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A nurse visits TB patient’s home as part of a project to provide outpatient, home-based care for TB.
A nurse visits TB patient’s home as part of a project to provide outpatient, home-based care for TB using the Directly Observed Treatment Short course approach. This approach supports patients to complete the full course of treatment for TB.
Ukrainian Red Cross

Because 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 focuses its efforts on containing the spread of the two diseases.  As a leading 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 achieve an AIDS Free Generation.  To do this, USAID provides technical assistance to develop a health system that improves the quality of HIV services, links people living with HIV/AIDS to treatment and care, and raises the capacity of Ukrainian organizations to deliver HIV services.  USAID invests in technical assistance to strengthen HIV program governance, financing, and human resources and to reduce the stigma of living with HIV/AIDS.  USAID also supports implementation of evidence-based practices that improve TB control and prevention as well as access to HIV/TB co-infection diagnosis and treatment.  

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 – June 14, 2017
http://respond.org.ua/

RESPOND assists the Government of Ukraine and civil society to reduce levels of HIV transmission among key populations, including people who inject drugs, sex workers, and men who have sex with men. The project increases the quality of HIV/AIDS services targeted at people who inject drugs and their sexual partners and strengthens the capacity of Ukrainian institutions and organizations to develop and implement HIV/AIDS programs.  To achieve new global targets for an AIDS Free Generation, the project employs a Quality Improvement approach that increases the uptake of HIV testing and treatment and sustains treatment adherence and retention in care. 

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

The goal of the Health Systems Strengthening for a Sustainable HIV/AIDS Response project is to strengthen Ukraine’s health care system to ensure effective and sustainable HIV/AIDS prevention and services to most-at-risk populations. The project has three main objectives: 1) Enhance national leadership and capacity for evidence-based and gender-sensitive HIV policy programming and implementation, 2) Optimize resource allocation for national and regional HIV/AIDS programs targeting most-at-risk populations, and 3) Strengthen human resources in the area of HIV/AIDS services to most-at-risk populations. The project will work at the national level and in seven high and medium burden regions.

PEPFAR/GF Country Collaboration Initiative for Ukraine (CCI)
Leadership, Management and Governance project (LMG)
Management Sciences for Health (MSH)
June 2013 – September 2016

The PEPFAR/Global Fund Country Collaboration Initiative for Ukraine (CCI-Ukraine) is implemented through USAID and the U.S. Centers for Disease Control to build organizational, program, and financial management capacity in the Ukrainian Center for Social Diseases Control (UCDC).  This activity teaches the Ukrainian AIDS Center to effectively implement Global Fund HIV and TB Grants as the Government of Ukraine's principal recipient and strengthens UCDC’s organizational capacity as a key government agency for addressing HIV/AIDS and TB health issues.

Penitentiary, Law Enforcement & Drug Sectors Government Efficiency in HIV Response (HIV PLEDGE)
United Nations Office on Drugs and Crime
September 30, 2011 – September 30, 2016

PLEDGE supports reduction HIV transmission among most-at-risk populations (MARPs) through increased access to services for HIV/AIDS and drug abuse within detention settings. This is achieved by increasing advocacy and mission policy activities, strengthening the capacity of drug treatment services to integrate HIV/AIDS and substance abuse services, and expanding HIV/AIDS and drug dependence treatment services in detention settings. The project also works with Ukrainian law enforcement officials to build their support for HIV and drug treatment services for injecting drug users.

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 – September 18, 2016

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

RESPECT reduces HIV-related stigma and discrimination among key populations, including intravenous drug users and individuals living with HIV, by addressing discrimination and stigmatization in the delivery of HIV-related health services. The project works at the national level and in four regions to: 1) develop and introduce policies and practices that respond to the needs of key populations; 2) develop, pilot, and institutionalize gender-sensitive training modules on stigma and discrimination for health care providers  in pre- and in-service medical education institutions; 3) develop the capacity of the Network of People Living with HIV/AIDS and their partner NGOs to address health care provider stigma and discrimination; 4) strengthen the monitoring and advocacy capacity of civil society to fight procurement corruption in the health sector; 5) increase public awareness of government procurement spending in the health sector; and 6) improve legislation and government purchase procedures in government pharmaceutical procurements. 

Systems for Improved Access to Pharmaceuticals and Services (SIAPS)
Management Systems for Health
September 30, 2012 – October 1, 2016

The SIAPS project assists the Government of Ukraine to improve access to HIV/AIDS and Tuberculosis (TB) medications and diagnostics at public health facilities. The project 1) improves information systems to assure continuous product availability and appropriate use of TB and HIV/AIDS medication; 2) builds institutional and human resource capacity to ensure adequate TB commodity supplies and services; and 3) strengthens pharmaceutical policies and systems to assure safe and appropriate use of TB and HIV/AIDS medicines.

HEALTH:

Strengthening Tuberculosis Control in Ukraine 
Chemonics International Inc.
April 2, 2012 – April 1, 2017
http://www.stbcu.com.ua/

The Strengthening Tuberculosis Control in Ukraine project improves the health of Ukrainians by decreasing the burden of TB through specific quality assurance and systems strengthening measures for TB, multi-drug-resistant (MDR-TB) and HIV-TB co-infection services. The project focuses on improving TB treatment outcomes and building adherence to TB treatment regimens according to international standards. It ensures the implementation of effective management of MDR-TB cases, appropriate response to growing HIV-TB co-infection, and a safer medical environment.

Strengthening Prevention and Control of TB/HIV and MDR-TB
WHO
September 2014 – September 2015

The World Health Organization (WHO) provides technical assistance to the Ministry of Health, Global Fund (GF) recipients, and partner organizations to develop policies to improve Multi-Drug Resistant Tuberculosis (MDR-TB) case management and TB/HIV collaborative interventions.  It adapts ambulatory models (outpatient clinics) for treatment to assist the many Ukrainians currently displaced by conflict. The activity facilitates the design of the new National TB Program in Ukraine for 2017-2021. Additionally, the WHO is preparing to launch the National Operational Research Platform to build Ukraine’s capacity to conduct research on TB and translate findings into policy.

Challenge TB project
PATH
Janury 1, 2015 – September 30, 2020

The Challenge TB project improves outcomes for multi-drug resistant tuberculosis (MDR-TB) patients by improving MDR-TB case detection and diagnosis, and enhancing treatment success, leading to lower treatment default rates and reduced mortality. The project addresses MDR-TB, including cross-cutting activities to strengthen National TB Program capacity and systems and using innovative approaches to improve TB services in Ukraine. The project: 1) improves the enabling environment; 2) ensures patient-centered care and treatment; 3) strengthens infection control; 4) enhances Government of Ukraine political commitment and leadership; 5) improves human resource development.

FAMILY PLANNING AND REPRODUCTIVE HEALTH:

Healthy Women of Ukraine (HWUP)
JSI Research and Training Institute
October 1, 2011 – September 30, 2016
http://www.tfh.jsi.com

The Healthy Women of Ukraine project (HWUP) helps Ukraine to increase appropriate and effective use of modern contraceptive methods.  The project improves the family planning counseling skills of health providers in selected oblasts and builds the skills of NGO partners in family planning communication and advocacy.  HWUP promotes local, regional, and national partnerships to facilitate coordination and the exchange of information and best practices among oblasts.  HWUP also supports the Ministry of Health in implementing the National Reproductive Health Program. 

Strengthening Policy Environment and Civil Society Involvement in Family Planning/Reproductive Health in Ukraine
Implementer: Women’s Health & Family Planning Foundation
October 2013 – September 2016

USAID works with the Women’s Health and Family Planning Foundation, a Ukrainian NGO, to advocate for improved family planning and reproductive health policies in Ukraine. The project’s two objectives are: 1) improve the national policy environment for family planning and reproductive health; and 2) create a forum to promote family planning and reproductive health in collaboration with other stakeholders.  Activities are implemented in close cooperation with the Ministry of Health, Ministry of Social Policy, Parliamentary Committee on Health, UNFPA, UNICEF, WHO and NGOs working in the area of women’s health and women’s rights.  A family planning and reproductive health coalition, consisting of over 30 regional and local NGOs, promotes these priorities at the regional level.  SPECSI partnered with the Ministry of Health to develop a new State Program on Reproductive Health for 2016 – 2020.  

Cost(Less) Medicine Project
Charitable Foundation “Patients of Ukraine”
April 7, 2016 – April 6, 2017

Patients of Ukraine assists the Government of Ukraine and civil society to contribute to poverty and mortality reduction in Ukraine by disseminating a customized evidence-based advocacy tool, measuring the share of healthcare expenses as a proportion of the typical household budget, monitoring the impact of healthcare provision on Ukrainian quality of life, and advocating for health sector reforms including improvements to government reimbursement policies.

Last updated: July 13, 2016

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