MSMGF held the Civil Society Hearings Side Event,: Unfinished Business – Taking bolder action to address HIV among gay and bisexual men and other men who have sex with men, at the United Nations in New York City in close consultation with the Global Platform to Fast Track the HIV and Human Rights Responses Among Gay, Bisexual Men and Other Men Who Have Sex with Men (The Platform), and supported by UNAIDS, UNDP, OGAC/PEPFAR, and the Global Fund.

1. Enabling Policy Environments for more Effective HIV
Responses among Gay and Bisexual and other Men who
have Sex with Men
Vitaliy Karanda, Program Support Director
State Institution "Ukrainian Center for Socially Dangerous Disease Control of the
MOH of Ukraine"

2. Ukraine
1. Ukraine is a country in Eastern Europe, bordered by 7 country’s.
2. It has an area of 603,628 km2, making it the largest country entirely within Europe
and the 46th largest country in the world.
3. With a population of about 44.5 million, Ukraine is the 32nd most populous
country in the world.
4. Ukraine consists of 27 regions which are twenty-four oblasts (provinces) and one
autonomous republic, Crimea. Additionally, the cities of Kiev, the capital, and
Sevastopol, both have a special legal status.

3. HIV/AIDS Epidemics in Ukraine as of January 01, 2016
Cumulative quantity:
HIV-infected persons – 280,358
Patients with AIDS – 84,045
Died from AIDS – 38,457
Clinical supervision:
HIV-infected persons –
126,604 (297,2 for 100 thousand population)
Patients with AIDS –
34,016 (79,8 for one thousand population)
Estimated number of people living with HIV/AIDS
(Spectrum 2015):
223,000 persons (15 years old and older)

4. Epidemiological and Programmatic Context
1. PLHIV: 232,793 or 0.78% of estimated adult prevalence (2015)
2. The epidemic is concentrated among vulnerable groups
3. HIV epidemic started in 1995 among PWID in southern and eastern regions
4. Shift of key mode of transmission from injecting to heterosexual in 2008; currently 69.2%
(het.) vs. 29.6% (inj.)
5. A lot of heterosexual cases are still linked to injecting drug use
6. Growing role of MSM in HIV transmission, which is under-investigated and underreported
7. Considerable imbalance in access to treatment for key populations, particularly for PWID

5. 21.90%
4.10%
7.00%
0.70%
8.50%
4.80%
0%
5%
10%
15%
20%
25%
30%
35%
IDU IDU <25 FSW FSW <25 MSM MSM <25
Prevalence
2007
2009
2011
2013
2015
Prevalence
HIV among MARPs in Ukraine, IBBS data

6. Reported HIV Cases among Men who have Sex with Men in Ukraine
Clinical supervision:
HIV-infected MSM:
1,368 MSM – 1.1 % of all HIV
infected persons in Ukraine
MSM with AIDS –
203 MSM – 0.6 % of аll patients
with AIDS in Ukraine
0
50
100
150
200
250
300
350
400
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
20
35 48
65
94 90
143 152
262
277
368
8 8 9 10 10 10 31 45 50 55
72
number
HIV and AIDS reported new cases among MSM
HIV-infected persons Patients with AIDS

7. Standard Algorithm on Referral of Clients with Positive Results of HIV
Rapid Testing for Registration in AIDS Centers and Starting ART
NGO 2
NGO 1 Referral
Referral
AIDS Center 1
AIDS Center 2
HIV+
HIV+
SYREX
and HMIS
Database
Lost to follow up
~ 23 %
Lost to follow up
~ 23 %

8. “Best Practices” on Referral of Clients with Positive Results of HIV
Rapid Testing
1. Social advertising and the launch of the site:
http://gettest.com.ua/ua/
2. Register for HIV testing on the site and
choose the most comfortable test points
3. Communication with social worker.
Motivational counseling.
4. HIV counseling and testing (health care
worker).
5. Post-test counseling, condoms, lubricants.
6. Social support in health care facility (AIDS
Center).
The five-year USAID RESPOND Project, funded under the U.S. President’s Emergency Plan for AIDS Relief
(PEPFAR) the project is being implemented by international NGO Pact in partnership with FHI 360.

9. www.ucdc.gov.ua
Thank you for attention!