Epidemiological situation

Епідеміологічна ситуація в Україні

Ukraine on a Fast Track to End AIDS by 2030

As one of the 30 Fast Track countries, responsible for 89% of the global AIDS epidemic, Ukraine adopted the 90 90 90 targets and developed the HIV Sustainability Strategy (approved by the Cabinet of Ministers, March 2017). Ukraine numbered 240 000 persons living with HIV.

 
240 000 people,
living with HIV
 
 
 
 
216 000 people living with HIV
should know their HIV status
132 945 people living with HIV
know their status and linked
to medical care
 
 
 
194 000 people living with HIV should receive ART
85 025 people living with HIV are receiving ART
 
 
 
 
174 960 people living with HIV, who are receiving ART should have undetectable viral loads
40 922 people living with HIV, who are receiving ART have undetectable viral loads
 
240 000 people,
living with HIV
 
 
 
 
People living with HIV
should know their HIV status
132 945 people living with HIV
know their status and linked
to medical care
 
 
 
People living with HIV should receive ART
85 025 people living with HIV are receiving ART
 
 
 
 
People living with HIV, who are receiving ART should have undetectable viral loads
40 922 people living with HIV, who are receiving ART have undetectable viral loads

* including AR Crimea, the city of Sevastopol, and the non-government controlled territories of Donetsk and Lugansk regions.

50% of all PLWH in Ukraine are living in 5 regions:
Dnipropetrovsk, Odesa, Mykolaiv, Donetsk Regions and Kyiv

Kyiv Odesa

24% of PLWHIV in Ukraine live in Crimea, Luhansk and Donetsk regions, including in non-government controlled areas; over 1 million people from these regions are internally displaced within Ukraine.

Kyiv signed the Paris Declaration on April 2016 and became the 1st city in the EECA committing to end AIDS. Following the political commitment made by Kyiv Mayor Vitaliy Klitschko the Kiev City HIV Council developed the Fast Track Programme 2017-2021 with the target of 82% PLWHIV on ART. Ten other high burden cities plan to join Kyiv Fast Track Initiative (“Kyiv X 10”). Odessa became the second city which signed the Paris Declaration on February 2017.

The epidemic is concentrated in key populations

346 000 Estimated number of people, who inject drugs

21.9% Hiv prevalence

80 000 Estimated number of female sex workers

7.0% Hiv prevalence

151 008 Estimated number of men who have sex with men

5% Hiv prevalence

Other populations vulnerable to HIV infection

Internally displaced people

There are about 1.2M IDP in Ukraine. Most IDP are in need of shelter, food and non-food assistance. The risks of HIV and other blood borne diseases transmission significantly increase due to risky behavior, higher risk of sexual violation.

Prisoners

The number of PLWHIV in prisons is 3,730 ( 6.13% of the total prison population), but only 2,381 are receiving ART. In 2016, up to 60% of all prisoners were tested for HIV with 5.9% of positive yield.

Transgender people

There is a data gap, however research conducted among MSM indicated 2.5% participants self-reported as transgender. The HIV prevalence among this group was 6%.

Migrants

There are no data on the incidence of HIV among labor migrants. Based on 2016 statistics, 34 HIV cases were registered in this group.

Uniformed services

Since 2014 the Ukrainian Army doubled to 240,000 due to outbreak of armed conflict. There is a limited data on HIV, however in the conflict area observed high risks of HIV associated with surgical assistance, bl ood transfusion, and high number of sex workers present in the conflict area. The low use of condoms, use of drugs and alcohol, wide spread of tattoo fashion could be factors which contribute to higher level of HIV and HCV in this group.

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