The Ministry of Health of Ukraine has approved the Health Standards of pre-contact and post-contact drug prophylaxis of HIV infection. The relevant decision was made by the Order of 05.02.2021 № 189. From now on, the document takes into account the WHO recommendations developed on the basis of evidence-based medicine.
Pre-exposure HIV prevention (PrEP or oral DCP) is indicated for the prevention of HIV infection in people at high risk of infection, as part of a combination of measures to prevent the spread of HIV. The PrEP (DCP) standard provides for the updating of admission regimens for various key groups: a daily regimen for all those at high risk of infection; on-demand regimen - "dosing 2 + 1 + 1" for the key group of MSM. This update of the schemes is becoming more accessible to patients and, accordingly, allows to expand the coverage of people who will receive HIV prevention. Thanks to innovations, doctors have the opportunity to prescribe medication based on an individual approach to each patient. Also, in accordance with the Standards, each institution (PrEP service providers, AIDS Centers, etc.) updates its clinical routes.
Post-exposure prophylaxis (PCP) for HIV transmission begins as soon as possible, but no later than 72 hours after contact, which could potentially result in HIV transmission, regardless of the type of such contact. The PKP standard provides for a new approach to the administration of drugs in accordance with the recommendations of the WHO and evidence-based medicine. Drugs that are part of this method of HIV prevention are less toxic, highly effective and continue to be free for patients.