Tetiana Deshko, Director: International Programs

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Presentation transcript:

Bringing to scale HIV programming for people who inject drugs based on Ukraine experience Tetiana Deshko, Director: International Programs Alliance for Public Health, Ukraine www.aph.org.ua

91 23 Comprehensive services offered by Ukraine program for PWID Outreach www.aph.org.ua 69% PWID reached in 2015 Screening 91 syringes per PWID in 2015 70% tested for HIV 23 Treatment condoms per PWID in 2015 48 % of HIV+ PWID tested enrolled in care screened for TB 62% 14 % tested for Hep C 3.5% PWID on MAT

New HIV testing strategy: Optimized Case Finding www.aph.org.ua An availability of HIV tests and routine HIV screening locates a small number of cases. To optimize HIV case-finding additional strategies are required that will increase yield of HIV positive cases. Focusing HIV screening on the risk networks of HIV-positive people significantly increases the percentage of HIV+ cases

Improving HIV care cascade: Community Initiated Treatment Intervention (CITI) www.aph.org.ua CITI combines peer-navigation, peer outreach case-management and community support which facilitates early treatment access for active drug users

Impact of program in Ukraine www.aph.org.ua

Ukraine experience supported development of PWID responses in other countries www.aph.org.ua Cnina 8125 India 11842 Malaysia 45294 Kenya 8374 Indonesia 3956

Thank You! Acknowledgements: www.aph.org.ua www.aph.org.ua Thank You! Acknowledgements: PEPFAR, CDC, The Global Fund, Dutch government for support to the interventions Multiple colleagues in Alliance for Public Health who are developing the interventions and analysis: Pavlo Smyrnov, Olga Denisyuk, Olga Varetska, Tetiana Salyuk, Olga Cheshun www.aph.org.ua 5 Dilova st., building 10A, 9th floor 03680 Kyiv, Ukraine Tel.: (+380 44) 490-5485 Ext. 116 Fax: (+380 44) 490-5489 e-mail: deshko@aph.org.ua http://aph.org.ua