Ukraine remains one of the countries with concentrated HIV epidemic which is centered in specific key populations with high risk of HIV. Today the HIV epidemic situation in Ukraine is once again characterized with certain decrease in the number of registered cases of HIV at the national level: 19,273 cases in 2014 (without AR Crimea and Sevastopol), which is 5% less than in 2013. At the same time, the total number of individuals enrolled into HIV care as of the end of the reporting period was 137,970.
Decrease in absolute number of PWID in the total number of newly registered cases of HIV has been observed in the recent 7 years: from 6,558 cases in 2008 to 4,670 cases in 2014 (without AR Crimea and Sevastopol). In the HIV transmission structure, the share of sexual transmission in persons newly diagnosed with HIV as of the end of 2014 was 69.2%. Increase in the number of HIV-positive patients who were infected through the sexual mode of transmission rises considerable concerns and requires from the organizations implementing prevention programs appropriate focus and change of the approaches in the delivery of services to key population members and their partners who still have a great impact on the epidemic.
Military and political conflict in the East of Ukraine as well as annexation of Crimea had a big influence on the monitoring of the epidemic situation in those regions. Currently registration of the new cases of HIV and laboratory monitoring are complicated in Donetsk and Luhansk oblasts, with the relevant data not reported to the national level by AIDS centers located in AR Crimea and Sevastopol. The existing situation leads to the increase in the level of internal migration among PLWH who move from the occupied areas to the territories under control of the Ukrainian Government. Thus, according to the data of the Ukrainian Center for Socially Diseases Control of the Ministry of Health of Ukraine, there were 360 people living with HIV who came from Donetsk and Luhansk oblasts as well as from the Crimea and were officially registered for medical HIV care in 2014. Most internally displaced patients were registered in the city of Kyiv (130 people) and in Odessa oblast (56 people).