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Global Health

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USAID is striving to contain the spread of HIV/AIDS and TB, and alleviate their impact by reaching out to high-risk groups with a comprehensive package of services and education. USAID is also working to reduce HIV transmission among most-at-risk-populations by providing quality information and services, building a policy environment that increases access to quality services, and strengthening the capacity of public organizations and NGOs to implement national HIV/AIDS and TB programs. USAID is supporting implementation of proven practices in TB control and prevention and working to improve access to HIV/TB co-infection diagnosis and treatment. Finally, USAID is supporting Ukraine’s efforts to increase the availability of modern family planning methods and improve the quality of maternal and infant health services.

Current programs

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

The overarching goal of the Improving HIV/AIDS Services for most-at-risk populations (MARPs) Project is to assist the Government of Ukraine and civil society to reduce levels of HIV transmission among MARPs and their sexual partners through sustainable country-led programs. The program aims to improve coordination at the national and oblast level; boost the effectiveness of Ukrainian organizations working in HIV/AIDS; and enhance responses to prevent new infections and identify populations where new infections are emerging. The project objectives are to: 1) increase the quality of HIV/AIDS services targeted to MARPs and their partners, including improving the design of HIV/AIDS services and respond to changing epidemic patterns and improving delivery of state of the art HIV/AIDS services; and 2) strengthen the capacity of Ukrainian institutions and organizations to develop and implement HIV/AIDS programs.

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

The aim of the HIV PLEDGE project is to reduce HIV transmission among most-at-risk populations (MARPs) through increased access to state-of-the-art HIV/AIDS and drug abuse services, including service delivery within detention settings. This is to be achieved by increasing advocacy and mission policy activities, strengthening the capacity of narcological services to integrate HIV/AIDS and substance abuse services, and expanding HIV/AIDS and drug dependence treatment services in detention and post-release settings. The project aims to: 1) create an environment supportive of objective, human-rights based HIV/AIDS and drug dependence treatment programs among MARPs; 2) strengthen the capacity of the State Penitentiary Service, public health and social services and civil society organizations to provide objective, human-rights based comprehensive HIV prevention, treatment and care services, including drug dependence treatment in prison settings; and 3) improve the capacity of substance use treatment systems to provide integrated HIV prevention and drug dependence treatment services.

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

The SIAPS project is assisting the Government of Ukraine to improve access to HIV/AIDS and Tuberculosis (TB) medications and diagnostics at public health facilities for those in need. The project aims to improve information systems to assure continuous product availability and appropriate treatment outcomes for TB and HIV/AIDS programs; build institutional and human resource capacity to ensure adequate supply and improve pharmaceutical services for TB and HIV medicines; and strengthen pharmaceutical policies, structures and systems to help assure the quality, safety, and appropriate use of TB and HIV/AIDS medicines.

Strengthening Tuberculosis Control in Ukraine
Chemonics International Inc.
April 2, 2012 – April 1, 2017

A new five-year project, Strengthening Tuberculosis (TB) Control in Ukraine, is working to improve 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 seeks to ensure the implementation of effective management of MDR-TB cases, appropriate response to growing HIV-TB co-infection, and a safer medical environment.

Healthy Women of Ukraine (HWUP)
JSI Research and Training Institute
October 1, 2011 – September 30, 2016

USAID is supporting Ukraine’s efforts to reduce high rates of abortion and unintended pregnancies by increasing the appropriate and effective use of modern contraceptive methods. This project works with health providers to improve counseling skills for women in selected oblasts. USAID is also pursuing partnerships with private pharmaceutical companies to improve the dissemination of information about modern family planning (FP) methods. Finally, USAID supports the Ministry of Health in implementing the Reproductive Health of the Nation Program. By the end of the project, USAID expects that 1) women and couples will be able to make more informed family planning and reproductive health choices; 2) family planning service providers will have more knowledge of modern family planning methods, and will use their clinical and counseling skills to address existing misinformation and fear of hormonal methods; and 3) the national and regional policy environment will be conducive to improvements in family planning and reproductive health.

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

The project’s goal is to reduce HIV-related stigma and discrimination for most at risk populations (MARPs), including injecting drug users and people living with HIV by focusing on service delivery issues. It will be achieved through the three main objectives: 1) MARP- friendly policies and practices will be developed and introduced in pilot health care facilities in two focal regions; 2) Gender-sensitive training modules for Health Care Providers (HCPs) to prevent and reduce HIV-related S&D towards MARPs and PLWH are developed, piloted, and institutionalized in the pre- and in-service medical education institutions for doctors and nurses in focal regions; and 3) Capacity of the All-Ukrainian PLWH Network and their implementing partner NGOs to address HCP S&D towards MARPs and institutionalize efforts to reduce it, increased. The project will work at the national level and in two focal regions.

Improving Alcohol and Tobacco Control During Pregnancy in Ukraine
Implementer: University Research Co., LLC (URC)
January 2013 – March 2015

The aim of the project is to reduce alcohol and tobacco use among pregnant women and women of reproductive age (15-49 years) in Ukraine. Using an evidence-based approach to counseling on cessation of alcohol and tobacco use by health care providers, the project will: 1) secure a minimum of 80 percent reduction in tobacco and alcohol use by pregnant women in selected facilities of two oblasts (Poltava and Lugansk); and 2) extend family planning counseling by physicians to a minimum of 90 percent of women of reproductive age.

Health System Strengthening for Sustainable HIV/ADS Response (HIV Reform in Action Project)
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 up to ten regions where the burden of disease is the highest.

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

The purpose of the project is to increase the capacity of the Women’s Health and Family Planning Foundation in the areas of policy change and advocacy related to family planning and reproductive health so that it becomes Ukraine’s leading NGO meeting international standards. The project has two objectives: 1) Improve the national policy environment for family planning and reproductive health, 2) Create a forum to promote family planning and reproductive health in collaboration with other stakeholders. The project will be implemented in close cooperation of the Ministry of Health, Ministry of Education, Ministry of Social Policy, relevant Parliamentary Committees, UNFPA, UNICEF, WHO and other NGOs working in the area of women’s health and women’s rights.

Chernigiv Oblast Pilot on HIV Service (HTC) Integration into the Primary Health Care
Health Finance and Governance Project (HFG)
October 2012 – November 2015

The purpose of HFG Ukraine Chernigiv Pilot is to develop and test the cost-effectiveness of integrating HIV/AIDS counseling, testing and treatment services at the primary health care level in selected towns and rural rayons in Chernigiv oblast. Key to the integration will be the expansion of existing health reform PHC-based performance based incentives to include those related to HIV detection and basic care.

PEPFAR/GF Country Collaboration Initiative for Ukraine (CCI)
Leadership, Management and Governance project (LMG)
June 2013 – June 2015

The PEPFAR/GF Country Collaboration Initiative for Ukraine (CCI) is three-year program is implemented through USAID and CDC. USAID activities are aimed at building program and financial management capacities of Ukrainian Center for Social Diseases Control as the Global Fund PR.

The purpose of CCI-Ukraine is to build the organizational, program management and financial management capacities of the Ukrainian AIDS Center to effectively implement the GF Round 10 HIV Grant as the GoU PR and to strengthened UCDC’s organizational capacity as a key government agency for the national response to HIV/AIDS and TB beyond the lifetime of GF grants.

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

The World Health Organization Consolidated Grant will provide technical assistance to the Ministry of Health, the recipients of the Global Fund Round 9 TB grant and other partner organizations in developing policy documents to improve TB/HIV collaborative interventions and MDR-TB case management. The country-wide drug resistant survey (DRS) will be supported to collect reliable data on TB drug resistance in Ukraine. In order to assist Ukraine to strengthen the health system by increasing access to TB services through regular policy dialogue and promoting patient centered approach, the World Health Organization Consolidated Grant Agreement will provide technical assistance to health care reform ensuring integration of TB and HIV/AIDS activities in primary health care services.

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

The goal of the Challenge TB project is to improve outcomes for multi-drug resistant tuberculosis (MDR-TB) patients by reducing mortality, lowering treatment default rates, improving MDR-TB case detection and diagnosis, and enhancing treatment success. The project will undertake targeted efforts to address MDR-TB and include cross-cutting activities aimed at strengthening National TB Program capacity and systems and using innovative approaches to improve TB services in Ukraine. The project will achieve the following objectives: 1) Improve the enabling environment; 2) Ensure patient-centered care and treatment; 3) Strengthen infection control; 4) Enhance GOU political commitment and leadership; 5) Improve human resource development.

Last updated: November 30, 2015

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