1 / 19

Olga Varetska ICF “International HIV/AIDS Alliance in Ukraine”

National roll-out of database for HIV prevention programmes among civil society organizations in Ukraine. Olga Varetska ICF “International HIV/AIDS Alliance in Ukraine” XVIII International AIDS Conference 18-23 July 2010 , Vienna, Austria. Epidemic overview.

muniya
Download Presentation

Olga Varetska ICF “International HIV/AIDS Alliance in Ukraine”

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. National roll-out of database for HIV prevention programmes among civil society organizations in Ukraine Olga Varetska ICF “International HIV/AIDS Alliance in Ukraine” XVIII International AIDS Conference 18-23 July 2010, Vienna, Austria

  2. Epidemic overview • Most severe AIDS epidemic in Europe • Estimated 1,33% of Ukrainians (age 15-49) living with HIV • 101,000 people officially reported with HIV • 360,000 people estimated living with HIV • Epidemic concentrated among injecting drug users (IDUs): -over 70% of people living with HIV have history of injecting drugs - sexual transmission now occurring among IDUs or their sexual partners • IDUs and their sexual partners focus of HIV prevention efforts. Programmes also for sex workers, MSM, and prisoners

  3. Coverage of HIV prevention programs in Ukraine

  4. Syr-Ex (Syringe Exchange)database • SyrEx is a user-friendly database for tracking: • number of individual clients reached • Frequency, type and trends of services accessed SyrEx developed to monitor prevention programmes for IDUs and sex workers • Also used by organizations working with MSM and prisoners • Used by more than 100 NGOs in Ukraine • Currently exists in Russian, English version is coming

  5. Key user requirements • PC • PC literacy • Functioning system for client coding (each client is given a card with a code, which will be used as client ID for all services) • accurate and timely completion of daily registration forms directly at service provision points

  6. SyrEx functions • Client registration • Keeping track of daily records: • information on the number of services provided and consumables given out to each client • Compilation of reports • Data transfer (to an upper level) and consolidated analysis

  7. Customizable Reports • Coverage of prevention programmes, disaggregated by: • sex, age, risk group, geographical area • frequency of service access by clients • type and quantity of services Userdefined reports

  8. Civil society organizations can use SyrEx database for: • real-time reporting to donors • guiding scale-up of services and mobilization of additional resources • data use in managing services to meet changing needs of clients • detailed analysis of scope and scale of coverage of prevention programmes • i.e. percentage of injecting drug users regularly reached by harm reduction programs

  9. Examples of data obtained with the help of SyrEx for 2009 within the national harm reduction programme supported by the GF

  10. Client characteristics

  11. Provision of prevention commodities (per client in 2009)

  12. Average number of visits per client per month to prevention programmes

  13. Frequency of visits of IDUs to Needle Exchange Programmes in 2009 (by month)

  14. Examples of data use at national level • Low number of condoms distributedper IDU per year • 61 per client (SyrEx) • Increase in sexual transmission of HIV associated with drug use • In 2009 sexual transmission accounted for 43%of all new HIV infections, versus 36,5% IDU related (data from routine surveillance) • Low condom use among IDUs • Only 48,3% of IDUs reported condom use during the last sexual intercourse (BSS data) • Result Developed new prevention component among IDUs and their sexual partners, aimed at prevention of sexual transmission

  15. More examples of data use • 75% of all IDUs clients are male • 70% of all clients of harm reduction programs are above 25 • Mostly opioid drug users are reached with services (about 90% of all program clients) Yet: • female drug users are more vulnerable to HIV than male • national behavioral studies indicate increasing proportion of young stimulant drug users emerging (34.5% of all IDUs were stimulant drug users in 2009 compared to 20% in 2005) Result: Reprogramming prevention services for IDUs to include: • gender sensitive counseling and services for female IDUs • Special group level interventions for stimulant users

  16. Conclusions • Use of databases for monitoring HIV prevention programmes by civil society organizations improves data management and use • Enables timely reprogramming of prevention programs to optimize their effectiveness • Free distribution of SyrEx (shareware) among national partners to ensure systematic data collection and use • SyrEx is being promoted within Eastern Europe and Central Asia • Several NGOs in Belarus are using Syrex; • NGOs in Kyrgyzstan, Tadjikistan and Kazakhstan expressed interest and were trained to start using SyrEx in near future

More Related