COVID-19

The purpose of this study is to provide an assessment and analysis of the situation of people living with HIV/AIDS (PLWH) in the Republic of Moldova in the context of the COVID-19 pandemic, including COVID-19 awareness and concern, socioeconomic status, quality of life, mental health and social support, access to medical care/treatment (including digital methods), and stigma and develop recommendations for key government stakeholders to address the identified challenges and mitigate the negative impacts of COVID-19.

 This study considers available statistics and latest trends, including an analysis of the data before and during the pandemic, as well as quantitative and qualitative data collected in the field. The study also highlights the situation of pregnant women and children of caretakers with HIV or with HIV themselves.

Key findings: The COVID-19 pandemic has had widespread implications on the health and well-being of PLWH in the Republic of Moldova. One-fifth of PLWH in the national survey reported being severely affected by the pandemic and one-third reported being moderately affected. The multifaceted dimensions of PLWH’s vulnerabilities, compounded with restrictions during COVID-19 lockdowns, resulted in job loss, limited access to treatment, and continued stigma.

COVID-19 awareness and concern: 

• PLWH received the bulk of COVID-19-related information from online news sources and TV. Less than half of all respondents felt family doctors were a good source of information.
• Over one-third of PLWH said they were “definitely willing” to get the COVID-19 vaccine. A slightly smaller portion, reported no intention of receiving the vaccine at all.Socioeconomic indicators

Socioeconomic indicators: 

• 1 in 10 PLWH experienced job loss.
• Decrease in income was reported by half of all PLWH. Pandemic-induced income reduction was more frequent among urban dwellers.
• More than half of PLWH expressed concerns regarding financial sustainability and ability to pay daily expenses (utilities, food, drugs).
• Half of households spent savings, borrowed money, and bought cheaper food to cope with economic hardships during the COVID-19 pandemic. 2 in 5 limited their personal food consumption.
• More than half of PLWH reported anxieties tied to not being able to pay utilities and buy medication.
• Out-of-pocket expenses related to HIV care were reported by 56% of PLWH.

Quality of life: 

• Self-reported quality of life during the COVID-19 pandemic was very poor to poor among over a quarter of PLWH.
• Self-reported deterioration in health during the COVID-19 pandemic was reported by 17% of PLWH. Deterioration was expressed at a higher rate among the male population.

Access to medical care/treatment: 

• Nearly 1 in 10 respondents had a lack of knowledge regarding existing HIV/AIDS programs offered by healthcare facilities during the COVID-19 pandemic and therefore had not accessed them.
• 1 in 10 PLWH reported cancelled medical visits between July 2020 – July 2021. 
• A quarter of PLWH indicated that the frequency of their visits to healthcare facilities had decreased during the COVID-19 pandemic period when compared to pre-pandemic periods. 
• Fear of contracting COVID-19 was the most cited barrier in accessing healthcare facilities, reported by 41% of PLWH. 

Find the recommendations in the report.

Recognizing the persistent and harmful impact that COVID-19 and related lockdown measures pose for the HIV response, governments across ESA region continue to implement interventions to sustain and further advance hard won gains toward ending AIDS. One year after the release of UNICEF's Compendium of innovative approaches to HIV programming in Eastern and Southern Africa in the context of COVID-19, this new Volume II describes results achieved in the nine countries highlighted in Volume I and shares experiences from an additional eight countries. This collective work demonstrates how countries are building upon the learning and architecture of the HIV response to proactively mitigate the impact of the COVID-19 pandemic while scaling up efforts to achieve global HIV goals, resulting in stronger responses and resilient systems for both HIV and COVID-19. Many of the adaptations and innovations described have had a positive impact beyond sustaining HIV services during COVID-19 and are demonstrating exciting opportunities to build back better with more flexible and resilient systems.

Mental health and psychosocial support (MHPSS) is a priority area for the UNICEF East Asia and Pacific Regional Office (EAPRO). As a cross cutting issue for health/HIV, child protection, early childhood development and education, adolescent development and participation, gender, and disability, an emphasis has been placed on systems strengthening and a longer-term investment in MHPSS to ensure availability, quality and access to a multi-tiered system to meet the needs of children and adolescents, as well as parents and caregivers. This brief presents a snapshot of the multisectoral and adaptive approaches of UNICEF across East Asia and the Pacific to MHPSS during the COVID-19 response, that were undertaken in collaboration with government, civil society, development partners and young people’s networks.

Recognizing the harmful impact that COVID-19 and related lockdown measures pose for the HIV response, governments across ESA region are implementing interventions to sustain hard won gains toward ending AIDS. UNICEF country offices in support of governments and in collaboration with community and international partners have stepped up with evidence-driven and innovative interventions to protect continuity of HIV services. This compendium provides a summary of the innovative approaches being taken across nine HIV priority countries, Botswana, Eswatini, Kenya, Lesotho, Namibia, South Africa, Tanzania, Uganda and Zimbabwe.