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Health

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USAID/Ukraine works with the Ukrainian government, civil society, non-governmental organizations, and other donors and partners to build Ukraine’s overall health system. We contribute to building a system that serves the people of Ukraine and assures that medical professionals have the tools, knowledge, and resources to provide high quality, modern healthcare to all Ukrainians.

USAID/Ukraine also works to ensure that Ukrainians who have been affected by the conflict in Eastern Ukraine have access to psychosocial support and treatment that has been effective in other conflict settings, and—with input from local partners—made appropriate for the Ukrainian context.

USAID/Ukraine focuses on responding to infectious diseases (such as HIV/AIDS, tuberculosis (TB), and hepatitis C (HCV)) and improving immunization coverage for diseases such as polio. Ukraine has among the highest burdens of HIV/AIDS in Eastern Europe, and close to the highest rate of multi-drug resistant tuberculosis (MDR-TB) in the world. To respond to these epidemics, USAID, with President’s Emergency Plan for AIDS Relief (PEPFAR) support, is working with partners to achieve an AIDS-free generation in Ukraine, and to contain the spread of tuberculosis. USAID also supports programs to build a routine immunization program in Ukraine – to ensure Ukraine’s children are protected from preventable diseases such as polio and measles. 

HIV/AIDS

Ukraine has the second largest HIV epidemic in the region with nearly 250,000 people living with HIV (PLHIV) – many of whom do not know their HIV status. The epidemic is concentrated among key populations (people who inject drugs, female sex workers, and men who have sex with men). USAID receives support from PEPFAR to provide technical assistance to develop a health system that raises the capacity of Ukrainian organizations to deliver high quality HIV services to all Ukrainians, and links people living with HIV/AIDS to treatment and care. USAID invests in technical assistance to strengthen HIV program governance, financing, and human resources. USAID is also working with partners to improve access to HIV/TB co-infection diagnosis and treatment and better control and prevent TB, which PLHIV are very vulnerable to.

USAID-supported programs reduce HIV-related stigma and discrimination among key populations who are most at risk of contracting HIV, Ukraine’s most-at-risk populations include intravenous drug users (PWID), female sex workers, men who have sex with men, and individuals living with HIV. Our programs address discrimination and stigma – particularly while HIV services are being provided – to make at-risk populations feel more comfortable and more likely to seek services such as anti-retroviral treatment, which can greatly reduce the spread of HIV.

Tuberculosis

In 2016, there were 7,778 new multi-drug resistant tuberculosis (MDR-TB) patients registered in Ukraine, out of them 1,195 (15.4 percent) patients had extensively drug-resistant TB (XDR-TB). There is only a 74 percent treatment success rate of TB in Ukraine due to patients stopping treatment (for various reasons, including due to the misconception that they will continue to stay healthy if they stop treatment); patients receiving treatment in advanced stages of the disease; late diagnosis of HIV which leaves people very vulnerable to TB; and the high prevalence of MDR-TB which is difficult to treat. USAID is working together with other U.S. government agencies and other partners to contain TB in Ukraine, especially the most serious cases.

Immunization

Ukraine has among the lowest rates of routine immunization in the world due to a lack of available vaccines and distrust of vaccination by parents and medical providers. USAID is working with partners to share evidence-based information about the usefulness of vaccines with health providers and parents, to ensure the availability of high quality vaccines, and to create a national immunization schedule.

Mental Health and Disabilities

The conflict in Eastern Ukraine has taken its toll on the mental and psycho-social health of affected individuals. The lack of consistent standards and effective referral network has left conflict-affected populations vulnerable to long-term mental health problems.

CURRENT PROGRAMS:

HEALTH REFORM:

USAID Health Reform Support
Deloitte Consulting LLP
May, 2018 – June, 2023

HRS supports the development of a transparent, accountable, and effective health care system that is capable of meeting the health needs of the Ukrainian people. It partners with the Ministry of Health, National Health Service of Ukraine, and civil society to advance health sector reforms, tackle widespread corruption, and enhance transparency to improve access and the availability of high quality health care services for Ukrainians. The activity seeks to improve health sector governance; support the transformation of the healthcare financing model; strengthen the professional workforce; enhance transparency, accountability and responsiveness of the healthcare system; and improve service delivery system at all levels. 

Safe, Affordable, and Effective Medicines for Ukrainians (SAFEMed) Project
Management Sciences for Health (MSH)
September 1, 2017 – August 30, 2022

SafeMed is contributing to building Ukraine’s health system to meet the needs of its citizens by strengthening the pharmaceutical system to ensure transparency and cost-efficiency. The project will improve public procurement of medicines and health commodities (such as essential HIV, tuberculosis, and HCV medications, as well as medication-assisted treatment (MAT) to treat substance abuse) at the best prices and contributing to creating a longer-term plan to sustain health pharmaceutical financing, and strengthen rational pharmaceutical management and the pharmaceutical supply chain.

Supporting eHealth Infrastructure Development in Ukraine
Implementer: CO “100 Percent Life”
September 28, 2018 – September 27, 2020

Supporting eHealth Infrastructure Development in Ukraine’ program will strengthen Ukraine’s eHealth system and contribute to reducing corruption through support of the national eHealth system. The Program will assist the Ukraine’s Ministry of Health and its State Owned Enterprise on eHealth (SOE), to manage and oversee the financial investments to the eHealth system development and upgrading. The eHealth system in Ukraine lays the foundation of the health sector reforms that transforms the health care system's governance, financing and service provision to become transparent and efficient.

COMBATING INFECTIOUS DISEASE:

HealthLink
All-Ukrainian Network of People living with HIV/AIDS
September 27, 2017 – September 26, 2022

HealthLink will accelerate Ukraine’s efforts to end HIV as a public health threat by 2030 by targeting people living with HIV and key populations (who are most at risk of contracting HIV) to increase demand for and access to HIV services; increase the number of PLHIV who know their status and are linked to care; address gaps in the HIV service cascade; and reduce stigma and discrimination.

Serving Life 
PATH
September 27, 2017 - September 26, 2022

Serving Life will reduce HIV, tuberculosis, and HCV transmission through detection, care, and treatment of people living with HIV, TB, and HCV in pre-trial detention centers, prisons, and post-prison settings in Ukraine. PATH will implement the activity in 12 oblasts with the highest HIV, TB, and HIV/TB co-infection rates: Dnipropetrovsk, Donetsk, Mykolaiv, Odesa, Kyiv, Kherson, Zaporizhya, Kirovograd, Cherkasy, Chernihiv, and Poltava.

Challenge TB Project
PATH
Janury 1, 2015 – February 29, 2020

The Challenge TB project is improving case detection and diagnosis for multi-drug resistant tuberculosis (MDR-TB), and improving successful treatment - leading to fewer people stopping their treatment and lower death rates. The project is strengthening National TB Program capacity and systems and using innovative approaches to improve TB services in Ukraine. The project is improving the environment to make it easier for people to test for TB and receive treatment, ensuring patient-centered care and treatment, better control TB infection, enhancing Government of Ukraine political commitment and leadership, and improving human resource development.

SOCIAL SECTOR (Mental Health and Disabilities):

Enhancing Torture Survivor Mental Health Services 
Johns Hopkins University
September 30, 2015 – June 30, 2021

Johns Hopkins University Bloomberg School of Public Health is partnering with the National University of Kyiv-Mohyla Academy to alleviate the mental health effects of traumatic events among conflict-affected population groups and their families and contribute to the development and strengthening of an accessible and equitable community mental health care system.

The activity is conducting research of the Combined Elements Treatment Approach (CETA) model, a non-medicalized model of treatment of mental health disorders (depression, anxiety and post-traumatic syndrome disorder), in Kyiv, Zaporizhzhya, and Kharkiv. Thirty counselors trained by the project are implementing CETA and providing counseling to their clients affected by the conflict in the east of Ukraine. Preliminary research data indicates the success of this treatment model in Ukraine and creates the potential to apply this model throughout the system of state social services.

Strengthening Rehabilitation Services in Health Systems (SRSHS)  
Implementer: UCP Wheels for Humanity (funding through Leahy War Victims Fund)  
Project Period April 1, 2019 - June 30, 2022  

The Strengthening Rehabilitation Services in Health Systems project will support the process of increasing the knowledge and professional practices of physical therapists; contribute to the development and implementation of national rehabilitation policies, regulations, and protocols and generate greater demand for rehabilitation services at the community level. The project will raise awareness and establish processes for cooperation in rehabilitation services in selected regions, such as Kyiv, Lviv, and Zaporizhzhia. It will develop a strategy to physical therapist. The project will work closely with the World Health Organization to develop a strategy for rehabilitation services and will support the Ministry of Health in implementation of rehabilitation reform. Finally, the project will develop information campaign to communicate the role and importance of rehabilitation services at the primary healthcare level. The project has two objectives:

1) Comprehensive, sustainable rehabilitation services and systems developed and strengthened through partnerships and stakeholder engagement;
2) Access to quality rehabilitation services, including additional assistive technologies (AT) for conflict survivors and others requiring such services.  

IMMUNIZATION:

Fighting Misinformation  About Vaccines Project
UNICEF
July 1, 2018 – June 30, 2021

Through this activity, USAID is contributing to improvements in the supply and demand for vaccinations by strengthening effective communication, including at the community level.  The activity is: generating more advocacy and an objective public dialogue on immunization within the context of ongoing health reform; helping to counter misinformation about vaccines through tailored and evidence-based communication and community engagement; and enhancing local capacity to plan, forecast, and manage vaccines at the regional and community levels. 

Last updated: December 13, 2019

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