HelpNowHUB presented its experience supporting Ukrainians at a high-level RADIAN event in Geneva

On 21 May 2026, a high-level event, “Journeys of Resilience: Stories shaping the HIV response in Eastern Europe and Central Asia,” took place in Geneva as part of the World Health Assembly. The event was organized by Gilead Sciences and the Elton John AIDS Foundation.

The event marked the launch of the RADIAN Impact Report, which summarizes five years of work by the RADIAN partnership in Eastern Europe and Central Asia. The gathering brought together global health representatives, donors, policymakers, civil society leaders, partner organizations, and changemakers whose work is helping to transform approaches to HIV prevention, treatment, and support for people affected by HIV.RADIAN, a partnership between Gilead Sciences and the Elton John AIDS Foundation, has been supporting local solutions since 2019 — helping to overcome barriers to HIV services, strengthen the role of communities, and drive sustainable change in health systems. According to the presented Impact Report, over the first five years of RADIAN support, nearly 350,000 people in the region accessed HIV-related services, more than 188,000 people received HIV testing, and over 37,000 people living with HIV initiated or re-initiated antiretroviral therapy.Among the invited RADIAN Changemakers was Yulia Golub, HelpNow Service Coordinator at HelpNowHUB Foundation Poland. In her remarks, she presented the experience of HelpNowHUB Foundation and its partners — Step by Step Foundation and Res Humanae Foundation — in supporting Ukrainians forcibly displaced by the war, including people living with HIV and representatives of key communities.Special attention was given to the fact that, for people crossing borders in the context of war, continuity of treatment and access to support does not happen automatically. It depends on trust, safe navigation, clear information, peer support, and partnerships that can respond quickly to people’s real needs.“It is a great honor for me to be part of this event and to speak on behalf of HelpNowHUB Foundation and our partners. Our work began as an emergency response to the war, but today it is no longer only about crisis support. It is about a sustainable, community-led pathway back to treatment, safety, trust, and hope. RADIAN helped make this work not only possible in a moment of emergency, but also more sustainable over time — strengthening support for people who too often remain invisible to formal systems,” said Yulia.In her speech, Yulia emphasized that HelpNowHUB Foundation was founded by Ukrainian women in migration from key communities after the start of the full-scale war. The organization’s work grew out of the HelpNow service, created by the Alliance for Public Health as an emergency response in the first months of the war, when thousands of Ukrainians had to rebuild access to safety, information, and HIV services outside their country.Since the start of the project, with RADIAN support, HelpNowHUB and its partners have responded to 2,807 requestsfrom more than 850 people, strengthened peer navigation, and built safer referral pathways from Ukraine to Poland and across the world — helping ensure that people do not lose access to treatment at the moment of greatest vulnerability.The launch of the RADIAN Impact Report was not only an opportunity to recognize the progress achieved, but also an important reminder: progress in the region remains fragile, and a sustainable HIV response requires continued investment in local leadership, peer support, cross-border approaches, and services that remain close to the people most affected by the epidemic.

“Together we are strong — and no one should be left alone”: an interview with Anna Ariabinska

Ahead of May 17 — the International Day Against Homophobia, Biphobia and Transphobia — we speak with Anna Ariabinska, President of HelpNowHUB Fundacja. This is a conversation about safety, dignity, the rights of LGBTIQ+ people, and work that begins with trust. It is also about why countering homophobia, biphobia and transphobia is part of a broader conversation about human dignity, safety and equal access to support.

HelpNowHUB Fundacja works with people in vulnerable situations, including migrants, refugees, representatives of key communities, and people who need social, legal and humanitarian support. This warm conversation is about work, partnership, personal experience, challenges and hope.

Anna, HelpNowHUB is not just work for you. How do you describe what you do?

HelpNowHUB Fundacja is, in a way, my home, my child, my family and my safety. It is everything I can invest myself in. That is why I often talk about my work as my passion, my goal, my inspiration — but at the same time, also as my pain.

Because every day I face the problems of the community — problems we cannot always speak about loudly. Few people live with open faces; this topic is still stigmatized. And if a person has additional vulnerabilities — for example, if they are an LGBTIQ+ person, a migrant, or facing other difficult circumstances — then it is often unsafe to speak about these things officially or publicly, unless you are in a safe space.

For me, this is now a very painful issue and a major problem for our foundation specifically. We receive many reports of rights violations — from employers and in matters related to legalization. The most difficult thing is that people from the community are openly discriminated against, but we cannot always collect evidence. And sometimes, in order to protect a person and their safety, we have to act very anonymously, in ways that do not allow the client to be identified.

So for me, this is work, life, inspiration, and a very important path of growth.

The foundation has been working in Poland for several years now. Do you remember a moment when you especially felt: “We are definitely needed”?

Of course. It always comes through feedback. When I was opening the foundation — and still today — I consult people a lot myself. Every day, I am in direct contact with our clients and our community.

The most important moment is when you look a person in the eyes, when they hold your hand, or simply write: “Ania, I have no one except you.” And I understand very clearly that this is not a figure of speech. It is not just an expression. It means that the person truly has no one to turn to in this country — not even someone who will simply listen to them in a moment of pain, tears, difficulty, or, on the contrary, joy.

It means a lot to me when, on holidays — Mother’s Day, Social Worker’s Day, Psychologist’s Day — I receive messages not only from friends or people who know me as an expert, but also from clients. Sometimes these are people I met only once or twice in my life, but for them it remained important forever.

When people write: “You saved my life” or “your words breathed life back into me,” this is where I feel the deepest need for a service like ours to exist.

With us, people can receive support online, and they can hear a living voice over the phone. Behind every online consultation there is a real person. And we are very proud of that.

We are speaking ahead of May 17 — the International Day Against Homophobia, Biphobia and Transphobia. Why, in your view, is it important to talk about homophobia not only within the LGBTIQ+ community?

This is a very important topic. Homophobia, transphobia and biphobia are not just problems of one individual or one community. This is a broader issue that concerns everyone: human rights and, first and foremost, human dignity.

If we talk about this only on specific days and highlight the issue only occasionally, we will not achieve the result we want. We will not live in a free society if we keep these topics “under the carpet” and bring them out only when necessary.

You speak separately about educating young people. Why is this so important?

For me, education is becoming a very important issue now — especially the education of young people. I have teenagers growing up at home, and I see how today’s generation identifies itself and searches for itself through its own identities. They are turning their gaze inward and beginning to study themselves from childhood.

It is very painful for me to see materials that are completely fake and disinformative, claiming that children must not be spoken to about this because they might “catch it” or “become” lesbians, gays or someone else. Many people still mistakenly believe that identity can be picked up from another person.

In reality, the problem is that many people of our generation and older generations simply did not have this information. They understood that something was happening, but they did not know what exactly, how to talk about it, or how to express themselves safely.

For me, the most important thing is for children to grow up with an understanding of their rights and freedoms. And with the understanding that my rights and freedoms end where another person’s rights begin.

I think this is also a path toward preventing bullying in schools and educational environments. The more calm, informative and safe information is shared by educated people, the more positive change we will see in society — both now and in the future.

HelpNowHUB works with migrants, refugees, and representatives of key communities. What makes the situation of LGBTIQ+ people with migration experience especially vulnerable?

I was an ally of the LGBTIQ+ community for many years back in Ukraine. I was connected to this topic, let’s say, not from the inside, but I could see the situation from the outside. Now I am directly connected to this topic because my children are part of the LGBTIQ+ community: they told me about this already while we were in Poland.

And then I had many questions: for example, about changing names, legal issues, access or lack of access to educational institutions, and changing documents — not just names, but documents themselves.

Migrants are in a much more difficult position here. First, all the nuances must be coordinated under the laws of the country of which we are citizens — that is, these issues must be resolved in Ukraine. Then this must be aligned with Polish documentation and Polish legislation — either by changing documents here or acting on the basis of court decisions.

It is a very complicated path.

What barriers do you currently see for LGBTIQ+ migrants in Poland and Ukraine?

Poland, it seems to me, is only at the beginning of its difficult path: adapting the rulings of the European Court, interpreting and transcribing these decisions. The system for registering people and data in Poland is still not really ready to reflect such legal changes — for example, a change of a person’s gender or a name that has already been registered.

At the moment, there are only two options: woman or man. For marriage registration, there is also: woman and man. All these fields — in civil records and other data systems — must first undergo systemic changes. Only after that will we be able to talk about how migrants face these procedures and how they will receive services.

As far as I understand, this process has begun in Poland: the official authorities promise that during 2026 it will already be possible to enter changed data into the system, including formulations such as “person 1” and “person 2.” This is a move toward broader possibilities, so that not only cisgender men and women can correctly reflect themselves in official systems.

The second important issue is access to medical services and hormone therapy: whether it will be paid out of pocket or covered through the NFZ, for example for migrants, we do not know today. And that is why children who are now in adolescence — when it might be the best time to start hormone therapy — are effectively on pause. We do not understand whether, after starting therapy, it will be possible to continue it a month later. And whether this will be possible when moving to another country or returning to Ukraine.

I have many complicated questions regarding legislation. In Ukraine, both the civil and criminal codes are also being rewritten, and there are many difficult points there. To speak very broadly, the problem begins with the approach laid down in the Constitution and then reflected in the civil code: marriage is the expression of the will of a woman and a man.

It seems to me that this is not a path toward democratic values. Both Ukraine, as a young state, and Poland, which is also making its way in Europe, have a complex historical background on this issue. At the same time, there is very strong internal resistance in both countries.

We need to continue working in this direction: run campaigns, go “to the people,” change public opinion, and speak even with those who are completely opposed to this position. We see how painfully nationalist movements in Ukraine and Poland react, placing traditional values at the center of the concepts of marriage, family and the development of the nation.

This is a very provocative topic. But the most important thing for me is access to equal opportunities, equal rights, and the ability to protect oneself as a person and defend one’s dignity anywhere in the world. This is what I would like to reach within my lifetime.

What would you like to say to LGBTIQ+ people who are now struggling, feeling lonely or in pain?

First of all, together we are strong. We are not alone, and no one will be left alone with difficult thoughts or in a difficult situation if they reach out to our HelpNowHUB foundation. We are always ready to extend a hand of support and open our hearts.

And the most important wish for everyone is safety. Safety in every sense of the word: from personal safety to global safety. And I wish that every person, every representative of the community, could seek the truth and protect or defend their rights through legal means. And that this could happen faster, because court processes can be very long.

You mentioned that you consult people yourself. What do clients teach you?

For me, every contact is an experience and an area for growth. I provide consultations on certain specific issues, but every person is an individual. For me, it is an opportunity to look into another universe.

That is why clients are my area of growth, my constant learning. In general, I strongly encourage everyone to learn in different ways. Just as a child comes into this world and begins to learn from everything — simply by observing, listening and asking questions — I still use this method. And it suits me very well.

If we speak about the foundation as “your child”: is there a dream you would really like to bring to life?

We have a very wide range of activities. I cannot say that anything completely passes us by: we participate in cultural projects, testing, the promotion of Ukrainian culture, and countering disinformation. Of course, our main activity is community-related work.

But what I would probably like most is effective social campaigns in the media — campaigns where we could immediately see and feel the results.

There is a lot of information in my own information space. But when I step outside my bubble, I realize that there is still not enough of it. There is not enough open information. I do not see enough people who live openly with their statuses — whether it is HIV status, the ability to speak calmly about one’s bisexuality, or about rights violations that often remain hidden.

Right now, there are so many glaring cases and moments when rights are openly violated, and everyone seems to nod and say: well, okay, this concerns the LGBT community, so we can make an “exception.” It turns out that everyone is equal, but in some moments — not quite.

For me, this is more of a dream. It is difficult to achieve it with one project. I want public opinion to change. In fact, I want the universe to change.

And to finish — a short quick-fire round.

Solidarity is…?

Partnership and safe support. When I clearly understand that there is a shoulder nearby that will support me if I fall.

Safety is…?

Safety is home. That is my immediate association. It is a space, a safe space.

Your superpower at work is…?

I know very clearly that I am creative, that I quickly find a way out of crisis situations — and I am good at that. I am also an energizer who supports many people — personally and more broadly. And I know for sure that I am a leader whom the community and people will follow.

What would you like to wish the community?

Support. Financial support. Because we have a wonderful community, we have wonderful people. We simply lack material resources to change this world for the better. Every day.

May 17 is not just a date in the calendar. It is a reminder that the safety, rights and dignity of LGBTIQ+ people cannot be a “separate issue.” It is part of a shared conversation about a society in which every person has the right to be themselves, receive support and not be left alone.

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This publication was prepared by Fundacją HelpNow HUB within the framework of the project “From heart to heart” in partnership with Fundacja Step by Step and Fundacja Res Humanae, with financial support from the Elton John AIDS Foundation.

When the situation is complex, support matters most: Alina’s story

Alina (name changed) is a woman living with HIV, holding a disability status in Poland, and currently in a very vulnerable condition. She required a planned hip replacement surgery — a procedure that could significantly improve her quality of life and potentially help her walk again.

At the beginning of 2026, she was informed that the surgery could not be performed and was postponed indefinitely. In practice, this was a refusal, as her UKR status was not recognized by the healthcare system as valid insurance coverage.

Alina is bedridden and requires constant care, mostly provided by her children. In addition to HIV, she has a history of tuberculosis and needs regular medical monitoring and life-saving medication.

Previously, the facility where she stays provided transport to medical appointments. However, one day the ambulance did not arrive.
“I was told the transport was canceled because my UKR status is not recognized as insurance. I didn’t know what to do next,” Alina says.

Her access to medication also became more complicated: prescriptions that were previously reimbursed were later issued at full cost.

In this situation, Alina turned to Fundacja HelpNowHUB.

The Foundation does not shy away from complex cases — on the contrary, this is where support is most needed. A consultant assessed the case and advised her daughter to apply to MOPS as a low-income person with a disability, which could help secure state health insurance.

“I was in despair because it wasn’t just one problem — it was a chain: surgery, transport, therapy, medication. But when someone explained the next steps, I felt we were not alone,” she says.

The situation remains unresolved. Alina currently has a one-month supply of therapy, and her daughter can temporarily collect medication. However, the issue of insurance remains critical.

“We are grateful that we were not turned away, even though the situation is complicated. It matters to know there are people who are not afraid to help in such cases,” she adds.

Sometimes support is not an immediate solution. Sometimes it is a path that must be taken step by step. But it is exactly from this that the possibility begins to restore a person’s access to treatment, dignity, and hope.

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This publication was prepared by Fundacją HelpNow HUB within the framework of the project “From heart to heart” in partnership with Fundacja Step by Step and Fundacja Res Humanae, with financial support from the Elton John AIDS Foundation.

A surgery that couldn’t wait: Oleksandr’s story from Kraków

This story shows how timely support, proper referrals, and persistence can make a crucial difference. It also highlights how important it is to have someone by your side in a complex system — someone who helps you not give up after the first refusal.

Oleksandr (name changed) lives in Kraków. He is a person living with HIV, has an officially recognized disability in Poland, and has long needed urgent joint replacement surgery. Delaying the procedure was dangerous: each month the pain increased, mobility worsened, and doctors warned that postponement could significantly affect the outcome. There was a real risk that the surgery might no longer bring the expected results, and his quality of life could deteriorate to the point where he might lose the ability to walk independently.

At the beginning of the year, before March 5, Oleksandr learned that he could not proceed with the planned surgery — the healthcare system did not recognize his UKR status as valid health insurance coverage. For a person with a disability and urgent medical needs, this was not just a bureaucratic issue but a serious threat to his health.
“When I was told I couldn’t have the surgery because of my status, it felt like complete hopelessness. I understood that if nothing changed now, it might soon be too late,” he says.

That’s when he reached out to Fundacja HelpNowHUB. A consultant assessed his situation and started exploring possible solutions. First, he was advised to contact the employment office, but he was refused there. The next step was to apply to MOPS as a low-income person with a disability. In such cases, individuals may qualify for both social support and state health insurance. Oleksandr went there on his own — and was refused again.

“After the second refusal, I felt like giving up. It seemed like the system was completely closed, and no one even wanted to understand my situation,” he says.

However, the story did not end with another “no.” With the support and guidance of Fundacja HelpNowHUB, he continued searching for a solution. During this time, he was also supported by a Polish man who explained that the refusal had been unjustified and accompanied him to the institution again. This time, the situation finally started to move forward.

As a result, Oleksandr received state health insurance, which allowed him to undergo surgery on one leg. He is currently in rehabilitation. The next stage of treatment is ahead — surgery on the second leg is planned in a few months. He is concerned about whether the insurance will remain valid, but now he knows he is not alone.

“For me, this was not just about paperwork or formalities. It was a chance to move normally again and live without constant fear that I might not be able to stand on my feet tomorrow. I am truly grateful for the support and for not being left alone with this problem.”

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This publication was prepared by Fundacją HelpNow HUBwithin the framework of the project “From heart to heart” in partnership with Fundacja Step by Step and Fundacja Res Humanae, with financial support from the Elton John AIDS Foundation.

More than 50 organizations call on the Polish authorities to guarantee access to healthcare for Ukrainian refugees

Following legislative changes that came into force on 5 March 2026, some Ukrainian refugees lost access to social benefits that had effectively ensured their health insurance coverage. This situation is already causing serious concern, as it directly affects access to medical treatment for those who need it most.

That is why Fundacja HelpNowHUB, together with more than 50 civil society and expert organizations, signed a joint appeal to the Polish authorities, calling for an urgent response to this issue.

The aim of the appeal is simple but critical: to ensure uninterrupted access to healthcare for people whose treatment is, in many cases, literally a matter of life and death.

In practice, these legislative changes mean that older people, persons with disabilities, and people living with serious illnesses have effectively been left outside the public healthcare system — without adequate protection and without guarantees of continued treatment.

Organizations and medical professionals are already receiving numerous requests from people who lost their insurance coverage in the middle of treatment. This means a risk of interrupted oncology care, loss of access to dialysis, and other life-saving medical procedures. In such cases, this is not a matter of comfort — it is a matter of survival.

This situation contradicts basic human rights principles. The state has an obligation to ensure access to healthcare, especially for those in the most vulnerable situations.

In the joint appeal, the signatory organizations call on the Polish authorities to take concrete action:

  • restore access to long-term social assistance for people who are unable to work;
  • guarantee health insurance coverage regardless of access to social benefits;
  • establish transitional mechanisms so that people do not lose treatment in the middle of a medical process.

Since the beginning of the full-scale war, Poland has been an important source of support for Ukrainians forced to flee their homes. That is why it is especially important now to preserve this level of support — particularly for those who are most vulnerable.

If this issue matters to you, please sign and share the appeal – https://www.naszademokracja.pl/petitions/apel-w-sprawie-dramatycznej-sytuacji-uchodzcow-z-ukrainy-po-5-marca-2026-r.

Together, we can draw attention to the problem and help change the situation.

HelpNowHUB and international partners align strategic steps for the “United for Health & Life” project during a two-day meeting in Warsaw

At the end of March, Warsaw hosted a two-day meeting of partners involved in the United for Health & Life project, which brings together organizations from Sweden, Ukraine, Germany, and Poland. Representatives of HelpNowHUB Foundation, 100% Life, 100 Percent Life Germany, and Noaks Ark Mosaik came together to align their shared vision for the project, strengthen cross-country coordination, and lay the groundwork for practical next steps in the HIV response.

The discussions focused on the key building blocks of the future collaboration: how the project model should function in practice, which interventions are likely to be most effective, how responsibilities should be distributed among partners, and what common approaches are needed to support people and communities affected by the HIV epidemic. The strategic session also addressed partner roles, expected results, risks, and the next stages in developing the initiative.

The first working day also included a visit to one of Warsaw’s clubs that serves as a safe social space for the LGBTIQA+ community. In an open and welcoming environment, participants had the opportunity to observe how a peer-support model works in practice — from HIV and STI testing to counselling and follow-up support.

The following day was dedicated to a meeting with Polish NGOs, in particular the organization FES. During the exchange, participants discussed the local context and approaches that have already proven effective in Poland, as well as international good practices that have demonstrated strong results abroad. For the international team, this was an opportunity not only to better understand the Polish experience, but also to identify solutions that may be relevant and adaptable in other partner countries.

“For us, this meeting in Warsaw was not only a platform for strategic planning, but also a space for strengthening trust between partners. It is through this kind of cooperation that we can develop solutions that respond to the real needs of communities and help countries address the challenges of the HIV epidemic more effectively,” said Anna Ariabinska, President of HelpNowHUB Foundation.

The meeting in Warsaw marked another important step toward stronger international partnership and the development of innovative practices that will help participating countries respond more effectively to HIV-related challenges.

The project is implemented with the support of the Swedish Institute (Svenska institutet) within the framework of the Baltic Sea Neighbourhood Programme.

Study for migrants living with HIV in Poland

Fundacja HelpNowHUB, within the framework of the project “From Heart to Heart”, in partnership with Step by Step Fundacja and Fundacja Res Humanae, with financial support from the Elton John AIDS Foundation, invites you to participate in the study “HIV + Barriers and Stigma in Poland.”

The study aims to explore the barriers and stigma faced by migrants living with HIV in Poland.

The goal of the research is to improve access to services, support, and treatment for people in migration.

Study period: April 1 – July 30, 2026
Duration: approximately 45 minutes
Format: online or by prior arrangement
Participation bonus: a 70 PLN voucher for purchases in a popular Polish grocery chain
Confidentiality: participation is fully anonymous; no personally identifiable data will be collected
Limited number of participants: up to 400 people

If you are a migrant living with HIV in Poland, your experience is extremely important. It will help identify key challenges and improve access to essential support.

To participate, please contact:
+48 786 640 460
+48 721 752 114
+48 575 023 612
(daily from 8:00 to 18:00)

Or email: helpnowua@gmail.com

Join the study — your voice can make a difference!

Allowing yourself support: Anna’s story

“I used to think I had to cope on my own for a long time,” says Anna (name changed).

Anna is a mother and a woman living with HIV. She moved to Poland before the full-scale war began. At that time, her life was divided between two countries: she worked abroad but regularly returned to Ukraine — to see her family and to receive antiretroviral therapy.

“I was used to having everything under control: I would come, pick up my treatment, see my loved ones — and go back,” she says.

After 2022, this was no longer possible. Returning home became dangerous and practically impossible. At the same time, Anna faced something she had never spoken about openly before — self-stigma and a lack of acceptance from her relatives.

“I felt a lot of shame about my status. I was afraid of judgment, and honestly, part of that judgment I carried within myself,” she shares. “Even in my family, I didn’t feel fully supported. It puts a lot of pressure on you.”

Over time, this led to a depressive state. Anna tried to cope on her own. “I thought I would just get through it, that asking for help was a sign of weakness. But it only got worse.”

The idea of seeing a psychologist crossed her mind, but it felt out of reach. “Paid sessions are expensive. I kept postponing it.”

Anna learned about the possibility of free psychological support through the From Heart To Heart project by chance. “I saw information online about consultations with psychologist Marina. I decided to give it a try.”

This step became a turning point.
“For the first time in a long while, I felt that I wasn’t being judged. I felt relief even after the first conversation,” Anna says.
“I realized I wasn’t alone and that there wasn’t something ‘wrong’ with me, as I used to think. I became calmer, started to understand myself and my emotions better. And most importantly — I stopped blaming myself. I’m very grateful for this support.”

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This publication was prepared by Fundacją HelpNow HUBwithin the framework of the project “From heart to heart” in partnership with Step by Step Fundacja, in partnership with Fundacja Res Humanae, with financial support from the Elton John AIDS Foundation.

On World Tuberculosis Day: why TB remains a critical issue — for the world, for Poland, and for people living with HIV

“Yes! We can End TB. Leadership belongs to the state, and power lies in communities.” This is the most accurate way to describe an effective response to TB today: political will, adequate financing, modern diagnostics, uninterrupted treatment, and stigma-free services. At the global level, the World TB Day campaign emphasizes: Yes! We can End TB! Led by countries. Powered by people.

Tuberculosis is not a “disease of the past.” According to the World Health Organization (WHO), in 202410.7 million people fell ill with TB worldwide, and 1.23 million people died from the disease. Of all new cases, 6.1% were among people living with HIV. WHO also stresses that TB has once again become the leading cause of death from infectious diseases globally.

For people living with HIV, tuberculosis remains one of the most dangerous co-infections. According to WHO, in 2023there were an estimated 662,000 cases of HIV-associated TB worldwide, and 161,000 people living with HIV died from TB; this accounted for about one quarter of all AIDS-related deaths. That is why early HIV testing, timely initiation of ART, and rapid TB diagnosis should not be seen separately, but as parts of one integrated system of care.

Tuberculosis is transmitted through the air and most often affects the lungs, although it can also affect other organs. Active TB often presents with prolonged cough, fever, night sweats, weakness, chest pain, and weight loss. At the same time, in people living with HIV the course of the disease may be atypical, and the risk of progression from latent infection to active disease is higher; therefore, WHO recommends systematic symptom screening and rapid access to diagnostics for people living with HIV.

A modern response to TB is no longer limited to X-ray or microscopy alone. WHO emphasizes the importance of rapid molecular tests as the initial diagnostic tool for people with TB symptoms, and for people living with HIV — a combination of symptom screening, chest radiography, and subsequent microbiological confirmation. The faster the diagnosis is made, the earlier treatment begins and the lower the risk of further transmission.

Poland: TB remains a real problem, although the country is considered low-incidence

According to official data from the Institute of Tuberculosis and Lung Diseases of Poland, in 2024 there were 4,236 TB cases registered in the country, with an incidence rate of 11.3 per 100,000 population. Of these, 4,093 cases were pulmonary TB. There were 3,484 bacteriologically confirmed cases, meaning more than 82% of all registered cases. Mortality in Poland in 2023 was 483 deaths, or 1.3 per 100,000 population.

These figures matter for two reasons. First, they show that TB has not disappeared in Poland: every year, the country still records thousands of cases. Second, even in a country with relatively low overall incidence, there are groups for whom the risk and barriers to care remain disproportionately high — in particular, people living with HIV, people in detention settings, and some migrants and refugees.

The Polish TB Bulletin for 2024 states directly that TB/HIV co-occurrence in Poland remains relatively rare, but not insignificant: in 2024, TB was an AIDS-indicator disease in 20 people living with HIV. This is not a large number in absolute terms, but such cases are of particular clinical importance: they often indicate late HIV diagnosis, interrupted care, or insufficient coverage of prevention and screening.

At the same time, Polish HIV data show that the epidemic situation in the country is dynamic. According to a publication by the National Institute of Public Health and the National AIDS Centre, in 2022 there were 2,604 newly diagnosed HIV cases in Poland, of which 753 were among non-Polish citizens. Data for 2023, published in the abstract of a more recent scientific paper, indicate 2,404 new HIV diagnoses, including 612 among non-Polish citizens. This means that the migration component in Poland’s HIV response has long ceased to be a peripheral issue.

Migrants in Poland: where HIV and TB risks intersect

Separately, the Polish TB Bulletin shows that in 2024, among people diagnosed with TB in Poland, there were 376 foreigners, accounting for 8.9% of all cases. The largest group were people from Ukraine — 229 individuals; overall, TB cases among foreigners were linked to people from 34 countries. For the Polish system, this means a practical need not only for clinical care, but also for translation, system navigation, continuity of treatment across countries, and work to reduce stigma.

At the same time, in publicly available annual sources, Poland reports TB data for foreigners separately and HIV data for non-Polish citizens separately, but does not provide, in the same format, a separate indicator specifically for HIV/TB co-infection among migrants. This does not mean the problem does not exist; it means that a targeted response still requires better, more detailed data. And it is precisely this need for better disaggregated data on TB among refugees and migrants that WHO emphasizes in its special 2024 report.

European data confirm that migration cannot be reduced to the idea of an “imported disease” — the situation is far more complex. The ECDC notes that in 2023, migrants accounted for 47.9% of all new HIV diagnoses in the EU/EEA, and some infections may have occurred after migration. For TB, WHO emphasizes different but related risk mechanisms: legal barriers, poverty, overcrowded housing, unstable access to healthcare, language difficulties, stigma, and interrupted treatment. Therefore, a migrant-oriented response to HIV and TB is not an “additional option,” but part of a modern public health system.

Poland as an example: not only a challenge, but also a solution

In response to the needs of refugees from Ukraine, Poland, with the support of WHO and partners, has begun shifting its TB care model in a more patient-centred direction. WHO describes that in Poland, TB treatment is free of charge for citizens and refugees, and that the model being introduced includes more outpatient and home-based care, video-supported treatment, better coordination between institutions, and reduced stigma associated with prolonged hospitalization. This is especially important for mobile populations, people with chronic conditions, and those who simultaneously need HIV-related services.

It is precisely this approach — people-centred care — that is now considered the key to success. In the WHO 2024 report on TB among refugees and migrants, it is emphasized that effective programmes must be stigma-free, culturally sensitive, migrant-friendly, supported by interpretation services, community support, flexible screening and treatment pathways, and reliable intersectoral coordination. For people living with HIV, this also means integrating services: testing, ART, TB screening, TB preventive treatment, case management, and social support within a single pathway, rather than across several fragmented systems.

What this means in practice — for communities, services, and communication

On World Tuberculosis Day, it is important to speak not only about statistics, but also about action. For the general population, the key message is simple: TB is curable, and early care saves lives. If there is a prolonged cough, fever, night sweats, weakness, chest pain, or unexplained weight loss — it is not worth waiting. For people living with HIV, this message is even more important: regular contact with healthcare services, TB screening, and uninterrupted ART reduce the risk of severe disease.

For services in Poland and for organizations working with migrants (such as the HelpNowHUB Foundation), the main conclusion is different: HIV and TB need to be integrated at the level of the patient pathway. A person should not have to search separately for information, separately for an interpreter, separately for testing, separately for a referral, and separately for social support. The simpler and more humane the entry into the system, the greater the chance that the diagnosis will be made early and treatment will be completed. This is exactly what the “Led by countries. Powered by people.” approach requires. And the HelpNowHUB Foundation fully supports it!

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This publication was prepared by Fundacją HelpNow HUBwithin the framework of the project “From heart to heart” in partnership with Step by Step Fundacja, in partnership with Fundacja Res Humanae, with financial support from the Elton John AIDS Foundation.

Finding support in a New City: Yevheniia’s Story

“My friend told me about your service — she is a woman living with HIV and advised me to reach out,” says Yevheniia (name changed).

Yevheniia is an internally displaced person. She is originally from eastern Ukraine, where she was born and lived for many years in an area that is now under temporary occupation. She has not left the country and says she never seriously considered going abroad. “I don’t have a family yet, so I am responsible only for myself. I decided to stay in Ukraine,” she explains.

Yevheniia has a higher education degree and many years of experience working in the retail sector. She learned about her HIV status more than 15 years ago and almost immediately registered for care and started antiretroviral therapy. “I understood that treatment would be a part of my life and that it cannot be interrupted,” she says.

When the situation at home became extremely dangerous, Yevheniia decided she had to move. That is how she ended up in Dnipro. “It’s not completely quiet here either, but it’s still not comparable to what it was like at home,” she shares.

In the new city, she needed to quickly find a way to continue her treatment. That’s when Yevheniia remembered her friend’s advice and contacted the HelpNow service. “They responded very quickly, explained where I should go and what documents I needed to bring with me. That was very important for me — a new city, many unknowns.”

As a result, everything went smoothly and without unnecessary stress. “I was able to register for care and continue my therapy. Everything was organized easily, without extra worries.”

Yevheniia says that in moments like these, support and simple human understanding mean a lot. “Thank you for your work. It’s very important to know that there are people and services who can guide and support you when you are starting life again.”

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This publication was prepared by Fundacją HelpNow HUBwithin the framework of the project “From heart to heart” in partnership with Step by Step Fundacja, in partnership with Fundacja Res Humanae, with financial support from the Elton John AIDS Foundation.