UKRAINE: Dealing with the Highest Dual Burden of TB and HIV in Europe

Nisa PatelNews

Over the last year, Ukraine has made notable progress in the fight against HIV. HIV incidence in Eastern Europe, unlike other regions in the world, has been on the increase and Ukraine has the most severe HIV and TB epidemics in Europe. The Global Fund has invested over $362 million in Ukraine, $320 million of which targeted HIV programs. These grants were audited by the Fund’s Office of the Inspector General (OIG) in 2012 and were found to be well-performing with a number of good practices and positive outcomes. However, the OIG also called for the Ukrainian government to scale up HIV prevention activities and to address the large unmet demand for antiretroviral drugs (ARVs). On the TB front, the Global Fund Grant Approval Committee recommended a $59.5 million renewal for a TB grant in 2013, but cited concerns about deficiencies in the national TB program and health systems.

Approved Funds: $ 416,469,349

Disbursed Funds: $ 362,273,321

Active Grants: 5 for HIV and 2 for TB

Principal Recipients

  • All-Ukrainian Network of People Living with HIV/AIDS
  • Foundation for Development of Ukraine
  • International HIV/AIDS Alliance, Ukraine
  • Ukrainian Center for Socially Dangerous Disease Control of the Ministry of Health of Ukraine
  • Ukrainian Fund to Fight HIV Infection and AIDS
  • United Nations Development Programme, Ukraine

HIV/AIDS Grants:

Total funding: $320,467,329

People living on antiretroviral therapy: 48,000

Number of people living with HIV: c.230,000 (estimates range from 190,000 – 270,000)

  • HIV grants to Ukraine aim to address the needs of most-at-risk populations (MARPS) and people living with HIV/AIDS (PLWHA) by improving access to prevention, treatment and care and strengthening health and community systems.
  • In alignment with the National HIV/AIDS Program, grants seek to emphasize the role of the government, strengthen communities, decentralize social and medical services and develop systems for monitoring, evaluation and quality assurance.

TB Grants:

Total funding: $41,805,992

New smear-positive TB cases detected and treated: 21,500

  • Ukraine has one of the highest TB burdens in Eastern Europe and Global Fund grants aim to reduce this burden by supporting the national TB program.
  • The grants emphasize the expansion of TB services, improving health care systems, strengthening the provision of DOTS and preventing multidrug-resistant TB with a priority focus on poor and at-risk populations.

Private Sector Role:

  • The private sector is represented on the Country Coordinating Mechanism (CCM) in Ukraine by the Rinat Akhmetov Foundation for the Development of Ukraine. The Foundation was established by Rinat Akhmetov, President of System Capital Management, a major financial and industrial holding company, and became the recipient of a Global Fund grant for TB in 2010.
  • Funds were targeted towards the program “Stop TB in Ukraine,” a partnership between the Foundation and the Ministry of Health.
  • Under the agreement, the program aims to bring Ukraine in line with international standards in TB diagnosis and treatment and to reverse disease trends by 2015.

Learn more about the Global Fund’s investments in Ukraine here.

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Nisa PatelUKRAINE: Dealing with the Highest Dual Burden of TB and HIV in Europe