There are 230,000 people living with HIV in Ukraine. Marginalised and criminalised groups, particularly injecting drug users, are most at risk of HIV infection. Although the number of new infections is decreasing in Ukraine, recent political instability and the influence of Russia is putting programmes that aim to protect drug users from HIV infection at serious risk.

Alliance Ukraine started as a country office of the International HIV/AIDS Alliance and is now an independent organisation leading the national HIV response in Ukraine. Alliance Ukraine delivers HIV prevention for people most at risk of HIV and people living with HIV, and offers treatment and care support for related health issues such as TB and hepititis C. In 2014 Alliance Ukraine reached over 610,000 with prevention, care, treatmentand integrated health services.

Alliance Ukraine are the Alliance harm reduction experts – in 2014 their prevention work with injecting drug users constited the entire national response. Due to their strength in harm reduction programming they manage the Alliance’s Community Action on Harm Reduction programme, which aims to expand harm reduction services to more than 180,000 injecting drug users, their partners and children in China, India, Indonesia, Kenya and Malaysia.

Alliance Ukraine also hosts one of the Alliance’s Regional Technical Support Hubs.

See the video below, produced by Alliance Ukraine in June 2015, on the status of opiod subsitute therapy programmes, in eastern Ukraine in light of the country's current crisis.