The 2025 Regional Joint Programme Report for Eastern Europe and Central Asia (EECA) highlights how Cosponsors and the UNAIDS Secretariat worked collectively to maintain essential HIV services despite funding shifts and acute operational constraints. Achievements include targeted, high-impact results across prevention, treatment, human rights, community leadership, and sustainability, with a consistent focus on safeguarding service continuity for key populations and advancing rights based and community led HIV responses.
Eastern Europe and Central Asia
Substantial progress was made in HIV prevention, treatment and care services and systems. The Joint Programme advanced the regional triple elimination initiative (HIV, syphilis, hepatitis B) for pregnant women in six countries. Through this support, one country included triple elimination in the new national AIDS Programme, while in another country a new State Programme with triple-elimination interventions was submitted for government approval. Meanwhile, workplace HIV prevention and testing systems reached 1000 employees and supported over 210 companies to adopt HIV non-discrimination policies. Data systems were also strengthened for cancer screening among women living with HIV and methadone stock-outs were averted through harm reduction advocacy.
The Joint Programme worked with partners to ensure progress in HIV related legal reforms, human rights and community led action. Through advocacy and technical guidance, one country introduced non stigmatizing health terminology and advanced reforms affecting the rights of people living with HIV. Technical support was provided to develop the programme for rehabilitation within penitentiary and post-penitentiary probation. Furthermore, one country improved the human rights environment as the Joint Programme provided technical guidance for the institutionalization of human rights, zero discrimination and patient-centred communication within medical, dental and pharmaceutical education systems. One country was supported for the formal integration of community-led monitoring data into the work of the National TB and HIV/AIDS Council through government-approved procedures. Regional youth engagement scaled significantly, with over 2.17 million learners reached through comprehensive HIV and reproductive health education, alongside expanded youth-friendly services and digital platforms to address mental health and psychosocial support (MHPSS) and gender-based violence, reaching 9753 adolescents while 24 000 adolescents received MHPSS counselling and referral services through the 24/7 Youth Health Help Line.
The Joint Programme supported systems strengthening, sustainability planning and humanitarian response through Sustainability Roadmaps for 2030 and beyond. In humanitarian settings, the Joint Programme prioritized the continuity of HIV services, mobile health delivery, population data, and targeted support for refugees. The Ukraine Crisis Response reached over 60 000 people with essential humanitarian and health services. Financial planning was strengthened in two countries while inclusive consultations brought together civil society organizations, governments, UN partners, donors and technical experts, to define EECA’s contributions to the Global AIDS Strategy 2026–2031. Together, these efforts underscore the Joint Programme’s continued role in helping the region sustain essential HIV gains, protect the most affected communities, and position national responses for a more resilient and equitable future.

