Republic of Moldova

This Millennium Development Goal is very important, as Moldova is lagging behind both intermediate and final targets. Given the epidemiological situation and existing trends in the development of HIV/AIDS in Moldova, it is most unlikely that the MDG targets for 2010 and 2015 will be achieved. This is why combating socially-conditioned diseases, like HIV/AIDS and tuberculosis, is a priority for the Government in the context of maintaining good public health.

International target

• Have halted by 2015 and begun to reverse the spread of HIV/AIDS.
  
• Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases.

Initial national targets

• Have halted by 2015 and begun to reverse the spread of HIV/AIDS. Reduce the HIV/AIDS incidence from 4.66 (per 100,000 population) in 2002 down to 4 in 2006, 3.5 in 2010, and 3.2 in 2015.
  
• Reduce HIV infection among the 15-24 year-old population from 6 in 2002 down to 4.9 in 2006, 4.2 in 2010, and 4 in 2015.
  
• Have halted by 2015 and begun to reduce tuberculosis. Reduce the rate of mortality associated with tuberculosis from 15.8 (per 100,000 population) in 2002 down to 13.9 in 2006, 12.0 in 2010, and 7 in 2015.
  

(Source: draft National Report „Millennium Development Goals Report:„New Challenges – New Objectives”)

Revised national targets

• Stabilize the spread of HIV/AIDS infection by 2015. Reduce HIV/AIDS incidence from 10 cases per 100,000 people in 2006 to 9.6 cases by 2010 and 8 cases by 2015.
  
• Reduce HIV/AIDS incidence in the 15- to 24-year-old age group from 13.3 cases per 100,000 population in 2006 to 11.2 cases by 2010 and 11 cases by 2015.
  
• By 2015 to have halted the rise and have begun to reduce tuberculosis. Reduce the rate of mortality associated with tuberculosis from 15.9 per 100,000 people in 2002 down to 15 in 2010 and 10 in 2015.

 

TRENDS

• The incidence of HIV/AIDS rose from 4 cases per 100,000 population in 2000 to 19.4 cases per 100,000 population in 2008, and slightly declined to 17.2 cases per 100,000 members of the population in 2009.
• As HIV/AIDS is steadily growing it is difficult to understand if the slight decline of the incidence of HIV/AIDS in 2009 represents a turning point in the evolution of the epidemic, or is merely an episode of no real importance.
• A particularly alarming situation can be found in Transnistria, the region in eastern Moldova. While slightly improved in 2009, the situation remains complicated, with an incidence indicator of 42.25 cases per 100,000 inhabitants, as compared to 12.42 cases per 100,000 inhabitants on the right-bank Moldova.
• The growth in the epidemic in 2009 does not make it possible to conclude that the intermediate target for 2010 is attainable. Considering the uneven fashion of this indicator, the incidence of HIV/AIDS among the population aged 15 to 24 could increase again in the mid- to long-term.
• The situation is not much better as regards the third target of reducing the tuberculosis-associated mortality. Death rates associated with tuberculosis fell in 2008 for the first time in three years (going from 20.2 cases per 100,000 people in 2007 to 17.4 cases per 100,000 people in 2008), but that seems to be more a short-lived episode and in 2009 the tuberculosisassociated mortality grew again, even though not significantly (18 cases per 100,000 members of the population).

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