THE NETWORK IS THE LARGEST PATIENTS’ ORGANIZATION IN UKRAINE It was a fantastic year with fantastic results. We have succeeded in launching l, Head of branc na Mu h oc tery e 2 healthcare reform in the country and Ka 01 n / 7/ so Iva demonstrated how the NGO sector can er no Kh Oleksandr Solyany -F / va / k, Re ra 17 lta gio nk effectively co-operate with the state. We 0 Po na iv 2 5/ l R s 01 ep k ce 2 hairman 20 r / opened up new horizons for activism and e ch, C 09/ V es V  c vy inn e ik o  are yt nt t h o az sia a o c h L / ti r the fight for life . We raised the bar to the n c iy xecutive Direc O ve K a n ur a, E tor k a r a Y ov 2 sa 2 r b r / yk 00 n a level unattainable before. This is, in fact, a f b sh 6 a 0 t o f e r ead of b / 1 o o n a yn, H ran K S 5 v d iv P tv ch y h / , d a Ly o iv e a R n r  v U H historic event for all NGOs in EECA region e a a o c / e / g ce 2004/ e V c z e y I  C h h a H H 8 t / o he 2 it u , e ch r h d i , 0 a n n 0 a k l T i a H iv 0 l o when everyone is keeping a close eye on y 0 / h r roz, ead t i , o a z b Mo of s 5 y H r n t 2 a b i/ / o f l a h f r T h k o n a V K e d b e e iz la n k a s v t c a r a r b i c r d i / Ukraine’s achievements and our methods v h d o d a o o a y c e M e S o p h A n r  h p o / m y o k a H u n c g a v f , c h i a Z k V k d of fight. All this was made possible by a l e n b h k s , K e r Z a / r y o c a H r l i t o t a y i n / 5 h 2 2 y  i t s e a z 0 0 z n a 6 0 s i a k D h a c the strength and professionalism of r c N r 0 0 k y e 0 0 d a h e b t m

/ 3 4 i e 2 0 a n m l S f May 5, 2001, o / o l r / i 2 / i

o y O n f  a our regional branch offices, effective K Y

K

p C e a ,

b

n /

u

d

c

e /

h

o c

H n

h e

is the foundation date r

l

e

c a

l

3 a

y

n

a

e e i

e

a

e r

r

n

O

0 r

partnership and unconventional solutions. n



a

m

o

k

2

e

n

H

c C k

o

0 d /

i

u

T

i 0

,

v

of the Network h

h

o

h

h

2

S

s

y h

o /

c

1

,

a

i

/

t

o s

c

There are no reason and no force that will v

f / n

2 1

H

b

e

e a

 S

n

a

7 l

1

c b /

/

a

k e

i

r

e

a

1

r

r

A c r

n

0

r 

D

a

r

b

a

t

e

e

n h 0 o

y

2 b

d

stop us on our way to 100% of life! f

n

n

h

S

g

i

u

2

h

f y

o

c

i C

e

2

c o

k

p

a h

e o

l

D

n

/

a

d

, 0

f

c r

a

n

e

4

m

M o

r a

H

d

o

0 c a

b b

0 o



e

i

a 

f

i

e

t

s

h o

0

r

6

/

r e

H e

o

d c

e 

a

i

2

a n z

a

e k

e

,

o H

,

e

i

/

H

d О

v

o

e

k

n

,

h

c

, n

H a

L 2

 O

o

c c v e

p o

h

S

a

0

v

i

d

h

f

o

c

h

r n o

n

l f

a c

0

r b l

i

/

e

K b

v

5

a a

n

r

i

r

o

k r

v

d

/

a

/

K

y

a

n

o

s



b r

a

n

y r

s

k

n

v

D k

a

c y Dmytro Sherembey e

l

i

f s

o O R

/ i h

h

b

c

n m t

K

o

o

e y

r

f d

y



o

n

d

r t g

o l c

I

e

r

e / a

2

o

2 K

v

0

Head of the Coordination Council i

d

e y 0

m

a 0 5

l

o T

o

k / M y

h

a

y H

l

1 K

g e

e ,

a

/

6

s

n c 6

H

i

h

n

0

/

,

n

0

y

of CO “All-Ukrainian Network of PLWH H

, 2

e

o

k

Z

a

r

e

k

d

c ,

o

 h

f o P

b H

h

a r c a n

y

e g d

t a

e

l o

o d

O

h

m o

/

f

K

e

b

y

n

r

a a

h

r

z n l

i

c

l

b

h

/

u

o R

 A / 2

1 c 0 2 e

N

/

a

a t

a s

l e i

a

d

O N

/ a

7

g

1

o

0

r

2 n

a

,

e

H

c

e  a o

d h

o c f n

b a r 90 204 associate of them were clients with HIV-positive status 15 000 members is the amount of the Network’s investments in overcoming the HIV/AIDS epidemic in 2017

full members 506 of the organization

UAH 293 359 744* UAH 93 207 461* of the total amount of deliveries is the total amount of goods more than 1 000 000 packages of ARVs about purchased for diagnostics 1 000 deliveries to healthcare institutions of Ukraine regional including: UAH 16 144 140* of savings on the purchase of medicines - 84 500 rapid HIV tests branches (due to e ective procurement procedures of the Network) - more than 90 000 CD4 tests - more than 144 000 viral load tests 91.8% of timely ARV supplies are delivered 26 by the Network

* According to the official exchange rate of the hryvnia against the dollar (average for 2017) For seventeen years, the All-Ukrainian Network of PLWH has made remarkable progress from a group of activists joined by their common disease and desire to live to a powerful non-government organization that implements large-scale projects in Ukraine with the support of national and international partners, 667 patients The Network became an example for HIV- with hepatitis C positive people in other countries. The in Chernihiv, Poltava, expertise of the Network’s specialists is wanted both in Ukraine and abroad. This Lviv, Sumy, Zhytomyr, is a vivid example of how persistence and Odesa regions and continuous work could be converted into the city of Kyiv professionalism and result. received treatment provided by the Network as The Network’s procurement unit Alla Shcherbynska humanitarian aid Advisor to the Director General of the has successfully Public Health Center of the Ministry undergone four of Health of Ukraine, Member independent audits of the Network’s Supervisory Board. UAH 17 077 680 during the year

* According to the official exchange rate of the hryvnia against the dollar (average for 2017)

THE JOINT CONSOLIDATED PROGRAM ON HIV AND TB FOR 2015 - 2017 IN UKRAINE implemented with the support of the Global Fund to Fight AIDS, Tuberculosis and Malaria

HIV THE NETWORK AND THE GLOBAL UNAIDS 90-90-90 STRATEGY

The Network is an example of 90 90 90 an effective consolidation of the patients’ community into a powerful TESTING TREATMENT AND CARE public organization that embodies modern approaches to medical 33 057 80 302 54% care. The public plays a key role in people were clients received of clients who received services the transformation of healthcare tested for HIV ART have undetectable with rapid tests viral load in Ukraine. Today we are equal 30 078 partners, the public and the state, 1 068 of them were new clients increase and we work together to bring clients identified 51% compared 74 316/93% to 2016 changes. 482 clients received ART patients received ART 20% 4% 1% 20% Dr Ulana Suprun was new clients 87% maximum average average of the all ART patients Acting Minister of Health of Ukraine HIV prevalence rate in the in Ukraine are clients prevalence rate in the country 14 710 rate Network’s initiated ART in 2017 of the Network’s projects projects PROVIDING ASSISTANCE TO CLIENTS IN THE ZONE PENITENTIARY SYSTEM OF THE ANTI-TERRORIST OPERATION

Luhansk region

HIV diagnosis rate NGOs provide services to clients among prisoners tested at 45 ART sites in the Donetsk Luhansk region for HIV received medical and social support in the zone of the Anti-Terrorist Operation at 10 ART sites in the Luhansk region penitentiary prisoners prisoners were HIV-positive prisoners Donetsk Donetsk facilities received HIV tested for HIV received care and region Innovative solutions: prevention services support services Four urgent grants were additionally provided to solve the problems of healthcare facilities which work with HIV-positive people in the ATO area: of all prisoners of prisoners who prisoners received ART in the country received HIV prevention (551 more than in 2016) Purchase of medical equipment for services the Donetsk Regional Center for AIDS Prevention and Control in Sloviansk 14 596 Interaction with the Ukrainian Parliament Commissioner within the framework clients received ART Purchase of diagnostic equipment of the national prevention mechanism for the Mariupol City AIDS Center

Organization and support on violations Participation in the expert Preparation of a strategy 79% 3 693 Six reports new clients who Repair works in the Luhansk Regional of 9 monitoring visits to were sent to the relevant council of the Department for the development of AIDS Center in Severodonetsk of the National Preventive received ART for the correctional centers of ministries the national preventive the first time in 2017 the State Criminal-Executive Mechanism of the mechanism 2022 Increased access of prisoners to the Service of Ukraine and local Secretariat of the Ukrainian Parliament Commissioner diagnosis and treatment of HIV and TB healthcare facilities in order for Human Rights to assess the compliance with the right of PLWH to health TUBERCULOSIS (TB)

patients with drug-susceptible tuberculosis received medical and social support during 2 823 outpatient treatment in 2017

2 729 patients with drug- Introduction of a pilot model of outpatient treatment for susceptible tuberculosis received TB patients, with the participation of primary care doctors: medical and social support during outpatient treatment 94 clients with drug-susceptible tuberculosis had medical and social support during outpatient treatment 1 972 patients completed treatment by the end of 2017

New financing mechanism of the outpatient treatment model for TB patients was developed and implemented. It envisages the involvement and encouragement of family doctors and primary care physicians to provide services to TB patients receiving outpatient treatment under the state obligations regarding financing of TB primary care services and building a sustainable model of service delivery.

GEOGRAPHY: THE PILOT MODEL the city of Zhytomyr IS IMPLEMENTED and the Chernihiv region by NGO “Infection Control” with the support of the Network

TREATMENT EFFECTIVENESS IS 96,3% TREATMENT EFFECTIVENESS IS 95,7% THE RESPECT PROJECT: reducing HIV-related stigma and discrimination against most at-risk populations in health care facilities of Ukraine

RESPECT: The story that initiates changes

The project was implemented by the United States Agency for International Development (USAID) in the framework of the US President’s Emergency Plan for AIDS Relief (PEPFAR) in 2013-2017.

health care facilities were covered Kyiv, Lviv, Kryvyi Rih, as well as the Kyiv, Lviv, by the project activities Mykolayiv, Cherkasy and Kirovohrad regions

This is probably the most successful The knowledge The level of fear The level of stigma against level for HIV infection PLHIV and vulnerable groups project to overcome stigma and medical workers were trained discrimination that has been within the framework of project implemented. implementation: after the training

AS A RESULT OF THE PROJECT IMPLEMENTATION, THE OVERALL LEVEL OF STIGMA AGAINST PLHIV AND MARP AMONG HEALTHCARE WORKERS WAS REPORTED TO HAVE DECREASED MORE THAN THREEFOLD, FROM 43% TO 13% Jacek Tiszko, Director of UNAIDS in Ukraine family doctors took part in following the training family doctors o ered HIV testing advanced training within the project: to patients 4.5 times more frequently INVOLVING CLIENTS IN HIV TESTING AND TREATMENT

5 513 939 clients 797 клієнтів clients were tested (17%) clients put on for HIV* were HIV-infected medical supervision

*As a result of the realization of “Models of patients’ involvement in HIV testing and treatment on the initiative of health care workers”

IMPROVING ACCESS OF FORMER PRISONERS TO HIV TREATMENT

10 38 140 5 regions cross-sectoral teams specialists training worked in detention sessions facilities

38 1 568 488 penitentiary prisoners were tested for former prisoners received medical institutions HIV with rapid tests and social services, among them received computers 1 544 of them had 165 PLHIV were registered in the negative results AIDS centers after the release

25 had positive results 78 PLHIV remained on ART of them had confirmed during 3 months after the release IFA test results 70 PLHIV participated in substitution therapy, detoxification, rehabilitation and harm reduction programs after the release ADVOCACY AS KEY COMPONENT TO SUPPORT HEALTHCARE REFORMS CREATION AND DEVELOPMENT OF A CIVIL SOCIETY NETWORK TO MONITOR AND INCREASE ACCESS TO TREATMENT MEDICAL SERVICES PROCUREMENT SUPPORT WAS PROVIDED TO: MORE THAN 24 e-procurement system DOZORRO BIPRO 100 REGIONAL PROZORRO monitoring portal analytical portal HOSPITALS MONITORS

MEDICAL PROCUREMENT Ensuring the direct participation of PLHIV Appeals against in the preparation and monitoring of public 130 procurements amounting to Was done via international Procurements amounting The state budget savings procurement of essential medications organizations such as to total of from audited procurements UAH 80 MILLION CROWN AGENTS, UNDP amounted to Misuse of AND UNICEF UAH 939 MILLION were audited UAH participation in MOH’s working groups 373.6 MILLION and committees, etc. UAH 7.5 MILLION or about prevented

39% Procurement specialists from 25 AIDS centers received counseling and training SUPPORT FOR HEALTH CARE REFORM

Development of the e-Health system

Research on corruption and ineffectiveness Implementation of the project helped to eliminate the of public medicines procurement for patients majority of corruption schemes in the area of HIV, TB and with HIV, tuberculosis and viral hepatitis was HCV procurement. conducted Public sector representatives created a transparent system with the support of NGO Anti-Corruption of public procurement and procurement monitoring in the Action Center sphere of health care. JOINT PROJECT OF THE NETWORK We remember times in Ukraine when AND ELENA PINCHUK FOUNDATION medicines were affordable only to a few of those who needed treatment. Those times were the hardest for patients and doctors. The Network is a procurement agent of ARV drugs bought at the expense Today, almost everyone who needs ARV of the Elena Pinchuk Foundation therapy can get it. But every year, more effective and less toxic drugs appear 2017 - 2018 2017 on the world market. We believe that Ukrainians deserve the best treatment. 1 300 The first 700 That is why, thanks to our joint efforts in HIV-positive patients treatment courses 2017, Dolutegravir сame to Ukraine. Olena were provided with Dolutegravir were delivered Pinchuk’s ANTIAIDS Foundation was able treatment schemes to secure the procurement of this drug at the earliest possible time and at the lowest price. Almost half a year after agreeing this decision between the Network and the Foundation, patients in Kyiv began treatment using the most innovative drug available at that time. We are glad that For the first time, the innovative drug THE BUDGET OF THE PROJECT later on Dolutegravir was introduced into Dolutegravir was delivered to Ukraine procurement lists of Ukrainian government in the framework of the project (Kyiv) IS MORE THAN and international donors. UAH* 6 500 000 For the first time in Ukraine, HIV-positive Olga Rudneva patients received treatment bought Director of Elena Pinchuk Foundation by a private fund

* According to the official exchange rate of the hryvnia against the dollar (average for 2017) THE FOOD FOR LIFE PROJECT OVERCOMING HIV-RELATED STIGMA A joint project of the Network and the World Food Program in Ukraine IN THE HEALTH CARE SYSTEM: PROTECTING HUMAN RIGHTS Projects supported by the Global Network of People Living with HIV (GNP+)

March December 2017 2017

A case-study research was A methodical manual “Restoration Providing social support to UAH 33 200 000 conducted to explore innovative of the violated rights of people people with HIV infection during approaches to overcoming HIV- who have been subjected to HIV- blood donation is the amount of the provided assistance related barriers that PLHIV faced related stigma and discrimination in healthcare facilities in healthcare facilities of Ukraine: description of cases” Assistance was provided to PLHIV who suffered from the military conflict and lived in the conflict zone on Government-controlled territories of the Donetsk and Luhansk regions

Area of implementation: the Lviv region

A research was conducted

Adherence to treatment increased to describe cases of stigma 60 212 7 326 by 34% of the project participants services were provided, people received food packages and discrimination in the including consulting clients (including HIV-positive children) The treatment effectiveness among for food and nutrition at a the project participants increased Blood Service of the Lviv time of limited resources 10% region an increase in the number of clients from 74% to 93% on ART within the project THE PROJECT STRENGTHENING THE CAPACITY OF NGOS IN THE AREA OF INTEGRATION, REHABILITATION, SUPPORT AND PROVISION Treatment and support referral mechanism 2 177 for clients who learned about their Counseling services OF SERVICES TO INTERNALLY DISPLACED PERSONS (IDP) HIV+ status during the procedure of blood provided to initial IN KRYVYI RIH AND KRAMATORSK donation developed and introducted. blood donors with the support of the European Commission

3 Centers for the provision of services to IDPs were Dnipropetrovsk Kramatorsk opened in Kryvyi Rih and Kramatorsk region 79 medical workers of the Blood Services 117 participated in 8 training sessions clients were covered 1 976 Donetsk on the reduction of stigma and discrimination by services to reduce IDPs received services Kryvyi Rih region against PLHIV and MARP, as well as on general self-stigmatization within the project implementation principles of voluntary counseling and testing (VCT) 403 of them received assistance at their place of residence 6 cases of legal representation of IDPs’ DURING THE PROJECT IMPLEMENTATION 21 interests related to social, administrative persons received case and medical services management services 11 77 advocacy and information events aimed IDPs with chronic at overcoming stigma and discrimination people initially diagnosed the HIV-positive diagnoses were registered at diseases put on against IDPs in host communities as HIV-positive were were proved the AIDS Center medical supervision detected in the Blood Service THE NETWORK’S ACTIVITIES RELATED TO THE TREATMENT OF CHRONIC VIRAL HEPATITIS C FOR PATIENTS WHO HAVE NOT RECEIVED MEDICINES FROM THE STATE BUDGET THE ACCESS PROJECT with the support of the United States Centers for Disease Control 667 and Prevention (CDC) in the framework of the US President’s VIRAL HEPATITIS TREATMENT COURSES Emergency Plan for AIDS Relief (PEPFAR)

IMPLEMENTATION OF THE INFORMATION SYSTEM “HIV-INFECTION IN UKRAINE” HIV + PATIENTS ATO PARTICIPANTS The Network continues to implement the medical information system (MIS HIV) REPRESENTATIVES OF KEY RISK GROUPS for the full computerization of health care facilities working with HIV+ patients MIS HIV IS OPERATING IN 120 968 406 12 REGIONS electronic medical health care facilities PATIENTS RECEIVE MODERN DIRECT ACTING ANTIVIRAL DRUGS records of patients worked with the Development of human capacities and health were entered in the MIS HIV workers’ skills MIS HIV 252 health care specialists participated in training on HIV and Within project implementation 1 700 801 opportunistic infections treatment health workers computers were a detailed form of clinical worked in the system purchased for the MIS 252 on-line consultations on the treatment of complicated monitoring was developed HIV within the project HIV/AIDS cases and OI were provided for healthcare specialists to measure the medical indicators National Hotline on HIV/AIDS and Tuberculosis The on-line course “Social work with people who have of the project’s effectiveness chronic diseases” was created for social workers on the Prometheus platform 795 consultations on denial of ART or other issues regarding the HIV- and AIDS-related rights ≈ 1 400 registered visitors of patients were provided for PLHIV 28% of all trainees successfully passed the test and received certificates

As a result of the advocacy actions of the Network and partners, it was possible to achieve sustained Ukraine is an unquestionable leader in CEE region when it comes funding from the State Budget 2018 of Ukraine for to improving access to modern governmental programs on HIV/AIDS, tuberculosis, treatment of HIV, hepatitis C and tuberculosis. The advocacy steps viral hepatitis and procurement of substitution made by the Network to lower drug prices and the achieved results are therapy medicines striking and should become an example for other countries.

Due to the procurement of medicines through international organizations, Othoman Mellouk the effective use of public funds in the 2017 budget allowed to save Intellectual Property and Access to Medicines Lead, ITPC Global UAH 97 200 000 for the procurement of TB medicines.

These funds will be used to buy additional drugs in 2018 REGISTRATION OF NEW MEDICINES THETHE PRICE PRICE OF OF MEDICINE MEDICINE WAS REDUCED WAS REDUCED THE NETWORK AGAINST PHARMACEUTICAL MONOPOLIES IN UKRAINE HIV TREATMENT PATENT PATENT FOR PATENT FOR TENOFOVIR Dolutegravir (generic version) FOR SOFOSBUVIRY LOPINAVIR/RITONAVIR ALAFENAMIDE Tenofovir/Emtricitabine/Efavirenz The Network held a series of negotiations with the man- 13 112 uah* The Network appealed to Ukrpatent The Network makes the effort The Network seeks patent annul- ufacturer ViiV Healthcare, the Medicines Patent Pool, the 2 553 uah* was to challenge the patent application to revoke the patent on Lopinavir/ ment for TAF Annual course State Expert Center of the Ministry of Health of Ukraine of the Sofosbuvir manufacturer Ritonavir (Tenofovir Alafenamide) and manufacturers of generic drugs to accelerate the registration of generic Dolutegravir in Ukraine Abacavir On July 6, Ukrpatent 3 hearings in the court 4 court sessions 7 925 uah* finally revoked of the first instance 3 224 uah* 59% was THE FOLLOWING MEDICINES WERE Annual course manufacturer’s patent INCLUDED IN THE PUBLIC PROCUREMENT 6 sessions in the court of appeal NOMENCLATURE FOR THE FIRST TIME Abacavir/Lamivudine 1 session in the Supreme 7 925 uah* Economic Court 3 883 uah* 56% was Annual course TREATMENT OF VIRAL HEPATITIS 5 socially significantactions near the court building widely Dolutegravir Sofosbuvir/ Daclatasvir covered by the media UNAIDS’s Sofosbuvir/Velpatasvir 73 725 uah* 1 648 uah* 98% was support letter Annual course

As a result, in August, the manu- The Network succeeded in getting The Network succeeded in getting VIRAL HEPATITIS TREATMENT facturing company expanded its the order for forensic review of pat- the order for forensic review of the ESTIMATED AMOUNT OF SAVED Sofosbuvir license to the territory of Ukraine, ents under the dispute patent which significantly reduced the FUNDS FOR ARV PROCUREMENT 11 516 uah* 6 649 uah* 81% was price of the medicine IN UKRAINE IS Monthly course The final court decision is expected The final court decision is expected in 2018 in 2018 UAH 1 273 977 140* Sofosbuvir/Velpatasvir A UNIQUE 7 978 uah* PRICE FOR Monthly course UKRAINE

* According to the official exchange rate of the hryvnia against the dollar (average for 2017)

For the first time in the modern history of Ukraine, Chernihiv the patients’ organization has Rivne Sumy Zhytomyr been actively working on the Kyiv preparation of a plan for the Lviv Kharkiv transition from external to Ternopil Cherkasy state funding of the National Vinnytsia Luhansk Zakarpattia Ivano-Frankivsk Program, especially financing of Dnipropetrovsk prevention programs. This plan Chernivtsi Kirovohrad Donetsk is the response to country’s Zaporizhzhia that sets a precedent for the region of Eastern Europe Odesa and Central Asia. This is an Kherson ambitious goal shared by the patients’ community and public regions with modernized local institutions. And when it will be policies achieved it will establish new standards for the provision of services to HIV patients.

Volodymyr Kurpita LOCAL POLICIES MAKING Director of the Public Health Centerof the Ministry of Health of Ukraine. 7 REGIONAL STRATEGIES TWO REGIONAL HIV/AIDS THE NGO “CLUB CHANCE,” OF SUSTAINABLE RESPONSE PROGRAMS WERE ADOPTED CO “LIGHT OF HOPE” AND to TB, including drug-resistant TB, in Kyiv and Donetsk regions REGIONAL PARTNERS and HIV/AIDS for the period until IMPLEMENTED THESE 2020 ACTIVITIES WITHININ

THE FRAMEWORK OF THE NETWORK’S SUB-GRANT ADDITIONAL FUNDING FROM LOCAL BUDGETS THE RESULT OF REGIONAL ADVOCACY: AMOUNT OF INCREASED FINANCING OF SOCIAL SERVICES FROM LOCAL BUDGETS THE PROJECT ADDITIONAL Introduction of thу social procurement FUNDS INVESTED FINANCING mechanism for the provision of prevention BY THE NETWORK AFTER ADVOCACY and social support services REGIONS FOR 20152017 ACTIVITIES FOR 2015 2017 thousand, UAH thousand, UAH

Lviv Introduction of mechanisms for the Zakarpattia procurement of social services by healthcare Ivano-Frankivsk facilities based on the platform of ProZorro public e-procurement system 3 287 000 Chernivtsi Ternopil Rivne 3 051 000 Vinnytsia Reducing the expenses of NGOs’ Kyiv social services through optimization of 810 000 The city of Kyiv administrative costs Kirovohrad Cherkasy Dnipropetrovsk 2016 2017 Sumy Integration of social services into specialized Kharkiv healthcare facilities through creating posts ADDITIONAL FINANCING WAS RECEIVED Donetsk of social workers FROM LOCAL BUDGETS DUE TO SUCCESSFUL ADVOCACY WORK CONDUCTED BY NGOs Luhansk UAH Odesa Kherson ADDITIONAL FINANCING OF SOCIAL More than 40 NGOs received mentorship and SERVICES WAS INCLUDED IN LOCAL Zaporizhzhia technical support within this area of activities BUDGETS IN 2018. DUE TO SUCCESSFUL A Chernihiv DVOCACY WORK CONDUCTED BY NGOs UAH

THE E-HEALTH INFORMATION SYSTEM

Since the launch of reform the All- The Network developed and launched e-Health base in the first 4 months since the launch of eHealth pilot Ukrainian Network of PLWH was a product, which completely powers implementation of the reliable partner for the Ministry of reforms introduced by the Ministry of Health of Ukraine: namely Health. I express my gratitude for healthcare facilities the support and assistance that the CAPITATION 500 Network provided us during the early per capita payments for primary health care stages of health care reform and specialists 4 000 doctors development of e-health system. I REIMBURSEMENT am glad that the Ministry of Health compensation for drugs cost under the patients registered in the system has this support to this day. “Available Medicines” program 22 000

The developed components of the system laid the foundation for new standards of accountability and Pavlo Kovtonyuk transparency in the provision of health services, as well as for the development of a complete ecosystem of electronic services and services for patients. Deputy Minister of Health of Ukraine MODERNIZATION OF HIV LEGISLATION A new version of the order was presented by the Ministry AND HIV+ ADOPTION of Health for public hearings in February 2017 (but, unfortunately, it met considerable opposition, particularly Eliminating legal barriers to access to treatment and from representatives of religious communities). empowering people living with HIV The Network continues to cooperate with the MoH in order to make changes in a new version of the order based on Advocating amendments to the order of the Ministry of amendments made by the public Health No. 479 (on removing discriminatory bans regarding the adoption of children by HIV-Positive People) and the A draft law that envisages amendments to the Criminal Criminal Code of Ukraine (on removing specific sanctions Code of Ukraine aimed at removing HIV-specific sanctions, for people living with HIV) namely deleting the full text of article 130, developed

Dialogue with the Ministry of Health, the Office of the Com- The draft law was not supported by the Ministry missioner for Human Rights and the Ministry of Social Pol- of the Interior of Ukraine icy of Ukraine regarding amendments to the order No. 479 The dialogue between the Network and the Ministry of Interior continues PATENT REFORM

For a year, the Network actively participated in the development of a new draft law

In November, the draft law of the Ministry of Economic Development and Trade of Ukraine was publicly debated

The draft law was supported by WHO and UNDP

The adoption of this draft law is expected in 2018

PENITENTIARY REFORM

The Network is a part of the working group on reforming the health care system of the State Criminal-Executive Service of Ukraine 1 2 The Order of the Cabinet of Ministers of Ukraine “Reform of the Penitentiary System” passport No. 684-r “On the Establishment of a State developed within section “Ensuring respect for Institution ‘Center for Public Health of the State human rights by creating conditions of treatment and Criminal-Executive Service of Ukraine’” detention in accordance with international standards” was adopted. 3 4 Health Care Center of the SCES The draft Law of Ukraine “On the Penitentiary System was registered of Ukraine” No. 7337 dated 24 Nov. 2017 registered in the Verkhovna Rada of Ukraine

743 397 499,95 UAH is the Network’s investments in overcoming the HIV/AIDS epidemic in 2017

UAH 394 785 660,27 UAH 35 641 061,28 received from the Global Fund to Fight AIDS, received from World Food Program (WFP) Tuberculosis and Malaria

In 2016, the Network became country’s leader UAH 195 496 384,79 UAH 31 368 803,03 in the amount of money invested in health care. This received from the US President’s Emergency Plan received from Centers for Disease Control and is the largest philanthropist in for AIDS Relief (PEPFAR) Prevention (CDC) Ukraine according to the 2017 National ranking of charitable organizations. UAH 55 279 312,09 UAH 30 826 278,49 Polina Niukhin received from the United States Agency received from other donors Director of the Ukrainian for International Development (USAID) Philanthropists Forum

PARTNERS