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

2. 91 23 Comprehensive services offered by Ukraine program for PWID
Outreach
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

3. New HIV testing strategy: Optimized Case Finding
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

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

5. Impact of program in Ukraine

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

7. Thank You! Acknowledgements:
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
5 Dilova st., building 10A, 9th floor
03680 Kyiv, Ukraine
Tel.: ( ) Ext. 116
Fax: ( )