“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.

On the border: a story of support in Slovakia

Andriy (name changed) moved to Slovakia a few months ago. He brought with him a supply of ART from Ukraine — hoping that later he would be able to organize deliveries through friends or during visits home. However, time passed faster than he expected: his medication was enough for only a week or two.

Feeling lost and anxious, Andriy reached out to the HelpNow service for assistance. He didn’t know how to access treatment in a foreign country, where to go, or whether he would even be accepted. The service’s consultants provided him with detailed information — where to apply, which nearby center accepts migrant patients, and how to behave during his first visit.

Now Andriy is waiting for his doctor’s appointment to start receiving treatment in his new country of residence. The HelpNow consultants remain in contact with him and are ready to support him at any moment should he need help again.

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This publication was prepared as part 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.

A matter of life: why HIV testing remains a challenge in Poland and Central and Eastern Europe

An HIV test is not just a medical procedure. It is a moment of truth that can change a life, save health, and protect others. Yet in Poland and across Central and Eastern Europe, this truth often comes too late. And this is not a statistical accident, but a result of fear, stigma, and insufficient attention from both the state and society.

In Poland, the HIV situation has sharply worsened over the past two years. According to the National Institute of Public Health, in 2023 there were 2,876 new HIV cases—the highest number ever recorded. By comparison, in 2021 there were just over 1,400 cases. The increase over two years is nearly double. Particularly alarming is the growing number of people diagnosed who have lived with the virus for a long time without knowing it. In 2023 alone, 165 people were diagnosed with AIDS simultaneously with HIV detection —50% more than the previous year. At the same time, only about 10% of Poland’s adult population has ever been tested for HIV.

More than two-thirds of new cases are among men, most often aged 30 to 39. However, the proportion of women is increasing—about 21% of new diagnoses in 2023. And this issue is not unique to Poland. According to the World Health Organization (WHO) and the European Centre for Disease Prevention and Control (ECDC), in 2023 there were 113,000 new HIV diagnoses in the European region, and 52% of them were detected too late, at a stage of severe immune system weakening. In Central and Eastern European countries, this figure is even higher, especially among heterosexual men and people over 40. Approximately 17% of all people living with HIV in the region do not know their status.

Late diagnosis not only means worse prognoses but also a higher risk of mortality. Studies show that among patients diagnosed late, the death rate is 37.8%, while among those diagnosed early it is only 13.3%. But behind these numbers lies more than medicine. These are stories of fear, stigma, social isolation, and distrust of doctors.

“We see that the fear of knowing the truth is still stronger than the desire to protect oneself and loved ones,” says AnnaAriabinska, Director of Fundacja HelpNowHUB. “Our project ‘We Are Different – We Are Equal!’ creates a safe space for those who fear judgment. We say: a test is not a sentence. It is a chance at life.”

The project “We Are Different – We Are Equal!”, implemented by Fundacja HelpNowHUB with the support of the AIDS Healthcare Foundation and AHF Poland, is aimed at supporting people in vulnerable situations: migrants, people with disabilities, and members of the LGBTQ+ community. The project team organizes free and anonymous HIV, hepatitis C, and syphilis testing in Polish cities—from Warsaw and Białystok to Bydgoszcz. In addition to medical services, the project provides psychological, legal, and social support, teaches how to access treatment, and helps overcome barriers in healthcare.

A detailed schedule is available by phone: +48 786 640 460 or +48 575 023 612
or via the social media of Fundacja HelpNow HUB.AnnaAriabinska emphasizes: “Equality is not a slogan. It is our daily work. We fight so that everyone can take a test calmly, without fear, without shame. One test can save a life—and often does!

Life without interruption: Yulia’s story of resuming therapy in Poland

Yulia (name changed) reached out for help after already having a one-month break in her treatment. Previously, she received her therapy from Ukraine — friends either sent or brought her medication. But over time, this option was no longer available. Yulia kept waiting, hoping that someone might deliver the medicine, but the days passed, and the treatment gap continued. That was when she called a HelpNowHUB consultant.

The consultant explained to Yulia that it is important not only to have access to medication but also to undergo regular check-ups: monitoring viral load, CD4 levels, biochemical tests, and other essential indicators. She encouraged Yulia to register for care in Poland to ensure uninterrupted access to treatment.

Yulia filled out the required forms for the Center for Public Health, sent them, and received a copy of her medical record. The HelpNowHUB consultant helped her schedule an appointment with a doctor and prepared a detailed route on how to get from her town to the HIV counseling center. On the day of the visit, the consultant supported Yulia over the phone — from the bus stop all the way to the clinic doors, and even on her way back when she got a little lost again.

Today, Yulia has already received her therapy and the date for her next tests. She started taking her medication on the very first day. After she undergoes lab tests next month, she will be given a three-month supply of medication. This means there will be no more interruptions in her treatment. Moreover, Yulia listed the consultant as her contact person so that in the future, if needed, she could collect the therapy on her behalf and send it by mail. This will save Yulia time and help her avoid difficulties at work.

“I feel confident again. Now I know that I am not left alone with my diagnosis and that support is always there,” says Yulia.

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This 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.

Life goes on: Olena’s story of finding therapy in Germany

Olena (name changed) arrived in Germany in the spring together with her daughter. In Ukraine, she already knew about her HIV status, was registered for care, and was taking ART as well as substitution therapy. But after moving to one of the largest cities in Bavaria, everything stopped: a different country, new rules, another language.

When her supply of Ukrainian therapy was running out, she turned to the HelpNow service for assistance. They explained to her how to access therapy in her new city of residence — where to go, what documents to show, what to say to the doctors. After receiving a referral to a specialized center, she felt nervous during the visit, but the medical staff treated her with understanding and tolerance.

Olena underwent an examination and now regularly takes her therapy. “Thank you for not leaving me alone with my needs,” says Olena. “Even from afar, your help is extremely important for people.”

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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.

The path to therapy and a new life: Maryna’s story

Maryna (name changed) arrived in Poland with her three children, fleeing the war. She lives in a small village, far from the city and specialized clinics. Her HIV status was a taboo subject for her—she feared that neighbors or locals would find out. “I felt so ashamed and scared. I didn’t know how to tell people that I needed to go to the hospital specifically because of HIV. I thought they would judge me and turn away from me,” Maryna shares.

A year ago, she reached out for the first time to consultants from the HelpNowHUB Foundation to register and access HIV treatment in Poland. The road was long and difficult: constant obstacles—her children’s illnesses, her own health problems, fear, and not knowing how to get to the hospital.

The HelpNowHUB specialists didn’t give up: they scheduled Maryna’s appointments four times, called her, supported her, and explained step by step what needed to be done. “They supported me even when I no longer believed I could make it. The consultant stayed with me over the phone, kept registering me again and again, and explained everything to the reception desk for me,” Maryna recalls.

The turning point came when Maryna decided to open up to local Poles who sometimes helped her with transportation. She found the courage to tell them about her status—and received not judgment, but support. “They listened to me and said, ‘Don’t worry, we’ll help.’ They drove me to the clinic and even arranged a car for the way back. That was unexpected and very important to me,” she says.

During the visit, a HelpNowHUB consultant accompanied Maryna remotely: helped her at the reception and oversaw every step. As a result, Maryna underwent medical tests, had an X-ray (due to a past tuberculosis infection), and received medication for two months. “Since yesterday, I’ve been taking Polish therapy. I’m registered. This is a huge step for me,” Maryna says.

Her decision to take care of her health was also strengthened by personal tragedy: her husband in Ukraine, who also lived with HIV but never sought treatment, passed away. Now Maryna is waiting for her next appointment in October to receive her test results and continue therapy. She admits that without HelpNowHUB’s support, she might never have dared to take this step. “Without the Foundation, I wouldn’t have managed—thank you!” Maryna shares.

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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.

Support for Ukrainians with HIV in Germany: psychological, social, and legal assistance

The Deutsche Aidshilfe network, 100% LIFE Germany, and the National HIV/AIDS Hotline have joined resources to help Ukrainians in Germany from key communities.

Ukrainians living with HIV and community representatives in Germany can receive free psychological support from professional specialists. To do this, it is enough to fill out a short form at hiv.helpme.com.ua. After that, a psychologist will contact you to arrange the time of the first video session. Consultations are held via a secure online platform and help to cope with stress, emotional burden, and make adaptation to new conditions easier.

In case you need crisis support “here and now,” you can contact the National HIV/AIDS Hotline. It operates 24/7 and is available for calls from abroad. You can call directly at +380 44 290 40 89 or +380 93 023 82 43, as well as order a free call via the website saapf.kiev.ua. In addition to crisis assistance, hotline consultants provide information about opportunities to receive medical and social services in Germany.

An important tool for Ukrainians is also the 100% LIFE legal chatbot, which helps find answers to frequently asked questions about staying in Germany. In the bot, you can learn about HIV and the right to residence, medical insurance, social guarantees, issues of confidentiality of status, as well as protection from discrimination. The chatbot is available on Telegram @100%LifeBOT, on Viber (100Life bot), on Facebook Messenger (100%Life_bot), and on the website network.org.ua/pravova-dopomoga. For convenience, it is enough to select the section “Questions Germany”.

In addition, in Germany there is a community “100% Life. Germany”, which unites Ukrainians and provides a space for mutual support. You can join the group through the Facebook page: facebook.com/100life.germany.

All these opportunities are implemented within the framework of a joint project of Deutsche Aidshilfe, 100% LIFE Germany, and the National HIV/AIDS Hotline, with the support of the Elton John AIDS Foundation.

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We remind you: if you or your loved ones are representatives of key groups, have found yourselves abroad, and need information on how to get access to ART, opioid substitution therapy, anti-tuberculosis drugs, hepatitis treatment, psychological or legal support in the host country — the HelpNow Service is working for you.

You can get help through:

“We are different – we are equal!”: Fundacja HelpNow launches a social project to support vulnerable groups in Poland

Women, people with disabilities, migrants, and those in need of support — these are the groups targeted by the new project “We are different – we are equal!”, implemented by Fundacja HelpNow HUB with financial support from AIDS Healthcare Foundation and AHF Poland. The initiative has been running for over two months in five Polish cities: Warsaw, Bydgoszcz, Gdańsk, Wrocław, and Białystok.

We want every person — regardless of their background, health status, or life circumstances — to feel safe, to have access to quality information, medical care, and support. Equality is not a slogan, it’s our daily work,” emphasizes Anna Ariabinska, Director of Fundacja HelpNow HUB.

The project includes a range of activities in educational, medical, and psychological areas. Among the planned initiatives are five 12-hour WenDo training sessions, in which 60 women from five Polish cities will participate. WenDo is a self-defense method designed specifically for women.

WenDo training is not just about physical protection. It’s about confidence, asserting your boundaries, and the power to be yourself,” adds Ariabinska.

The project also provides consultations on HIV, tuberculosis, hepatitis, as well as support for social adaptation and legal aid. Free, anonymous HIV, hepatitis C, and syphilis testing with pre- and post-test counseling is regularly carried out in Bydgoszcz and Białystok. Psychological support is also available to the project team.

According to recent data, 2,876 new cases of HIV were recorded in Poland in 2023 — the highest number ever registered. For comparison, just a few years ago, the average was around 1,000 cases per year. The number of infections among foreigners is growing particularly rapidly — 753 cases were registered in 2022, three times more than in 2021. Women account for about 20–21% of new HIV cases in Poland, and this number is slowly increasing. A significant portion of women are diagnosed at late stages, which complicates treatment and increases the risk of complications.

A single test can change or even save a life. We want people not to fear the truth. Modern medicine allows people with HIV to live fully — the key is knowing your status in time,” stresses the Director of the Foundation.

The goal of “We are different – we are equal!” is to improve access to healthcare services for vulnerable groups, raise awareness about HIV, hepatitis, and other infections, promote a culture of regular testing, provide psychological support, and reduce HIV-related stigma. All of this is aimed at creating a safe environment where every person — regardless of gender, nationality, physical condition, or social status — has equal rights to health, support, and a life of dignity.

The Foundation invites everyone interested to take part in free, quick, and anonymous HIV testing in Bydgoszcz and Białystok. A detailed schedule is available by calling: +48 786 640 460 or +48 575 023 612, or by messaging Fundacja HelpNow HUB on social media.

“We’re not just offering services — we are building a community where everyone has the right to care, health, and a life of dignity!” concludes Anna Ariabinska.

The freedom to be yourself: Kateryna’s story of resilience, fighting violence, and living with HIV

“I’m a mother of three, a woman with a history of substance use, now 18 years in remission. I live with HIV. And I am a free woman,” says Kateryna (name changed). Her story is one of resilience, responsibility, and the ability to rebuild herself after violence, addiction, and loss.

Kateryna learned about her HIV status in 2005, during her first pregnancy. “There was no PCR testing back then, only antibody tests. But I was immediately registered in Kyiv, received prevention treatment — and my baby was born healthy. Just like my other two children.” Since the beginning, Kateryna has been taking antiretroviral therapy (ART) and has never stopped treatment.

Relocating to Poland didn’t stand in her way: “I took a certificate from home, and initially had six months of ART with me. Then I simply went to a local infectious disease specialist — and that was it. They registered me, gave me the medication. The drugs are different here, but my viral load is undetectable. Everything’s fine. By the way, whenever friends or relatives move abroad, I tell them: contact the HelpNow team — they really do help.”

In Poland, Kateryna works and supports herself and her children. She holds multiple qualifications: medical worker, cosmetologist, and certified psychologist. But her story is not just about living with HIV and maintaining her health. It’s also a story of survival, endurance, and the difficult path of leaving abusive relationships.

Kateryna speaks openly about the years she lived with violence — physical, psychological, sexual and economical. The hardest part, she says, was recognizing how deeply ingrained her fear of being seen as “bad” was in her behavior. “I always tried to be the ‘good girl.’ I did everything myself, carried it all alone. I thought that was my role. And when I started to break away, to stand up for myself — the response was aggression.”

None of her former partners helped after the breakups. “I didn’t file for child support for seven years. I was ashamed. But then I just got angry — and I filed.”

Now, Kateryna is not in a relationship — and that’s a conscious choice. “I don’t see the point in going back to a dynamic where I end up dragging someone along again. If I ever truly want to be with someone, I’ll go to therapy and figure out why.”

Her survival formula is simple: rely on herself. “We don’t need a ‘savior.’ We need resources. If I know I can feed myself — I’m already safe. Everything else can be figured out. Education, financial independence, self-respect — that’s my strength.”

Kateryna’s story is one of deep transformation that begins with being honest with yourself. It’s about a freedom that no longer agrees to stay silent or endure abuse. And a resilience that is born from a simple decision — to stay with yourself and stand up for yourself.

“Everything we need is already within us. We just have to give ourselves permission to lean on it.”

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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.