Bulgaria

National policy
National policy/strategy or official recommendations on HIV testing?Yes
National policy/strategy document
Who can administer HIV tests?
Restrictions on who can legally administer HIV tests?Yes
Which groups can legally do HIV testing?
  • Any doctor/nurse (not necessarily in a specialist clinic)
  • NGO with clinical supervision
Further commentsThe person performing the test must have some sort of medical education.
Free HIV testing
HIV testing free to all who want it?Yes for all
Further commentsIt is free when taken at the Regional Health Inspectorates in district cities and in the mobile units (NGOs), but there is the possibilty to test privately - and that will mean private laboratory charges.
Is free HIV testing available?Yes in certain places
Further comments

Free testing is available in nearly all cities - but it is not universal.

HIV testing restrictions
HIV testing access restricted for some groups/populations?No
Which groups are restricted
Further comments
Availability of testing in non-clinical settings
Is testing available in any of the following ways?
Postal HIV sampling legal?No
Home HIV testing legal?Don't know
Community testing at NGOs legal?Yes
Community/outreach event testing legal?Don't know
OtherHome testing kits may be available for sale - but more information needed, and the legality of offering for sale is not clear
Rapid tests used by community based testing services/initiatives?Finger blood
Anonymity/Confidentiality of HIV testing
Anonymous testing available?Yes
If yes, please give detailsTesting at the Regional Health Inspectorates, NGOs and mobile units is free of charge and also anonymous and confidential. 
If not, why not, what sort of information is required and is there any promise of confidentiality?
Discrimination & equality
Legislation
Legislation protecting the rights of people with HIV?Yes
Key documents
Further commentsThe national HIV/AIDS program protects the rights of PLHIV. It also covers the methodology for ART prescription which has just been updated. PLHIV rights are protected in the clinical guidelines on testing and counselling.There is no specific PLHIV Anti-discrimination law. Rights are covered through general  Anti-discrimination law which does not explicitly mention HIV.

The uploaded documents are not available in English.
Other key populations
Needle exchange available for people who inject drugs?Yes
Further comments

Though this has been GFATM funded - and it is believed that this coming to an end.

Availability of needle exchange is also confirmed by information available on https://www.hri.global/global-state-of-harm-reduction

Opiate substitution therapy available?Don't know
Further comments

Availability of OST is also confirmed by information available on https://www.hri.global/global-state-of-harm-reduction

Are PWID (people who inject drugs) excluded from HIV treatment while actively using drugs?No
Further comments
Legal to sell sex?No
Further comments

For further information see: http://spl.ids.ac.uk/sexworklaw and http://sexualrightsdatabase.org/map/21/Adult%20sex%20work/442/Bulgaria

Legal to buy sex?No
Further comments

For further information see: http://spl.ids.ac.uk/sexworklaw and http://sexualrightsdatabase.org/map/21/Adult%20sex%20work/442/Bulgaria

Access to HIV Treatment
Free access to HIV treatment?Yes, for some
Further comments

Regardless of Health insurance status, treatment is covered unless a person is undocumented. 

Status and access to HIV treatment and care in your country
Access to HIV treatment restricted for certain populations with HIV?Yes
Which groups are restricted?
  • Migrants
  • Undocumented migrants have no access to treatment.

If more than one of the above populations selected, please give more information
Status
Country statusEU
Mobility in Europe
Do the following groups/populations have legal access to HIV treatment? (i.e provided on the same basis as citizens of the country)
Legal treatment access: Other EU migrant nationalsYes but there are exceptions
If yes but exceptions, please describe
Legal treatment access: general non-EU migrantsYes but there are exceptions
If yes but exceptions, please describe
Legal treatment access: Non-EU migrants with asylum/refugee statusYes but there are exceptions
If yes but exceptions, please describe
Legal treatment access: Non-EU migrants who are undocumentedNo
If yes but exceptions, please describe
Further comments
About this data
Last minor revision
Last major revision18 November 2016
Published19 January 2017
Data sources
Data contacts

Responses were received from the National Patients Organization (www.npo.bg)


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