Almost 30 percent of Ukraine's population still lives below the poverty line. Social and economic realities and an overburdened health care system challenge Ukraine’s ability to address rising rates of infectious diseases, especially TB. Abortion rates are high in comparison to other countries in the region.
- Expand approaches to improve TB treatment outcomes and prevent TB/HIV co-infection and multidrug-resistant and extensively drug-resistant TB.
- Reduce abortion rates through increased use of modern contraceptives.
USAID’s programs in health focus on improving the availability and effectiveness of health services and ensuring that Ukrainians are well-informed health consumers. USAID increases the ability of the Government of Ukraine (GOU) to provide quality services in family planning and reproductive health (FP/RH) and tuberculosis (TB). In addition, USAID supports civil society and government to expand access to and improve the quality of health services and advocate for an effective and efficient health management system and supply chain.
Tuberculosis Prevention and Control
To date, USAID programs have increased access to quality TB prevention, diagnosis, treatment, and care services to 50 percent of the population of Ukraine and improved management of multi-drug resistant TB and TB/HIV co-infection based on international standards. USAID focuses on improving TB treatment outcomes and adherence to appropriate TB treatment regimens and supports a laboratory network for quality TB diagnostics. In addition, USAID provides technical assistance to build institutional and human resource capacity that strengthens the supply chain for TB and HIV/AIDS medicines, improves information systems, and increases the use of an electronic TB information management system.
Family Planning/Reproductive Health (FP/RH)
USAID seeks to reduce high rates of abortion and unintended pregnancies by increasing the appropriate and effective use of modern contraceptive methods. Communicating the benefits of modern contraception and reducing the fear of hormonal contraception through national and regional communication strategies is a major area of USAID’s FP/RH program. USAID supports the Ministry of Health to implement the State Program for the Reproductive Health of the Nation. The USAID FP/RH program works with health providers to improve counseling skills in 12 oblasts. USAID supports the local capacity building of a leading local NGO to sustain FP services. In order to improve access to FP/RH services for women with disabilities, USAID launched a small-grants program for regional NGOs working with disabled people.
Since 2000, USAID has provided assistance to the Government of Ukraine to combat the TB epidemic by introducing and disseminating community-based TB care to regions with the highest TB burden:
- Together with the Ministry of Health, USAID increased access to quality TB services reaching 50 percent of the population and demonstrated the effectiveness of community-based approaches in TB diagnosis and treatment.
- Policies, guidelines, and ministerial orders were developed to improve TB/HIV co-infection management, prevention, and management of multi-drug resistant (MDR) TB, and infection control.
- The laboratory network was strengthened at all levels and included both TB and primary health care laboratories. Almost 70 percent of laboratories now have improved performance in microscopy diagnosis as a result of institutionalization of quality assurance procedures.
- An MDR-TB Center of Excellence was established in Dnipropetrovsk.
- A successful and scalable model of community-based outreach and treatment support was developed with local partners that are improving treatment outcomes for marginalized populations.
- Civil society organizations and prison health systems are working together to improve the continuity of care for released prisoners and significantly reduce high treatment default rates.
- USAID introduced best practices in TB recording and reporting systems to improve TB program management. The Ministry of Health adopted the USAID-supported electronic TB information system for Ukraine.
Family Planning/Reproductive Health
Since 2005, USAID has provided assistance to the Government of Ukraine to improve FP/RH services through updating national and regional FP/RH policies; educating the population; and increasing knowledge and skills of healthcare providers.
- Access to modern FP services increased from 172 service points to over 650. Over 3,500 health providers were trained on RH; post-partum and post-abortion FP; and counseling skills.
- Near 8 million people learned about benefits of modern FP methods. Capacity of 22 NGOs was strengthened in health education and advocacy.
- Abortion rate in 2013 declined by 13 percent as compared to 2010.
- A National Communication Strategy And regional communication strategies were developed and endorsed by regional partners.
- An innovative life stage approach to introduce modern FP methods through clinical trainings was successfully introduced, and over 3,500 health providers are actively using it while counseling their clients.
- FP/RH educational activities conducted in cooperation with Bayer Health Care reached over 6,800 young people.
- Continuous medical education activities conducted in cooperation with private sector partners (Bayer Healthcare and Richter Gideon) reached over 18,000 healthcare providers.
- National FP/RH policies were revised and updated according to existing international standards and endorsed by the Ministry of Health.
- New educational curricula for students of medical universities and interns in ob-gyn were developed and endorsed by the Ministry of Health.
- An assessment of the implementation of the current national Reproductive Health Program found that state and donor investments in the family planning and reproductive health sector (FP/RH) in Ukraine should continue at the same level to avoid backsliding on all major FP/RH indicators and avoid abortion rate increase.
Last updated: August 04, 2015