Section 6. Discrimination, Societal Abuses, and Trafficking in Persons
Rape and Domestic Violence: The law defines domestic violence as a criminal offense, provides for the punishment of perpetrators, defines mechanisms for obtaining restraining orders against abusive individuals, and extends protection to unmarried individuals and children of unmarried individuals. The law covers five forms of domestic violence–physical, psychological, sexual, economic, and spiritual. The maximum punishment for family violence offenses is 15 years’ imprisonment. The law also criminalizes rape, including spousal rape, or forcible sexual assault and establishes penalties for violations ranging from three years to life in prison. It requires, however, that the victim prove they were subjected to violence. Domestic violence resulting in “nonsignificant bodily harm” falls under the Contraventions Code, rather than the Criminal Code, and may be punished by a fine or community service.
The law provides for cooperation between government and civil society organizations, establishes victim protection as a human rights principle, and allows third parties to file complaints on behalf of victims. The international NGO La Strada operated a hotline to report domestic violence, offered victims psychological and legal aid, and provided victims options for follow-up assistance. The Women’s Law Center also offered legal, psychological, and social support to domestic violence victims. During the year 10 centers providing assistance to domestic violence victims were operational in the country. An additional two centers provided counselling and resocialization services to family aggressors.
In July parliament adopted legislation to improve reporting in domestic violence cases, streamline the victims’ referral system and the use of restriction orders, improve access to state-guaranteed legal assistance for domestic and sexual violence victims, and expand the use of electronic monitoring devices in domestic violence cases. Rape remained a problem, and there were no specific governmental rape prevention activities.
In its concluding observations on its sixth periodic report on the country in March, the Committee on the Elimination of Discrimination against Women noted concerns about the high prevalence of gender-based violence against women, including domestic violence and economic and psychosocial violence, and underreporting of gender-based violence against women, in particular domestic violence, due to fear of stigmatization and revictimization. The committee also noted limited financial compensation in gender-based violence cases, a lack of shelters and victims’ support services, including psychosocial counselling, legal assistance, and rehabilitation programs, particularly in rural areas and Transnistria.
Police reported a similar number of domestic violence criminal cases during the year with 1,409 cases registered in the first nine months, including 10 domestic violence cases that resulted in death. The General Police Inspectorate issued 3,205 restraining orders. From January to September, the courts issued 534 protection orders.
Police protection of victims and proper execution of protective orders improved slightly; the law requires that authorities issue protective orders within 24 hours. This provision was often not implemented, however, particularly for protection order requests filed on Fridays and examined by the courts the next Monday. A law adopted during the year authorizes the Ministry of Justice to expand the use of electronic devices for monitoring accused aggressors in domestic violence cases.
Police and human rights NGOs reported an increase in domestic violence complaints during the COVID-19 state of emergency and the subsequent state of public health emergency. From January through April, the General Police Inspectorate reported a 24 percent increase in the number of complaints of domestic violence received, and the Women’s Law Center reported that the number of calls to their domestic violence hotline doubled during the state of emergency. NGOs attributed the increase to domestic violence victims staying in isolation with their abusers for lengthy periods of time without the ability to seek assistance. From March 17 to May 31, the NGO La Strada’s Women and Girls’ Trust Line received 390 calls, including 247 complaints of domestic violence. During the state of emergency (March 17-May 15), shelters for domestic violence victims did not accept new applicants to reduce the risk of COVID-19 infections. Authorities did not take steps to provide placement for survivors. While police and courts established protection measures for victims of violence, in most cases a lack of coordination between members of local multidisciplinary teams (which are meant to bring together law enforcement, health professionals, social workers, spiritual leaders, and local public officials to assist victims) left victims without the resources and protections the courts intended to provide for them.
According to La Strada, the subject of sexual violence remained sensitive for the country. Societal attitudes affected the behavior and the reticence of sexual violence victims to report incidents. Sexual abusers frequently used information technologies to threaten, frighten, humiliate, or cause the victim not to report abuses to law enforcement agencies. Specialists responsible for intervening in sexual violence cases were affected by prejudice and stereotypes and sometimes contributed to the victimization of or discrimination against victims of sexual crimes. Media outlets sometimes reinforced stereotypes and contributed to social stigma in their reporting on cases of sexual violence.
In Transnistria domestic violence without “substantial bodily harm” (such as broken bones or a concussion) remains an administrative, rather than criminal, offense only punishable by a fine.
Sexual Harassment: Sexual harassment remained a problem. The law provides criminal penalties for sexual harassment ranging from a fine to a maximum of three years’ imprisonment. The law prohibits sexual advances that affect a person’s dignity or create an unpleasant, hostile, degrading, or humiliating environment in a workplace or educational institution. There are no criminal penalties or civil remedies for sexual harassment in employment. According to NGOs, law enforcement agencies steadily improved their handling of sexual harassment cases, addressing harassment of students by university professors and several instances of workplace harassment. Civil society groups, however, criticized the judicial system for displaying inadequate concern for the safety of victims and for not holding perpetrators accountable for their behavior.
According to an informative note on a January bill published by the Ministry of Health, Labor, and Social Protection calling for the review of national legislation on sexual harassment, one in five women in the country experience sexual harassment in the workplace. Similarly, a 2018 Partnership for Development Center survey concluded that one in five women reported being sexually harassed by a teacher. Societal attitudes and lack of interest from law enforcement discouraged victims from reporting instances of sexual harassment.
Reproductive Rights: Couples and individuals have the right to decide the number, spacing, and timing of their children; to manage their reproductive health; and to have the information and means to do so, free from discrimination, coercion, and violence. By law minors under the age of 16 must have permission from a parent or legal guardian to obtain reproductive health services; a medical provider may waive this requirement if the minor’s life or health are in danger.
The state provides contraception free of charge to citizens through primary care providers. Although minors have access to contraception without parental consent through a network of Youth-Friendly Health Centers, many are reluctant to request contraception from family doctors due to social stigma.
Victims of sexual violence have access to sexual and reproductive health services on the same basis as other citizens.
Coercion in Population Control: There were no reports of coerced abortion or involuntary sterilization on the part of government authorities.
Discrimination: Women and men enjoy the same legal status in family, labor, property, nationality, inheritance law, and in the judicial system. The law requires equal pay for equal work, which authorities generally respected. The law requires that women fill a minimum of 40 percent of decision-making positions in government and political offices; prohibits sexist and discriminatory language and images in the media and advertising; and spells out employers’ responsibilities in ensuring that workplaces are free of discrimination and sexual harassment. The law also establishes a minimum quota of 40 percent female representation on the electoral lists of political parties and sanctions for noncompliance. During the February 2019 parliamentary elections, 41.8 percent of candidates were women on the political parties’ electoral lists and over 25 percent of members of parliament were women. During the November presidential elections, only one woman ran for office. While launching his electoral campaign for the second round, incumbent president Igor Dodon made gender-based discriminatory statements against his political opponent in the runoff, Action and Solidarity Party leader Maia Sandu.
According to a report issued in February by the Union for HIV Prevention and Harm Reduction and Promo-LEX, female drug users, sex workers, and inmates were the most vulnerable to multiple risks, such as HIV or AIDS, human trafficking, harassment, and violence due to discrimination, criminalization, stigmatization, and exclusion from society. Despite such vulnerabilities authorities did not protect basic rights to health care and justice for women in these categories.
Discrimination with respect to employment, pay, and access to pension benefits persisted in the country (see section 7.d.).
Birth Registration: Persons may acquire citizenship through birth to a citizen parent, birth in the country to stateless persons, birth to parents who cannot transmit their citizenship to the child, or through adoption by citizen parents. Registration of birth is free of charge for all citizens. The lack of registration certificates for a number of children, especially in rural areas and in Romani families, remained a problem.
Education: Primary education was free and compulsory until the ninth grade. Education of Romani children remained a problem; only half of Romani children attended school and one in five attended preschool. According to Romani representatives, absenteeism and school dropout rates in Romani communities stemmed from poverty and fear of discrimination.
All schools, kindergartens, and other educational institutions closed and were replaced with online schooling during the COVID-19 state of emergency that began on March 17. While some schools had the necessary resources and human capacity to hold classes online, most educational institutions, particularly in rural areas, failed to provide proper education through the end of the academic year. At the start of the new academic year on September 1, there were 11 schools out of 1,252 that remained closed due to COVID-19 cases among teachers and students. An additional eight schools closed after the school year started. By September 14, there were over 200 COVID-19 cases in schools in Chisinau; 1,325 students and 57 teaching and technical staff from 21 educational institutions were quarantined and there were 35 active cases in kindergartens.
Child Abuse: Although the law prohibits child neglect and specific forms of abuse, such as forced begging, child abuse remained a problem. The Ministry of Health, Labor, and Social Protection has noted that social norms created a permissive environment for violence against children at home and at school.
The Ministry of Education, Culture, and Research reported 4,738 cases of violence against children in the first half of the 2019-20 academic year. Some 2,171 children reported physical violence and 1,316 children reported neglect, while there were 40 cases of labor exploitation and 17 of sexual abuse. Local public authorities failed to monitor all cases of abuse against children, claiming a lack of experts. The ombudsman for children’s rights stated that most child neglect cases were due to alcohol abuse in the family.
An April study by the Ministry of Education, Culture, and Research and the National Center for the Prevention of Child Abuse noted that children were exposed to more risks during the COVID-19 pandemic due to increased psychosocial stress, a sense of fear and panic generated by the pandemic, the suspension of school activity, infection with coronavirus or quarantine, access to and improper use of disinfectants and alcohol, their increased vulnerability to exploitation for child labor, social discrimination, and the limited availability of services for children with disabilities. Following the closure of schools and kindergartens, 32 children who were left home unsupervised died from accidents in the first six months of the year.
A special unit for minors in the Prosecutor General’s Office, the Juvenile Justice Unit, is responsible for ensuring that particular attention and expertise are devoted to child abuse victims and child offenders.
Child, Early, and Forced Marriage: The legal minimum age for marriage is 16 for women and 18 for men. There were no official statistics regarding child marriages.
Child marriage was most common in Romani communities, where it was reportedly acceptable to marry off girls between the ages of 12 and 14. This either took the form of a forced marriage, whereby a girl is married off to an adult man against her will, or an arranged marriage, whereby “match makers” arranged for two children to be married in the future. In such cases marriage takes place without official documentation or registration. After marriage, girls commonly dropped out of school to take on household duties.
Sexual Exploitation of Children: The exploitation of a child in a commercial sex act is punishable by 10 to 12 years’ imprisonment. Authorities punished commercial sex with minors as statutory rape. The law prohibits the production, distribution, broadcasting, import, export, sale, exchange, use, or possession of child pornography, for which the punishment is one to three years’ imprisonment and fines. These laws were generally enforced. The minimum age for consensual sex is 16. The country is a destination for child sex tourism. According to the International Organization for Migration’s 2020 Violence against Children and Youth Survey report for Moldova, 7.6 percent of girls and 5.4 percent of boys between the ages of 13 and 17 experienced sexual violence in the previous year.
The Prosecutor’s Office to Combat Organized Crime and Special Cases is responsible for investigating and prosecuting child sexual abuse cases, and the Antitrafficking Bureau of the Prosecutor General’s Office is responsible for investigating and prosecuting child trafficking and child sexual exploitation. During the first 10 months of the year, law enforcement officials identified 42 victims of child online sexual exploitation, ranging in age from eight to 17 years old. La Strada’s Child Safeguarding Team registered 81 new cases of child sexual exploitation and sexual abuse that included 27 cases of child pornography, 21 cases of child trafficking for the purpose of sexual exploitation, and 33 cases of sexual abuse. Law enforcement bodies referred 63 cases for assistance.
Institutionalized Children: During the year the number of children placed in residential institutions decreased to 961, including 195 children with disabilities. The government also operated family-type homes, maternal centers, and daycare centers that provided various services for deinstitutionalized children, including children with disabilities. Another 26 mobile teams assisted over 840 beneficiaries across the country, including 485 children with disabilities. Children raised in residential institutions were at greater risk of unemployment, sexual exploitation, trafficking, and suicide as adults compared with their peers raised in families. According to human rights watchdogs and the ombudsperson for children’s rights, legal protective mechanisms to prevent recidivism and reinstitutionalization of homeless children were not functional during the year.
International Child Abductions: The country is a party to the 1980 Hague Convention on the Civil Aspects of International Child Abduction. See the Department of State’s Annual Report on International Parental Child Abduction at HYPERLINK “” HYPERLINK “https://travel.state.gov/content/travel/en/International-Parental-Child-Abduction/for-providers/legal-reports-and-data/reported-cases.html”https://travel.state.gov/content/travel/en/International-Parental-Child-Abduction/for-providers/legal-reports-and-data/reported-cases.html.
The Jewish community numbered between 1,600 and 30,000 persons (depending on source and definition), including up to 2,000 living in Transnistria.
According to the Jewish community, anti-Semitic discourse, hate speech, and instigation to discrimination and violence against members of the Jewish community, especially on the internet, was a systemic problem. Publications related to the community’s activities were often followed by discriminatory comments or verbal insults that were not banned on such platforms, including blaming the Jewish community for the spread of COVID-19. Online security was another problem during the pandemic. In April the Jewish community reported a case of unauthorized individuals accessing an online Zoom session conducted by the community’s rabbi during a daily Torah lesson. The unknown perpetrators intimidated Zoom participants and posted insulting photographs and videos for several minutes.
The Jewish community reported two acts of vandalism during the year. Unknown individuals made an anti-Semitic inscription at an exhibit dedicated to the 20th anniversary of the Chisinau-Tel Aviv twin cities agreement. The community registered a complaint with police, and the case was pending at year’s end. In a second case, unknown individuals vandalized and drew anti-Semitic graffiti on 82 tombs at the Jewish cemetery in Chisinau. The Jewish community sent a complaint to the police and called on the authorities to adopt legal mechanisms that would prevent and punish Holocaust denial, the glorification of Nazi leaders or the use of Nazi symbols. The Chisinau police department opened a criminal case. According to the Jewish cemetery director, the perpetrators vandalized an unprecedented number of tombstones on the nights of October 30 through November 1. In reaction the Ministry of Education, Culture, and Research, which oversees the Jewish History Museum, which includes the Jewish cemetery, announced the installation of video surveillance equipment at the cemetery to prevent similar incidents in the future. In November the government also adopted amendments to the criminal code; strengthened sanctions for “acts of vandalism and desecration of tombs, monuments or places revered by persons belonging to various religious groups;” and imposed higher fines and imprisonment terms of up to four years. The Ministry of Foreign Affairs and European Integration condemned the acts of vandalism, noting “the destruction of Jewish gravestones and monuments is a barbaric attack not only on the memory of the Jews from the Republic of Moldova, but is also challenging the entire Moldovan society.”
See the Department of State’s Trafficking in Persons Report at https://www.state.gov/trafficking-in-persons-report/.
The law prohibits discrimination against persons with physical, sensory, intellectual, and mental disabilities in employment, education, access to public facilities, health services, or the provision of other government services, but authorities rarely enforced the law.
Investigation of degrading treatment of patients in psychoneurological institutions was deficient. In most cases prosecutors refused to investigate complaints submitted by patients, questioning the accuracy of allegations made by persons with mental disabilities. According to Promo-LEX, most prosecutors and investigators lacked technical skills to investigate acts of violence or torture in psychiatric institutions. Authorities also lacked a regulatory framework for the psychological assessment of victims of torture and inhuman or degrading treatment in psychiatric institutions.
During the first nine months of the year, members of the Council for Prevention of Torture, as part of the National Mechanism for the Prevention of Torture (NMPT), conducted preventive visits to residential institutions for persons with disabilities. The NMPT identified a number of problems in such institutions, including a shortage of personnel in most residential institutions, including of medical staff in institutions hosting persons with disabilities; verbal and physical abuse by personnel of persons with disabilities; involuntary confinement of patients; insufficient qualified staff at specialized institutions for children with disabilities; and lack of complaint mechanisms.
During its monitoring activities, the Moldovan Institute of Human Rights identified systemic deficiencies in psychiatric hospitals and temporary placement centers for persons with disabilities. Experts reported cases of forced medication without a legally mandated court order. Patients isolated in temporary placement centers reported the administration of psychotropic drugs without consent and mistreatment by personnel. The institute also found deficiencies in documentation, investigation, and management of cases involving persons with mental or psychosocial impairments by police, prosecutors, judges, and health service providers. While all institutions are required to document and report any unexplained injuries to the Anti-Torture Prosecutor’s Office, officials at the Codru Psychiatric Hospital reported no such cases during the year, despite IDOM monitors finding numerous patients with visible injuries during the course of their audit.
According to the Moldovan Institute of Human Rights, Balti Psychiatric Hospital lacked a separate ward for patients who committed crimes, leaving them to be housed and treated alongside civilly committed and voluntarily committed patients. Persons with different types of disabilities and widely different ages were sometimes lodged in the same rooms, and unjustified restrictive measures were sometimes applied. There was no separation of persons who were civilly committed as presenting a danger to themselves or others from those who voluntarily committed themselves in any of the country’s three psychiatric hospitals.
During the March 17 to May 15 state of emergency declared in response to the COVID-19 pandemic, all “closed institutions” including psychiatric hospitals and temporary placement centers for persons with disabilities (“social care centers”), suspended discharges, keeping patients and residents involuntarily confined. Visitors and outside monitors were also denied access to these facilities during the state of emergency “as a quarantine measure.” Independent monitors reported that stresses imposed on patients, residents, and staff by the quarantine measures led to an increase in mistreatment cases and hurt the mental health of patients and residents.
The law requires new construction and transportation companies’ vehicles to be accessible to persons with disabilities. Authorities implemented the provisions of the law only to a limited extent. While many newly built or reconstructed buildings were accessible, older buildings often were not. According to the disability rights NGO Motivation, more than 70 percent of public institutions lacked access ramps for persons with disabilities. Persons with mobility disabilities complained about the lack of access to public transportation and public institutions as well as the shortage of designated parking places. Despite some improvements during the year, city authorities and construction companies often disregarded legal requirements on accessibility for persons with mobility impairments.
An audit on the accessibility of polling stations conducted by the Central Electoral Commission and the UN Development Program in 2019 found that only 1 percent of 612 stations assessed were fully accessible for wheelchair-bound persons. Most polling stations had no ramps or accessible toilets, narrow entrances, and dark hallways, which led to many persons with disabilities requesting mobile ballot boxes. According to Central Election Commission data, there were 170,000 persons with disabilities of voting age. There were no measurable improvements to these metrics reported in the year.
The government continued the deinstitutionalization of persons with disabilities and provided alternative community-based services under the National Program of Deinstitutionalization of People with Intellectual and Psychosocial Disabilities from residential institutions for 2018-26. Deinstitutionalization was temporarily halted during the COVID-19 state of emergency from March 17 to May 15.
Human rights observers criticized the country’s guardianship system. A person placed under guardianship loses all standing before the law and cannot perform social and legal acts, such as marriage, voting, claiming social benefits, and consenting to or refusing medication. Most residential institutions lacked proper accommodation for persons with mobility impairments.
Most schools were poorly equipped to address the needs of children with disabilities. Some children with disabilities attended mainstream schools, while authorities placed others in segregated boarding schools, or they were home schooled. Although the law provides for equal employment opportunities and prohibits discrimination against persons with disabilities (with the exception of jobs requiring specific health standards), many employers either failed to provide accommodations or avoided employing persons with disabilities.
According to NGOs providing services for persons with mobility impairments, the COVID-19 pandemic negatively affected persons with disabilities, particularly those in wheelchairs. Authorities suspended the provision of most health-care rehabilitation and social services during the state of emergency and public health state of emergency, negatively affecting the physical and psychological condition of persons with disabilities.
In Transnistria the “law” provides for protection of the rights of persons with disabilities in the areas of education, health care, and employment. According to the latest 2019 report of the Transnistrian “ombudsman,” there were 17,121 persons with disabilities registered in Transnistria as of December 2019, including 1,304 children with disabilities (aged under 18 years old). The same report noted 188 patients as of October 2019 in the region’s only psychiatric institution in Vyhvatintsy village. Reliable information about the treatment of persons with disabilities in Transnistria was generally unavailable, but there were reports that children with disabilities rarely attended school and lacked access to specialized resources.
Roma continued to be one of the most vulnerable minority groups in the country and faced a higher risk of marginalization, underrepresentation in political decision making, illiteracy, and social prejudice. Roma had lower levels of education, more limited access to health care, and higher rates of unemployment than the general population (see section 7.d.). According to a study released during the year by the Partnership for Development Center, the employment rate among Roma was only 6.4 percent. The unemployment rate among the Romani community stood at 45 percent. Romani women were particularly vulnerable to social exclusion and discrimination.
Approximately 60 percent of Romani families lived in rural areas. Some Romani communities lacked running water, sanitation facilities, and heating. Other problems facing Roma included lack of emergency health-care services in secluded settlements, unfair or arbitrary treatment by health practitioners, and lower rates of health insurance coverage. Authorities lacked an effective mechanism to address vulnerable families whose children did not attend school.
According to a 2019 survey of 476 Romani women from 48 localities conducted by the Roma Women Network in Moldova, the most serious problems reported were limited access to education, the job market, medical services, and information about health and hygiene. The survey showed that only 36.6 percent of Romani women attended some form of state-guaranteed education, while 57.8 percent said they did not have an opportunity to continue their studies. About 84.7 percent of respondents were unemployed, and many of them alleged that they were subject to discrimination when trying to get a job. According to the survey, one-third of women reported discrimination when consulting a doctor; 70 percent of women reported not having access to information about health and hygiene. There were no measurable improvements to these metrics reported in during the year.
According to Romani leaders, the community faced a high rate of emigration and the state did not provide financing for Romani community mediators, as prescribed by law. A total of 54 Romani community mediators were active during the year. The government earmarked 3.5 million lei ($210,000) for Romani community mediators during the year, but its 2016-20 action plan for the community was unfunded.
Acts of Violence, Criminalization, and Other Abuses Based on Sexual Orientation and Gender Identity
The law prohibits employment discrimination based on sexual orientation, but societal discrimination based on sexual orientation and gender identity continued. The lesbian, gay, bisexual, transgender, and intersex (LGBTI) community reported verbal and physical abuse. In most cases police were reluctant to open investigations against the perpetrators. According to a survey conducted by the Antidiscrimination Council in 2018, the LGBTI community had the lowest societal acceptance rate of any minority group.
In June the NGO Genderdoc-M organized the 19th annual Moldova Pride Festival. Due to the COVID-19 pandemic, events were conducted almost exclusively online. Genderdoc-M rented three billboards bearing the festival’s theme, “I Am Close to You but You Don’t Know Me,” to carry information about LGBTI pride for one month. The company leasing the billboards removed the signs after two weeks, reportedly at the request of Chisinau city government. Genderdoc-M filed a complaint with the Equality Council, which had not ruled on the matter at year’s end.
A 2019 Promo-LEX report, Hate Speech and Discrimination in the Public Space and Media, noted that hatred and discrimination based on sexual orientation and gender identity dropped by approximately 30 percent in 2019 compared to 2018. The LGBTI community remained among the groups that were most vulnerable to hate speech and was subjected to some of the most aggressive and violent speech registered by authorities. During the electoral campaign for the November 15 runoff presidential election, President Igor Dodon promised to ban LGBTI parades.
Genderdoc-M reported eight verbal and nine physical assaults against LGBTI individuals during the year. On May 8, the parents of a 15-year-old girl reportedly beat her after they were told that she was a lesbian. The girl filed a complaint at the Securuel police station in Riscani, Chisinau, with the support of Genderdoc-M representatives. The responding police officer initially refused to accept the complaint and called the girl’s parents to the station. Only after a Genderdoc-M representatives threatened to call the national emergency number did the officer begin recording the complaint and call a victims specialist. Genderdoc-M later filed a complaint against the officer with the Ministry of Interior.
On April 15, a young man was walking in central Chisinau when a minibus stopped next to him and several individuals forced him into the vehicle. He was taken to an alley where a group of assailants beat him and threatened him using derogatory terms for homosexuals. He was forced to put a condom on his head and then forced to eat a second condom. The attackers threatened to set him on fire and additional unspecified violence if he reported the attack. The attack was recorded on one of the attackers’ cell phone and later posted on social media. Police were investigating the attack at year’s end.
Civil society organizations reported that, although transgender individuals were allowed to change their names (e.g., from a male to a female name) on legal identity documents, including passports, the government did not permit them to update gender markers to reflect their gender identity. Transgender individuals also experienced employment discrimination (see section 7.d.).
In Transnistria consensual same-sex sexual activity is illegal, and LGBTI persons were subjected to official as well as societal discrimination. A young gay man in Transnistria was reported to be under investigation by “authorities” for refusing conscription into the separatist military. He expressed fear of violence and discrimination within the “military” and relocated to Moldovan government-controlled territory to escape persecution.
Persons living with HIV continued to face societal and official discrimination.
The law prohibits hospitals and other health institutions from denying admission or access to health-care services or requesting additional fees from persons with HIV or suspected of being HIV-positive. Prison inmates with HIV or AIDS faced high levels of discrimination by both prison staff and other inmates. Official practice requires that positive HIV test results be reported to the public health sector’s infectious disease doctor. In some cases positive test results were also reported to the patient’s family physician, a practice to which many HIV-positive individuals objected.