Russia attends to its people by providing free antiretroviral therapy; however, there are cases of shortages because they do not produce their own drugs which are actually expensive (UNAIDS, 2008). According to a joint report by WHO/AIDS/UNICEF in 2010, “only 16 to 24 percent of adults and children are receiving antiretroviral therapy” despite the fact that it is free. A break in treatment is an obstacle because the patients develop drug resistance.The incidence of HIV prevalence in Russia is a serious matter considering the fact that “it has the second highest prevalence in Eastern Europe and Eurasia “. Most of at risk population includes women, sex workers, youth and even pregnant women. The situation is rather complicated by the high incidence of TB which makes HIV affected people easily succumb to complications.Families are threatened by the disease since even children and pregnant women are at risk. The matter is also worsened by prevalent cases of drug addiction wherein HIV is acquired through needle exchange.Presently, Russia is being helped by various international organizations since as USAID, WHO, and UN to promote HIV awareness among the population. However, there are many underlying issues that must be addressed such as discrimination against people with HIV. Treatment cannot be successful without full support and stigma definitely scare people with HIV to seek help. Also, drug addiction should be curbed as well as excessive sexual behavior since this help spread the infection.