HIV NON-OCCUPATIONAL POST-EXPOSURE PROPHYLAXIS IN UKRAINE

Abstract

Aim. To assess the state of non-occupational HIV post exposure prophylaxis (nPEP) use in Ukraine through exploring the service delivery algorithm, consumption of service, awareness of beneficiaries.Methods. The research has explorative and qualitative design. In-depth semi-structural interviews with experts were conducted. For recruitment snowball sampling technique is used. Geography of the study is Kyiv, Ukraine.Results. Legislative framework of nPEP is established in Ukraine. NPEP is provided in specialized medical facilities with continuous access to the prevention. In order to increase effectiveness in nPEP delivery particular stages of nPEP complex have potential for improvement. Risky sexual behavior and contacts with used syringe or needle are the most common reasons to apply for nPEP. Applications for nPEP include emergency single contacts and cases of multiple appeals from the same persons. Prevention strategy nPEP may be underutilized and require further examination. Awareness of nPEP is considered to be low or insufficient in beneficiaries.Conclusions. 1) It is recommended to analyze the best practices of nPEP delivery and design/adapt supplementary tools in order to increase effectiveness in service delivery. 2) Prevention strategy nPEP may be underutilized. Utilization and potential beneficiaries of nPEP are the directions for further study. For the nPEP adequate targeting purpose, the linkage between nPEP and PreP prevention strategies ought to be established. 3) Low awareness of nPEP and its factors is the topic for further examination.