OUR FOCUS

Governance and

Peacebuilding

HIV, health and development

Eastern Europe and Central Asia is the only region in the world where new HIV infections are rising dramatically, with almost no decline of AIDS-related deaths. Between 2010 and 2017, the rate of individuals contracting HIV in the region has increased by 30% , representing an estimated 140,000 people.

Of the 1.4 million people living with HIV in the region, only 36 % are on treatment. New infections are primarily occurring among populations at higher risk of HIV, such as people who inject drugs (approximately 39 percent), clients of sex workers, and sexual partners of these populations (28 percent). The region risks not reaching UNAIDS’ 90-90-90 targets, that by 2020 90% of people living with HIV know their HIV status, 90% with diagnosed HIV infection receive sustained antiretroviral therapy and 90% receiving antiretroviral therapy have viral suppression.

Punitive laws and policies regarding same-sex relationships, drug use and sex work continue to increase stigma towards vulnerable populations, further fueling the epidemic. Fear of prosecution keeps populations away from testing and knowing their HIV status.

Slide
Across Kyrgyzstan, lack of access to clean drinking water presents a serious health problem.
Slide
In Turkmenistan, psychologists help keep TB patients on track with their treatment.
Slide
In Belarus, promoting healthy lifestyles is vital in protection against non-communicable diseases.
Slide
UNDP has improved drug procurement in Ukraine, saving up to 45 percent of the allocated budget, allowing for coverage of more patients and diseases.


Nine of the world’s 30 countries with a high burden of multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant TB (XDR-TB) are in the Eastern Europe and Central Asia region. Less than 50% of all cases have been detected and successfully treated.

Meanwhile, non-communicable diseases (NCDs), including diabetes, cardiovascular diseases, cancer, chronic respiratory diseases and mental disorders  account for an estimated 86% of the deaths and 77% of the disease burden in the region.

An already challenging health landscape is further complicated by dramatic changes in current and future funding for effective and equitable HIV and health responses.

UNDP's work in the health area focuses on:

  • promoting laws, regulations and policies that help address HIV-related issues and protect the rights of key populations at higher risk of HIV, such as people who use drugs, sex workers, men who have sex with men, transgender people, migrant workers and people living with HIV;
  • supporting sustainable financing of HIV and health responses by promoting access to affordable and quality HIV and other medicines of public health importance;
  • identifying and promoting the most impactful and efficient investments in the HIV and TB response, and encouraging more sustainable domestic financing;
  • promoting the establishment of sustainable and transparent procurement in the health sector in partnership with other UN agencies, global health financing institutions, civil society and the private sector; and
  • addressing the social, economic and environmental determinants of health and health equity as critical facts for ill health.

Explore more

The Regional Roma Survey is the first major collection of data on marginalized Roma in Albania,…

UNDP delivered its first batch of medicines under a new project designed to make sure the most…

Despite some progress in the lives of LGBTI persons in the Western Balkans, challenges remain.

Twenty-four healthcare and health-policy professionals from seven countries in Africa came to Astana…

This brief analyzes health data from the 2011 UNDP/World Bank/EC regional Roma survey, which…

In Armenia, the government works to bring inclusivity and equality to the workplace.

Suffering from an outdated water system in disrepair, a village in Uzbekistan found a sustainable…

From one man's struggle to manage his leukemia treatment to sweeping changes in medical procurement…

Life for HIV affected population in Ukraine is safer and healthier inside the prison walls rather…

Across Kyrgyzstan, lack of access to clean drinking water presents a serious health problem in…

A UNDP-supported, Global Fund (GF)-financed initiative aims to reduce the burden of tuberculosis on…

Every year, the HDI ranks 189 countries, and its yearly updates give us the opportunity to weigh in…

Tuberculosis (TB) treatment is a very long and complicated process. Often, patients are left to face…

I have seen many heathy people become a candle in the wind at the blink of an eye. Such is the story…

Photographer Jodi Hilton traveled to 5 countries in Europe & Central Asia to document inequalities…

The global silence around intersex lives reflects negatively on the mental health of intersex…

It is not news that lesbian, gay, bisexual, transgender and intersex (LGBTI) people face…

Global narratives on inequalities and how best to address them have not yet fully connected with the…

In order to deepen the understanding of the environmental impact caused by waste created through its…

The third volume of Empowering Lives, Building Resilience, compiles sustainable energy success…

Leading by example – UNDP starts carbon emissions measurement and reduction of its Global Fund grant…

2008 - This report endeavours to go beyond the numbers and show the human face of the HIV epidemic…

UNDP Around the world

You are at UNDP Europe and Central Asia 
Go to UNDP Global