- Tbilisi, Georgia -

Estimated number of PWID 23 168
HIV prevalence in PWID 2 %
Estimated number of CSW 3 910
HIV prevalence in CSW 0,6 %
Estimated number of MSM 5 100
HIV prevalence in MSM 25,1 %
PLHA registered 1 915
New TB cases + TB relapses (per 100 thousand population) 97
- City background -

There are estimated 38 445 PWID, 3 910 SW and 5 100 MSM in Tbilisi. Reach of the program with the Global Fund funding in 2016 was (on city level) 26,5% for PWID (10 207 PWID covered on city level, out of 38 445), 38% for SW (1 481 CSW were covered in Tbilisi only out of 3 910) and 40 % for MSM (2 041 MSM were covered in Tbilisi only out of 5 100).

60 % of country CSW population is in Tbilisi with HIV prevalence 0,6% in Tbilisi. Targets for coverage by essential prevention services and HIV testing by the end of 2018 are as follows (on country level): PWD – 67%, MSM – 50%, CSW – 60%. There are no city level HIV or TB programs, all HIV and TB programs are centralized.

− Activities planned −
in the project
Development and implementation of a model for key populations for the '90-90-90’ targets of the HIV and TB response in Tbilisi
  • Situation assessment, April – May 2017
  • Conducting dialogue on the results of situation assessment, May – June 2017
  • Development of city improvement plan, June – September 2017
  • Receiving the advocacy visit by Stop TB Partnership, 2017
  • Joining the training on TB by Zero TB Cities, 2018
  • Receiving the technical support visits on TB Zero TB Cities, 2019
  • Joining Zero TB Cities project 2018 or 2019
Establishing effective partnerships between Tbilisi municipality and NGOs/CSOs in Tbilisi
  • Establishment and functioning of City Task Forces, February 2017 – December 2019
  • Signing Paris Declaration by Tbilisi, 2017
  • Participating in Exchange visit to Bern or Amsterdam, 2017
  • Ongoing collaboration and active engagement of key populations networks
  • Ongoing supporting the provision of legal support to key populations
  • Organizing facilitated city sessions on removing barriers to access for key populations, 2018
Ensuring sustainable allocations of municipal funding for key population programs in Tbilisi
  • Organizing training on innovative funding approaches, 2018
  • Organizing information session for NGOs on municipal planning and budgeting process and timelines, 2018
  • Developing and adopting models of sustainable funding mechanisms, 2018
To increase knowledge management and popularize Tbilisi response on HIV and TB in Georgia, in EECA region and globally
  • Every year Tbilisi representatives will visit one other city in the project to share learning and results
  • Develop case study on Tbilisi city model of response in 2019
  • Tanadgoma will partner with local print media, TV and Radio stations for story telling of the successful and sustainable municipal responses to HIV/TB in cities throughout the project
  • Tanadgoma will participate in sharing achievements through the annually organized International City Health Conference in 2017, 2018 and 2019 as well as International AIDS Conference 2018 in Amsterdam
− Expected results −
in the city by 2019
Impact indicator Target Comments
2017 2018 2019
AIDS related mortality (per 100 000 population) 4,6 4,6 4,4 It is planned to achieve an ambitious 8% reduction in AIDS-related mortality per 100 000 in three years
TB mortality rate (per 100 000 population) 6,8 6,5 6,3 It is planned to achieve an ambitious 10% reduction in TB-related mortality per 100 000 in three years
Percentage share increase of funding for TB/HIV activities targeting the key populations from the cities health budgets 10% 20% The baseline value will be established during the situational assessment to be carried out in Tbilisi in 2017, and the targeted percentage increase is 20% in comparison to the value established
− Implementing partner −

Center for Information and Counseling on Reproductive Health ‘Tanadgoma’ from Tbilisi works with youth, sex workers, MSM, transgenders, PWID, prisoners/probationers, trafficking survivors, people personally affected with HIV/AIDS. Tanadgoma is a major service provider for MSM, SW (in terms of HIV/STI services it is only provider for those groups), and major player in provision of psycho-social and rehabilitation services for PWID and prisoners/probationers.

During several years Tanadgoma was a member of CCM. This organization is operating in 5 major cities in Georgia. ‘Tanadgoma’ actively cooperates with different governmental, non-governmental and international organizations countrywide. ‘Tanadgoma’ is a member of several national, regional and international networks, platforms and coalitions (STI/HIV Prevention Task Force (PTF); Georgian Harm Reduction Network; Georgian Coalition

on Child and Youth Welfare; Eurasian Harm Reduction Network; South Caucasus Network on HIV among MSM and Transgender; Eurasian Coalition on Male Health, AIDS Action Europe).

City project coordinator: Sergo Chikhladze sergochikhladze@yahoo.com