 Since the breakup of the Soviet Union, the country has seen a decrease in spending on health care and, as a result, the tuberculosis incidence rate in the country has grown.According to a 2009 study, Moldova was struggling with one of the highest incidence rates of multidrug-resistant tuberculosis in the world.The percentage of adults (aged 15–49) living with HIV/AIDS was estimated in 2009 at 0.40%.