2. Providing youth friendly services to women and girls in Macedonia: how is it working?
Dr. Milena Stevanovic
Health Education and Research Association (HERA), Republic of Macedonia

3. HIV epidemiology in R. Macedonia
Republic of Macedonia - south eastern European country with a population of around 2 million.
Macedonia is a low prevalence country -according to the Republic Institute for Health Protection (RIHP), a cumulative total of 315 HIV cases have been reported in the period 1987 – 2016
The first HIV positive case was registered in 1987 and the first AIDS case in 1989;
262 male ( 83,1%) and 53 female (16,9% )

4. HIV Transmission
MSM
147
Hetero
137
unknown 7
MTCT 6
IDU 12
Hemophilic

5. In 2016: 40 new cases 184 are on ART Age distribution Under 13 years:
102
30-39 years:
123
40-49 years: 47
50-59 years: 23
60 or older: 8

6. Services for people living with HIV
Pre/post test counselling
Psychological support
Community support

7. Youth friendly services
2014
2015
2016
“I Want To Know – Vodno”
764
757
919
Youth Centre
“I Want To Know – Šuto Orizari”
1229
1379
1473

8. Type of service HIV testing 4222
Testing for sexually transmitted infections
Chlamydia 352
Syphilis 152
Hepatitis B 148
Gonorrhoea 58
Oral contraception dispensed 180
Intrauterine device insertions 14
Condoms distributed 23445
Pap testing 751
Counselling on domestic and gender-based violence 561

9. Youth friendly services – quality of care
Sensitized staff
Confidentiality guaranteed
Free of Charge
Integrated services- SRH + HIV testing
Referral system within the NGO working with Key populations (gatekeepers)
Referral System with state health institutions

10. Youth friendly services – key population centered services
Established as safe space for key population (MSM, LGBT, SW, DU, Roma)
Identification of people living with HIV
Positive prevention

11. Challenges Phasing out of Global fund and international support
Absence of national support
A broad specter of SRH and HIV services
Incapability of clients to cover the costs for services

12. Next steps Ensuring sustainability after phasing out of Global Fund:
Defining a minimum model – financial benefit study
Integration in the state health system and budget
Support from the business sector- Social responsibility