March 24, 2025

FIGHTING TB UNDER FIRE: Ukraine’s Resilient and Innovative Response

For the fourth year in a row, Ukraine remains on the frontlines of both a devastating war and a critical health battle. As the country defends its independence, it is also fighting for the health and well-being of its people. Despite relentless missile strikes, drone attacks, and the destruction of vital infrastructure, the fight against tuberculosis (TB) has not stopped.

Through close cooperation between the government, civil society organizations, and international partners, Ukraine has managed to maintain access to life-saving TB treatment, strengthen medical and psychosocial support for patients, and implement innovative approaches to TB detection—even in hard-to-reach, frontline areas.

This World Tuberculosis Day, we are proud to present a special statement highlighting Ukraine’s continued efforts to combat TB during wartime. The statement reflects key achievements, challenges, and innovative solutions that ensure no one is left behind in the fight against this deadly disease.

We stand united with all those who continue to work tirelessly to save lives and prove that even in the darkest of times, TB is curable. Together, we remain committed to detecting every case, providing timely treatment, and overcoming tuberculosis once and for all.


How the situation with TB detection and prevention has changed, what results the mobile medical services have demonstrated, and why medical, psychological, and social support is becoming a crucial factor in overcoming this disease.

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March 24, 2025

Situation Reports on Supporting the Sustainability of Healthcare Programs during the russian War in Ukraine

In the situation of an unprecedented Russian aggression, the Alliance for Public Health is, as always, at the frontlines, fighting for Ukraine and its people. We remain with the people of Ukraine in the struggle for the sovereignty of Ukraine.


March 24,  2025/Statement – FIGHTING TB UNDER FIRE: Ukraine’s Resilient and Innovative Response

February 24,  2025/ No Break in the struggle

December 1, 2024/ World AIDS Day 2024: ADDRESSING HIV DURING WARTIME IN UKRAINE 

November 19, 2024 / 1000 days since the world discovered Ukrainian courage and resilience

June 1, 2024 / World Children’s Day 2024: STOLEN CHILDHOODS

March 24/ 2024 World TB Day in War-Torn Ukraine: a Story of Resilience

February 23,  2024/ HIV in Ukraine in the midst of the war

December 31, 2023/ 2024: strong, agile and resilient! Annual statement

December 15, 2023/ Summary report of #HELPNOW HUB for 2022 -2023: 20 months of continuous assistance for 37 thousand Ukrainians around the world

December 1, 2023/  World Aids Day: Resilience Amidst War

October 23, 2023 (stories)/ More than 218,000 Ukrainians received help thanks to new initiatives: people’s life stories and ways to overcome the problems brought on by the war

June 1, 2023/ On International Children’s Day Alliance for Public Health calls to prioritize more children affected by war in Ukraine

March 24, 2023/ UNBREAKABLE AGAINST TB: Situation report on World TB Day

February 23,  2023/ 365 Days of War: Ukrainian HIV/TB Response Stands Strong!

December 31,  2022/ #HelpNow HUB 2022: Support that can’t wait!

December 01,  2022/ War crimes and violations of the rights of key communities against the background of russian military aggression

December 01,  2022/ World AIDS Day: accelerating HIV response during the war

September 01,  2022/ #HelpNow HUB — 6 months being near you to help where you are!

June 20, 2022 situation report/ Humanitarian Convoys of the APH: 111 DAYS ON THE ROAD, 111 DAYS OF AID.
June 10, 2022 situation report/ VIRAL HEPATITIS C.
June 2, 2022 situation report/ 100 days of war. Alliance for Public Health: Response to War Challenges
May 20, 2022 situation report/ POST-OCCUPATION: regions liberated from Russian occupation.
May 6, 2022 situation report/ Prevention
April 28, 2022 situation report/ Internally displaced people and refugees.
April 8, 2022 situation report/ Humanitarian aid.
April 4, 2022 situation report/ Special issue: Situation in the temporarily occupied territories of Kherson and Kherson region
March 31, 2022 situation report/ Special issue: Opioid Agonist Treatment (OAT)
March 26, 2022 situation report
Special Issue/ Situation in Mariupol. Situational Report: response of Alliance to challenges caused by the Russian aggression against Ukraine
March 21, 2022 situation report
March 14, 2022 situation report
March 8, 2022 situation report

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March 18, 2025

EU Leadership in Action: Global Health Impact Showcased at European Parliament Exhibition

From March 18 to 20, 2025, the European Parliament is hosting a powerful photography exhibition, highlighting the profound impact of EU investments in global health. Sponsored by MEP Charles Goerens, the exhibition is organized in partnership with leading global health organizations: Aidsfonds, Friends of the Global Fund Europe, Global Health Advocates, Global Citizen, ONE, Save the Children, and Alliance for Public Health.

The exhibition features compelling visual stories demonstrating how EU-backed initiatives such as Gavi, the Vaccine Alliance, and the Global Fund to Fight AIDS, Tuberculosis, and Malaria have saved millions of lives, strengthened health systems, and built resilience in vulnerable communities worldwide. 

The vernissage today will be opened by President of the European Parliament, Roberta Metsola who will remind the audience about the role of global health investments to pandemic prevention and preparedness and making the world safer for all: “Investing in global public health is about safeguarding the well-being of families, communities, and our future generations. The COVID pandemic was a powerful reminder that such diseases do not know national borders but demand global action. We must better prepare, prevent, and manage future health crises. The European Parliament will continue playing its role to ensure EU funding, like EU4Health, provides an effective response: in addressing health challenges, bolstering global health security, and fostering international health cooperation”.

This exhibition underscores the EU’s unwavering strong commitment to global health leadership. It highlights the crucial role the EU can play in addressing geopolitical shifts and strengthening global health and security through its partnerships.

“The EU’s leadership in global health is not just about saving lives; it’s about championing our values and securing a prosperous future for all” says Charles Goerens, MEP and Renew coordinator for the DEVE committee. “In this time of unprecedented challenges for global health, with millions of people left without access to critical life-saving tools, the EU must step up and show its leadership. As we collectively prepare for key funding decisions, this exhibition serves as a timely call for the EU to stand firm in its convictions and ensure that no community is left behind. We must continue to invest in global health because it upholds our collective solidarity and reaffirms the EU’s enduring promise to foster a healthier, more equitable world.”

The exhibition highlights how the EU’s investments in Gavi, the Vaccine Alliance and the Global Fund to Fight Aids, Tuberculosis and Malaria (the Global Fund) have saved the lives of millions. With their support, countries are paving the way toward sustainable health outcomes, fostering resilience, and unlocking social and economic growth in some of the world’s most vulnerable and under-resourced regions. 

“The European Union has been a steadfast ally in global health, playing a crucial role in the fight against AIDS, tuberculosis, and malaria,” says Peter Sands, Executive Director of the Global Fund to Fight AIDS, Tuberculosis and Malaria. “In a time of geopolitical uncertainty, the EU’s leadership is more vital than ever. Its continued support is key to mobilizing resources, fostering innovation, and ensuring that no one is left behind as we work towards eliminating these diseases. Alongside Gavi and other partners, we can build on the extraordinary progress we’ve made, ensuring a future where pandemics no longer pose a threat to public health—both in Europe and around the world—and advancing toward the achievement of the Sustainable Development Goals.”

By investing in Gavi and the Global Fund, the European Union is not just improving the lives and livelihoods of people around the world, it is contributing to sustainable economic growth and stronger, more stable communities,” says Dr Sania Nishtar, CEO of Gavi. “The European Union’s leadership in co-hosting Gavi’s replenishment this year reflects this deep commitment and we are grateful for our enduring partnership, which has helped our alliance protect over a billion children, saving nearly 19 million lives, since 2000 and keep our world safe from diseases that do not respect borders.

This exhibition highlights the tangible impact of the European Union’s investments in global health, featuring real stories of lives changed and communities strengthened. Participants will follow the story of how Muhammed Saleh, the child of nomadic Beja pastoralists in eastern Sudan, gains access to vaccines thanks to health workers like Abdul Qader braving conflict and impossible terrain to reach the most remote communities. 

It also offers us an opportunity to reflect on the challenges ahead, such as conflict and climate change. As policymakers view the powerful image of a Ukrainian health worker in a mobile clinic operating in hard-to-reach frontline areas, analyzing an X-ray for TB, they will be reminded of the urgent need for continued investment and collaboration. The current geopolitical context risks overshadowing the humanitarian crisis, emphasizing the necessity for the EU to act decisively and ensure that hope and healing reach those in need.

“The European Union’s continued investment in global health is not just a humanitarian act — it’s a crucial responsibility that transcends borders. As we face an escalating global health crisis, it is getting critical that our values inform our actions,” says Andriy Klepikov, Executive Director of the Alliance for Public Health. “EU leadership through partnerships with organisations like the Global Fund and Gavi is saving millions of lives, ending HIV, tuberculosis and malaria epidemics. The Ukrainian health workers and communities depicted in this exhibition are a testament to the resilience and dedication of those on the frontlines. We will win united!”

In the coming days, activists affected by HIV, tuberculosis and malaria will meet policymakers to share their stories and urge them to continue EU’s critical investments in this field.

This exhibition is a call to action for policymakers, media, and stakeholders to reflect on the EU’s ongoing leadership in global health and the importance of sustained investments in life-saving programs.

About the organizers

The exhibition is a joint initiative of leading global health organizations advocating for continued EU investment in life-saving programs. It is hosted by MEP Charles Goerens, former Luxembourg minister of cooperation, humanitarian aid and defence, member of the DEVE committee, vice-president of Friends of the Global Fund Europe and a strong advocate for EU leadership in global health, and organized in partnership with Aidsfonds, Friends of the Global Fund Europe, Global Health Advocates, Global Citizen, ONE, Save the Children, and Alliance for Public Health.

About Gavi, the Vaccine Alliance and The Global Fund to Fight AIDS, Tuberculosis and Malaria
Gavi, the Vaccine Alliance, and The Global Fund to Fight AIDS, Tuberculosis, and Malaria are the two largest multilateral investors in global health. Both organizations focus on building equitable and resilient health systems, which are vital for combating infectious diseases today and preparing for future pandemics.

While each organization invests in systems strengthening—such as cold chain equipment for vaccines and supply chains for medicines—they increasingly collaborate to enhance broader health systems, vital for the success of all health programs.

About the exhibition
For more details, please refer to the Exhibition Guide, which provides an in-depth look at the exhibition’s photo stories and the impact of these efforts.

 

Media contacts: Inna Gavrylova, Senior PR & Communications Manager, Alliance for Public Health gavrylova@aph.org.ua

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March 10, 2025

APH Key Insights at the Health Security and Emergency Preparedness Hearing

Tetiana Deshko, Director of International Programs at the Alliance for Public Health, Ukraine, on March 7, 2025, participated in the Health Security and Emergency Preparedness hearing for the Second European Programme of Work (EPW2), attended by over 5,000 participants. This hearing, organized by the WHO Regional Office for Europe, serves as a critical platform for shaping the future health security agenda in the region. It provides an opportunity for WHO Member States, development partners, civil society, and technical networks to collaborate in addressing the growing health risks from pandemics, climate change, and conflicts, with a focus on health security as a central priority.

Tetiana’s intervention provided critical insights into the challenges faced by vulnerable populations in conflict zones and the essential role of civil society organizations in ensuring continued access to healthcare during emergencies.

Vulnerabilities in Conflict: Who is Most Affected?

During the hearing, Tetiana was asked to identify the most vulnerable groups in emergency situations, particularly during conflicts. She highlighted that those already vulnerable in everyday life become even more at risk during crises, especially if they rely on life-saving treatments like ART (antiretroviral therapy) or OAT (opioid agonist therapy).

In her response, Tetiana explained:

“People who take regular medication, like ART or OAT, are at increased risk when supply chains are disrupted. During the war in Ukraine, OAT patients on occupied territories were often cut off from their life-saving daily medication, and many died as a result.”

She also pointed to other vulnerable groups, such as displaced populations, people living in frontline areas, and individuals who have developed disabilities due to the war.

The Role of Civil Society Organizations: Key Lessons Learned

Tetiana also discussed the vital role that civil society organizations (CSOs) have played in providing health services during the ongoing war in Ukraine. She shared several key lessons learned from their efforts to ensure continued access to healthcare in highly polarized and conflict-affected areas.

She shared four practical lessons that could be applied in other conflict zones:

1. Mobile Health Services
“In areas where there is no health infrastructure left, mobile health services are crucial,” said Tetiana. Since December 2022, mobile clinics have been reaching annually over 10,000 people in 200 villages across six frontline regions in Ukraine. These clinics provide primary healthcare, integrate HIV, TB, and STI testing with other health screenings, such as ECG and ultrasound.

2. Long-Acting Treatments
Long-acting treatments for opioid dependence, such as LADB, and for HIV prevention, like CAB-LA, have been critical in serving mobile populations. These treatments reduce the burden on the healthcare system and ensure continuity of care for those who are most in need.

3. Digital Tools
Digital solutions, including telemedicine and AI-powered digital assistants, have been pivotal in maintaining contact with displaced individuals. “During the first 18 months of the war, our HelpNOW service provided on average 100 consultations per day, linking patients to treatment in their new locations,” explained Tetiana. Digital tools also helped distribute harm reduction commodities and HIV tests, reaching a growing number of people online.

4. Mental Health Support
Addressing mental health has been an essential part of the response. Tetiana revealed that surveys showed 34% of drug-resistant TB patients had depression and required psychiatric care. In addition, mental health challenges have been widespread among internally displaced people (IDPs). “In our latest ongoing studies, we’ve learned that 50% of men, in anticipation of conscription, avoid seeking healthcare, and IDP women have suicidal thoughts that they don’t know how to address,” she said.

Looking Ahead: Building Resilience Post-Conflict

Tetiana’s comments emphasized that the lessons learned from Ukraine’s experience will not only help manage the ongoing health emergency but will also contribute to building a more resilient and efficient healthcare system for the future. Civil society organizations, mobile healthcare, long-acting treatments, digital tools, and mental health support are all integral to ensuring that health systems are better equipped to handle future challenges—whether in conflict zones or in other emergencies.

In her closing remarks, Tetiana stressed:

“These innovations and strategies should not stop once the war ends. They must continue in post-conflict recovery to ensure equitable access to healthcare for all, especially the most vulnerable.”

By focusing on innovative solutions and coordinated efforts, Ukraine’s response to the health crisis can serve as a model for other regions facing similar challenges.

WHO Regional Office for Europe and EPW2

The WHO Regional Office for Europe is currently developing the European Programme of Work 2 (EPW2) to set a shared health agenda for the WHO European Region (2025–2030), with health security as a central priority. The upcoming Health Security Hearing, guided by the Preparedness 2.0 strategy (2024– 2029), aims to bring together WHO Member States, development partners, civil society, and technical networks to shape the region’s health security vision by addressing emerging trends for a safer, more resilient future.

Health security is a growing concern as the likelihood of zoonosis-driven pandemics is forecasted to triple, and climate change and conflicts heighten the risks. By 2100, nearly 500,000 people in the EU and UK may face yearly river flooding under 3°C warming. The hearing will provide an important opportunity for leaders to address these challenges, strengthen health systems, and integrate health security into national frameworks to ensure sustainable development and economic stability.

Tetiana’s insights underscore the critical importance of collaboration, innovation, and resilience in the face of ongoing crises and future health challenges.

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February 24, 2025

Situation report: No break in the struggle!

Introducing the new situational report “NO BREAK IN THE STRUGGLE: Ukraine’s Health Response Three Years into the War”

Three years of full-scale war. Ukraine continues the fight — not only for its sovereignty but for the health and well-being of its people. Despite immense challenges, the country has sustained its HIV and TB programs, implemented innovative healthcare solutions, and demonstrated unwavering resilience.

The Alliance for Public Health is proud to play a key role in this process — scaling up services, deploying innovations, and expanding support from healthcare to humanitarian aid, mental health, and assistance for vulnerable groups.

Since February 2022, over 1.6 million Ukrainians have benefited from APH’s support. According to Forbes Ukraine, APH is ranked #4 among charitable foundations in the country in the humanitarian response sector.

The solutions we are developing today will shape the future of Ukraine’s healthcare system — digital, mobile, innovative, and person-centered.

Andriy Klepikov, Executive Director of the Alliance for Public Health:
“We strongly believe that Ukraine deserves a just resolution of this war. Obviously, there will be trade-offs on the way to ending the war. But in any scenario, the health of Ukrainians has already been affected and exhausted so much by the russian war, so it is not a subject for compromise. In order to achieve this, Ukraine should be able to rely on its partners and allies — in the US, Europe, and globally. We need your continuing support to do everything for a brighter, peaceful, secure and sustainable future for our country!”

Read the full report: https://bit.ly/4i9xsQ8

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February 13, 2025

Ukraine Launches First-Ever HPV Vaccination for Women on OAT

Women receiving opioid agonist therapy (OAT) in Ukraine have a unique opportunity to be vaccinated against the human papillomavirus. Thanks to international cooperation and support from Expertise France, the Alliance for Public Health (APH), and the Ukrainian network of women who use drugs “VONA”, a crucial step has been taken to protect the health of vulnerable women.

Why is this important?

Human papillomavirus (HPV) is one of the most common sexually transmitted infections and the leading cause of cervical cancer, as well as other oncological diseases. Gardasil-9 protects nine of the most dangerous HPV types, responsible for the majority of cancer cases.

Women who use drugs are particularly vulnerable to HPV due to several risk factors:

  • Weakened immune system caused by the toxic effects of street drugs, chronic inflammation, and a high risk of HIV infection.
  • Limited access to healthcare and prevention programs due to fear of stigma and discrimination.
  • Increased risk of infection due to unprotected sexual contact.

This program is critically important for protecting the health of women receiving OAT.

First Steps in Vaccination

The first seven women have already received the Gardasil-9 vaccine, which is currently unavailable to the general public in Ukraine. An exception was made for the Alliance for Public Health, enabling the launch of this program.

A Life-Changing Initiative

The initiative is being implemented within the framework of the project “Gender-oriented medical and psychosocial services to women with opioid use disorders and female patients of opioid agonist treatment program” (CoMPSS) in the cities of Dnipro, Odesa, and Lviv.

The program is expanding, and vaccinations will soon be available for women in Kyiv and Kryvyi Rih.

Vaccination is the Best Protection Against HPV!

Together, we are taking another significant step toward preserving the health of the women who need it the most.

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January 02, 2025

The CoMPSS project changes the lives of women who use drugs and OAT patients

At the end of December, representatives of Expertise France, Arthur Langlois and Antoine Pogorzelski, visited Kyiv. Their visit marks a significant milestone in the CoMPSS project, which aims to support women with opioid use disorders and patients of Opioid Agonist Therapy (OAT) programs.

The CoMPSS project combines the efforts of the Alliance for Public Health and the Ukrainian network of women who use drugs (VONA), was launched in April 2024. Thanks to funding from Expertise France and support from L’Initiative, innovative solutions have been developed to enhance medical and psychosocial assistance.

Key achievements:

Infrastructure Development: Opening of 5 Mother and Child rooms in Kyiv, Lviv, Odesa, Dnipro and Kryvyi Rih, as well as a Green Room to provide comprehensive crisis care for people who use drugs and are victims of violence.
Comprehensive gender-sensitive services: More than 400 clients received medical, psychosocial, legal and humanitarian support.
Training Programs: training for psychologists, social workers and activists, covering the topics of gender-based violence, emotional burnout, and motivational counselling.

During their visit to the renovated “Mother and Child” room at the Kyiv City Narcological Clinical Hospital “Sociotherapy,” the French donors toured the facilities and communicated with the project team. They highly appreciated the quality of the services provided, including medical care, psychological counseling, and humanitarian support.

The CoMPSS project demonstrates how international partnershipsand local efforts can transform the lives of the most vulnerable populations, despite significant challenges, particularly during wartime.

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December 23, 2024

Achievements of the Alliance for Public Health in 2024

As we look back on 2024, we are proud to celebrate the incredible results we have achieved together.

We sincerely thank all our partners and donors, civil society and community representatives, volunteers, military, social and health workers, nurses and doctors who worked tirelessly on the ground.

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December 11, 2024

Policy Report Launched: The EU’s Role in Ending HIV/AIDS in Ukraine

On December 11, 2024, the Alliance for Public Health (Ukraine), Aidsfonds, and Friends of the Global Fund Europe launched the policy report “The EU’s Levers to End HIV/AIDS in Ukraine.” The online event, hosted by MEP Vytenis Andriukaitis, concluded a multistakeholder dialogue addressing Ukraine’s HIV/AIDS epidemic and the EU’s critical role in the response.

MEP Vytenis Andriukaitis: “Ukraine demonstrates remarkable efforts and resilience to sustain the AIDS response. The EU can strengthen its role in ensuring these efforts continue. The policy brief launched today provides clear recommendations for leveraging the EU financial instruments, including in the context of the next Multiannual Financial Framework, and leveraging accessing talks, to bolster Ukraine’s progress toward ending HIV/AIDS. As one of the coordinators of SANT, I am ready to be your advocate, and I am looking forward to continuing cooperation and turning all recommendations into action.”

Ukraine’s efforts in tackling HIV/AIDS amidst the war were praised by René Steiner, Delegation of the EU to Ukraine, who stated, “Ukraine teaches us all how even with little means, you can make the best out of it.”

Oleh Khavroniuk, Mission of Ukraine to the EU, highlighted the importance of engaging with the EU Commissioner for Equality, Preparedness and Crisis Management, underlining the importance of integrating Ukraine’s expertise and lessons learnt practices into the EU’s health emergency preparedness and response framework.

The policy report outlines key recommendations for the EU’s future Multiannual Financial Framework (MFF), the accession process, and the Ukraine Facility.

Notably, the event brought together Members of the European Parliament (MEPs), representatives from the European Commission’s Delegation to Ukraine, the Mission of Ukraine to the EU, Poland’s National AIDS Centre, Ukraine’s Ministry of Health Public Health Center, ECECACD, as well as global health organisations such as the Global Fund, and European and Ukrainian CSOs.

Read the download:

Policy Brief

Report

 

 

 

 

 

 

 

 

 

Presentations: Current status of the HIV/AIDS response in UkrainePolicy Brief: Recommendations

Addition materials: 

If you have any questions or are interested in further collaboration around the Policy Brief, please do not hesitate to reach out to us:
Inna Gavrylova, Alliance for Public Health, gavrylova@aph.org.ua

Background on organisers

Alliance for Public Health : Since the early days of the war, Alliance for Public Health has worked together with other civil society and community organizations, healthcare facilities, the Ministry of Health, the Public Health Center, and other government organizations to support people and keep the HIV and TB epidemics under control. And with joint efforts, we have succeeded! During one year of the war, 4 times more people have become Alliance beneficiaries than in previous years – over 1 million Ukrainians! Due to our cooperation with donors and partners, Alliance has delivered and handed over 2,000 tons of humanitarian and medical cargoes to more than 200 healthcare facilities throughout Ukraine, including in the liberated areas of Kherson, Kharkiv, Kyiv, Sumy, and Chernihiv oblasts. Alliance for Public Health works in the countries of the European region, supporting and sharing best practices in the response to HIV/AIDS.

Aidsfonds : Since the start of the Russian invasion of Ukraine, Aidsfonds set up the Emergency Support Fund for Ukraine and Neighboring Countries with the aim of ensuring uninterrupted services and safety for people living with and vulnerable to HIV. The fund provides short-term small grants and mid-term support for community-led and community-based organisations in Ukraine and EECA countries. So far, it has provided 64 grants to support 33 community-led organisations.

Friends of the Global Fund Europe : As an advocacy organisation, Friends Europe has been focusing on providing a platform for Ukrainian voices to call for increased funding to continue community-led initiatives for vulnerable populations. The advocacy started with a statement from Friends Europe’s board of directors. Friends organised events around World Tuberculosis Day in France and in the European Parliament to highlight the work of civil society and community-based organisations in maintaining access to critical health services in particular for key populations. Finally, it facilitated the access of Ukrainian voices to European media with coverage in the Rai and in Euractiv.

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December 01, 2024

Addressing HIV during wartime in Ukraine — we will win together!

On World AIDS Day, the Alliance for Public Health released a report summarizing 2024’s efforts to combat AIDS in Ukraine during the wartime. The Alliance identified the third of all new HIV cases and introduced groundbreaking innovations, including long-acting PrEP, ensuring continuous treatment. 

Mobile clinics expanded services to frontline areas, and humanitarian aid was provided to IDPs and military personnel. Digital solutions supported patients remotely, while harm reduction programs for drug users and advocacy for vulnerable populations’ rights were also prioritized. 

World AIDS Day 2024 

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