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Galyna Naduta Senior Manager: Regional Policy & Coordination

Abstract no WEPDE0206. HIV prevention through pharmacies network in Ukraine : improving access to services for injecti ng drug users and sex workers. Galyna Naduta Senior Manager: Regional Policy & Coordination ICF “International HIV/AIDS Alliance in Ukraine” Kyiv, Ukraine.

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Galyna Naduta Senior Manager: Regional Policy & Coordination

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  1. Abstract no WEPDE0206. HIV preventionthroughpharmaciesnetworkinUkraine: improvingaccess to servicesforinjectingdrugusers and sexworkers Galyna Naduta Senior Manager: Regional Policy & Coordination ICF “International HIV/AIDS Alliance in Ukraine” Kyiv, Ukraine

  2. Background • Ukraine has one of the fastest growing HIV infection rates in Europe. • The highest prevalence rates of HIV are among IDUs (21.5%) and SWs (9.0%). • Prevention programs of HIV infection implemented via CSOs in Ukraine in 2011 covered more than 230 thousand of MARPs. • Pharmacies are service outlets supplementing CSO based delivery mechanisms. • Program clients: IDUs, including women, and SWs.

  3. Methods • CSOs initiate cooperation with a local pharmacy network. • CSOs and pharmacies sign a agreements which include: • training of pharmacists; • supply of commodities; • referral system; • payment and reporting systems. • Pharmacies provide services to program clients (IDUs, SWs) free of charge. • Essential prevention package for MARPs includes: • distribution/exchange of syringes; • distribution of alcohol swabs; condoms, information materials; • counseling on safe behavior; • issuing Participants cards to new clients; • referrals to CSOs and medical institutions for other services.

  4. Results • 2007- 2011: the number of pharmacies grew up from 1 to 138 in 13 regions of Ukraine (out of 27) • Total annual coverage by pharmacies (2011): • 27 435 clients (11.9 % of the total coverage of the Alliance’s HIV prevention programs in Ukraine); • more than 387 000 visits to the pharmacies; • 11 714 new clients (20.5 % of the overall number of new clients of the Alliance’s HIV prevention programs in Ukraine). Syringes exchange organized in 37 pharmacies (out of 138)

  5. Conclusion • Pharmacies along with CSOs have become an important delivery platform for HIV prevention services for MARPs in addition to direct services. • Pharmacies refer MARPs to CSOs and medical institutions. • Research on pharmacy interventions in Ukraine (2008) shows that a pharmacy is an affordable and safe place to receive HIV prevention services for those MARPs who do not use CSOs services. • Most pharmacies are open 8 a.m – 10 p.m. 7 days a week and some are open 24/7. • Pharmacies provide a cost effective mechanism for the delivery of essential HIV prevention services to MARPs.

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