Alliance for Public Health is a co-implementer of the National Targeted Social Program to Fight HIV/AIDS in 2014–2018 and the program “Investing for Impact Against Tuberculosis and HIV” (funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria). One component of these programs is Opoid Substitution Treatment (OST).
OST is an internationally recognized method to treat people who inject drugs (PWID), aimed at preventing the spread of HIV/AIDS among members of most vulnerable populations. It also contributes to re-socialization of PWID, bringing them back into mainstream society. Two types of drugs are used for OST: methadone and buprenorphine tablets. Starting from 2015, OST using liquid forms of methadone has also been launched.
OST is implemented in healthcare facilities (drug treatment clinics, AIDS centers, TB treatment clinics, city and district hospitals, primary healthcare institutions). In total, over 170 healthcare facilities in Ukraine have OST sites (rooms). About 8,400 patients are receiving services at sites, including people living with HIV (42%), of whom approximately 60% are receiving ART; 1,308 people with tuberculosis, and 4,606 people infected with HCV. All patients receive integrated services including medical support (diagnostics and treatment of HIV/AIDS, tuberculosis, hepatitis, and other general medical conditions) and psychosocial support (employment, renewal of personal relations, starting families, having children, reintegration into society).