In cooperation with authorities and civil society organizations of Ukraine, other international institutions and partners, USAID contributes to the overall development of the health care system of Ukraine. We contribute to building a system that serves the needs of Ukrainian citizens and provides medical professionals with the necessary tools, knowledge and resources to provide modern, high-quality medical services to all Ukrainians.
One of the most important aspects of the USAID Mission’s activities is the response to the manifestations of infectious diseases, such as HIV/AIDS, tuberculosis, and hepatitis C, as well as the wider coverage of Ukrainians with immunization measures against diseases such as poliomyelitis. Today, Ukraine has the highest burden of HIV/AIDS in Eastern Europe, and one of the highest rates of multidrug-resistant tuberculosis (MDR-TB) in the world. In order to respond appropriately to these epidemics, USAID, together with the US President’s Emergency Response Initiative on HIV/AIDS (PEPFAR), is working with a number of partners to ensure an AIDS-free generation in Ukraine and to curb the spread of tuberculosis. Another direction of the Agency’s activity is the support of measures to develop the program of planned immunization, which should protect Ukrainian children from those diseases that can be prevented, such as polio and measles.
Ukraine has the second highest rate of HIV infection/AIDS in its region. Today, the country is home to almost 250,000 people living with HIV (PLHIV), many of whom are unaware of their HIV status. The epidemic is concentrated among the highest risk groups (HRGs), such as injecting drug users, sex workers and men who have sex with men. With support from PEPFAR, USAID provides technical assistance in the development of the health care system, which allows to increase the capacity of Ukrainian organizations to provide all citizens of the country with high-quality services in the fight against HIV, and provides PLHIV with access to treatment and care. The Agency implements technical assistance measures that strengthen the mechanisms for managing HIV programs and ensure the availability of the necessary financial and human resources. In addition, USAID is working with partners to expand access to TB-HIV co-infection diagnostic services, as well as better prevention and treatment of tuberculosis, to which PLHIV are highly vulnerable.
USAID-supported programs reduce the number of cases of HIV-related stigma and discrimination faced by representatives of the People’s Republic of China – injecting drug users (IDUs), sex workers, men who have sex with men, and people living with HIV. Our programs ensure the reduction of stigmatization and discrimination – primarily in the field of HIV prevention services – so that representatives of the People’s Republic of China feel less inconvenience and are more willing to seek such services, in particular, treatment with antiretroviral drugs, which allows to significantly reduce the volume of transmission of HIV infection.
In 2019, 27.2% of all newly detected cases of tuberculosis in Ukraine were drug-resistant tuberculosis. Another 6,225 cases of the disease were identified as multidrug-resistant tuberculosis (MDR-TB). Today, the success rate of tuberculosis treatment in the country is only 76%, because patients stop treatment prematurely, receive it too late, or are also infected with HIV, which makes them particularly vulnerable to tuberculosis and can lead to serious complications; another factor is the high incidence of MDR-TB, which is difficult to treat. In cooperation with other agencies of the US Government and other partners, USAID implements measures aimed at limiting the spread of tuberculosis in Ukraine.
Ukraine has one of the lowest levels of planned immunization of the population in the world, which is due to the lack of the required number of vaccines and a high degree of mistrust of them on the part of doctors and parents. Together with its partners, USAID disseminates evidence-based information about the benefits of vaccines to these populations, strives to ensure the availability of high-quality vaccines, and contributes to the development of a national immunization schedule.
Measures in the field of mental health and assistance to people with disabilities
The conflict in Eastern Ukraine has already caused, and continues to have, a negative impact on the mental health and psychosocial well-being of the victims. The lack of consistent standards and an effective referral network leaves these populations vulnerable to long-term mental health problems.
HEALTH CARE REFORM:
The project “Support for health care reform”
Implementation period: April 27, 2018 – April 26, 2023
The project “Supporting medical reform” helps to build a transparent, accountable and effective health care system that will meet the needs of Ukrainians in the field of medicine. In cooperation with the Ministry of Health, the National Health Service and civil society, the project contributes to the promotion of reforms in medicine, countering widespread corruption, as well as increasing the transparency of the health care system, which should make quality medical services available to Ukrainians. The tasks of the project include improving management systems in the health care sector, implementing new mechanisms for financing medicine, strengthening its staffing, increasing the level of transparency and accountability of the health care system and its response to the needs of citizens, as well as improving the system of providing medical services to at all levels.
Project “Safe, affordable and effective medicines for Ukrainians” (SAFEMed)
Implementation period: September 1, 2017 – August 30, 2022
The project “Safe, affordable and effective medicines for Ukrainians” (SAFEMed) helps to strengthen the pharmaceutical system in Ukraine by increasing its transparency and ensuring the economically justified cost of medicines. The SAFEMed project contributes to the improvement of the financing and management systems of the pharmaceutical industry, as well as the optimization of supply chains. It helps to build on the successes achieved during the implementation of the USAID project “Systems of improved access to medicinal products and services” (SIAPS), and offers modern technical solutions to reduce the level of corruption in the areas of financing of the pharmaceutical industry and public procurement of pharmaceutical products, and also ensures more efficient operation of supply mechanisms.
The SAFEMed project promotes the decentralization and integration of health services at the national and sub-national levels in many sectors of activity. Another of its tasks is to ensure a stable supply at fair market prices of basic drugs and medical products for the treatment of HIV/AIDS and the provision of replacement maintenance therapy, treatment of tuberculosis and hepatitis C. Through the implementation of this project, USAID provides support for the current activities of the Government of Ukraine and partners with on the part of civil society to carry out transformations in the health care system so that it meets the needs of the citizens of Ukraine. To achieve this goal, the SAFEMed project defines the following tasks: 1) to strengthen the management systems of the pharmaceutical sector; 2) optimize the mechanisms of its financing; 3) ensure better availability and more use of the necessary drugs.
Support for the development of e-health infrastructure in Ukraine
Implementation period: September 28, 2018 – March 31, 2022
The program to support the development of e-health infrastructure in Ukraine will ensure the strengthening of the “Electronic Health” (eHealth) system and will contribute to the reduction of corruption in medicine by helping to establish the nationwide e-health system. It will provide assistance to the Ministry of Health of Ukraine in ensuring management and supervision of financial investments in the development and modernization of the electronic health system. This system lays the foundation for the implementation of reforms in the health care sector in Ukraine, which should introduce transparent and effective mechanisms for managing this sector, financing its activities and providing services.
PREVENTION OF INFECTIOUS DISEASES:
Implementation period: September 27, 2017 – September 26, 2022
The HealthLink project should accelerate the implementation of measures in Ukraine that will allow to eliminate HIV infection as a threat to public health by 2030. The project targets people living with HIV (PLHIV) and the main groups at the highest risk in order to increase demand and expand access to HIV services, increase the number of PLHIV who are aware of their HIV status and have access to treatment and care, to address gaps in HIV service delivery, and to reduce stigma and discrimination.
Serving Life (“For the sake of life”)
Implementation period: September 27, 2017 – September 26, 2022
The Serving Life project contributes to reducing the incidence of HIV infection, tuberculosis and hepatitis C by introducing more advanced detection, treatment and care mechanisms in remand and correctional institutions, as well as among former prisoners in Ukraine. This project works in twelve regions of Ukraine, which have the highest rates of HIV, tuberculosis and co-infection of these two diseases – these are Dnipropetrovsk, Donetsk, Zaporizhzhya, Kirovohrad, Mykolaiv, Odesa, Poltava, Kherson, Cherkasy and Chernihiv regions, as well as the city of Kyiv and Kyiv region.
Project “Supporting efforts to combat tuberculosis in Ukraine”
Implementation period: October 1, 2019 – September 30, 2024
The activities of the project “Supporting efforts to combat tuberculosis in Ukraine” are aimed at reducing the epidemic of this disease through early detection, appropriate care of patients and implementation of preventive measures to help patients suffering from tuberculosis, drug-resistant tuberculosis or TB-HIV co-infection . The project is being implemented in primary care and anti-tuberculosis facilities in 12 designated regions of Ukraine that have the highest rates of tuberculosis, drug-resistant tuberculosis, and TB-HIV co-infection, as well as in medical universities throughout the country. It aims to increase the detection rate of the disease, to ensure a higher quality of diagnosis, treatment and care for patients suffering from tuberculosis, drug-resistant tuberculosis or TB-HIV co-infection. The project is implemented in close cooperation with the Public Health Center of the Ministry of Health of Ukraine. Another of its tasks is to improve the TB and drug-resistant TB detection system, including TB contact tracing, initiation and completion of treatment, and optimization of reporting, data collection and analysis.
(mental health and assistance to people with disabilities):
Project “Strengthening rehabilitation services in health care systems”
Implementation period: April 1, 2019 – June 30, 2022
The project “Strengthening rehabilitation services in health care systems” contributes to the increase of knowledge and improvement of the professional practice of physiotherapists, the development and implementation of national measures of state policy, rules and protocols in the field of rehabilitation, as well as the growth of demand for rehabilitation services at the level of communities and communities. It aims to increase the level of awareness, support the implementation of cooperation processes in the field of rehabilitation services in certain regions of Ukraine, and develop a strategy for the activity of physiotherapists. In close cooperation with the World Health Organization (WHO), the project will develop a strategy for rehabilitation services, as well as provide assistance to the Ministry of Health of Ukraine in reforming this sector. Another direction of his work will be the development of an information campaign, which should ensure the dissemination of information about the role and importance of rehabilitation services at the level of primary medicine. The project has two tasks:
1) ensure the development and strengthening of complex, sustainable services and systems in the field of rehabilitation based on the creation of partnerships and the involvement of interested parties;
2) ensure access to quality rehabilitation services (including additional assistive technologies) for persons in need of such services.
Project “Combating misconceptions about vaccination”
Implementation period: July 1, 2018 – December 30, 2022
Through the implementation of this project, USAID contributes to improving the state of affairs in the field of demand and supply of vaccination services in Ukraine by strengthening and improving public communication in this field, including at the level of local communities. The project envisages the expansion of advocacy activities and conducting an objective dialogue on vaccination issues in the context of the medical reform currently taking place in Ukraine; it should provide assistance in countering vaccination misconceptions based on specially designed, evidence-based communication activities and collaboration with local communities, as well as contribute to the development of capacity for planning, forecasting and management of vaccination programs at the level of oblasts and territorial communities.
Project “Supporting Ukraine in Strengthening Immunization Systems”
Implementation period: July 1, 2019 – September 30, 2022
The main goal of this project is to increase the effectiveness of the immunization systems in Ukraine, to strengthen the mechanisms of coordination of the actions of interested parties and activities within the framework of national advisory bodies, as well as to increase the public demand for immunization services and the volume of their use. To accomplish these tasks and improve surveillance systems, the US Centers for Disease Control and Prevention provides expertise and technical assistance to the Ministry of Health of Ukraine, the Department of Immunization within the structure of the Center for Public Health (CPH) and regional CPHs for combating vaccine-preventable diseases , as well as effective immunization procedures.