“I want people to know: it is possible to live a full life with HIV”  — an interview with Anastasiia — HelpNow HUB volunteer and regional representative in the Czech Republic

The war has forced many Ukrainians to start their lives from scratch — in new countries, cities, and roles. Anastasiia is a volunteer with the HelpNow HUB team and a regional representative in the Czech Republic. She lives in Prague with her son and speaks openly about the experience of forced displacement, adaptation, searching for stability, and about topics that are often silenced — living with HIV, self-stigma, and the need for up-to-date information and support.

— Anastasiia, could you tell us a bit about yourself? Where are you from, how long have you been in the Czech Republic, and where do you live now?

— We are from Ukraine, from the Donetsk region. I currently live in Prague with my child. We arrived in the Czech Republic in the summer of 2022. The first months were extremely difficult — both emotionally and in everyday life. I only spoke a little English, everything felt scary, and after the shelling my child became very anxious and was afraid to stay without me.

At first, we were sent to a dormitory in a small industrial town — the conditions were very hard and completely unsuitable for living with a child. Later, we had to move again and search on our own, because free housing involved long waiting times and rental prices were very high. Eventually, we moved to Prague, where I found better living conditions and finally a kindergarten for my son. In smaller, industrial towns this is a real problem.

— What was your path of adaptation like: work, childcare, everyday life?

— At first, I started learning Czech, and at the same time I found my first job — cleaning in a hotel. I often took my son with me because he couldn’t stay without me — he had strong anxiety, attachment issues, and fear. After completing Czech language courses, I still couldn’t find a job in my field, and I realized that I wouldn’t be able to continue like this for long — neither physically nor psychologically.

Later, I saved some money and decided to study manicure and pedicure. I worked in a salon for two years. And then everything began to fall apart. My husband and I divorced while living apart, my child experienced bullying at school, and at work it was very hard — from early morning until almost night, five to six days a week, while my son was often with a nanny. That’s when a deep reassessment of values happened. I decided to start everything from scratch.

— You often speak about responsibility and inner change. What was the turning point for you?

— War puts everything in its place very quickly. Illusions collapse instantly. You realize that material things are not the most important. Life and health are. I had a period when my health declined significantly — I was losing consciousness, completely exhausted. And then I clearly decided: I no longer want to live in a constant mode of running and fighting.

I started learning a lot — reading books, studying psychology, taking courses, working on self-development. And I came to the conclusion that I want to connect my life with helping people — because I know what it’s like to feel scared, ashamed, in pain, and to have no one who can calmly explain and support you. But the world will not hear us if we remain silent.

— You openly address the topic of HIV and the stigma around it. Why is this so important to you?

— Because it is still a taboo topic. So many people are afraid to speak. They hide, feel shame, think they will be hated or rejected. And this destroys people from the inside.

When I learned about my HIV status, I encountered specialists who were not very empathetic — I didn’t feel support or trust. There were situations where I was treated as if I were dangerous: distance, gloves, multiple masks. I would leave feeling like I was “different” or “dirty.”

That’s why I want to be the person who can say to someone else: “You are not alone. Everything will be okay. The most important thing is not to stay alone with this, not to remain silent when you need advice or answers, and not to make dangerous mistakes. There is always a solution.”

— You mentioned that there was a time when you stopped taking therapy. Why did you decide to talk about this?

— Because I know how it can end. At a certain point, I believed people who deny treatment and even the existence of HIV, and I stopped taking my therapy. After some time, I started getting seriously ill — one illness after another. I was hospitalized, and my test results were very poor. Only then did I return to therapy and slowly begin to recover.

It’s important for me to say this out loud not for “drama,” but to warn others so that someone doesn’t repeat this experience. Especially if a person has children and loved ones who depend on them. I personally know many people with very similar stories. I may not know “the perfect way,” but I know for sure: don’t do it like this. Because I lived through it myself.

— How are people living with HIV generally treated in the Czech Republic? Do you see a difference compared to Ukraine?

— For me, the difference is huge. At first, I was also afraid to go to a doctor in Prague, expecting the same experience as before. But here I saw a completely different approach: HIV is treated as a chronic condition that a person can live with while receiving treatment — similar to diabetes, for example.

I am very grateful to my infectious disease doctor — she is empathetic, professional, and I feel respected. And another important thing: here, much more attention is given to sharing up-to-date knowledge with patients, which many adults lack. We often live with outdated information from school — and that’s where fear and stigma come from.

— What kind of support do Ukrainians arriving in the Czech Republic need most, especially people living with HIV?

— First of all, clear navigation — knowing where to go. Not every city has an infectious disease specialist. In small towns, people often have to travel to Prague, and if therapy is running out, this becomes critical. It’s very important for people to know from the beginning in which city they can definitely get a doctor and treatment.

Second, housing. This is a painful issue for everyone, but especially for vulnerable groups. In Prague, there is a Czech organization that supports people living with HIV/AIDS, including temporary shelter and social support — Česká společnost AIDS pomoc. It’s not a permanent solution, but as a starting point, it can help a lot.

Third, psychological support and work with self-stigma. Many people arrive already traumatized — by war and by previous experiences. But here it is really possible to find free psychologists, language courses, and employment programs. The key is not to remain silent and not to isolate yourself.

— What would you say to someone who is afraid to seek help or feels ashamed of their status?

— I would say: don’t stop. If someone refused you, it doesn’t mean that you are “wrong” or undeserving. It means that you knocked on the wrong door. There will be another person, another organization, another specialist.

You need to move forward in small steps every day, reflect, and listen to your body — it never lies. And one more thing: don’t focus only on the negative. Yes, it exists. But if you consciously notice at least one good thing every day — in people or in circumstances — you slowly build your future in the right direction. When we change ourselves for the better, the world starts to attract similar things.

— Finally, a new year means new plans. What do you dream about most?

— I want to be happy. I want conscious, mature relationships and a family. I have deeply rethought my responsibility in relationships and I want partnership and mutual understanding, where two people “work together.”

I also want to grow professionally. I plan to study social work, I dream of becoming a psychologist and social activist. It is important for me not just to volunteer, but to help people systematically — those living with HIV and those going through difficult periods and needing support. I want to share modern knowledge so there will be less fear and stigma, and more respect and understanding.

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

As you feel: Olena’s story about the power of art therapy

“When we hear the word art therapy, the first thought that comes to mind is that it’s just something for children. I wasn’t an exception — at first, I was very skeptical,” recalls Olena (name changed), a client sharing her experience of working with psychologist Maryna.
She admits that she agreed to the online sessions more out of curiosity than belief in any real outcome. But after just a few meetings, she realized that even remotely, the method has a powerful effect. “Through the process, I saw the results for myself — it really works,” she says.

Before that, Olena knew very little about art therapy. “We hadn’t heard much about this approach, because it only became an official healing strategy in 1940 — recognized for its effective impact on the mental well-being of adults as well,” she explains. For her, this was an important discovery: art therapy isn’t just ‘drawing to relax,’ but a full-fledged psychotherapeutic method.

The online sessions with Maryna turned out to be a much deeper experience than she expected. “Working with Maryna wasn’t about drawing a picture or making a collage — it was a deep process of focusing on my feelings and imagination,” Olena shares. It turned out that even through a screen, it’s possible to create an atmosphere of trust and openness — where real change can happen.

“She changed my perception of what it means to create — to do it as you feel,” Olena smiles. According to her, this helped her release tension, allow herself to be honest, and accept her emotions without judgment.

Olena also gratefully recalls the team that helped her find her specialist and have an experience that became much more than just online meetings — a journey toward deeper self-understanding through art, color, imagination, and trust:
“I’m grateful to the HelpNowHUB Fundacja team for connecting me with the practitioner who worked so flexibly with my needs.”

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This publication was prepared within the framework of the project “From heart to heart” in partnership with Zjednoczenie Pozytywni w Tęczy and Step by Step Fundacja, with financial support from the Elton John AIDS Foundation.

A new beginning: Serhii’s story in Spain

“My life hasn’t been easy. For a long time, I struggled with addiction, and substitution therapy became what helped me not to lose myself,” says Serhii (name changed).

In Ukraine, he was registered and receiving treatment, but when he moved to Spain, he found himself in a new country without acquaintances or support. “It was hard to understand where to turn. I didn’t know how to continue therapy or where to find the right specialists. And all this while looking for a job, housing… everything at once.” That’s when he heard about the HelpNow service. “I got the contact of a clinic that was able to continue my treatment and explained how the system works.” Serhii notes that the staff’s attitude towards him was friendly and understanding—that he was in a difficult situation, a foreigner needing help. No judgment, only attention. He points out that now he has a schedule and an understanding of what tomorrow will bring. And that is extremely important.

“For me, the main thing is to keep control over myself and keep moving forward,” Serhii shares. “And substitution therapy is my chance to live without fear. I am very grateful for the support I received on this journey!”

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This publication was prepared within the project “From heart to heart” in partnership with Zjednoczenie Pozytywni w Tęczy and Step by Step Fundacja, with financial support from the Elton John AIDS Foundation.

Nina’s Story: “I have the right to care, no matter where I am

Nina (name changed) is a woman from the Kyiv region of Ukraine who moved to France this year with her young child. Back in Ukraine, she had already been seeing an infectious disease specialist and receiving ART (antiretroviral therapy), but after relocating to one of France’s largest cities, she faced challenges that felt overwhelming.

“The language isn’t mine — I hardly speak French. I had all my documents with me, but I didn’t know where to go or how to start. I was afraid I would lose access to treatment. More than anything, I thought about my child — I have to stay healthy for him.”

During the first few weeks, Nina tried to find a medical center on her own, where she could get help. By chance, while browsing online, she came across contact information for the HelpNow Service, which supports Ukrainians from key populations abroad, including people living with HIV.

“I sent a message — they replied with such kindness and understanding. Nina was able to register at a local medical center. She was assigned a doctor, underwent a medical examination, and received a new ART prescription. “I was shocked — everything went much more smoothly than I imagined. And most importantly, no one judged me. I felt that I wasn’t alone.”

Nina has now been receiving uninterrupted therapy for several months. “The support wasn’t just about getting medication. They helped me realize that I have the right to care, no matter where I am.”

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The publication was prepared within the framework of the “From Heart to Heart” project in partnership with Zjednoczenie Pozytywni w Tęczy and Step by Step Fundacja, with financial support from the Elton John AIDS Foundation.

“It was important to know I wasn’t alone”: Dmytro’s story

Dmytro (name changed) learned about his HIV status only after relocating to the Netherlands. The news came as an unexpected and distressing shock. In a new country, far from home and without familiar support systems, he found himself alone with a life-changing health issue. At first, he wasn’t ready to talk to anyone about it.

After finding HelpNow’s Service contact online, Dmytro reached out and quickly received clear, practical guidance — where to go and what documents or information he needed to have with him.

He was given the details of the nearest medical center, where he was able to get tested and undergo all necessary examinations. His knowledge of English helped him communicate confidently with the healthcare staff. Soon after, he completed the required tests and received his first ART regimen.

Alongside starting treatment, Dmytro continues his studies and is actively searching for a job, doing his best to adapt to his new life as quickly as possible. He gratefully recalls his experience with HelpNow: “I’m thankful for the support, the clear information, and for being helped not to freeze in that difficult moment. It was important to know I wasn’t alone. Thanks to you, I didn’t lose time and have already started therapy. I truly appreciate your work, compassion, and dedication.”

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The publication was prepared within the framework of the “From Heart to Heart” project in partnership with Zjednoczenie Pozytywni w Tęczy and Step by Step Fundacja, with financial support from the Elton John AIDS Foundation.