Eastern Europe and Central Asia
Georgia - Real People-Real Vision (RPRV)
Real People-Real Vision is an organisation that works with people living with HIV in Georgia. The main goal of organization is to provide support to HIV positive communities, strengthen their capacities and advocate for their rights. In addition, the organization works on the awareness raising on HIV prevention with population at large with the particular focus on groups at high risk of HIV including Most at Risk Adolescents and Children Living with HIV.
Their SAAF funded project aims to reduce abortion stigma in Georgia and promote access to safe abortion especially for vulnerable and marginalized women such as those living with HIV and or TB, drug users, sex workers, young people through their meaningful involvement.
Although abortion is not legally restricted in Georgia, abortion related stigma often acts as barriers to accessing safe care, while marginalized women experience a double stigma which can affect their access to care. The project aims to destigmatise abortion in public discourse, using strong, positive, rights based evidence in favour of choice through strengthening women’s community involvement, journalists as supporting allies and using high profile online platform for youth linked to sexuality education.
Kyrgyzstan - Kyrgyz Family Planning Alliance (KFPA))
Due to lack of access to adequate contraceptive supplies exacerbated by recent cuts from international donors to the government, unwanted pregnancy is extremely high in Kyrgyzstan with abortion being the main method of family planning. To address this the Kyrgyz Family Planning Alliance is running its second project supported by SAAF to improve access to safe abortin care in the country.
Although abortion is available within the public health system, the methods used are mostly not recognised as modern safe methods according to the WHO and medical abortion is not widely available. Under this project, having managed to achieve the registration of the combination medical abortion drug Medabon during their previous SAAF project, KFPA aims to increase access to this safe method by addressing supply and distribution barriers in order to ensure availability of quality medicines for safe abortions with affordable prices. This is with the overall goal of ensuring that Women throughout the country are able to realize their rights to safe abortion and have access to quality reproductive health care.
MOLDOVA - Regional Training Center on Development and Implementation of Clinical Guidelines and Protocols on Reproductive Health (Regional Training Center)
Despite permissive laws and a well-developed network of facilities, access to high quality contraception, abortion and reproductive health care is denied to many women in Eastern Europe and Central Asia with a consequence that a quarter of all maternal deaths in the region are due to unsafe abortion.
The Regional Training Center on Development and Implementation of Clinical Guidelines and Protocols on Reproductive Health (Regional Training Center) based in Moldova plans to improve on this by supporting the development, adaption and implementation of WHO-based clinical guidelines and protocols on abortion in five countries in the region during this project. They also aim to act as a hub for the region in order to strengthen regional collaboration and networking among the countries’ CSOs and professional associations, to enable them to share experience and examples of how they have overcome increasing religious fundamentalist opposition to abortion.
TAJIKISTAN - TAJIK FAMILY PLANNING ALLIANCE (TFPA)
Tajikistan is the poorest country in central Asia, with 32% of its population living in poverty. Access to affordable safe abortion for poor, vulnerable and hard-to-reach women and girls is limited and is worsening due to the economic crisis. Limited governmental financial support and a retreat of donors mean that organisations need to find more sustainable ways to ensure that they can continue to provide care free-of-charge to women in need.
TFPA will re-open its clinic in Dushanbe to introduce a cross-subsidization scheme with financial and in-kind support that is guaranteed until 2022 through a trilateral agreement with UNFPA and the ministry of health. The clinic will provide safe quality contraceptive and abortion care to a planned 9,000 women and girls free of charge during the three years of the project. Part of the project will also be aimed at advocating for an update to Tajikistan’s safe abortion protocol and sustainable funding for safe abortion from the government.