The Strategy for overcoming the HIV/AIDS epidemic in Ukraine (review)

Abstract

The HIV epidemic in Ukraine remains a national problem. Significant difficulties due to the crisis of socio­economic phenomena, caused by the COVID-19 epidemic and russia’s full­-scale military aggression against Ukraine, significantly complicate the forecasting of the further development of the HIV/AIDS epidemic. Objective — to substantiate the ways of implementation of monitoring, modern diagnostics and principles of treatment and prevention of HIV infection as the basis of the strategy to overcome the HIV/AIDS epidemic in Ukraine, as well as to determine the volumes and algorithms of cooperation of specialists of different levels for the provision of medical services to patients with skin diseases and sexually transmit­ted infections. Materials and methods. The analysis of international policy documents in the field of health care and public health was carried out; recent changes in the documents of state policy in the field of health care of Ukraine; international strategies and approaches to overcoming the HIV epidemic; review of the dynamics of morbidity of skin and venereal diseases in Ukraine. Results and discussion. During the review of the remaining statistical information, key recom­mendations are presented for the near future of the monitoring system and implementation control of HIV infection in Ukraine. These recommendations serve as the basis for optimizing healthcare visits and specialized interventions in light of the large-scale military invasion by russia in Ukraine. Conclusions. In order to overcome the HIV/AIDS epidemic in Ukraine, it is necessary to revise a number of regulatory and methodological documents based on the principles of evidence-based medicine and WHO recommendations, adapt them to the current emergency situation, develop operational approaches and clinical pathways that will ensure that HIV-positive patients, pregnant women and children born to HIV-positive women receive timely comprehensive medical services.