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Social worker Nataliya Galibina provides MDR-TB patient Serhiy with grocery store vouchers to improve his treatment adherence.
Social worker Nataliya Galibina provides MDR-TB patient Serhiy with grocery store vouchers to improve his treatment adherence.
Inessa Protashchyk

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:

COMBATING HIV/AIDS:

Improving HIV/AIDS Service for Most At-Risk Populations in Ukraine (RESPOND Project)
Pact, Inc. in partnership with Family Health International (FHI 360)
June 15, 2012 – December 31, 2017
http://respond.org.ua/

RESPOND, with PEPFAR support, assists the Government of Ukraine and civil society to reduce levels of HIV transmission among key populations (who are at greater risk of being infected with the virus), including people who inject drugs, sex workers, and men who have sex with men. The project is improving the quality of HIV/AIDS services targeted towards people who inject drugs and their sexual partners, and is helping Ukrainian institutions and organizations gain skills and knowledge to develop and implement effective HIV/AIDS programs. The project is also working to increase the number of people getting tested for HIV, and receiving and staying on treatment – to keep PLHIV healthy and prevent the further spread of HIV.  

Health System Strengthening for Sustainable HIV/ADS Response (HIV Reform in Action Project)
Deloitte
October 1, 2013 – September 30, 2018

http://www.hivreforminaction.org/

HIV Reform in Action, with PEPFAR support, is strengthening Ukraine’s health care system to ensure effective and sustainable HIV/AIDS prevention and services to most-at-risk populations. The project is enhancing national leadership and capacity for evidence-based and gender-sensitive HIV policy programming and implementation; optimizing resources allocation for national and regional HIV/AIDS programs targeting most-at-risk populations; and strengthening human resources in the area of HIV/AIDS services to most-at-risk populations. The project works at the national level and in regions of Ukraine most impacted by HIV.

Reducing HIV-related Stigma and Discrimination for Most at Risk Populations in Health Care Facilities (RESPECT Project)
All-Ukrainian Network of People Living with HIV (PLWH)
September 19, 2013 – December 31, 2017

http://www.network.org.ua/home-en/

RESPECT is reducing HIV-related stigma and discrimination among key populations, including intravenous drug users and PLHIV, by addressing discrimination and stigmatization at the time of HIV-related service delivery (for example, by health care providers). The project works at the national level and in four regions to develop and introduce policies and practices that respond to the needs of key populations and to develop, pilot, and institutionalize gender-sensitive training modules on stigma and discrimination for health care providers.

RESPECT also has a governance component and is developing the capacity of the Network of People Living with HIV/AIDS and its partner NGOs to address health care provider stigma and discrimination; strengthen monitoring and advocacy capacity of civil society to fight procurement corruption in the health sector; increase public awareness of government procurement spending in the health sector; and improve legislation and government purchase procedures in government pharmaceutical procurements. 

HEALTH:

Challenge TB project
PATH
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.

Strengthening Routine Immunization
UNICEF
September 2016 – December 2017

UNICEF works to improve immunization coverage in Ukraine through political advocacy, communications and social mobilization, and capacity development and education enhancement for health providers. With USAID support, UNICEF is working with health providers, parents, and civil society groups to change negative misconceptions about immunization in Ukraine – to ensure that children are immunized to protect them against preventable diseases such as polio and measles.

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.

Scaling up access to HCV/HIV testing and treatment for key populations in Ukraine
EQUIP
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.

HEALTH REFORM

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.

Health Finance and Governance Ukraine
Abt Associates
January 02, 2017 – September 01, 2018

Health Finance and Governance Ukraine, is developing and implementing a new tuberculosis hospital payment system with corresponding changes in budget formation, funds flow, and facility autonomy. The new TB hospital payment will be more efficient - savings generated by the system’s efficiency will be reinvested to better match payment to priority TB services and vulnerable populations. USAID is more broadly supporting the MOH to adapt and implement an international cost-accounting system to the Ukrainian context—by developing practical guidelines for facility-level cost accounting systems; assisting the MOH in designing the diagnosis-related group (DRG) and capitation payment systems; and building human and institutional capacity.  

MENTAL HEALTH

Improving Access to Effective Services for Mental Health Problems Resulting from Trauma (IPSMHU)
Johns Hopkins University
September 30, 2015 – June 16, 2018

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.

DISABILITIES

The USAID Training, Economic Empowerment, Assistive Technology and Medical/Physical Rehabilitation (TEAM) 
UCP Wheels for Humanity
October 1, 2015 – January 31, 2018

An increasing number of people in Ukraine have experienced traumatic injuries resulting from the conflict in Eastern Ukraine. TEAM is improving rehabilitation support services in Ukraine through specialized training for rehabilitation personnel, vocational and business training for IDPs and their families, and increased access to assistive devices, such wheelchairs, pressure relieving cushions and bladder kits. Project experts work with physical therapists, physicians, and nurses, who treat people with spinal cord injuries, traumatic brain injuries, and strokes in different cities of Ukraine (Lviv, Kyiv, Zaporizhzhya, and Dnipro). USAID TEAM partners are the Ukrainian Association of Physical Therapy and the National Assembly of People with Disabilities, which are now also working on the development of a policy that will provide regulatory oversight of the physical therapy profession in Ukraine.

Last updated: December 05, 2017

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