March 2, 2006

Rhetoric and Risk

Human Rights Abuses Impeding Ukraine's

Fight against HIV/AIDS

Glossary of Key Terms
I. Summary
II. Key Recommendations
To the Government of Ukraine
On HIV/AIDS
On narcotic drugs and drug users
On law enforcement conduct
To the United Nations and Member States
III. Methods
IV. Background
HIV/AIDS in Ukraine
Injection Drug Use and HIV/AIDS in Ukraine
Policing and HIV Risk
Health Care Delivery in Ukraine
V. Police Abuse
Police Abuse of Injection Drug Users
Severe violence and ill-treatment
Planting evidence
Drug users as informants and official "witnesses"
Using drug addiction to coerce testimony
Direct Police Interference with HIV Prevention Information and Services for Drug Users
Harassment of drug users at needle exchange points and at pharmacies
Harassment of outreach workers
Police Abuse of Sex Workers
VI. Abuses in the Health Care System...
Health Care Services Denied
Discriminatory and Degrading Health Care Provision
Specific Obstacles to Care for Drug Users
Illegal Demand for Payment for Medication and Services
Barriers to Tuberculosis Treatment for People Living with HIV/AIDS
Abuses against Women with HIV/AIDS in Reproductive Health Care Provision
Inadequate Protection of Confidential Information
VII. Barriers to Drug Treatment and Antiretroviral Therapy for Injection Drug Users
Barriers to Substitution Therapy
Barriers to Antiretroviral Therapy
VIII. HIV/AIDS, Injection Drug Use, and the Human Right to Health
The Right to Obtain Health Services without Fear of Punishment
The Right to Nondiscrimination in Access to Health Care and Health Services
IX. Recommendations
To the Government of Ukraine
On HIV/AIDS
On narcotic drugs and drug users
On law enforcement conduct
To United Nations Bodies
To all State Parties to International Drug Conventions
To the European Union
To Other European Intergovernmental Bodies
To the Council of Europe Secretary General, Committee of Ministers and Parliamentary Assembly (PACE)
To the PACE..
To the Organization for Security and Co-operation in Europe (OSCE)
To the United States Government
To International Financial Institutions
Acknowledgments