scholarly journals Estimating the ‘PrEP Gap’: how implementation and access to PrEP differ between countries in Europe and Central Asia in 2019

2019 ◽  
Vol 24 (41) ◽  
Author(s):  
Rosalie Hayes ◽  
Axel J Schmidt ◽  
Anastasia Pharris ◽  
Yusef Azad ◽  
Alison E Brown ◽  
...  

In 2019, only 14 European and Central Asian countries provided reimbursed HIV pre-exposure prophylaxis (PrEP). Using EMIS-2017 data, we present the difference between self-reported use and expressed need for PrEP in individual countries and the European Union (EU). We estimate that 500,000 men who have sex with men in the EU cannot access PrEP, although they would be very likely to use it. PrEP’s potential to eliminate HIV is currently unrealised by national healthcare systems.

Author(s):  
L. Gusev

In this paper the author considers policy of the European Union in the Central Asia. The author analyzes an updated EU strategy for the Central Asia and emphasizes its pragmatism, based on individual economic interests of the Central Asian countries in promoting bilateral relations. In the offered paper is also considered the evolution of the EU policy in the Central Asia.


2020 ◽  
pp. 72-79
Author(s):  
S. Gavrilova

For several decades, the European Union has been steadily increasing its presence in Central Asian countries. The EU's interests in the region are due to a number of reasons, including the desire to expand its influence in the Central Asian countries, the high importance of the region as a transit corridor between Europe and China, the prospects for economic cooperation, and the importance of the region's energy potential. In May 2019 The European Union has presented a new Strategy for Central Asia, designed to intensify cooperation in a number of areas of interaction. The new strategy is aimed at both implementing these interests and expanding cooperation in a number of other areas.


Author(s):  
Anna Sergeevna Iuniushkina ◽  
Tat'yana Ivanovna Pon'ka ◽  
Kristina Alekseevna Shapovalova

This article explores the role of Central Asia in modern conditions, which significantly increases in geopolitical and geoeconomic aspect. Attention is given to the general security challenges of Central Asian countries, as this region requires the coordination of efforts of the leading global actors, as well as Central Asian countries themselves. Security issues associated with vulnerability of Central Asian countries to natural disasters and emergency situations that may occur as a result of territorial disputes, ethnic violence, drug trafficking, and terrorism prevention, fight against extremism underline the need for multilateral cooperation aimed at solution of general problems. The novelty of this research lies in the fact that after the dissolution of the Soviet Union, which changed the world political map, the newly formed Central Asian countries gave acquired statehood on the international arena. Namely during this difficult period, the Central Asian countries were forced to choose their own development path. Russia and China, to certain extent, have confirmed their presence in the region by creating the economic and military integration institutions with participation of Central Asian countries. Therefore, the emphasis is placed on the analysis of interaction between China and Russia in the post-Soviet Central Asia, their role in ensuring regional stability and economic growth. The article also examines the importance of studying the role of the United States and the European Union in Central Asia.


Author(s):  
Assima AUBAKIR ◽  
Tuleutay SULEIMENOV

Determination of clear contours of European policy for Central Asia, which could satisfy the interests of both the European Union and the countries of the region, took quite a long time, and is still at the stage of forming common approaches to the implementation of mutually beneficial cooperation. The first program documents of the European Union in relation to Central Asia, called strategies, were to a greater extent only action plans aimed at maintaining its political and economic presence in the region. Meanwhile, the Central Asian countries are always interested in pragmatic interaction with the European Union on equal basis. In 2019, the European Union adopted a new Strategy for Central Asia, which replaced the previous 2007 document. According to European politicians, it marks a new stage in relations between the two regions with improved approaches to building interaction between them. The purpose of the article is to analyze new trends in relations between Central Asia and the European Union from the point of view of both participants of this process and the evolution of the relevant EU policy documents.


2019 ◽  
Vol 95 (3) ◽  
pp. 187-192 ◽  
Author(s):  
Adam Bourne ◽  
Beatrice Alba ◽  
Alex Garner ◽  
Gianfranco Spiteri ◽  
Anastasia Pharris ◽  
...  

ObjectiveCurrently, seven European countries provide HIV pre-exposure prophylaxis (PrEP) through public health services, although there are numerous reports of off-licence use. The objective of this study was to examine current use of PrEP, likelihood of future use and indicators of potential PrEP candidacy among an opportunistic sample of men who have sex with men in Europe and Central Asia.MethodsA survey was sent out in eight languages to users of the Hornet gay networking application in July and August 2017. Descriptive statistics present proportions of PrEP use, while factors associated with PrEP use are examined using logistic and linear regressions.ResultsOf 12 053 participants whose responses came from 55 European and Central Asian countries, 10 764 (89%) were not living with diagnosed HIV. Among these HIV-negative/untested men, 10.1% (n=1071) were currently taking PrEP or had done so within the previous 3 months. Current or recent PrEP users were significantly more likely to have taken postexposure prophylaxis (adjusted OR (AOR)=16.22 (95% CI 13.53 to 19.45)) or received an STI diagnosis (AOR=4.53 (95% CI 3.77 to 5.44)) in the previous 12 months than those who had not. Most commonly, these men obtained PrEP from a physician (28.1%) or the internet (24.8%), while 33.6% had not disclosed PrEP use to their doctor. Men reporting happiness with their sex life were more likely to have taken PrEP (AOR=1.73 (95% CI 1.59 to 1.89)). Nearly a quarter (21.5%) of those not on PrEP said they were likely to use it in the next 6 months.ConclusionsThe majority of men using, or intending to use, PrEP appear to have a risk profile consistent with emerging guidance. A large proportion of these men are accessing PrEP outside of traditional healthcare settings, posing a challenge for routine monitoring.


Author(s):  
Ayşen Hiç Gencer

Gravity modeling in international trade is developed by Tinbergen and Poyhonen in the 1960s, inspired by Newton's standard gravity formulation. This model suggests that the volume of trade between two countries is proportional to the product of their national income and inversely proportional to the distance between them. This study attempts to answer the question whether the gravity model is still valid for the case of Turkey today in the age of globalization and declining transportation costs due to improvements in logistics and technology. To this end, Turkey's imports as well as exports data with respect to all the countries of the world for the 16 years between 1993 and 2008 are analyzed. The results show that the gravity model, even in its basic form, is still powerful in explaining the trade volumes between Turkey and all other countries. In addition, the basic model is extended to analyze Turkey's trade with specific country groups such as the EU countries, the Islamic countries, the former Soviet Union countries, and the Central Asian countries. The analysis concludes that except for the Central Asian countries, Turkey's trade is not specialized with any particular country group. The 1995 Customs Union with the EU or any other step already taken towards full membership into the EU has not significantly increased Turkey's trade volume with the EU members over the amounts predicted by the basic version of the gravity model for any country pair of similar distance and GDP levels.


2021 ◽  
Vol 16 (1) ◽  
pp. 145-161
Author(s):  
Elena Kašťáková ◽  
◽  
Matúš Žatko ◽  
Natália Barinková ◽  
◽  
...  

The article examines the current foreign trade relations between the EU and Central Asia. Based on econometric analysis, it sets out possible perspectives for the further development of mutual trade relations in the time of geoeconomic changes. As one of the most important integration groupings in the world, the EU has a significant influence in promoting its foreign trade interests. Central Asia is a part of Asia consisting of several states that are members of different regional integration groupings with different priorities. The result of the research is an analysis of mutual foreign trade relations. Character and perspective of mutual trade relations is assessed by using of selected one-factor indicators (trade complementarity index and trade intensity index). With the help of time-series forecast model, the article also tries to estimate the future development of EU exports as well as EU imports in relation to Central Asian countries. While the EU imports from Central Asian countries are dominated by minerals and fuels in the long term, EU exports consist of more sophisticated and diversified production. This represents the potential for further development of the business relationships and growth of mutual trade. In the case of favourable circumstances, a continuing growth trend in trade can be expected, especially on the side on EU exports.


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