Ukraine

Key facts

  • In 1996, the Public Movement “Faith, Hope, Love”, created by a group of health care specialists, lawyers, militia officials, scientists, and volunteers, begins first organised harm reduction implementation strategy to prevent HIV/AIDS among people who inject drugs in Ukraine’s city Odesa.
  • In 2014, the drugs control system of Ukraine was reorganised and the Ministry of Health assumed all functions related to forming state policy on drugs, monitoring of the drug situation and coordination of drug control.[1]
  • Ukraine bears the second largest HIV epidemic in the region, concentrated among key populations.[2]
  • In 2018, the government of Ukraine committed to fund and expand access of OST to over 10,000 people at 178 health-care facilities.[3]

Please let us know about any errors or updated information in your country by email info@harmreductioneurasia.org, subject “Country profiles”

Population41,940,726 [4]
PWID346,900 [5]
OSTAvailable in 174 operational sites, with methadone and buprenorphine.[6]
NSPAvailable in 1,667 operational sites.[7]
HIVPrevalence among PWID – 22,6%.[8]
Hepatitis CPrevalence among PWID – 53.9%.[9] through funding provided by the Global Fund, hepatitis C treatment is available free of charge to key populations, including people who use drugs (the government funds treatment for the general population).[10]
Hepatitis BPrevalence among PWID – 5.6%.[11]
TuberculosisTuberculosis also remains the main AIDS-related cause of death among people living with HIV in Ukraine.[12]
Overdose preventionNaloxone is accessible in pharmacies without prescription, ambulances/hospitals have it, and it’s possible to get it in harm reduction services. With funding from the Global Fund, naloxone is available through healthcare and social workers trained in overdose prevention and distributed via harm reduction programmes and outreach.[13]
HR in closed settings [14]· ART is available in prisons.
· OST is not available in prisons.
· NSP is not available in prisons.
Criminalization costs [15]

· Money spent on a prisoner/per year – €949

· Money spent on harm reduction and social services – €585.5

Drug laws [16]· Drug consumption in public places is a criminal offence punishable with restriction of freedom for up to 4 years or imprisonment for up to 3 years.

[1] EMCDDA (2016) Ukraine County Overview. Lisbon: European Monitoring Centre for Drugs and Drug Addiction. Available from: http://www.emcdda.europa.eu/countries/ukraine
[2] Harm Reduction International. Global State of Harm Reduction 2018.Available from: https://www.hri.global/files/2018/12/10/Eurasia-harm-reduction.pdf
[3] WHO (2018) Ukraine to Finance Expanded Opioid Substitution Therapy Programme. Geneva: World Health Organization. Available from: http:// www.euro.who.int/en/countries/ukraine/news/news/2018/01/ukraine-tofinance-expanded-opioid-substitution-therapy-programme.
[4] Ukrstat.org – State Statistics Service of Ukraine documents publishing
[5] UNAIDS. Data 2018. Available from: https://www.unaids.org/sites/default/files/media_asset/unaids-data-2018_en.pdf
[6] Harm Reduction International. Global State of Harm Reduction 2018.Available from: https://www.hri.global/files/2018/12/10/Eurasia-harm-reduction.pdf
[7] Harm Reduction International. Global State of Harm Reduction 2018.Available from: https://www.hri.global/files/2018/12/10/Eurasia-harm-reduction.pdf
[8] UNAIDS. Data 2018. Available from: https://www.unaids.org/sites/default/files/media_asset/unaids-data-2018_en.pdf
[9] Harm Reduction International. Global State of Harm Reduction 2018.Available from: https://www.hri.global/files/2018/12/10/Eurasia-harm-reduction.pdf
[10] Harm Reduction International. Global State of Harm Reduction 2018.Available from: https://www.hri.global/files/2018/12/10/Eurasia-harm-reduction.pdf
[11] Harm Reduction International. Global State of Harm Reduction 2018.Available from: https://www.hri.global/files/2018/12/10/Eurasia-harm-reduction.pdf
[12] UNAIDS (2018) Global AIDS Monitoring 2018: Ukraine. Geneva: Joint United Nations Programme on HIV/AIDS. Available from: http://www.unaids.org/sites/default/files/country/documents/UKR_2018_countryreport.pdf
[13] APH (2018) Training on Prevention and First Aid in case of Drug Overdose. Kyiv: Alliance for Public Health. Available from: http://aph.org.ua/en/news/training-on-prevention-and-first-aid-in-case-of-drug-overdose/
[14] EMCDDA. Drug treatment systems in prisons in Eastern and South East Europe. Available from: https://www.emcdda.europa.eu/system/files/attachments/5502/Drug-treatment_systems_in_prisons_in_Eastern_and_South-East_Europe.pdf
[15] EHRA (2018) Criminalization Costs. Eurasian Harm Reduction Association. Available from: https://harmreductioneurasia.org/criminalization-costs/
[16] EHRA (2018) Penalties for drug law offences in East Europe and Central Asia at a glance [beta]. Available from: https://harmreductioneurasia.org/drug-laws/