Achieving MDG 6 in Eastern Europe and Central Asia:

Action Plan to Enhance Development Cooperation

Moscow, 12 October 2011


The Russian Federation together with the Joint United Nations Programme on HIV/AIDS (UNAIDS), the World Bank and the Global Fund to Fight AIDS, Tuberculosis and Malaria jointly convened the first High-level International Forum dedicated to achieving Millennium Development Goal (MDG) 6 in Eastern Europe and Central Asia in line with the 2010 UN Millennium Summit outcome document, Keeping the promise: united to achieve the Millennium Development Goals, the Global Plan to Stop TB 2011-2015 and other relevant regional strategic documents.[1]

The region of Eastern Europe and Central Asia demonstrates progress in achieving MDG 6 targets. As of 2009, the region had provided 114,000 people with life- saving antiretroviral therapy; averted 7,000 new infant HIV infections through the successful integration of essential services into maternal, child and reproductive health programmes; reduced the incidence of tuberculosis (TB); and, provided over 60% of people co-infected with TB and HIV with treatment for both diseases. Progress has been facilitated by the significant efforts made by partner countries, donors, international organizations, implementing organizations and civil society over the course of the past decade.

Such progress has been accelerated by the growing leadership Russia is exercising as a regional donor and enhanced country ownership. The presidency of the Russian Federation in the Group of Eight (G8) and the Shanghai Cooperation Organization (SCO), in 2006 and 2008-2009 respectively, as well as Russia's initiative for enhanced dialogue among new development partners, represent important steps towards consolidating efforts of the donor community, partner countries and international organizations to achieve MDG 6 in the region.

Yet the region faces a number of health threats. These include the increasing incidence of HIV—with over 130,00 new infections in 2009, multi-drug resistant tuberculosis (MDR TB)with 81,000 estimated cases every year, Hepatitis, outbreaks of emerging and re-emerging infections including polio and other vaccine preventable diseases as well as the emergence ofneglected diseases.

Consequently, we recognize that current development efforts and approaches must be enhanced to meet the MDG 6 targets by 2015—including those agreed at the 2011 UN General Assembly High-Level Meeting on HIV/AIDS to: (1) reduce transmission of new HIV infections by 50%; (2) scale up ART coverage to at least 80% of people in need of treatment; (3) reduce tuberculosis prevalence and HIV-related TB mortality rates by 50%; among others.




Progress has been hampered by a range of factors, the most important of which include the following:

The aforementioned problems are to varying degrees interrelated and hinder the attainment of agreed goals and put in jeopardy the sustainability of the gains that have been achieved. The challenge is exacerbated by the upward trajectory of financial costs of infectious disease control programmes which are not sustainable and require improved efforts to be cost-efficient.

As in other regions of the world, the attainment of the Millennium Development Goals related to health, education and fighting poverty depends on the progress in achieving MDG 6—and the next four years will be critical to success.

Achieving MDG 6 is primarily a political and economic challenge and is linked to efforts to enhance development cooperation in the region. This challenge brings urgency to the need to develop a new system to facilitate measures to ensure that development cooperation is appropriate to the complexity and diversity of the political environment and changing economic context.   

Despite uncertainty over the costs of achieving the MDG 6 targets in the region, the estimated resource gap to prevent and control MDR TB for the period 2011-2015 is US$ 3.4 billion, while the total investment needed for HIV is estimated at approximately US$ 1.9 billion for 2015 alone.

Long-term, predictable and better coordinated aid coupled with analysis of its impact, cost-effectiveness and mutual accountability, should serve as a basis for improved planning and implementation of development cooperation for MDG 6 attainment in the region.

As a symbol of renewed commitment, the co-chairs of the Forum adopted and Forum participants welcomed the following Plan of Action to facilitate enhanced cooperation and coordination between partner countries, donors, international organizations, civil society and the international community to achieve MDG 6 by 2015 by proposing the following roles and responsibilities:

Partner countries



Donor countries

International Organizations


Civil society

Implementing the Action Plan

We welcome the proposal of the Russian Federation to establish an expert group to conduct ongoing monitoring and analysis of the current status of development cooperation for MDG 6 programmes in the region and prepare on a regular basis recommendations on the region’s priority areas for concerted, focused and evidence-informed action. This work will be undertaken in close collaboration with partner countries and with support from the United Nations Economic Commission for Europe, WHO-EURO, UNAIDS, Stop TB Partnership and other partners. The expert group will comprise representatives of donor organizations that are active in the region, partner countries, as well as international and civil society organizations.

To monitor progress and make necessary adjustments in the implementation of this Plan, and to ensure the attainment of its goals, we also welcome the proposal of the Russian Federation to host a second MDG 6 Forum in Eastern Europe and Central Asia in Moscow in 2014, where the outcome of 2013 midterm assessment will be presented. Moreover, given Russia’s presidency of the G8 in 2014, the next Forum will provide an opportunity to review objectives for regional cooperation on infectious and other diseases for the period after 2015.

As a specific contribution to ensuring universal access to HIV prevention, treatment, care and support in the region, we support the proposal of the Russian Federation to host the IV Eastern Europe and Central Asia AIDS conference in Moscow in 2013. 





[1] European Action Plan for HIV/AIDS 2012-2015; Consolidated Action Plan to Prevent and Combat Multi-drug and Extensively Resistant Tuberculosis in the WHO European Region 2011-2015.