Statistics

Prevention programs for people who inject drugs (PWID) and their partners

In the first six months of 2018, 50 organizations implemented HIV prevention programs among PWID. Program clients received sterile injecting equipment (primary and secondary syringe exchange), condoms and alcohol wipes, counseling, HIV and hepatitis C testing as well as early tuberculosis detection services. The services were provided at stationary sites, outreach routes, in mobile clinics and pharmacies.
In the first six months of 2018, 148,416 PWID received minimum packages of services (syringes or needles, condoms, counseling). 93,777 PWID were tested for HIV with rapid tests and received testing results. 3,057 PWID tested positive for HIV. 2,452 clients sought further diagnostic services in HCF, with 1,399 PWID confirming their positive results. 1,427 PWID were registered in AIDS centers, with 1,641 PWID starting ART (including those who were tested or confirmed their results in the previous period).

Prevention programs for sex workers and their clients
Forty-one NGOs provided HIV and STI prevention services to sex workers in all regions of Ukraine. The projects offered a minimum package of services for all clients of harm reduction programs (counseling, condoms, lubricants, HIV and syphilis testing, early tuberculosis detection).
In the first six months of 2018, 28,456 SW received minimum packages of prevention services (condoms, consultations). 15,560 SW were tested for HIV with rapid tests, with 131 SW receiving positive testing results, 117 SW seeking further diagnostic services in HCF upon referral, 73 SW confirming their positive results, 76 SW being registered in AIDS centers and 78 SW starting ART (including the clients tested in previous periods).

Prevention programs for MSM
Twenty NGOs provided prevention services to MSM. NGOs offered the following services to their clients: condoms, lubricants, counseling of social workers and health professionals, testing for HIV, syphilis, hepatitis B and C, early tuberculosis detection.
In the first six months of 2018, 26,804 MSM received minimum packages of services (condoms and counseling), 19,427 MSM were tested for HIV with rapid tests, 203 MSM received positive results, 176 MSM sought further diagnostic services in HCF upon referral, 168 MSM confirmed their positive testing results, 160 MSM were registered in AIDS centers and 145 MSM started ART.

Prevention programs for trans people
Ten NGOs provided prevention services to trans people. NGOs offered the following services to their clients: condoms, lubricants, counseling of social workers and health professionals, testing for HIV, syphilis, hepatitis C, and early tuberculosis detection.
In the first six months of 2018, 697 trans people received minimum packages of services (condoms and counseling). 572 trans people were tested for HIV with rapid tests and received testing results. Four trans persons tested positive for HIV. In the first six months of 2018, three trans persons sought further diagnostic services in HCF upon referral, were registered in AIDS centers and started ART.

HIV biobehavioral surveys in the key populations

In 2017 – early 2018, another round of HIV biobehavioral surveys among the key populations – PWID, sex workers and MSM – was conducted by Alliance for Public Health in cooperation with the Public Health Center of the Ministry of Health of Ukraine. Monitoring of behavioral and epidemiological indicators in the key populations is an important component of control over the epidemic situation in Ukraine, with HIV prevention and reduction of HIV prevalence being one of the key objectives in the country response to the epidemic.

Within the survey, 10,076 PWID were tested for HIV in 30 cities from all the regions of Ukraine. In 2017, HIV prevalence among PWID was 22.6%. Cities with high HIV prevalence among PWID were Chernihiv (43.7%), Cherkasy (41.8%), Bila Tserkva (40.4%), Kryvyi Rih (40.3%), Dnipro (29.9%), Mykolaiv (28.7%), Kyiv (26.3%), Donetsk (25.8%), Fastiv (25.3%) and Severodonetsk (25.0%). As well as in the previous years, a higher level of HIV prevalence was observed among older members of this group: HIV prevalence in PWID aged 25 years and above was 23.9%, while among younger members of the PWID community this indicator was 5.0%, remaining almost at the level of 2015 (4.1%).
5,043 survey participants from among SW population were tested for HIV in 27 cities from all the regions of Ukraine, except Luhansk oblast. The results confirmed the trend towards gradual reduction in the level of HIV prevalence in this population – from 12.9% in 2009 to 7.0% in 2015 and 5.2% in 2017-2018. The highest levels of HIV prevalence were observed in Cherkasy (23.1%), Mariupol (18.1%), Bila Tserkva (12.8%), Kherson (11.5%) and Kropyvnytskyi (10.7%). It is also important to note that in those cities a bigger share of sex workers as compared to other cities reported their practice of injecting drug use. Thus, HIV infections may be associated not only with the provision of sex services, but also with drug injecting practices. In general, among the sex workers who stated that they do not inject drugs, HIV prevalence was only 3.1% as opposed to 35.6% among the sex workers who stated that they injected drugs in the last 12 months. As well as in the previous years, a higher level of HIV prevalence was observed among older members of this group: HIV prevalence in sex workers aged 25 years and above was 6.4%, while among younger members of the SW community – 1.3% (in 2015, the respective indicators were 9.9% and 0.7%).

Within the survey, 5,972 MSM were tested for HIV in 25 cities from all the regions of Ukraine, except Luhansk oblast. The results of biobehavioral survey demonstrated that in 2017 – early 2018 HIV prevalence among MSM was 7.5%, which statistically remained at the same level as in 2015 – early 2016 (8.5%). In the previous rounds of survey, the respective indicators were 6.4% (2011) and 5.9% (2013). The highest levels of HIV prevalence among MSM were observed in Donetsk (22.8%), Cherkasy (14.3%), Odesa (13%), Mykolaiv (7.3%) and Kyiv (7.1%). As well as in the previous years, a higher level of HIV prevalence was observed among older members of this group: in 2017, HIV prevalence in MSM aged 25 years and above was 8%, while among younger members of the MSM community it was 6.7%.


Statistics 2001-2018