Only real teamwork brings real results

On November 5, 2019 the leadership of the International Institute for HIV / AIDS and Tuberculosis was honored to have a working meeting with the First Deputy Chief of the Main Military Medical Directorate, colonel of medical service GalushkoAndriy.

During the meeting were discussed the medical issues of the Armed Forces of Ukraine in their daily activities. Based on the discussion, an algorithm for actions aimed at improving preventive measures among the personnel of the Armed Forces of Ukraine was jointly developed.

Also was discussed the positive dynamics of work of ARCHITECT i1000SR in the detection of socially dangerous infections among the personnel of the Armed Forces of Ukraine at the blood center of National Military Medical Clinical Center.

At the end of the meeting colonel of medical service Galushka presented the anniversary medal to the leadership of the International Institute for HIV / AIDS and Tuberculosis and Elliot Pearlman.

“I am convinced that the greatest and most important achievement of our cooperation is our Team - people who work diligently every day, love their work and understand its importance”- said Colonel AndriyGalushka.

HIV / AIDS Issues in the military units of the Ministry of Defense of Ukraine discussed during the roundtable

The conference hall of the ALFAVITO Hotel hosted a round table on "HIV / AIDS in the military units of the Ministry of Defense of Ukraine", organized by the NGO "International Institute for HIV/AIDS and Tuberculosis".

The meeting was held within the framework of the PEPFAR project "HIV / AIDS Prevention in the Armed Forces of Ukraine: Testing and Counseling, Reducing the Risk of Infection in the Battlefield". The purpose of the event was to discuss the status of providing a package of services to servicemen with HIV / AIDS and the procedure of interaction of medical units of the Ministry of Defense and the Ministry of Health of Ukraine on the basis of patient-orienting approach.

Participating in the event were organizations working with or involved in combating HIV / AIDS, in particular, the Center for Public Health, the Office of Defense Cooperation at the US Embassy, ​​the Department of Preventive Medicine, and the Health Service of the National  Guards of Ukraine, National Scientific Center of Odessa Regional Center of Socially Significant Diseases and others.

Під час засідання круглого столу піднімались питання епідемічної ситуації з ВІЛ-інфекції/СНІДу в Україні та серед військовослужбовців, виявлення ВІЛ-інфекції в лавах Національної гвардії України, шляхи з удосконалення взаємодії медичних підрозділів  МО та МОЗ України щодо надання пакету послуг військовослужбовцям ЗС України з ВІЛ-інфекцією/СНІДом на основі пацієнт-орієнтованого підходу, захист прав ВІЛ-позитивних військовослужбовців, надання психологічної та духовної допомоги ВІЛ-інфікованим військовослужбовцям, у т.ч. в зоні бойових дій та інше.

During the roundtable, were raised questions on the epidemic situation of HIV / AIDS in Ukraine and among military personnel, identification of HIV infection in the ranks of the National Guard of Ukraine, ways to improve the interaction of medical units of the MOD of Ukraine and the Ministry of Health of Ukraine on the provision of military services, protection of the rights of HIV-positive servicemen, providing psychological and spiritual assistance to HIV-infected servicemen, incl. in the war zone.

«Сьогоднішня зустріч стане важливим кроком в подальшому подоланні епідемії ВІЛ/СНІДу. Для цього ми висуваємо наступні пропозиції:  створити робочу групу з медичної служби МО України, Національної гвардії України та Міністерства охорони здоров’я України, а також впровадити міжвідомчу систему обліку ВІЛ-інфікованих – Медичну Інформаційну Систему» - зазначила виконавчий директор МГО «Міжнародний інститут проблем ВІЛ/СНІДу та туберкульозу» Лариса Доброскок.

"Today's meeting will be an important step in furthering the HIV / AIDS epidemic. We make the following suggestions: to create a working group on medical service of the Ministry of Defense of Ukraine, the National Guard of Ukraine and the Ministry of Health of Ukraine, as well as to introduce an interagency system of accounting for the HIV-infected - Medical Information System ”, - said the project coordinator Dobroskok Larysa.

Model of strategic procurement in the healthcare system

Next year, the healthcare system moves from the outdated costing principle to the strategic procurement model. According to the innovations, the National Health Service of Ukraine will pay for the provision of services to those medical institutions with which an outpatient and inpatient care contract will be concluded.

Currently, the National Health Service of Ukraine is creating state-funded health care packages. Each package is a list of services that the patient will receive for free. The volume of financing of each package will be approved by the Verkhovna Rada of Ukraine.

To fund HIV / AIDS care, the Public Health Center, in conjunction with the Health Service of Ukraine, has established 4 service packages:

  • Treatment and support of people with HIV;
  • Treatment with substitution maintenance therapy;
  • Specialized inpatient care;
  • Palliative care.

Contracts with the National Health Service can be entered by public and private health care institutions and be funded through the provision of a package. To do this, the healthcare facility must meet the requirements in the package, join the Electronic Healthcare System and enter into an agreement. For government agencies, the prerequisite is autonomy - changing the status of a budget institution to a utility company.

For more information on service packages, their scope, provider requirements and key performance metrics, click here: https://nszu.gov.ua/likar-2020

 

The blood center of the National Military Medical Clinical Center received the equipment

On the 5 of September, in the laboratory department of the Blood Center of the National Military Medical Clinical Center "Main Military Clinical Hospital" a ceremony for the transfer the immunological analyzer "Arkitekt i1000 SR" was held. 

The purchase of the equipment was performed by the International Institute for HIV / AIDS and Tuberculosis within the PEPFAR project.

The event was attended by: deputy chief of Medical Service of the Armed Forces of Ukraine colonel of medical service Andriy Galushka, director of the International Institute for HIV / AIDS and Tuberculosis Eliot Pearlman, chief of the Office of Defense Cooperstion, U.S. Embassy Kyiv Daniel Miller, Medical Advisor, Office of Defense Cooperation Mr. James  Cahill, chief of the National Military Medical Clinical Center major-general of medical service Anatoliy Kazmirchuk, deputy chief of the Central sanitary and epidemiological department of MOD of Ukraine, Lt. Col. Sergey Morgun and PEPFAR Embassy Interagency Coordinator Mrs. Alice Wolfram.

The collaboration of the "International Institute for HIV / AIDS and Tuberculosis with the Ministry of Defense of Ukraine, in particular with the Blood Center, has a long history. Previously, freezers and thermal containers for exporting blood components, as well as centrifuges for separating blood components, had already been delivered under the program. The Arkitekt i1000 SR immunological analyzer is the latest addition in this reform process. This equipment will allow testing of about 100 blood samples per week, and if it necessary, these indicators can be increased several times," - said the director of the International Institute for HIV / AIDS and Tuberculosis, Elliot Pearlman.

The equipment is already installed and operational. In addition, the manufacturer provided training for professionals who are now working with this unit.

"Such measures make Ukraine stronger. We know that international defense cooperation is alarming to aggressor countries" - said colonel of medical service Andriy Galushka.

The device is much easier to operate and allows faster, cheaper and more likely to detect hemocontact pathogens than previous manual tests for ELISA antibodies. Thus, in future, number of uncertain and false-positive results will significantly decrease. Such detection of contaminated blood is the most important component of all blood software.

Also chief of the Office of Defense Cooperstion, U.S. Embassy Kyiv Daniel Miller was taking part in the event, who noted the complexity of the work done: "This is a huge step in transformation of medical care that is taking it to the next level. I am very proud that America was able to contribute to this. Blood safety program should be at the highest level".

The threats facing Ukraine now do not pay attention to which organization or agency person belongs to or what chevrons he|she wearing. That is why we must by all possible means contribute to solving the pressing problems of today. It is extremely valuable that we can improve the work and capabilities that Ukrainian military medicine has achieved" - said Mr. James  Cahill. 

 

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