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Viewing cable 08TALLINN10, ESTONIA: COORDINATION ON HIV/AIDS PROGRAMS

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Reference ID Created Released Classification Origin
08TALLINN10 2008-01-09 15:07 2011-08-25 00:00 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Tallinn
VZCZCXRO7923
RR RUEHAG RUEHAST RUEHDA RUEHDF RUEHFL RUEHIK RUEHKW RUEHLA RUEHLN
RUEHLZ RUEHPOD RUEHROV RUEHSR RUEHVK RUEHYG
DE RUEHTL #0010/01 0091507
ZNR UUUUU ZZH
R 091507Z JAN 08
FM AMEMBASSY TALLINN
TO RUEHC/SECSTATE WASHDC 0421
INFO RUEHZL/EUROPEAN POLITICAL COLLECTIVE
UNCLAS SECTION 01 OF 02 TALLINN 000010 
 
SIPDIS 
 
COPENHAGEN FOR EST OFFICE 
 
SIPDIS 
SENSITIVE 
 
E.O. 12958: N/A 
TAGS: EAID KHIV TBIO EN
SUBJECT: ESTONIA:  COORDINATION ON HIV/AIDS PROGRAMS 
 
This is an Action Request - see para 6, below. 
 
1. (SBU) Summary:  At a meeting organized and hosted by 
the Embassy in December, key GOE officials briefed the 
diplomatic community on Estonia's HIV/AIDs epidemic and 
the status of GOE prevention/treatment programs. 
Estonian officials used the forum to suggest areas for 
international coordination, and Finnish diplomats stepped 
forward to offer to collaborate with the GOE on 
developing an HIV/AIDS curriculum for use in Estonian 
schools.  GOE officials also proposed that Global Fund 
donor countries (such as the U.S.) revise its criteria 
for determining eligibility for Global Fund programs. 
Currently, using World Bank income guidelines, Estonia is 
considered a "high income" country and therefore 
ineligible for GF funds.  End Summary. 
 
2. (U) Estonia has the highest HIV growth rate in Europe 
and considers itself on the frontlines of this vital 
health issue.  The GOE is committed to preventing the 
further spread of the epidemic, but as is the case with 
any transnational issue, cannot do so successfully alone. 
 As part of our efforts to support Estonian goals in this 
regard, the Embassy hosted an HIV/AIDS briefing in 
December featuring presentations from the lead agencies 
responsible for HIV/AIDS prevention and treatment in 
Estonia: the Ministries of Social Affairs (MOSA), Justice 
(MOJ) and Education and Research (MOER) and the National 
Institute for Health Development.  Diplomats from the 
Finnish, Swedish, Norwegian, Danish and British Embassies 
and the WHO's local representative took part.  In his 
welcome to participants, the Ambassador emphasized that 
good cooperation between Estonia and other countries will 
help keep Estonia's HIV/AIDS epidemic under control. 
 
3. (SBU) MOSA provided participants with an excellent 
overview of the HIV/AIDS situation in Estonia, including 
the general HIV epidemiological situation, implementation 
of the GOE's HIV strategy (adopted in December 2005) and 
new funding challenges following the conclusion of the 
Global Fund's (GF) four-year assistance program (reftel). 
MOSA identified rapidly rising treatment costs and the 
scarcity of human resources as two of the biggest 
problems facing the GOE.  The MOJ gave an overview of HIV 
programs in prisons, noting that while testing programs 
are voluntary, over 90 percent of all prisoners have been 
tested. 
 
4. (SBU) The MOER outlined the Ministry's ongoing efforts 
to develop an HIV curriculum for schools and expressed 
hope MOER will get the new curriculum in place in 2008. 
(Note: the MOER has been working on this since 2001. 
Under the GF program, HIV NGOs implemented prevention 
training courses in schools. However, when GF programs 
ended last fall, MOER discontinued cooperation with these 
NGOs. Most schools do not currently have HIV prevention 
programs.  End Note.)  MOSA raised its own concerns with 
the pace of MOER's curriculum development efforts, but 
assured participants the GOE had discussed the issue at 
the cabinet level and is committed to dealing with it. 
The Finnish diplomat noted Finland's success 
incorporating HIV/AIDS into its own national health 
curriculum and proposed the two countries collaborate on 
curriculum development.  The Finnish Embassy later told 
us that they, in coordination with the Finnish Ministry 
of Education, have proposed hosting a joint seminar on 
curriculum development with the GOE in early 2008. 
 
5. (SBU) MOSA lobbied diplomats to support changing GF 
funding criteria to make Estonia eligible again for GF 
programs. GF uses World Bank income guidelines to 
determine eligibility.  Now that Estonia is considered a 
"high-income" country, it is no longer eligible for 
funding.  However, MOSA argued -- and Embassy agrees -- 
that Estonia makes a persuasive case for continued Global 
Fund activities here.  While most Estonians still 
contract the disease through intravenous drug use, the 
HIV/AIDs crisis in Estonia is now starting to spread into 
the general population.  The majority of Estonia's HIV 
patients are very young (14-24 years).  GF programs were 
instrumental in advancing Estonia's understanding of, and 
battle against, HIV/AIDs, and the GOE's track record in 
implementing GF programs was excellent.  While the GOE 
committed to take over all programs previously funded by 
GF, rapidly rising treatment costs and slowing GDP growth 
will make this difficult in the short to medium term, a 
crucial time in stemming the further spread of HIV/AIDs 
into the Estonian population.  (NOTE:  As an EU member, 
Estonia no longer receives bilateral donor assistance. 
END NOTE.) 
 
TALLINN 00000010  002 OF 002 
 
 
 
6. (SBU) Action request:  Following departure of the GOE 
participants, Embassy representatives noted to the 
diplomatic community it would be useful to meet again to 
discuss Estonian eligibility for GF programs.  To prepare 
for this, post requests the Department provide guidance 
on the USG position on Global Fund eligibility criteria 
and the likelihood the USG would support a proposal to 
revise the criteria (beyond income guidelines). 
 
Decker