Ukraine is the second highest TB-burdened country in the Eastern European region and also has a severe HIV epidemic. Although the government has sought to transition from a rigid model of health care to one that can effectively meet the needs of its citizens, barriers to a sustainable, efficient health care system are still prevalent.
At the national level, the lack of a common structure that bridges the various vertical reporting systems and program performance indicators makes data collection and analysis extremely difficult. Furthermore, delays and unpredictable distribution schedules result in common stock-outs, compounded by a lack of storage space and inaccurate quantification of pharmaceutical needs. Outdated or incongruent government regulations can also stymie implementation and create constraints to improving pharmaceutical management practices.
Systems for Improved Access to Pharmaceuticals and Services Program
The USAID-funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program will continue to foster progress to improve the legal–regulatory basis for reform and the tools and capacity to respond to acute and chronic health care issues. Analysis of the health system has already been completed, identifying gaps and informing recommendations to improving the pharmaceutical management system. Among the components are optimized processes and tools to assure the timeliness and quality of data for proper management, availability, distribution, and use of medicines for TB and HIV and AIDS.
On the basis of these findings, SIAPS is adapting and implementing eTB Manager, a web-based tool for managing information needed by national TB programs. In conjunction with this endeavor, SIAPS is using a health system strengthening approach to build local capacity and develop strategic partnerships to improve access and use of quality, life-saving medicines and health commodities in Ukraine.
By using eTB Manager and a system strengthening approach, SIAPS intends to improve and enhance—
- Pharmaceutical management information systems
- Supply chain management systems
- Organizational and human resource capacity for pharmaceutical management
- Pharmaceutical services
Leadership, Management & Governance Project/Ukaine
LMG/Ukraine supports the PEPFAR-Global Fund Country Collaboration Initiative (CCI), an effort to better coordinate PEPFAR and GFATM investments and efforts in select countries, including Ukraine. The CCI is a 3-year effort aimed at both increasing coordination between PEPFAR and GF-funded HIV programs, and enhancing performance of GF grants in order to expand access to high-quality HIV/AIDS services. LMG supports this initiative to build the programmatic, financial and operational capacity of the Ukrainian Centre for Socially Dangerous Disease Control (UCDC) as one of the Global Fund Round 10 Principal Recipients (PRs) for the HIV grant (and now also PR of the TB Round 9 grant). LMG builds on the progress achieved by the AIDStar-Two Project in their year of work (July 2012-July 2013) to further strengthen UCDC – the only Government of Ukraine (GoU) entity acting as a PR - and build the institution’s overall capacity as the key national agency for the control of HIV/AIDS and tuberculosis.
UCDC is a specialized agency of the Ministry of Health of Ukraine, which performs the functions of intersectoral and interdisciplinary coordination of enterprises, institutions and organizations involved in activities aimed at (i) prevention and treatment of HIV, TB and other infectious diseases; (ii) providing organizational and technical assistance to health care institutions, specialized health care institutions and structural units of health care institutions; (iii) performing diagnostics and providing medical preventive care to people infected with HIV/AIDS, tuberculosis, and other infectious diseases; (iv) and supporting organizations providing specialized health care, diagnostic treatment, counselling for people infected with HIV/AIDS, tuberculosis, and other infectious diseases.
The CCI/LMG-Ukraine program is designed to help the PR to rapidly address grant conditions and management actions required by GF. LMG works closely with UCDC staff as well as with the Ministry of Health of Ukraine, State Service on HIV/AIDS and other Socially Dangerous Diseases, other PRs, and other US Government-funded programs and development partners working in Ukraine.
|Project Name||Health Systems||Health Areas||Date|
|Leadership, Management and Governance Project||Health Information, Human Resources for Health, Leadership, Management & Governance||Family Planning & Reproductive Health, HIV & AIDS, Tuberculosis||2012 - 2017|
|Systems for Improved Access to Pharmaceuticals and Services Program||Pharmaceutical Management, Health Care Financing||Malaria, Tuberculosis, HIV & AIDS, Maternal, Newborn, & Child Health, Family Planning & Reproductive Health||2011 - 2018|