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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. 


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.


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.


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.



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.


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 
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
Janury 1, 2015 – September 30, 2019

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.

Scaling up Access to HCV/HIV Testing and Treatment for Key Populations in Ukraine
October 1, 2016 – September 30, 2019

Through this project, USAID is assisting the MoH and patient advocacy organizations to determine the cost-effectiveness and investment case of applying best clinical practice in hepatitis C/HIV treatment. This includes scaling up rapid HCV/HIV testing among PWID; simplifying pre-treatment diagnostics and treatment monitoring of HCV; providing HIV testing to all individuals testing for HCV; and immediately linking HIV positive patients to treatment.

SOCIAL SECTOR (Mental Health and Disabilities):

Improving Access to Effective Services for Mental Health Problems Resulting from Trauma 
Johns Hopkins University
September 30, 2015 – June 30, 2021

Johns Hopkins University’s Bloomberg School of Public Health and the National University’s Kyiv-Mohyla Academy are working to alleviate the mental health effects of traumatic events among conflict-affected groups and contribute to the development and strengthening of an accessible and equitable community mental health care system.

The project is working to improve the mental health status and functioning of communities and groups affected by conflict in Ukraine, and ultimately lead to a more accessible and equitable community mental health care system in Ukraine. The project also has a research component – to learn about the types of mental health problems resulting from the conflict; develop appropriate and accurate instruments to assess those problems and appropriate treatment interventions and evaluating their effectiveness in the Ukrainian context, and guide research capacity building through training and first-hand experience provided to partners through the development of research resources, including measurement tools, and networks.

The USAID Training, Economic Empowerment, Assistive Technology and Medical/Physical Rehabilitation (TEAM) 
UCP Wheels for Humanity
October 1, 2015 – June 30, 2022

Training, Economic Empowerment, Assistive Technology and Medical/Physical Rehabilitation (TEAM) improves rehabilitation support services in the country through specialized training for rehabilitation personnel working in Lviv, Kyiv, Zaporizhzhia, and Dnipro, and support for assistive device product provision. The project provides vocational and business training and job placement opportunities for internally displaced people with disabilities and their families. The project works in cooperation with the Ukrainian Association of Physical Therapy and National Assembly of People with Disabilities. 


Fighting Misinformation  About Vaccines Project
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: July 23, 2019

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