June 09, 2025

Ukraine’s public health system sets new regional standards for crisis management

In May 2025, the State Institution “Public Health Center of the Ministry of Health of Ukraine” (PHC), with the support of the iSoS partnership, become the first public health institution in Ukraine certified according to the international standard EN ISO 22301:2019 (Business Continuity Management Systems). It is particularly important to emphasize that this milestone was achieved amid a full-scale war.

On May 22, PHC officially received its certificate from the Canadian certification body MSECB. This accomplishment was made possible as result of  the dedicated work of the PHC team and the support of the regional partnership iSoS — an initiative implemented by a consortium led by the Alliance for Public Health in partnership with the Social Equation Hub Foundation and funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria.

This certificate is not only a symbol of professionalism but also a powerful message for the entire public health sector — even during wartime, it is possible to lay the foundation for sustainable development and systemic change.

“The ISO 22301 certification of Ukraine’s Public Health Center for its business continuity management system is a testament to the dedication and strategic vision of its management and the team. Despite the immense challenges posed by the ongoing war, they have demonstrated exceptional resilience and professionalism. This achievement not only sets a new benchmark for public health institutions in Ukraine but also showcases the power of coordinated efforts and international partnerships in building robust and sustainable systems. The Center’s commitment to maintaining critical services under the most difficult circumstances is truly commendable and serves as an inspiration to all public health professionals and to the people whom we serve,” said Andreas Tamberg, The Global Fund to fight AIDS, tuberculosis and malaria.

Achieving ISO 22301 certification is far from formality. It is international recognition of PHC’s ability to ensure the resilience, efficiency, and continuity of critical services, even under the most challenging conditions — during war, cyberattacks, or technical disruptions.

“To put it simply, the point of having a business continuity strategy is that, in the event of a cyberattack, shelling, or other crises, we automatically switch to backup servers — all data are preserved, and critical services move to remote mode. Our laboratories follow clear logistics and backup operation routes. That means even during the war, our processes continue uninterrupted. This combination of modern IT solutions and well-thought-out alternative scenarios ensures the security of strategic data, efficient use of resources, and most importantly — the protection of confidential information, which is critical to patient safety,” explains Hennadii Honak, Head of Internal audit department at PHC.

“But the real value of the system lies not just in its initial implementation. In a world where new threats emerge every day, technologies change, and processes evolve, the hardest part is keeping the system alive and relevant. We’ve gone through a tough journey toward certification, and today our main task is to ensure ongoing risk analysis, team training, and adaptation. Maintaining this result is a day-to-day team effort that requires leadership, expert involvement, and strategic thinking.”

Regional partnerships: scale and impact

The iSoS regional partnership has become a vital platform for stimulating and supporting systemic changes across Eastern Europe and Central Asia.

The efforts of iSoS experts help not only to strengthen the resilience of national healthcare systems but also to establish new standards for the public sector throughout the EECA region.

“PHC’s certification is a remarkable example of the systemic transformation we support within the iSoS partnership. It’s not only about delivering services “here and now”, but about long-term resilience and institutional effectiveness across Eastern Europe and Central Asia. This is a truly meaningful achievement for both Ukraine and the region — made possible thanks to the joint efforts of PHC, SEH, and the Alliance,” said Sergii Filippovych, iSoS Project Director at the Alliance for Public Health.

Supporting such initiatives is an investment in trust, effectiveness, and the system’s ability to respond to new challenges.

“PHC’s ISO 22301 certification has both national and regional significance. As a project partner, our team provided strategic support throughout the process — offering expertise not only for Ukraine, but also for Georgia, Moldova, Tajikistan, Azerbaijan, Uzbekistan, Armenia, Kazakhstan, and Kyrgyzstan,” said Kateryna Ryzhkova-Siebeleva, Chair of the Board of the Social Equation Hub Foundation.
“All of these countries, like Ukraine, face numerous risks — from conflict and migration crises to cyber threats and natural disasters. Our approach goes beyond technical assistance — we focus on building long-term partnerships that help public institutions and civil society enhance capacity and adopt international standards.”

Setting new standards in the public sector — what this means for Ukraine and its partners

ISO 22301 is more than just a certificate — it is proof of a healthcare system’s preparedness for any challenge.

  • PHC’s services will remain available even in times of crisis.
  • Critical processes will be preserved and restored without panic or chaos.
  • Ukraine’s healthcare system has earned a new level of trust from international partners and donors.
  • The ISO 22301 certificate is a symbol of resilience, predictability, and reliability of Ukrainian institutions.

This experience can be instrumental in developing guidelines and approaches for other government bodies and could contribute to the creation of internal continuity management standards across the public sector.

PHC noted that they will continue to improve the system, adapt it to new risks, and train their staff. Obtaining the certificate is just the beginning of a transformational journey that will continue.

This achievement is more than a certificate — it’s a sign that Ukraine is building strong and resilient institutions even in wartime. And international support — particularly through regional initiatives like the #SoS_project and #iSoS — plays a catalytic role in this process.

Olha Kovalenko, Business Continuity Manager at the Public Health Center, and Hennadii Honak, Head of the Internal Audit Department at the Public Health Center.

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June 07, 2025

How Resilience in Ukraine’s Health System Is Maintained During the War

In early June, Andriy Klepikov, Executive Director of the Alliance for Public Health, spoke at a high-level conference on sustainable development in Hamburg, which brought together leading representatives of international policy, business, academia, and civil society.

During the roundtable discussion ” Harnessing the Power of Public Private Partnerships for Sustainable Investments in Global Health”, he shared practical lessons from implementing prevention and treatment programs in wartime Ukraine.

Key message: Support for Ukraine from international donors is not just aid – it is an investment in resilience.

In his speech, Klepikov emphasized that thanks to the support of international donors – particularly the Global Fund – Ukraine managed to avoid the anticipated spikes in HIV and TB incidence following the full-scale invasion.

“Almost everyone predicted a sharp increase in new cases. But that didn’t happen – not by chance, but thanks to daily hard work, flexibility, adaptability, innovation, and a strategic response to the war’s challenges,” he said.

Under the immense pressure of war, Ukraine’s healthcare system was forced to transform.

Ukrainian Innovations: From Static to Dynamic, from Traditional to Digital

Andriy Klepikov highlighted how the Ukrainian experience shows that adaptation and innovation are key to service continuity, using the work of the Alliance for Public Health as an example:

Mobile Clinics: By introducing mobile medical services, Ukraine ensures access to care in remote areas and near the front lines. A short video illustrates the work of Ukrainian mobile health teams: Dmytro and Yulia Face the Frontlines of War to Deliver

  •      Lifesaving Care in Ukraine
  • Digital Solutions: Tools like the digital social worker TWIIN have enabled 24/7 support, continuing service delivery even during air raids.
  • Flexibility and focus on vulnerable populations: Programs have been redesigned to respond most effectively to the needs of key populations whose vulnerability has significantly increased during the war. Since February 2022, over 1.6 million Ukrainians have received support from the Alliance for Public Health.
    Learn more in the Alliance’s three-year wartime health report: “No Pause in the Response.”

Ukrainian Experience as a Model for Challenging Contexts

Klepikov drew attention to a striking fact: 36 countries funded by the Global Fund are classified as operating in Challenging Operating Environments (COEs) roughly one in three. Programs in these countries, including Ukraine, are proving globally effective, impactful, and resilient.

“This is not just a unique experience – it is a comparative advantage of the Global Fund over other international aid mechanisms,” he stressed.

While the conference focused on long-term sustainability, Klepikov emphasized a critical perspective: for Ukraine, sustainability is a matter of survival, here and now. And yet, the Ukrainian case also demonstrates long-term resilience in the harshest of conditions.

“We have passed the crash test. With the Global Fund’s support, the health system –including HIV and TB response – has held strong. That’s what true sustainability looks like.”

Example of Systemic and Institutional Resilience Amid Full-Scale War

A notable achievement that exemplifies systemic resilience and institutional maturity during wartime, made possible through Global Fund support and the unique regional iSoS partnership, is this:
In 2025, the Public Health Center of the Ministry of Health of Ukraine became the first institution in Ukraine and the Eastern Europe and Central Asia (EECA) region to receive international certification for ISO 22301 the global standard for business continuity in public health despite ongoing threats, shelling, and wartime instability.

 Read also: Political Brief — The Role of the EU in Combating HIV/AIDS in Ukraine



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May 30, 2025

Standing for Health and Human Rights in an Age of Rising Extremism

Alliance for Public Health was glad to contribute to and support this powerful new publication, developed by Action Santé Mondiale / Global Health Advocate.

The paper addresses a deeply concerning trend: the growing influence of extremist, anti-rights movements and isolationist policies that are threatening access to healthcare for the world’s most marginalized communities — and undermining decades of progress in global health and human rights.

The data is sobering. The consequences of reduced global cooperation — particularly in funding for HIV, TB, malaria, and immunization — could result in:

  • 1.65 million more lives lost due to lack of HIV treatment
  • 500,000 preventable deaths due to lack of vaccine access
  • Over 600,000 additional deaths from TB and malaria
  • Grounded in real-life testimonies, field data, and frontline analysis, the report explores how health and rights are inextricably linked — and why we must act now.

The upcoming Global Fund replenishment presents a unique opportunity to reaffirm the intrinsic link between health equity and the protection of human rights. We call upon the European Commission to demonstrate its leadership in health and justice by pledging €800 million for the Global Fund’s eighth replenishment—a decisive act reflecting the EU’s foundational values.

Read the full paper here: https://lnkd.in/e3zYFy3Q

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May 23, 2025

Localization of humanitarian response in Ukraine

The Alliance for Public Health has joined implementation of the global approach to the localization of humanitarian aid which is currently actively used around the world. Supported by the Church of Ireland and the charity organization Christian Aid, the Alliance has implemented the project “Accelerating local humanitarian response in Ukraine through the management and capacity strengthening of Local and National Ukrainian Actors”. During the year a due diligence (passporting) was conducted as a part of the project and 29 local NGOs were comprehensively supported based on its results.

Localization of humanitarian response is the process of transferring management and resources from international donors to local and national organizations involved in responding to crises. This concept was the key part of the Grand Bargain, first presented at the World Humanitarian Summit in 2016. It will facilitate increasing funding for humanitarian assistance to victims by reducing salaries budgets of international humanitarian organizations that act as intermediaries between donors and local organizations. This will help local Ukrainian NGOs become self-confident and enable them to work directly with international donors and without international intermediary organizations located in Ukraine or in the country that provides the money.

Current situation with localization in Ukraine

Despite significant funding and support for pilot localization projects as well as active participation of Ukrainian organizations, the structural changes for effective localization of humanitarian assistance have proven insufficient. A truly Ukrainian-led humanitarian response would be more cost-effective and have a better chance of continuing and reaching people in need while there’s anticipation of the future donors’ aid reductions. The case study “Passing the Buck: The Economics of Localizing Aid in Ukraine” found that local organizations, unlike international intermediaries, can implement programs that are 15.5% more cost-effective. The volume of funding for Ukraine in 2024 (calculated in 2023) was $6.6 billion. If 25% of funds were deployed to local actors, total cost efficiencies would be estimated at $256m over 2 years (p. 14 of the case study “Passing the Buck: The Economics of Localizing Aid in Ukraine”).

Other studies conducted in Ukraine have found that lengthy, complex and often overlapping processes of comprehensive verification of local implementers by various international donors are significant obstacles for the national organizations to cooperate with them directly without intermediary organizations (reference: Lizz Harrison, with Dmytro Kondratenko and Kateryna Korenkova, Options for supporting and strengthening local humanitarian action in Ukraine: a scoping exercise report, DEC, 2023). Many local Ukrainian organizations do not have experience of positive passing of such verifications or even participation in such comprehensive NGO capacity audits. That is why the Alliance initiated a comprehensive assessment (passporting) and further training and development of organizational capacity for Ukrainian organizations of different levels: from large NGOs with many years of experience to very young ones that are just starting their journey. The process took place from February 2024 to February 2025: regional NGOs established for themselves understanding of “where they are now” in terms of their policies and procedures, organizational structure, programmatic, financial and strategic capabilities, they outlined the direction of their further movement, developed the necessary additional documents, formed or developed the necessary skills and abilities and passed certification which will allow them to participate in capacity checks in the future and effectively cooperate with international donors.

Training of Ukrainian NGOs and international passporting

The 29 partner NGOs from different parts of Ukraine participated in the training. The first stage was a general “passporting” based on a comprehensive NGO capacity audit that was developed in the UK and that includes checking of the 8 parameters. This is a mandatory check – Due Diligence Passporting, which each organization goes through when applying for funding/granting to international donors.

As the passporting result each of the 29 regional NGOs received the certain number of points for each of the assessment criteria. The next step was creation of a 1-year personal development plan based on the assessment of each NGO; the main goals of such plan were describing and implementing specific actions of the organization in order to improve or form its own organizational documents, structures, algorithms, etc.

In addition, the Alliance conducted seven workshops with the staff of each NGO during which the main current and strategic problems of the organization’s life were additionally identified. Among the most relevant problems were: lack of experience in systematic fundraising, writing grant applications, staff burnout due to fatigue from the war and work in stressful situations, lack of constant psychological support, etc. Based on the workshops, the Alliance developed its comprehensive program of training NGOs and supporting them in the implementation of personal capacity development plans. The program included several areas:

  • thematic education/trainings;
  • trainings on mental health support;
  • thematic individual and group supervisions for the organizations’ employees;
  • after-training online consultations (once a week) to clarify/deepen/consolidate the knowledge gained during training and practicing the skills;
  • assistance to NGOs provided by involved legal experts in a detailed audit of existing policies and procedures, their revision, as well as writing the new modern and relevant documents.

At the beginning of the project, the main ideas were:

  • adaptation of the audit/passporting tool developed by the British to the Ukrainian realities;
  • introduction of a certificate for NGOs with their assessments based on the results of passporting which could later be used by NGOs for other donors as confirmation that they have already undergone a similar audit (Due Diligence Passporting).

Currently, the technical partner of the Christian Aid project is advocating among international donors that provide funding for humanitarian projects in Ukraine for an approach to mutual recognition of passporting/audit/assessment certificates of Ukrainian NGOs.

Key lessons learned from the project

In order for the project to be effective, it was important for the Alliance team to be very flexible in planning events and always be guided by the most relevant needs of the organizations.

The main lesson of this project is that the process of NGO participation in the project, the gradual strengthening of their capacity through training and support from the Alliance was as important for the staff and management of the organizations as the final result – receiving a certificate of passing the passporting.

“We took part in the training to get certified and thus avoid duplication, in order not to be constantly audited by international organizations but in fact we have received lasting and qualitative changes within the organization. For example, we understood where we were then and what we needed to improve, we systematized all the documents, saw what was missing and worked on them, planned in which direction we would develop. And this has become a very big advantage of this project”, said a representative of one of the NGOs.

Another important lesson was this: when passporting of NGOs was done, training was provided and assistance was introduced to strengthen their capacity in organizational life, then an additional final passporting is necessary for their assessment and certification with the purpose of taking into account their improvements` results. In the Alliance project after a year of working with NGOs on their training and development such final assessment was carried out using the passporting tool to reflect the improved indicators in the certificate. These certificates will be available for the NGOs` use in their further work and in the search for new grants.

Based on the results of this work, the project team developed the document Due Diligence Passporting: Lessons from Localization in Ukraine – Christian Aid Ireland  based on the feedback from the participants. This document highlighted the lessons that must be taken into account when implementing similar projects, namely

  • the need to eliminate duplication of audits of regional NGOs’ policies and procedures by various donors by means of mutual recognition of results/certificates from previously completed assessments and audits using donor-agreed tools. This will enable local Ukrainian NGOs to feel confident, save time and effort and also allow donors to coordinate their activities and quickly find regional partners for the implementation of humanitarian initiatives;
  • the importance for local NGOs not only to undergo an assessment/audit, receive an appropriate certificate, but also to see their “strengths” and “areas for further development”, strengthen their own potential through thematic training and technical support from experts and experienced organizations;
  • the awareness by local NGOs of their own internal efficiency by structuring and improving the documentation, algorithms, structures and working processes employed in the organizations. This has a positive impact on the confidence of NGOs in their ability to perform high-quality humanitarian work in accordance with international standards and find funding for that.

Today, the localization of Ukrainian humanitarian aid remains the key task for donors and international organizations as it can make aid more effective, targeted, sustainable and long-lasting.

The activity was carried out within the framework of the project “Accelerating local humanitarian response in Ukraine through the management and strengthening of the capacity of Local and National Ukrainian Actors” which was implemented by the Alliance with technical support from the Christian Aid and financial support from the Church of Ireland. During the implementation of the project, recommendations were developed for the organizations willing to implement a similar project: https://www.christianaid.ie/sites/default/files/2025-03/ddpp-lessons-from-a-journey-with-lnas_ukrainian.pdf

 

 

 

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April 09, 2025

Ukrainian experience in responding to HIV and tuberculosis during the war — in the Danish Parliament

On April 1, Executive Director of the Alliance for Public Health Andriy Klepikov presented a unique example in the Danish Parliament: how, despite the full-scale war, we manage to contain the spread of HIV and tuberculosis. He expressed gratitude to Prime Minister Mette Frederiksen, all members of Parliament, and all Danish people for incredible support to Ukraine.

“Nowadays security is getting top priority on the European agenda. Although it shouldn’t be a choice between security and health, either or. It is a false dilemma. Health is also security. Socially dangerous diseases has no borders,” Klepikov emphasized.

The strength of the Ukrainian response lies in partnership: civil society, communities, the medical system, the government, and international donors. In particular, the Global Fund, which adapted programs and provided emergency funding in the first days of the war.

Key elements of the successful response included: a focus on key population groups, deployment of more than 40 mobile clinics in 320 remote locations near the combat zone, and the implementation of digital solutions such as a virtual social worker and telemedicine. The HelpNow service provided more than 40,000 consultations in 52 countries.

“If a person is starving, I can’t say: sorry, I only have a condom. I must find them food,” Klepikov emphasized, highlighting the importance of combining medical services with humanitarian aid in wartime conditions.

Klepikov also called for support for the Global Fund’s eighth replenishment and not to reduce the volume of international aid.
You can learn more about the Eighth Replenishment Investment Case here.

He also drew attention to the growing role of the European Union in global public health. It is worth noting that from March 18 to 20, 2025, a photo exhibition co-organized by APH took place in the European Parliament, highlighting results of EU investments in the Global Fund and GAVI. The exhibition was supported by the President of the European Parliament Roberta Metsola who spoke at the opening.
Special thanks to Aidsfondet for the invitation, partnership, and support in making this important conversation happen.

We would like to note that the main focus of the meeting was on continuing Denmark’s important role in the global response to the HIV/AIDS, tuberculosis, and malaria epidemics.

The discussion also involved Maureen Murenga (Lean on Me), Christine Stegling (UNAIDS), Angela Chang (Syddansk Universitet – University of Southern Denmark), Tess Hewitt (Médecins Sans Frontières / MSF), and Peter Sands (The Global Fund).

The organizers of the meeting were: Aidsfondet, Médecins Sans Frontières, and the SRHR network of the Danish Parliament: Flemming Møller Mortensen, Peder Hvelplund, and Gunvor Wibroe.

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March 26, 2025

#iSoS project: Empowering and Innovations in the EECA Region

In 2025, a new three-year regional project “#iSoS: Empowering and Innovations” was launched with a budget of $5.5 million. The project aims to strengthen healthcare systems in Eastern Europe and Central Asia (EECA) to combat HIV and related challenges.

The project is a collaborative consortium of partner organizations led by the Alliance for Public Health, with financial support from the Global Fund to Fight AIDS, Tuberculosis, and Malaria. The consortium includes organizations such as CO “100% Life”, the Central Asian Association of People Living with HIV (CAAPL), SEE RCN, the WHO Regional Office for Europe, EHRA, ECOM, SEH, ENPUD, the Regional Expert Group on Migrant Health, and ECECACD. These partners combine their regional networks and expertise to effectively address the HIV/AIDS-related challenges in the region.

The EECA region remains off track in its response to the HIV epidemic and is one of only three regions globally where the annual number of new HIV infections continues to rise. This trend is primarily driven by insufficient coverage of prevention programs among key populations, including people who inject drugs and MSM. Critical gaps include limited access to opioid agonist therapy (OAT), which remains either unavailable, underfunded, or of poor quality, and minimal uptake of pre-exposure prophylaxis (PrEP). Additionally, low HIV testing and antiretroviral therapy (ART) coverage further compound the crisis, with only 59% of people living with HIV (PLHIV) aware of their status and just 50% receiving ART. Punitive legal frameworks also pose significant barriers: seven countries in the region criminalize the possession of small amounts of drugs for personal use, while aggressive policing, stigma, and discrimination against key populations are pervasive. Moreover, the lack of domestic investment in the HIV response has left a 54% funding gap to meet the 2025 target. Multiple overlapping crises continue to challenge the region’s fragile AIDS response. These critical gaps were prioritised when designing the interventions outlined in the program.

The #iSoS project focuses on creating resilient and effective healthcare systems for addressing HIV in four countries: Georgia, Kazakhstan, Moldova, and Tajikistan, as well as SEE subregion. The project’s objectives are to enhance HIV prevention coverage among key populations, eliminate human rights barriers to HIV services, and strengthen healthcare systems to ensure sustainable epidemic control.

KEY PROJECT GOALS:

  1. Increase Access to HIV Prevention Services Among Key Populations:
    The project aims to diversify and expand PrEP delivery by strengthening community-based, pharmacy-based, and online service models. Community-led monitoring (CLM) will help improve service quality, and the introduction of innovative approaches, such as long-acting injectable PrEP (LA PrEP), is expected to boost PrEP coverage by 20% during the project period.
  2. Remove Human Rights-Related Barriers to HIV Services:
    The project will enhance access to harm reduction services, particularly opioid agonist therapy (OAT), through advocacy, legal reforms, and high-level political engagement. This includes submitting shadow reports to EU and UN bodies and working with the EECA Drug Policy Commission to advance drug policy reforms. Key efforts also focus on monitoring human rights violations affecting LGBT people and people who inject drugs, strategic litigation, and improving the legal environment for key populations. Additional activities include developing remote service registration for migrants, integrating gender-sensitive approaches, and providing legal support and crisis impact assessments to guide risk reduction during emergencies.
  3. Strengthen Healthcare Systems and Attract Sustainable Investments:
    The project advocates for increased national funding for HIV programs, particularly in the SEE region, emphasizing the cost-effectiveness of early intervention. NGOs will receive technical support to develop sustainable funding strategies, while Moldova and Tajikistan will work on integrating HIV and TB services into health insurance plans. A health systems resilience framework, including cybersecurity, will be implemented in Moldova, Tajikistan, Kazakhstan, and Georgia.
    To enhance efficiency, the project will introduce seven digital solutions to improve data collection, decision-making, and access to services, ensuring better health outcomes across the region.

Andreas Tamberg,
Portfolio Manager at the Global Fund to Fight AIDS, Tuberculosis and Malaria
,  emphasized the uniqueness and potential of the project: “The regional #iSoS grant leverages the region’s expertise and resources to achieve results where national programs alone fall short. This collaboration enables countries to effectively implement best practices and solutions, as well as maximize the use of limited resources.”

Andriy Klepikov,
Executive Director of the Alliance for Public Health
, emphasised the vital importance of partnerships: “This project is the result of unprecedented partnership in EECA: of leading regional and national communities, governmental structures, technical agencies, and civil society at both regional and national levels. This is a vast richness of EECA expertise, that, by working collaboratively and integrating new technologies, creates healthcare solutions that are both innovative and sustainable.”

Sergii Filippovych,
Director of the iSoS Regional Project
, highlighted the importance of innovations: “Building resilient healthcare systems in the EECA region requires innovative solutions. Digitalisation is central to our approach, helping expand outreach, improve service delivery, and reduce costs. Key innovations include the DHIS2 database system and TWIIN, an AI-based digital social worker available 24/7 at twiin.aph.org.ua. Accessible from any device, TWIIN offers expert guidance on HIV, tuberculosis, addictions, and mental health. By integrating tools like DHIS2 and TWIIN, we aim to enhance the efficiency, accessibility, and sustainability of healthcare services, strengthening their resilience to future crises.”

Dr. Viatcheslav Grankov,
WHO Regional Office for Europe
, highlighted the importance of innovation in HIV prevention: “The top priority for WHO in the #iSoS project is technical support to national and regional partners in further scaling-up and de-medicalizing HIV PrEP, including through the introduction of innovative delivery models and preparation for delivering long-acting injectable PrEP. We live in a rapidly changing world of HIV prevention, and I think a single annual preventive injection can become a reality very soon! In the meantime, jointly with project partners, we need to make sure that WHO-recommended PrEP options provide real choice for those who can benefit from them.”

Damir Lalicic,
Partnerships in Health, 
provided additional context on the project’s goals: “Our focus for the next three years is on expanding access to HIV prevention, particularly PrEP, strengthening community-led monitoring, and ensuring sustainable domestic funding for HIV services. We are committed to removing human rights barriers, enhancing legal assistance, and integrating digital solutions for service delivery. Through strategic advocacy, partnerships, and evidence-based approaches, we aim to improve the HIV care cascade and reinforce the long-term sustainability of national HIV responses across the EECA region.”

Kateryna Ryzhkova-Siebielieva,
Social Equation Hub (SEH)
, outlined the project’s initiatives in strengthening healthcare systems: “Over the next three years, SEH will focus on strengthening health systems in the EECA region. We will integrate key services for HIV and tuberculosis treatment into standard insurance packages in Moldova, as well as enhance the healthcare system in Moldova’s penitentiary facilities. Additionally, we will expand mental health support in Moldova, Tajikistan, and Georgia. Our efforts will also be directed towards implementing robust business continuity strategies using modern cybersecurity measures, ensuring the protection of healthcare infrastructure and the delivery of high-quality, effective HIV and tuberculosis treatment services throughout the region.”

Ganna Dovbakh,
Eurasian Harm Reduction Association (EHRA)
, shared her perspective on the importance of human rights and community involvement: “Despite the extremely challenging times for human rights, community-based organizations, and the HIV and HCV response for key populations, we remain resilient and united. The launch of this new stage of our regional joint project, even with limited funding, is a testament to our determination. For EHRA, this initiative is particularly important as it addresses the alarming trends of criminalization of key populations and the shrinking space for civil society. While the budget is limited, moving forward with this project amid a severe funding crisis is a crucial sign of hope and solidarity.”

 

Stela Bivol,
WHO Regional Office for Europe: “In these times of permacrisis and never ending challenges in the WHO European region, the continued Global Fund’s support to EECA regional priorities is a lifeline. This important support will catalyse uptake of WHO recommended HIV pre-exposure prophylaxis and testing approaches and make available critical strategic information. This will ensure that key populations programs are front and center in regional ending AIDS efforts.” 

Daniel Kashnitsky,
Regional Expert Group for Migration and Health for Eurasia: “By integrating migrant-sensitive care into the broader paradigm of person-centered care, we can better address their specific challenges and ensure equitable access to quality health services based on trust. Today no European country is doing a good work to integrate migrants into the healthcare system and we all need to improve. Within the #iSoS project we will strive to develop new transnational solutions for international migrants in Georgia, Moldova and Kazakhstan to make HIV services accessible for people living with HIV among migrants. Migrants’ lives matter.”

 

Dmytro Sherembey,
Head of the Coordination Council of 100% Life: “For us, it is crucial that the fight against HIV is as effective as possible, which is why we actively implement modern digital solutions. The experience of ‘100% Life’ proves that if you continuously evolve, you can always respond to new challenges. At the new stage of the Regional Grant, we will share our experience with partners in implementing digital tools for testing, monitoring, and data management, as well as effective management of nonprofit organizations. I am convinced that Ukrainian experience will help our colleagues successfully combat the epidemic in the region!”

 

Aleksander Kwasniewski,
Former President of Poland, Chair of the ECECACD:
“In the Eastern Europe and Central Asia region, where geopolitical challenges abound, we will persist in our efforts to counter russian narratives and approaches to drug policy. It is imperativethat we champion necessary reforms for a better future.”

 

The iSoS project is a bold step towards building a resilient and innovative healthcare system in the EECA region, focusing on digitalization, healthcare accessibility, and human rights. The project’s unique approach to cross-country collaboration is poised to make a meaningful impact on the fight against HIV while ensuring sustainable outcomes for the region’s most vulnerable populations.

Official web-page: https://isos.aph.org.ua

CONTACT: Project Director: Sergii Filippovych, filippovych@aph.org.ua

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March 25, 2025

iSoS: Empowering Opportunities and Innovations in the Fight Against HIV in the EECA Region

In 2025, a new three-year regional project with a budget of $5.5 million was launched, aimed at improving the resilience of healthcare systems in Eastern Europe and Central Asia.

The “iSoS: Empowering and Innovations” project aims to build sustainable and effective healthcare systems to combat HIV in the Eastern Europe and Central Asia regions, with a focus on four countries: Georgia, Kazakhstan, Moldova, and Tajikistan, as well as SEE subregion.

Project Goals:

  • Increase access to HIV prevention services among key populations.
  • Eliminate human rights-related barriers to access to HIV services for key populations.
  • Strengthen healthcare systems and attract additional investments for sustainable epidemic control.

Andreas Tamberg, Portfolio Manager at the Global Fund to Fight AIDS, Tuberculosis and Malaria, emphasized the uniqueness and potential of the project: “The regional #iSoS grant leverages the region’s expertise and resources to achieve results where national programs alone fall short. This collaboration enables countries to effectively implement best practices and solutions, as well as maximize the use of limited resources.”

Andriy Klepikov, Executive Director of the Alliance for Public Health, emphasised the vital importance of partnerships: “This project is the result of unprecedented partnership in EECA: of leading regional and national communities, governmental structures, technical agencies, and civil society at both regional and national levels. This is a vast richness of EECA expertise, that, by working collaboratively and integrating new technologies, creates healthcare solutions that are both innovative and sustainable.”

Sergii Filippovych, Director of the iSoS Regional Project, highlighted the importance of innovations:
“Building resilient healthcare systems in the EECA region requires innovative solutions. Digitalisation is central to our approach, helping expand outreach, improve service delivery, and reduce costs. Key innovations include the DHIS2 database system and TWIIN, an AI-based digital social worker available 24/7 at twiin.aph.org.ua. Accessible from any device, TWIIN offers expert guidance on HIV, tuberculosis, addictions, and mental health. By integrating tools like DHIS2 and TWIIN, we aim to enhance the efficiency, accessibility, and sustainability of healthcare services, strengthening their resilience to future crises.”

Stela Bivol, WHO Regional Office for Europe: “In these times of permacrisis and never ending challenges in the WHO European region, the continued Global Fund’s support to EECA regional priorities is a lifeline. This important support will catalyse uptake of WHO recommended HIV pre-exposure prophylaxis and testing approaches and make available critical strategic information. This will ensure that key populations programs are front and center in regional ending AIDS efforts.” 

The project will focus on utilizing best practices in budget advocacy and attracting additional investments. Special attention is given to digital technologies, which will help respond effectively to crises and ensure the long-term sustainability of the project.

The project is a collaboration of organizations under the leadership of the Alliance for Public Health, working alongside other partners such as 100% Life, the Central Asian Association of People Living with HIV, SEE RCN, WHO European Office, EHRA, ECOM, SEH, ENPUD, the Regional Migrant Health Group, and ECECACD. These partners bring together regional networks and expertise to address HIV-related challenges in the region effectively.

Official web-page: https://isos.aph.org.ua/

CONTACTS:

  • Project Director: Sergii Filippovych, filippovych@aph.org.ua
  • PR & Communications: Inna Gavrylova, gavrylova@aph.org.ua

Regional digest:
mailchi.mp/c3d6f54d94c5/sos-20-summing-up-of-18117661


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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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