Challenges Faced by PWID Living with HIV in Ukraine
Identified challenges for people who inject drugs (PWID) living with HIV in Ukraine include patient paperwork, travel and waiting times, myths on side effects, stigma and discrimination, lack of treatment literacy, comorbidities, and more. Treatment cascade data reveals gaps in HIV care among PWID, highlighting the need for improved health system support.
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Presentation Transcript
Challenges identified for PWID living with HIV Ukraine (from WHO November 2016 consultation)
Challenges/Rationale Patient Paperwork, travel and waiting times Busy life schedule related to drug dependency Lack of treatment literacy myths on side effects Stigma and discrimination Unofficial out-of-pocket payments and related double stigma of inability to pay and drug use Comorbidities and complicated care (TB, HCV) Remain on ART if feeling well and clinic visits are a hardship or unfriendly Health system Identify HIV positive PWID Paper work intensive and time consuming process of registration for getting ART High drop out rates
Treatment cascade among PWID based on IBBS-2015 HIV+ rapid test result, n=2073 100% 90% 80% 70% 60% 74789 50% 44% 40% 40% 26% 30% 20% ? 10% 0% (1) PWID PLHIV (2) Known HIV-positive status (3) In care (4) on ART (5) VL suppressed
Treatment cascade among PWID clients and non-clients of Harm Reduction, based on IBBS-2015 (Ukraine) HR clients HR non- clients 100% 80% 64% 60% 60% 40% 40% 31% 27% 16% 20% 0% Known HIV-positive status In care on ART
