In Ukraine drug consumption in public places is a criminal offence punishable with restriction of freedom up to 4 years or imprisonment for up to 3 years. Drug possession is a criminal offence, punished by a fine or imprisonment from 2 to 8 years, depending on the amount of illicit drugs involved. According to the Council of Europe Annual Penal Statistics SPACE I there are 54905 inmates in Ukrainian prisons, 4360 of them for drug-law offences. HIV prevalence in prison is 3,3%. As for the drug use responses in prison there ART, but OST and NSP services do not exist, although there are 2535 registered opioid-dependent prisoners. The average amount spent per day for the detention of one inmate in Ukrainian prisons is 2,6 Eur/per day, 949 Eur/per inmate/per year.
The estimate number of people who inject drugs is around 346900. HIV prevalence among PWID is 22,6%. The cost of NSP services is approximately 15,50 Eur/per person/per year, OST – 161 Eur/per client/per year if the client is on methadone treatment, and 354 Eur/per client/per year for Buprenorphine. Both prices include case management. Unemployment benefits amounts to a minimum of 18 Eur per month, 216 Eur/per client/per year). So, if the person would need OST, NSP and unemployment benefit, it would cost for the state around 585,5 Eur/per person/per year. The health and social services costs are almost 2 times smaller than incarceration costs.
 The costs of OST and NSP services were provided by national partners and service providers