HEALTH

USAID Mission Director Jed Barton tests for HIV during a USAID field day event.
USAID Mission Director Jed Barton tests for HIV during a USAID field day event.
Roman Woronowycz

THE CHALLENGE

Through the President’s Emergency Plan for AIDS Relief (PEPFAR), USAID works to sustainably control the HIV/AIDS epidemic in Ukraine.  USAID is helping Ukraine to follow the UNAIDS Fast Track Strategy to achieve an AIDS Free Generation by 2030.  The strategy is to reduce HIV transmission by increasing the proportion of people living with HIV who receive treatment, eliminating HIV/AIDS as a public health threat by 2030.

In Ukraine, an estimated 223,481 people over the age of 15 live with HIV. The epidemic in Ukraine is concentrated in key populations, mainly: people who inject drugs (PWIDs) and their sexual partners; men who have sex with men; and female sex workers.  HIV is also concentrated in specific regions of the country: 79% of all cases are in 11 of Ukraine’s 24 regions.

To efficiently address the epidemic and achieve an AIDS Free Generation, USAID and PEPFAR partners expand outreach, care, and treatment to key populations in regions that have the highest HIV prevalence. 

PEPFAR’s goal is for 72% of PWIDs to be on HIV treatment by 2017, putting Ukraine on the path to an AIDS Free Generation. 

OVERVIEW

USAID’s health program strengthens and sustains Ukraine’s health system, improving the availability and effectiveness of key health services. Ukraine has the highest burden of HIV/AIDS in Eastern Europe and one of the highest rates of Multi-Drug Resistant TB (MDR-TB) in the world. USAID works to contain the spread of both diseases. At the same time, USAID’s Family Planning and Reproductive Health (FP/RH) activities decrease rates of unintended pregnancies and abortions.

OUR PROGRAMS:

HIV/AIDS

As an agency implementing the President’s Emergency Plan for AIDS Relief (PEPFAR) in Ukraine, USAID is committed to partnering with Ukraine’s Ministry of Health, regional health departments, and civil society organizations to eliminate HIV/AIDS as a public health threat. To do this, USAID provides technical assistance to develop a health system that improves the quality of HIV services, increases the proportion of Ukrainians aware of their HIV status, links people living with HIV/AIDS to treatment and care, and raises the capacity of Ukrainian organizations to deliver HIV and HIV/TB co-infection services.  USAID improves how HIV programs are run and reduces the stigma of living with HIV/AIDS. 

Tuberculosis (TB)

USAID implements evidence-based practices that improve TB prevention and control and increase HIV/TB co-infection diagnosis and treatment.  USAID programs expanded access to effective TB prevention, diagnosis, treatment, and care services to nearly half of Ukraine’s population and upgraded multi-drug resistant TB and TB/HIV co-infection treatments to meet international standards. 

Family Planning / Reproductive Health (FP/RH)

USAID reduced Ukraine’s high rate of abortion and unintended pregnancy by promoting modern contraception. USAID worked with the Government of Ukraine for over a decade to improve FP/RH services by updating the national and regional policies, educating the public, and training healthcare providers.

PROGRAM HIGHLIGHTS

HIV/AIDS:

  • Regional AIDS Programs established in 14 regions to allocate local resources for HIV commodities and services;
  • National Strategic Information Portal for HIV/AIDS established as an open source repository for national and regional HIV/AIDS data and strategic information;
  • Established Quality Improvement Teams in 106 HIV treatment sites in 7 regions to improve services; increasing HIV testing, care, and treatment;
  • Adapted international evidence-based behavior change programs for use in Ukraine and implemented them for populations at risk of HIV;
  • Implemented innovative online ‘marketplace’, linking HIV service providers to capacity building training and technical assistance providers; 
  • Standards approved nationwide to protect health care workers from exposure to medical waste;
  • Helped make government tendering, bidding, and other  procurement functions more transparent;
  • Institutionalized a five-day in-service medical training that teaches about working with HIV positive patients and addresses HIV stigma and discrimination.

Tuberculosis:

  • National clinical protocol on HIV/TB co-infection approved;
  • Ambulatory TB care policy developed and piloted;
  • Together with the Ministry of Health, USAID increased access to quality TB services, reaching 41 percent of the population and demonstrated the effectiveness of community-based approaches in TB diagnosis and treatment;
  • 95 percent of newly diagnosed HIV patients screened for TB and 97 percent of newly diagnosed TB patients screened for HIV in 8 oblasts.                                                         

Family Planning / Reproductive Health:

  • Increased access to modern family planning services from 172 service points to over 650;
  • Trained over 3,500 health providers were trained on reproductive health; post-partum and post-abortion family planning; and counseling skills;
  • Developed Ukraine’s national reproductive health and family planning strategy and targets for 2016 – 2020;
  • Supported eight regions to create and implement family planning and reproductive health clinical protocols based on national and international standards;
  • Produced educational materials on family planning and reproductive health for women with physical disabilities and their healthcare providers.

Last updated: July 14, 2016

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