A meeting of the working group on the development of the Procedure for interaction between health care institutions of the Ministry of Health and the Ministry of Defense of Ukraine took place in Kyiv

On October 27, the National Military Medical Clinical Center "Main Military Clinical Hospital" hosted the first meeting of the working group on preparation of the Procedure for cooperation between health care institutions of the Ministry of Health of Ukraine and medical units of the Armed Forces of Ukraine in diagnosing HIV. clinical and laboratory monitoring of the disease and antiretroviral therapy for HIV-positive people.

The NGO Institute for HIV / AIDS and Tuberculosis initiated and organized this meeting in order to establish cooperation between civil health care facilities and the army, as well as to strengthen actions aimed at combating the HIV / AIDS pandemic in Ukraine.

The event was attended by leading experts of the country on these issues, in particular, the Chief of Staff - Deputy Commander of the Medical Forces of the Armed Forces of Ukraine, Colonel of the Medical Service Andriy Galushka; Head of the Epidemiological Department - Deputy Head of the Sanitary and Epidemiological Department of the Medical Forces Command of the Armed Forces of Ukraine - Mykola Olym; Head of the Research Institute of Military Medicine of the Ukrainian Military Medical Academy - Olesya Ivanko; Head of the Medical and Rehabilitation Department of the Medical Forces Command of the Armed Forces of Ukraine - Dmytro Lushnikov; Head of the Infectious Diseases Department of the National Military Medical Clinical Center "Main Military Clinical Hospital" - Anatoliy Vyshnyagov;  Head of the Laboratory Department of the National Military Medical Clinical Center "Main Military Clinical Hospital", Chief Laboratory Assistant of the Ministry of Defense of Ukraine - Yulia Kobernichenko; Chief Therapist of the National Military Medical Clinical Center "Main Military Clinical Hospital" Victor Dyachenko; State Expert of the Expert Group on Immunoprophylaxis, Development of Infectious Disease Prevention Programs - Irina Chibisova; coordinator of the work of the working group from the National Council for Combating Tuberculosis and HIV, AIDS - Iryna Koroyeva; Head of the Coordination Department for HIV, HCV and SMT Treatment Programs of the Center for Public Health of the Ministry of Health of Ukraine - Larysa Hetman; Head of the Tuberculosis Treatment Program Coordination Department - Yana Terleyeva; Head of the Substitution Maintenance Therapy Sector - Iryna Ivanchuk; a representative of the Public Health Center of the Ministry of Health of Ukraine - Olga Dashevets; Executive Director of ICF East-West - Olena Voskresenska; consultant of the International Institute of HIV / AIDS and Tuberculosis - Natalia Kozhan and others.

The main issue considered by the working group during the meeting was the creation of a normative document that regulates the interaction of health care institutions in the system of the Ministry of Defense of Ukraine and the Ministry of Health of Ukraine.

According to Andriy Galushka, there is an urgent need to develop a legal act that will regulate the procedure for cooperation between health care facilities of the Ministry of Health of Ukraine and the Armed Forces of Ukraine in combating HIV and medical care. assistance to HIV-infected servicemen and employees of the Armed Forces of Ukraine.

"During the monitoring visits to Odesa, Lviv, Kharkiv regions, which were carried out within the framework of the PEPFAR project “HIV Prevention in the Armed Forces of Ukraine: Testing and Counseling, Reducing the Risk of Infection on the Battlefield” it was found that between security institutions Health of the Ministry of Health and the Armed Forces of Ukraine there is no cooperation in providing medical care to HIV-infected servicemen and employees of the Armed Forces of Ukraine. As of today, there is no normative legal act that would regulate such interaction. There are also no standard surgical procedures for diagnosis, treatment, testing, index testing of partners of HIV-infected people. In addition, the regions have not developed routes for HIV-infected patients and their partners. This situation violates the rights of HIV-infected servicemen to provide quality, continuous assistance, ” - said Larysa Dobroskok, executive director of the International Institute for HIV / AIDS and Tuberculosis, explaining the purpose of the working group and initiating the development of a normative act.

Thus, as a result of the discussion, it was decided that the creation of such a document is an urgent need. Now the participants of the meeting, in accordance with their competence, will work on the development of the structure and text of the document, which will improve mutual understanding between institutions and contribute to the effective fight against the spread of HIV.

A mobile clinic for HIV-positive children has been launched in Lviv region

A mobile clinic for HIV-positive children has been launched in Lviv region. This is the first social collaboration in Ukraine, when the online car service is used instead of buying cars. The main goal of mobile clinics is to be closer to children with HIV-positive status who need the attention of doctors and social workers.

A mobile clinic is a car with portable diagnostic equipment. As well as a medical team - a pediatrician or infectious disease specialist, a nurse, a social worker and a doctor. Their task is to provide medical care to HIV-positive children, as well as to HIV-infected pregnant women in the most remote regions of our country. There live people who for months and sometimes years can not get to the doctors on their own. They cannot receive a primary diagnosis, donate blood for testing, receive prescriptions and advice on the treatment needed for HIV-positive and AIDS patients.

According to the director of the Lviv Regional Center for Public Health Maryana Sluzhynska, the project is extremely important, because now it is possible to provide targeted medical, social and psychological assistance to children who need it.

Free hepatitis C drugs will arrive in the regions of Ukraine

A batch of drugs for the treatment of patients with viral hepatitis С will arrive in the regions of Ukraine. Thanks to the supply of drugs, treatment will be possible for more than 18,000 patients with viral hepatitis C, according to information of the Center for Public Health of the Ministry of Health of Ukraine.

Purchased drugs are the latest direct-acting drugs that meet the recommendations of the WHO and the European Association for the Study of Liver Diseases for the treatment of hepatitis C. In particular, sofosbuvir / daclatasvir and sofosbuvir / velpatasvir are universal because they are effective against all C. The innovativeness of the course allows you to take the tablets for 3 or 6 months and does not require additional procedures, including the injection of drugs. Treatment is carried out by a single daily dose of drugs. Thanks to the combined approach, new drugs are much more effective, safer, the body responds more quickly to therapy, so treatment is much faster and more effective. For the treatment of viral hepatitis C, highly effective drugs are used, which have a low probability of side effects, in contrast to the drugs of the previous generation.

The effectiveness of the treatment is proven and reaches more than 90%.

Note that patients with viral hepatitis C, regardless of the stage of liver damage, can be completely cured. The earlier treatment is started, the higher the chances of recovery.

A round table on the specifics of providing services to HIV-infected servicemen took place in Kyiv

On September 23, a round table was held on the topic: "Peculiarities of providing a package of services to HIV-infected servicemen during the COVID-19 pandemic"

The event was organized by the International NGO "International Institute of HIV/AIDS and Tuberculosis". Representatives of the Ministry of Defense of Ukraine, the Ministry of Health of Ukraine, the Public Health Center of the Ministry of Health of Ukraine, non-governmental organizations working in the field of HIV / AIDS, etc. took part in the discussion.

During the round table, was discussed the status of providing a package of services to servicemen with HIV / AIDS during the COVID-19 pandemic, the organization of HIV index testing and the procedure of cooperation between medical units of the Ministry of Defense and the Ministry of Health of Ukraine on a patient-centered basis. Each of the participants shared their experience of working in a pandemic.

Thus, Tetyana Krasnopolska, a doctor-methodologist of the Department for Coordination of the Public Health Center of the Ministry of Health of Ukraine, analyzed national recommendations for providing a package of services to HIV-infected people, as well as organizing HIV prevention and testing during the epidemic COVID -19. In turn, Svitlana Yesypenko, director of the Odessa Regional Center for Socially Significant Diseases, spoke about the organization of index testing for HIV partners of HIV-infected people in the Odessa region, in particular, among servicemen and noted the effectiveness of the approach chosen by the organization. Daria Dobroshtan, Officer of the Epidemiological Department of the Sanitary and Epidemiological Department of the Armed Forces Command, shared her experience in using EpiInfo software in the epidemiological surveillance system in the Armed Forces of Ukraine and its successful involvement in further analysis of HIV / AIDS data. 

As a result of cooperation and effective communication during the round table, a plan of priority measures to combat the spread of HIV, tuberculosis and viral hepatitis B and C among servicemen was formed and approved. Adherence to this plan will help reduce the risk of infection among certain groups, including servicemen of the Armed Forces of Ukraine.

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