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GH12-008: Enhancing linkage to HIV care for newly detected HIV-positive persons in Ukraine

Award Number: U01GH000752
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/30/2013
PERIOD OF PERFORMANCE END DATE: 03/29/2018

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GH12-008: Enhancing linkage to HIV care for newly detected HIV-positive persons in Ukraine - Project Summary Abstract Each year, more than 20,000 new HIV cases are registered in Ukraine, about 40% of them simultaneously with AIDS. Of the newly diagnosed HIV-positive individuals, only about 60% enroll in HIV care in the same calendar year. As a result, in the antiretroviral era, AIDS morbidity and mortality in Ukraine remain high and keep rising. While patients of specialized health care facilities (SHCFs) (substance abuse, TB, and STI clinics), where most patients with HIV risky behaviors are seen, have access to free HIV testing, there remains a critical need to improve engagement (linkage and retention) in appropriate HIV care for HIV-infected persons. A model of enhancing linkage to HIV care exists and proved to be effective over the U.S., but has not been tested in Ukrainian cultural context. The goal of this study is to pilot, implement and evaluate an intervention designed to motivate and manage recently HIV diagnosed patients of SHCFs in three regions of Ukraine, who will be supported and motivated to initiate and remain in HIV medical care. We will study the impact of the Modified Antiretroviral Treatment Access Study (MARTAS) intervention, based on the Social Cognitive Theory, motivational sessions and nurse case management, on the engagement in HIV care of recently detected HIV-positive patients. In our study we will use available health care infrastructure and human resources. This project will be implemented in Odesa, Dnipropetrovsk and Mykolaiv regions of Ukraine, at the SHCFs, where the system of patronage nurses exists, and provider-initiated HIV testing and counseling (PITC) approach has been implemented recently. The specific aims of the study are: 1) to adapt the ARTAS intervention protocol for implementation among recently diagnosed HIV positive patients in a Ukrainian cultural context using the results of formative assessment (in- depth interviews with patients and focus-group discussion with health care providers in Dnipropetrovsk); 2) to test the feasibility and acceptability of the intervention implementation at three sites of Mykolaiv region with 30 recently diagnosed HIV-positive patients; and 3) to evaluate the intervention effectiveness using prospective cohort study at 9 sites in three regions (n=300 recently HIV diagnosed patients) comparing the observed indicators of enrollment/retention in HIV care among study participants with the year prior to intervention implementation. We hypothesize that an intervention that involves coordination between specialized health care and HIV systems via a) linkage coordination delivered by a nurse of the SHCF, b) structured motivational sessions and further communication between these linkage coordinators (LCs) and patients, and c) communication between LC and HIV care provider will lead to increased engagement in HIV medical care. The proposed research addresses a significant public health threat of non-/late enrollment of HIV-positive individuals in HIV care and treatment. Our study is highly innovative, as we will extend the international borders of ARTAS implementation research to Ukraine, adapting it to the local infrastructure.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2020 ( Subtotal = -$22,260 )
2020	2015	Ukrainian Institute On Public Health Policy	Office 6, 4	Kyiv		01001		UKR	Building Capacity of the Public Health System to Improve Population Health through National, Non-Profit Organizations- financed in part by Prevention and Public Health Funds (PPHF)	06	2	2/6/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$22,260
2020	2014	Ukrainian Institute On Public Health Policy	Office 6, 4	Kyiv		01001		UKR	Building Capacity of the Public Health System to Improve Population Health through National, Non-Profit Organizations- financed in part by Prevention and Public Health Funds (PPHF)	06	2	2/6/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2013	Ukrainian Institute On Public Health Policy	Office 6, 4	Kyiv		01001		UKR	Building Capacity of the Public Health System to Improve Population Health through National, Non-Profit Organizations- financed in part by Prevention and Public Health Funds (PPHF)	06	2	2/6/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$22,260

Issue Date FY: 2017 ( Subtotal = $0 )
2017	2015	UKRAINIAN INSTITUTE ON PUBLIC HEALTH POLICY	OFFICE 6, 4	KYIV		01001		UKR	Building Capacity of the Public Health System to Improve Population Health through National, Non-Profit Organizations- financed in part by Prevention and Public Health Funds (PPHF)	001	2	11/2/2016	SUPPLEMENT FOR EXPANSION	$0
2017	2014	UKRAINIAN INSTITUTE ON PUBLIC HEALTH POLICY	OFFICE 6, 4	KYIV		01001		UKR	Global AIDS	000	2	11/1/2016	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2015 ( Subtotal = $494,477 )
2015	2015	Ukrainian Institute on Public Health Policy	4 Malopidvalna Street, Office	Kyiv				UKR	Building Capacity of the Public Health System to Improve Population Health through National, Non-Profit Organizations- financed in part by Prevention and Public Health Funds (PPHF)	002	2	7/12/2015	SUPPLEMENT FOR EXPANSION	$494,477
2015	2014	Ukrainian Institute on Public Health Policy	4 Malopidvalna Street, Office	KYIV		01001			Global AIDS	001	2	7/12/2015	NON-COMPETING CONTINUATION	$0
2015	2014	Ukrainian Institute on Public Health Policy	4 Malopidvalna Street, Office	KYIV		01001			Global AIDS	000	2	10/30/2014	NON-COMPETING CONTINUATION	$0
														Subtotal = $494,477

Issue Date FY: 2014 ( Subtotal = $5,000 )
2014	2014	Ukrainian Institute on Public Health Policy	4 Malopidvalna Street, Office	KYIV		01001			Global AIDS	003	2	10/30/2014	NON-COMPETING CONTINUATION	$0
2014	2014	Ukrainian Institute on Public Health Policy	4 Malopidvalna Street, Office	Kyiv				UKR	Global AIDS	001	2	7/3/2014	NON-COMPETING CONTINUATION	$5,000
2014	2013	Ukrainian Institute on Public Health Policy	4 Malopidvalna Street, Office	KYIV		01001			Global AIDS	000	1	1/7/2014	NEW	$0
2014	2013	Ukrainian Institute on Public Health Policy	4 Malopidvalna Street, Office	KYIV		01001			Global AIDS	002	1	8/8/2014	NEW	$0
														Subtotal = $5,000

Issue Date FY: 2013 ( Subtotal = $246,894 )
2013	2013	Ukrainian Institute on Public Health Policy	4 Malopidvalna Street, Office	Kyiv				UKR	Global AIDS	001	1	9/23/2013	NEW	-$246,894
2013	2013	Ukrainian Institute on Public Health Policy	4 Malopidvalna Street, Office	Kyiv				UKR	Global AIDS	002	1	9/25/2013	NEW	$246,894
2013	2013	Ukrainian Institute on Public Health Policy	4 Malopidvalna Street, Office	Kyiv				UKR	Global AIDS	000	1	8/22/2013	NEW	$246,894
														Subtotal = $246,894

Grand Total All Awards = $724,111

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GH12-008: Enhancing linkage to HIV care for newly detected HIV-positive persons in Ukraine

Award Number: U01GH000752

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/30/2013

PERIOD OF PERFORMANCE END DATE: 03/29/2018

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