Advocacy for enhancing access and improving the quality of SMT

Implementation period:01.07.2017-31.01.2019

Source of funding:  ICF “Alliance for Public Health” funded by the United States Center for Disease Control and Prevention (CDC), within the framework of the Emergency Initiative of the President’s Emergency Plan For AIDS Relief (PEPFAR).

Grant Amount: 85 958$

The purpose of the project

Increasing the access of people who use inject drugs to substitution maintenance therapy, improving the quality of SMT, and improving each cascade element for 90-90-90 (90% of people living with HIV should be aware of their HIV status; 90% of people who know about their positive HIV status should receive appropriate treatment; 90% of the people who are being treated should have a viral load that cannot be defined).

Target audience

  • patients who use opioids and in need of SMT in Kiev
  • clients of substitution maintenance therapy programs
  • active drug users, including potential clients of SMT programs from the circle of injecting drug users
  • parents and relatives of SMT clients and people who use inject drugs
  • law enforcement officers
  • medical staff
  • managers and specialists of NGOs working in the field of harm reduction and/or conducting medical and psychosocial support for SMT sites
  • the total population of the country

In a concentrated HIV epidemic, where injecting drug users are the main group, substitution maintenance programs are an invaluable tool for providing prevention and access to treatment for the public health system, ensuring the achievement of 90-90-90 global goals.

To achieve the 90-90-90 goals, within the framework of the Fast Track City Initiative strategy in Kyiv, new clients are found and involved in SMT programs, HIV-positive patients are being supported on ART therapy, a massive advertising and information campaign is launched to attract people who use inject drugs to the substitution therapy program.

Also within the framework of the project, the National Hotline on drug dependence and SMT issues was expanded and improved. To provide professional advice, a doctor-narcologist and a lawyer were involved. Working hours were increased to 4 hours a day.

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