Global Fund in Estonia Kaja Põlluste, MD, MPH Department of Public Health & Department of Internal Diseases University of Tartu Estonia

2 Global Fund Programme (GFP) in Estonia  First stage of the programme  Oct 1 st, 2003 – Sep 30 th, 2005  Second stage of the programme   Responsible institution  National Institute for Health Development

3 Target groups of GFP  HIV/ AIDS prevention in risk groups Young people aged 15–24 Injecting drug users Commercial sex workers Prisoners Men who have sex with men People living with HIV/AIDS

4 Strategic objectives of GFP (1) To reduce risk behaviour among children and young people aged 10–24 and to increase their knowledge of HIV related issues To reduce risk behaviour among injecting drug users aged under 25 To reduce risk behaviour among sex workers and reduce vertical transmission of HIV

5 Strategic objectives of GFP (2) To prevent HIV transmission in prisons To reduce risk behaviour among men who have sex with men (MSM) and increase their knowledge of HIV related issues To improve the quality of life of people living with HIV by improving access to health care and social support services

6 Strategic objectives of GFP (3)  To increase the institutional capacity and build cooperation amongst organisations involved in the programme to effectively meet the objectives of this programme  process objectives related to reaching the target group, informing the target group and terminating the process  objectives concerning the direct effect of actions related to changes in knowledge and attitude  objectives related to changes in behaviour  objectives related to the spread of infection

7 Partners  NGOs  Training of trainers in health education  Health education  Media campaigns  Counselling and support  Needle exchange  Condom distribution  National programme for HIV prevention  Department of Public Health  Research