- Balti, Moldova -

Estimated number of PWID 5 000
HIV prevalence in PWID 17 %
Estimated number of CSW 2 700
HIV prevalence in CSW 22,3 %
Estimated number of MSM 1 200
HIV prevalence in MSM 4,1 %
PLHA registered 1 119
New TB cases + TB relapses (per 100 thousand population) 82,1
- City background -

In 2012, prevalence of HIV among PWID in Balti was 41,8% (in the capital city Chisinau was 8,5%). The estimated number of PWID in Balti is 3 100 which is 10% of the overall national estimate. The number of CSW in Balti 1 800 – 15% of the total number for Moldova. Among MSM in 2013, the prevalence of HIV was in Chisinau 5,4% and in Balti 8,2% with estimated number of MSM mounting to 1 200 (about 9% of the total). Based on the Global Fund funded program coverage data, about 50% of PWID, 33% of SWs and 14% MSM are reached with prevention interventions. Based on last IBBS, 43% PWID, 29% SWs

and 1% of MSM are reached with HIV testing.
Rates of new cases of HIV/TB are higher in Balti than in Moldova in general (20,66 vs. 7,38 per 100 000) as well as the TB mortality (18,7 vs. 12,5 per 100 000). There is Balti municipal program on HIV/AIDS and STI as well as municipal program on TB. There is the city council on HIV/TB composed of representatives of city authorities, medical staff, medical insurance company, police and NGOs. The municipality is funding provision of premises for NGOs working on HIV and TB.

− Activities planned −
in the project
Development and implementation of a model for key populations for the '90-90-90’ targets of the HIV and TB response in Balti
  • Situation assessment, April – May 2017
  • Conducting dialogue on the results of situation assessment, May – June 2017
  • Development of city improvement plan, June – September 2017
  • Operational research on implementation of collaborative TB and HIV services in TB facilities, July 2017 – June 2019
  • Receiving the advocacy visit by Stop TB Partnership, 2017
  • Joining the training on TB by Zero TB Cities, 2018
  • Receiving the technical support visits on TB Zero TB Cities, 2019
  • Joining Zero TB Cities project 2018 or 2019
Establishing effective partnerships between Balti municipality and NGOs/CSOs in Balti
  • Establishment and functioning of City Task Forces, February 2017 – December 2019
  • Signing Paris Declaration by Balti, 2017
  • Participating in Exchange visit to Bern or Amsterdam, 2017
  • Ongoing collaboration and active engagement of key populations networks
  • Ongoing supporting the provision of legal support to key populations
  • Organizing facilitated city sessions on removing barriers to access for key populations, 2018
Ensuring sustainable allocations of municipal funding for key population programs in Balti
  • Organizing training on innovative funding approaches, 2018
  • Organizing information session for NGOs on municipal planning and budgeting process and timelines, 2018
  • Developing and adopting models of sustainable funding mechanisms, 2018
To increase knowledge management and popularize Balti response on HIV and TB in Moldova, in EECA region and globally
  • Every year Balti representatives will visit one other city in the project to share learning and results
  • Develop case study on Balti city model of response in 2019
  • Youth for the Right to Live will partner with local print media, TV and Radio stations for story telling of the successful and sustainable municipal responses to HIV/TB in cities throughout the project
  • Youth for the Right to Live will participate in sharing achievements through the annually organized International City Health Conference in 2017, 2018 and 2019 as well as International AIDS Conference 2018 in Amsterdam
− Expected results −
in the city by 2019
Impact indicator Target Comments
2017 2018 2019
AIDS related mortality (per 100 000 population) 66 64,2 62,4 It is planned to achieve an ambitious 8% reduction in AIDS-related mortality per 100 000 in three years
TB mortality rate (per 100 000 population) 18,1 17,5 16,8 It is planned to achieve an ambitious 10% reduction in TB-related mortality per 100 000 in three years
Percentage share increase of funding for TB/HIV activities targeting the key populations from the cities health budgets 10% 20% The baseline value will be established during the situational assessment to be carried out in Balti in 2017, and the targeted percentage increase is 20% in comparison to the value established
− Implementing partner −

‘Youth for the Right to Live’ works with PWID and sex workers. This is the only organization providing harm reduction services and psycho-social support (needle exchange, substitution treatment for PWID, HIV testing, active detection of TB, linkage to care) in the city.  It is a member of the committee for youth policies of Balti Municipality (LPA) and one of

the founders of the Union for HIV prevention and Harm Reduction in Moldova that is a CCM member. This organization is a partner of the Municipality since 2000 for implementation of Municipal Drug Strategy and HIV/AIDS program. As member of the Union for HIV prevention and Harm Reduction, and member of different committees at the municipal

level they have enough opportunity to influence the local and national decision making process.

City project coordinator:

Ala Iatco protineret@yahoo.com