treat is a one — way approach, even if you allocate money to complete drug coverage of all newly identified HIV-infected. Must be provided for prevention programs, public awareness, work with injecting drug users. Only in this case, the epidemic will be stopped”, — says Basil.
In the adopted strategy, programmes to increase awareness and prevention of HIV among drug-addicted citizens. But their budget is still unknown.
The national average at the end of 2015 by the human immunodeficiency virus were infected with 0.6% of residents calculated on the basis of data of Rosstat and the Federal AIDS center. Particularly at risk are the nine regions of Russia, where HIV-infected with at least 1% of the population.
In early November, about the HIV epidemic declared in Ekaterinburg. This was announced by first Deputy head of the health Department of a city administration Tatyana Savinova. She said that in Yekaterinburg is infected with every 50th resident, that is, 2% of the population.