Due to quarantine and public transport, the flow of people wishing to be tested for HIV has sharply decreased. Previously, prevention and testing services for men who have sex with men (MSM) were provided on the basis of community centers of organizations.
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Before the coronavirus pandemic, the Sumy harm reduction room was operating in usual regime. It was the first room of such kind in the region of Eastern Europe and Central Asia. Services such as counseling, testing, distribution of preventive kits, self-help groups, information sessions, and a preventive service for using the room for safe use and safe disposal of used tools were provided. Due to the COVID-19 pandemic and the need to comply with WHO preventive measures, adjustments were needed to the harm reduction room.
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Substitution Maintenance Therapy “on hands” up to 14 days
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Due to the newly imposed restrictions during the COVID-19 pandemic, there was a risk of interruption of ART for HIV-positive people who are unable to get to health facilities to receive medication. This problem arose not only among clients of the KPIF project, but also among other patients living in remote areas of the regions of Ukraine who work as part of projects financed by PEPFAR funds.
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During the COVID-19 pandemic, in connection with quarantine, the corresponding restrictions and changes in the usual treatment for OST patients, there was a need for particularly active technical support, advocacy and information for existing and potential patients on all issues related to the specific treatment during quarantine.
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Under quarantine, a large number of people with HIV-positive status find themselves in a situation where they do not have access to the vitally important antiretroviral therapy. It is an integral part of providing complex care for people living with HIV. Everyone who takes ART understands that because of this, their immunity retains their functions, their quality of life is maintained and improved, and treatment should not be interrupted in any case.
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The coronavirus epidemic set completely new targets and challenges for professional working in the healthcare, harm reduction, social and psychological assistance to representatives of risk groups and HIV-positive people. It became necessary to reformatting activities ‘in the fields’, quick training of specialists in the new changed conditions, as well as their constant support in the implementation of new directions.
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In recommendations for overcoming the COVID-19 pandemic, CDC and WHO emphasized the need to
establish an online schedule for patient visits in specialized health facilities in order to escape long
waiting in queues and crowds in the halls of health facilities.