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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 (2013): 45,239,000
  • Area: 603,700 square kilometers (233,100 sq mi)
  • Life expectancy at birth m/f (years) (2013): 66/76
  • Total expenditure on health as % of GDP (2013): 7.8
  • HIV prevalence (adults aged 15-49) (%) (2015): 0.58
  • People living with HIV (estimated number) (2015): 218,000
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 Socially Dangerous Disease Control of the Ministry of Health of Ukraine (UCDC), NGO Chas Zhittya Plus, and the Bogomolets National Medical University (NMU).

Ukraine has one of the most serious 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, 271,942 cases have been officially recorded, with 36,922 deaths. As of January 01, 2015, 131,268 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 218,000 HIV-positive persons (ages 15 and over) living in Ukraine at the beginning of 2015. The difference between official statistics and estimated numbers shows that only every second individual of those living with HIV in Ukraine are enrolled into care and treatment.[3]

The number of officially registered HIV cases in Ukraine dropped in 2014-2015 as a result of continuing armed conflict in eastern Ukraine and due to the loss to follow-up of those PLHIV who live in temporarily affected regions of Donetsk and Crimea.[3]

The HIV epidemic in Ukraine is urban and still 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 59.2% of the total number of new cases in 2015.[3,4]

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, more 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

Strategic Information:

  • Implement the Training System Monitoring and Reporting Tool (TrainSMART), providing training in database adaptation as well as training for all key stakeholders and users with TrainSMART adapted  and launched at UCDC of the MoH
  • Launch the Training Evaluation and Framework Tool (TEFT) pilot study with the national training evaluation tool(s) to be developed in order to strengthen human resource systems to plan, retain, and place HCW

Quality Improvement:

  • Apply the Clinical Assessment for Systems Strengthening (CLASS) methodology and tool adapted and applied to assess 10 regions and regional HIV care sites and facilities with 11 national ClASS reviewers trained and certified and the National ClASS Guidelines approved by the MoH in January 2016
  • CQI initiatives are kicking off in at least two regions of Ukraine
 

Sources

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

  2. Lekhan VN, Rudiy VM, Shevchenko MV, Nitzan Kaluski D, Richardson E. Ukraine: Health system review. Health Systems in Transition, 2015; 17(2): 1–153.

  3. The Ministry of Health, Ukrainian Center for Socially Dangerous Disease Control (UCDC), HIV in Ukraine, Information Bulletin #44, January 2016.

  4. UNAIDS, Ukraine Harmonized AIDS Response Progress Report, December 2013.

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