In 2015, there were an estimated 220,000 people living with HIV in Ukraine. Marginalised and criminalised groups, particularly people who use drugs, are most at risk of HIV infection. The prevalence rate among people who inject drugs is 21.9%. Between 2014 and 2016, there was an estimated 2,000 new HIV infections. The Ukrainian Centre for Socially Dangerous Disease Control claims that 24% of new infections from 2014 occurred in conflict-affected areas.

Alliance for Public Health (APH) delivers HIV prevention for people most at risk of HIV and people living with HIV in Ukraine, and offers treatment and care support for related health issues such as TB and Hepatitis C. In 2016, APH reached 220,000 people who use drugs with prevention services and 144,821 people with integrated HIV and TB services.

APH are the Alliance harm reduction experts – their prevention work with people who use drugs made up the entire national prevention programme for this marginalised population in Ukraine. They managed the Alliance’s Community Action on Harm Reduction programme from 2011 to 2015.

APH is implementing the first Alliance harm reduction programme among children and adolescents who use drugs, which is funded by the Elton John AIDS Foundation (EJAF). EJAF Ukraine aims to ensure that children and adolescents who use drugs, and their sexual partners, have access to and utilise quality services that are adapted to their needs.

See the video below, produced by APH in June 2015, on the status of opioid substitute therapy programmes in eastern Ukraine during the political crisis affecting the country at that time.