© Frontline AIDS

We are on the frontline of harm reduction in Ukraine, helping people who use drugs and other marginalised communities better protect themselves against the risk of HIV and other related illnesses.

Like many other countries, it is Ukraine’s marginalised – and often criminalised – communities who are most at risk from HIV. The rate of infection is particularly high among people who inject drugs. There is room for optimism, though: in 2019, the government is going to fully fund harm reduction and HIV prevention programmes from the state budget.

Our work in Ukraine, therefore, focuses on delivering harm reduction programmes to the people who need them most.


  • 22.6% of people who inject drugs are living with HIV.
  • 7.5% of men who have sex with men (MSM) are living with HIV.
  • 8% of prisoners are living with HIV.
  • Only 52 % of people living with HIV are on treatment.


Alliance for Public Health (APH)

APH has been operating in the region of Eastern Europe and Central Asia since 2008. We’ve worked with APH for 18 years, supporting their efforts to deliver HIV prevention services, along with treatment and care for other related health issues, such as tuberculosis and hepatitis C.

APH are the harm reduction experts, having delivered Ukraine’s entire national prevention programme aimed at people who use drugs, sex-workers, MSM and transgender people. For four years they managed our Community Action on Harm Reduction programme.

They are now working on our first harm reduction programme aimed at children and adolescents who use drugs, funded by the Elton John AIDS Foundation.

In 2019 the consortium, headed by APH, launched an HIV and AIDS project in 14 countries in the region in order to ensure the sustainability of services for marginalised communities. The Harm Reduction Academy is continuing its work, a global training course created to overcome HIV and hepatitis C among injecting drug users. The Academy has already trained more than 90 students from 25 countries around the world.


In 2018, APH reached:

  • Over 207,000 people who use drugs, 39,800 sex workers, and 45,000 men who have seх with men with prevention services.
  • 307,829 people with TB services.
  • 100 men who have sex with men with a pilot for pre-exposure prophylaxis (PrEP). This is due to scale up to 2,800 people in 2019.
  • 285 women living with HIV were reached with cervical cancer screening services.

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