HIV Medical Information System - A New Attitude to Addressing the Problem of HIV Infection in Ukraine

In Ukraine, more than 40% of people with HIV do not know about their status. As of 01.01.2019, were 242,000 people living with HIV in Ukraine, of whom 40.3% received ART, and 35.9% received ART for more than six months and reached an uncertain level of viral load.

At the beginning of 2018, in Ukraine in medical institutions were registered 141 371 people. The coverage rate of PLHIV who are aware of their status under medical surveillance has reached 79%, but almost half of the people with the first-ever HIV-infection go to medical institutions already at III-IV clinical stages.

One of the major problems in the fight against HIV infection in Ukraine is the lack of a unified approach to the mechanism for collecting and processing information in public health facilities at the national, regional and local levels.

In connection with this, the Center for Public Health of the Ministry of Health of Ukraine initiated the development and implementation of the Medical Information System for HIV (MIS). The MIS of HIV includes the creation of a single data warehouse for epidemiological surveillance of HIV / AIDS, the results of medical observation for PLHIV, which will facilitate the optimization of monitoring and evaluation, planning of procurement, accounting and control of medical products. 

The development of the MIS of HIV included the following goals:

  • increasing the accuracy of medical information about patients and minimizing mistakes;
  • collecting and storing information about the health of PLHIV and the medical services provided to them;
  • optimizing budget management and monitoring logistics of ARVs;
  • provide the doctor with relevant data on the health of PLHIV in time;
  • providing information support to the system of epidemiological surveillance and clinical monitoring.

During the development of the MIS of HIV, particular attention was paid to data protection in accordance with the requirements of Ukrainian legislation. In order to protect against unauthorized access, deletion, distortion of data or loss of access to them, an integrated information security system was developed.

At the national level, the system allows for the introduction of a unified approach to the codification of PLHIV, avoiding multiple registration, controlling the needs for medicines and medical products, and increasing the efficiency and reliability of information on the state of the HIV epidemic in Ukraine. At the local level, the use of the system guarantees a reduction in the number of errors during the filling of medical records and the efficiency of the exchange of information. At the regional level - it makes it possible to record and audit medical products and medical devices in the medical center.

The most popular myths about HIV / AIDS

We are faced with fake information every day. In something we believe, and something we reject at once. The most effective method of combating myths and their destructive effects is to check information with using official and reliable sources. We offer to your attention a selection of the most popular myths about HIV / AIDS:

HIV is transmitted with kissing, coughing and sneezing - myth!

Saliva, sputum, tears, sweat, urine, and vomit can not become a cause of HIV infection. Also absolutely safe are hugs and handshakes.

  • You can be infected with a virus through household items - dishes, clothes, telephone, toilet, etc. - myth!

This is not possible in the same way as infection through food prepared by an HIV-infected person.

  • HIV can be picked up through insect bites - myth!

Mosquitoes, flies, bugs, lice can not tolerate the immune deficiency virus.

  • HIV can be infected through the wool of a cat, a dog's bite or contact with a wild animal - myth!

Animals can not tolerate the immune deficiency virus.

  • Anal sex can not be the cause of infection - myth!

Any sexual contact without a condom (anal, vaginal, oral) can become the cause of infection.

  • HIV can not get infected in beauty salons - myth!

Any tools that are used repeatedly for injections, piercings, tattoos, can become the cause of infection. Make sure the wizard has sterilized the tools.

  • HIV is not transmitted from mother to child - myth!

HIV is transmitted during pregnancy and childbirth, during breastfeeding from an HIV-infected woman to a child, if they do not use prophylaxis.

Take care of yourself and check the information.

STRATEGIC PLAN TO ENSURE SUSTANABILITY OF INTEGRATED BIO-BEHAVIORAL SURVEY IN UKRAINE (2018–2021)

According to the European Center of Disease Control and Prevention and the European Regional Office of the World Health Organization, the region of Eastern Europe and Central Asia, which Ukraine also belongs to, is the only one in the world where the number of new cases of HIV infection and deaths from AIDS continues to increase

In the beginning of 2018th, there were 244,000 HIV-positive people in Ukraine. It means that every 100th of a citizen of Ukraine 15-49 years old is infected with HIV/ This is one of the highest rates among the countries of the region. As of 01.01.2019, in the health care facilities of the Ministry of Health of Ukraine, there were 142 061 HIV-infected Ukrainian citizens (336.5 per 100 000 population) under medical supervision, including 46 380 AIDS patients (109.9).

Effective overcoming of the HIV epidemic requires timely and reliable information on the prevalence of HIV among key population groups (CGs). Integrated bio-behavioral research (IBPD) is a strategically important public health tool that provides an integrated assessment of the HIV epidemic process among the COs and provides quality information for the planning and implementation of preventive and anti-epidemic measures.

We recommend that you familiarize yourself with the Strategic Plan for ensuring the sustainability of integrated bio-behavioral research in Ukraine (2018-2021), developed at the initiative of the Center for Public Health of the Ministry of Health of Ukraine in the framework of the SILab project "Support for the HIV Surveillance System and the Quality Management / Quality Improvement Laboratories of the Ministry of Health of Ukraine, Improvement using strategic information and building public health potential. "

What are the health rights of Ukrainians?

 

Knowing the rules of the law makes your life easier. In particular, knowledge of health care legislation helps to uphold the right to information about oneself and, at the same time, helps to ensure the confidentiality of medical information. Any person has the right to access information about his / her health. And medical workers are obliged to preserve the medical secret.

Documents on the rights of individuals in the field of health that may come in handy:

  • Constitution of Ukraine;
  • Law of Ukraine "On Protection of Personal Data";
  • The Civil Code of Ukraine;
  • The Law of Ukraine "Fundamentals of Ukrainian Health Law".

Article 32 of the Constitution of Ukraine stipulates that no one has the right to interfere in the personal and family life of a person, except in cases stipulated by the Constitution. The health worker have to provide the patient with all available and reliable information about his health status. Medical documentation should be provided at the request of the patient or legal representative. 

A person may not want to share information about a disease with his or her relatives, then she should identify the range of people who can report health status. Disclosure is possible only in individual cases and only in the interests of the patient.

Article 285 of the Civil Code of Ukraine defines the right to information on the state of his health and specifies that every adult person has the right to reliable information about his or her state of health, including access to relevant medical documents. And parents, adopters, guardian or trustee have the right to information about the health of the child or the ward.

In turn, article 285 of the Civil Code of Ukraine still mentions the right of a health worker to restrict the provision of information to a patient. This applies to the situation when information can worsen the health of such person or harm the treatment process. The same is stated in Article 39 of the Law of Ukraine "Fundamentals of Ukrainian Health Law".

Abought medical secrets, Article 132 of the Criminal Code of Ukraine states: "For the disclosure of medical information of incurable infectious disease criminal liability is provided".

A person who has identified HIV can rely on the confidentiality of information about his or her health status. In particular, test information is provided only to the person who received the test, to the health care professionals who provide assistance to that person, or, exceptionally, to other persons, if there is a relevant court decision. Information about the treatment of a person in a drug addiction institution can be provided to law enforcement authorities in case of bringing a person to criminal or administrative liability.

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Email: aids-institute@aids-institute.org

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