Ukraine (from WHO November 2016 consultation)

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Presentation transcript:

Ukraine (from WHO November 2016 consultation) Challenges identified for PWID living with HIV Ukraine (from WHO November 2016 consultation)

Challenges/Rationale Patient Paperwork, travel and waiting times Busy life schedule related to drug dependency Lack of treatment literacy –myths on side effects Stigma and discrimination Unofficial out-of-pocket payments and related double stigma of inability to pay and drug use Comorbidities and complicated care (TB, HCV) Remain on ART if feeling well and clinic visits are a hardship or unfriendly Health system Identify HIV positive PWID Paper work intensive and time consuming process of registration for getting ART High drop out rates

Treatment cascade among PWID based on IBBS-2015

Treatment cascade among PWID clients and non-clients of Harm Reduction, based on IBBS-2015 (Ukraine)