TB: INTEGRATION IN HARM REDUCTION PACKAGES ICF "AIDS Foundation East-West (AFEW Ukraine) Tbilisi, 2015
Ʃ = 185 760 «D» 45 083 / 38 126 TB Epidemiology in Ukraine Active TB prevalence in Ukraine (per 100, 000 population) 30,8% 69,2% Active TB incidence 1 16 438 MDR-TB 7 855/7 540 HIV/TB 7 640 > 20,0 40,0-60,0 < 60,0 5 240/1 994 HIV/TB 1 Ukrainian Center for Disease Control, Ministry of Health of Ukraine, 2014.
TB Epidemiology in Ukraine Estimate indicators of TB prevalence and registration of TB cases (new and recurrent) in Ukraine 1 Ukrainian Center for Disease Control, Ministry of Health of Ukraine, 2014.
Control of the TB Epidemic in Ukraine Investing for Impact against TB and HIV Epidemic Program 133 000 000 USD (2015-2017) maintenance of an electronic registry of TB patients screening, treatment and ensuring TB infection control control over, and coordination of implementation ofnational HIV and TB programs introduction of outpatient TB treatment models in the primary health care setting (family medicine centers)
Control of the TB Epidemic in Ukraine Investing for Impact against TB and HIV Epidemic Program 133 000 000 USD (2015-2017) «Ensuring Continuity of TB Treatment for Ex-Prisoners» Section Development of an effective cooperation process Establishment of multidisciplinary teams for case management Transportation of an ex-prisoner to the DOTS office Social support Counseling by a social worker The project is implemented in 8 regions of Ukraine (8 NGOs) The services have covered 337 ex-prisoners who are TB patients
Control of the TB Epidemic in Ukraine Investing for Impact against TB and HIV Epidemic Program 133 000 000 USD (2015-2017) Case Management of Care Delivery for PLHIV Development of adherence to ART among PLHIV Comprehensive case management of outpatient treatment for PLHIV Psychosocial support and care for PLHIV with limited performance status Individual representation of PLHIV interests to ensure access to the services and resources The project is implemented in 22 regions of Ukraine (53 NGOs) including the Autonomous Republic of Crimea (3 NGOs) The services have covered 1,270 HIV/TB patients
Control of the TB Epidemic in Ukraine Investing for Impact against TB and HIV Epidemic Program 133 000 000 USD (2015-2017) Case Management of Outpatient TB Treatment Visits to clients at their places of residence to supply medications Provision of information, psychological and motivational support Provision of comprehensive multidisciplinary case management to the clients The project is implemented in 19 regions of Ukraine (32 NGOs) The services have covered 1,285 TB patients
Control of the TB Epidemic in Ukraine Early TB diagnostics (screening) through questionnaire survey of HR program clients Investing for Impact against TB and HIV Epidemic Program 133 000 000 USD (2015-2017) Referral of TB patients to primary health care facilities (to a family doctor) and AIDS centers and case management Ensuring TB infection control at NGOs implementing HR programs Screening questionnaire Algorithm of referral of clients suspected of having TB Guidelines on infection control in HR projects Trainings Direction «Early Diagnosis of TB among the Key Populations» International Charitable Foundation International HIV/AIDS Alliance in Ukraine, 2015
Control of the TB Epidemic in Ukraine Lack of salaries for social workers providing case management to clients suspected of TB A big number of false positive results of screening using the questionnaires Investing for Impact against TB and HIV Epidemic Program 133 000 000 USD (2015-2017) Direction «Early Diagnosis of TB among the Key Populations» Refusal to cooperate with the Hrprojects Improvement of the screening questionnaire Improving the referral system for the clients suspected of TB to the primary health care facilities Development of the motivational approaches to the family doctors International Charitable Foundation International HIV/AIDS Alliance in Ukraine, 2015
Control of the TB Epidemic in Ukraine Investing for Impact against TB and HIV Epidemic Program 133 000 000 USD (2015-2017) Direction «Early Diagnosis of TB among the Key Populations» Implementation results of the direction Covered by screening quest-s IDU SW MSM Romes Hom eless Ex-pris. Total Indentified screening-positive Diagnosed at med. institutions Indentified pers. with TB Started treatment International Charitable Foundation International HIV/AIDS Alliance in Ukraine, 2015
Online course on TB/HIV KNCV Tuberculosis Foundation and counselors on TB/HIV from the Republican center on HIV/AIDS prevention in Kazakhstan The course consists of: Introduction 1. Epidemiology of tuberculosis and HIV 2. Clinical symptoms of tuberculosis 3. Diagnosis of tuberculosis and latent TB infection 4. Tuberculosis treatment 5. Drug resistant tuberculosis 6. Measures to prevent tuberculosis transmission 7. Tuberculosis prophylaxis
Online seminars in project sites 2-day online seminars (6 hours in total) Results of pre- and post-test participants in Kirovograd 120% 98% 100% 80% 60% 40% 61% 39% correct answers wrong answers 20% 0% pre-test 2% post-test
Online lectures on the website afew.org.ua
THANK YOU ALL FOR YOUR ATTENTION! Anastasiya Shebardina Senior project manager ICF «AIDS Foundation East-West» (AFEW Ukraine) Anastasiya.shebardina@afew.org.ua