Latvia

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?No
Which groups can legally do HIV testing?
Further commentsThe regulations of the Cabinet of Minister no 628 (adopted 4 Nov 2003) states that health care providers appoints HIV laboratory with pre-test and post-test counseling.
Free HIV testing
HIV testing free to all who want it?Yes in certain places
Further commentsIn Lativa, free HIV testing is provided for risk groups in 18 low-threshold centers, prisoners,for pregnant women, for diagnostic purposes and for TB patients
Is free HIV testing available?Across whole country
Further comments
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?No
Community testing at NGOs legal?Yes
Community/outreach event testing legal?Yes
OtherNGOs have been involved in outreach (including the use of mobile units) needle and syringe exchange programmes and counseling with rapid tests for PWID, MSM, and sex workers. These programs are financed by the municipalities, CDPC, The Latvian Red Cross
Rapid tests used by community based testing services/initiatives?Finger blood
Anonymity/Confidentiality of HIV testing
Anonymous testing available?Yes
If yes, please give details
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
Further commentsHuman right protection of people living with HIV/AIDS is a part general non-discrimination provisions, there are no specific additional provisions for HIV/ AIDS.
Other key populations
Needle exchange available for people who inject drugs?Yes
Further comments

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

Opiate substitution therapy available?Yes
Further commentsOn 31 Dec 2013 the total number of cloients in substitution treatments was 424 (5% of the target group), of whom 328 were on methadone and 96 on buprenorphine.

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?Yes
Further comments
Legal to buy sex?Yes
Further comments

Brothels, pimping, procuring/compelling, and living off the avails of sex work are illegal. Persons are prohibited from selling sex in groups. It is an offence to advertise sexual services except in erotic publications. Promoting prostitution is prohibited. (For more information: http://sexualrightsdatabase.org/map/21/Adult%20sex%20work/476/Latvia)

Access to HIV Treatment
Free access to HIV treatment?Yes, for some
Further commentsA person with temporary residency will have to pay for treatment. Treatment is only available for Latvian citizens.

Treatment free for patients with: acute retroviral syndrome. Terms of reference on http://vmnvd.gov.lv/en/health-care-system
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
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 there is universal access
If yes but exceptions, please describe
Legal treatment access: general non-EU migrantsNo
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 revision12 July 2016
Last major revision5 January 2017
Published19 January 2017
Data sourcesAs well as responses from in-country individuals information was taken from the follwing sources:http://ecdc.europa.eu/en/healthtopics/aids/Pages/monitoring-dublin-declaration.aspx
Sex Work Laws
These included  https://en.wikipedia.org/wiki/Prostitution_by_country#Europe
The Global Network of Sex Work Projects www.nswp.org and country sources and http://sexualrightsdatabase.org/map/21/Adult%20sex%20work and http://spl.ids.ac.uk/sexworklaw
Drug use
Needle exchange information was taken from Harm Reduction International who have an interactive tool https://www.hri.global/global-state-of-harm-reduction
Criminal Law
http://criminalisation.gnpplus.net has useful info about the criminal law and is searchable by country as well as http://www.hivjustice.net/site/countries/
MSM
http://ilga.org/what-we-do/state-sponsored-homophobia-report/ (2016)
Data contacts

Responses were received from Biedriba Apvieniba HIV.LV(www.apvienibahiv.lv), AGIHAS (PLWHA Support gr.) and Centre for Disease Prevention and Control (www.spkc.gov.lv)

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