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 – December 31, 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 1, 2013 – September 30, 2018
http://www.hivreforminaction.org/

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.

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 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. 

HEALTH:

Challenge TB project
PATH
Janury 1, 2015 – September 30, 2019

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.

Strengthening Routine Immunization
UNICEF
September 2016 – December 2017

USAID support to UNICEF focuses on rebuilding the routine immunization program in Ukraine through political advocacy, communications and social mobilization, and capacity development and enhancement of education of health providers.

Safe, Affordable, and Effective Medicines for Ukrainians (SAFEMed) project
Implementer: Management Sciences for Health (MSH)
Project period: September 1, 2017 – August 30, 2022

Safe, Affordable, and Effective Medicines for Ukrainians (SAFEMed) strengthens the pharmaceutical system in Ukraine by improving transparency and cost-efficiency. SAFEMed will improve pharmaceutical financing, management, and supply chains. SAFEMed will build on the achievements of USAID's Systems for Improving Access to Pharmaceuticals and Services (SIAPS) activity and offer state-of-the-art technical solutions to reduce corruption in pharmaceutical financing and procurement systems and make supply chains more efficient. SAFEMed supports decentralization and integration of health services at the national and sub-national levels across multiple sectors.  The activity will secure a stable supply of essential HIV, MAT, TB, HCV drugs and commodities at fair market prices. Through this activity, USAID supports ongoing efforts by the Government of Ukraine and its civil society partners to transform Ukraine's healthcare system to meet citizen needs.  In order to meet this goal, SAFEMed sets the following objectives: 1) strengthen pharmaceutical sector governance; 2) optimize pharmaceutical sector financing; and 3) increase the availability and use of necessary medications.