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Ukraine

I-TECH began working in Ukraine in 2011 at the invitation of the U.S. Centers for Disease Control and Prevention (CDC) and the Ukrainian Ministry of Health. Today, I-TECH’s key partners in Ukraine include the State Services on HIV and Other Socially Dangerous Diseases (SSH), the Ukrainian Center for Disease Control of the MoH of Ukraine (UCDC), NGO Chas Zhittya Plus, and the Bogomolets National Medical University (NMU).

Ukraine Facts [1,2]

  • Estimated total population (2015): 44,824,000
  • Area: 603,700 square kilometers (233,100 sq mi)
  • Life expectancy at birth m/f (years) (2015): 66/76
  • Total expenditure on health as % of GDP (2014): 7.1
  • HIV prevalence (adults aged 15-49) (%) (2015): 0.9
  • People living with HIV (estimated number) (2015): 220,000
ClASS MR
Anna Shapoval, Country Representative, and Iryna Yuryeva, Senior Training Developer, with the National ClASS Guidelines approved by the MoH of Ukraine.
 
Click here to access the guidelines "Using the ClASS Technique for Monitoring the HIV/AIDS Response Performance at Ukrainian Health Care Facilities":
 
 
OST guidelines cover

Click here to access “Use of Narcotic, Psychotropic Substances and their Precursors in the Practice of Family Medicine":

Ukrainian

Ukraine

Overview

I-TECH began working in Ukraine in 2011 at the invitation of the U.S. Centers for Disease Control and Prevention (CDC) and the Ukrainian Ministry of Health. Today, I-TECH’s key partners in Ukraine include the Ukrainian Center for Public Health (CPH) of the Ministry of Health, and the Ukrainian Center for Family Medicine (UCFM) of the Bogomolets National Medical University (NMU). In early 2017, I-TECH also expanded its partnerships into nurse in-service HIV training field.

Ukraine has one of the most dangerous HIV/AIDS epidemics in Eastern Europe and Central Asia and is experiencing one of the fastest-growing HIV epidemics in the world. The first case of HIV was identified in 1987; since that time, 288,551 cases have been officially recorded, with 39,933 deaths. As of July 01, 2016, 130,410 HIV-positive patients were registered with and receiving care and treatment from the state health care facilities.[3]

It is widely accepted that the official data underestimate the scale of the HIV/AIDS epidemic in Ukraine and do not represent the real number of people infected with HIV. However, updated HIV/AIDS estimates show that there were 220,000 HIV-positive persons (ages 15 and over) living in Ukraine at the beginning of 2016. The difference between official statistics and estimated numbers shows that only every second individual of those living with HIV in Ukraine is enrolled into care and treatment.[3,4]

The number of officially registered HIV cases in Ukraine dropped in 2015-2016 as a result of continuing armed conflict in eastern Ukraine and due to loss to follow-up of PLHIV living in the affected regions of Donetsk and Crimea. [3,4]

The HIV epidemic in Ukraine is mainly concentrated in large industrial cities among most-at-risk populations (MARPs). Injecting drug use represented the main pathway for the spread of the disease in Ukraine from 1995 to 2008, when sexual transmission started to grow and represented 72.5% of the total number of new cases in 2015.[3,5]

Ukraine is implementing reforms in management, budgeting, public health and other areas that impact the model and quality of service provision for PLHIV and achievement of the UNAIDS 90-90-90 Strategy the goals in country [5].

Ukraine Team
The Ukraine team during a visit by representatives of NMU.
 

Project Highlights

I-TECH collaborates with its local partners on the national level to strengthen health systems through Development of Human Resources for Health (HRH); Strategic Information (SI); and Quality Improvement (QI) initiatives, specifically through the following activities.  

Human Resources for Health:

  • Build local capacity, including of faculty, and systems to develop and deliver high quality clinical trainings and to expand supply of trained healthcare workers (HCW) and meet existing human resource needs as well as institutionalize and improve the most advanced and effective models of teaching/learning with 17 training packages developed to the date; special attention is paid to clinical mentoring, faculty development, teaching methodology, and instructional design within this activity area.
  • Strengthen the training and organizational capacities of its partners in the area of HIV in-service/continuing medical training as well as support partners’ efforts in standardization of in-service training programs, methodologies, and related processes.

Strategic Information:

  • Implement the Training System Monitoring and Reporting Tool (TrainSMART) via its partners, providing training on database adaptation and use to stakeholders and users. 
  • Follow up on the Training Evaluation and Framework Tool (TEFT) pilot study, conducted successfully in 2016, to further strengthen research and evaluation capacities in country, in particular at and via the CPH of the MoH.

Quality Improvement:

  • Apply the Clinical Assessment for Systems Strengthening (CLASS) methodology and tools adapted and applied to assess 18 regional and local HIV care sites and facilities with 22 national ClASS reviewers trained and certified and the National ClASS Guidelines and User Manual formally approved by the MoH in January 2016.
 

Sources

  1. World Health Organization, Global Health Observatory, available at: http://www.who.int/countries/ukr/en/

  2. HIV and AIDS estimates (2015), UNAIDS website.

  3. The Ministry of Health, Ukrainian Center for Socially Dangerous Disease Control (UCDC), HIV in Ukraine, Information Bulletin #46, July 2016.

  4. The Ministry of Health, Ukrainian Center for Socially Dangerous Disease Control (UCDC), HIV in Ukraine, Information Bulletin #45, January 2016.

  5. UNAIDS, Ukraine Harmonized AIDS Response Progress Report, December 2015.

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