Ukraine

Ukraine is the second highest TB-burdened country in the Eastern European region and also has a severe HIV epidemic.  Although the government has sought to transition from a rigid model of health care to one that can effectively meet the needs of its citizens, barriers to a sustainable, efficient health care system are still prevalent.

At the national level, the lack of a common structure that bridges the various vertical reporting systems and program performance indicators makes data collection and analysis extremely difficult.  Furthermore, delays and unpredictable distribution schedules result in common stock-outs, compounded by a lack of storage space and inaccurate quantification of pharmaceutical needs. Outdated or incongruent government regulations can also stymie implementation and create constraints to improving pharmaceutical management practices.

The USAID-funded SIAPS Program will continue to foster progress to improve the legal–regulatory basis for reform and the tools and capacity to respond to acute and chronic health care issues.  Analysis of the health system has already been completed, identifying gaps and informing recommendations to improving the pharmaceutical management system.  Among the components are optimized processes and tools to assure the timeliness and quality of data for proper management, availability, distribution, and use of medicines for TB and HIV and AIDS.

On the basis of these findings, SIAPS is adapting and implementing eTB Manager, a web-based tool for managing information needed by national TB programs.  In conjunction with this endeavor, SIAPS is using a health system strengthening approach to build local capacity and develop strategic partnerships to improve access and use of quality, life-saving medicines and health commodities in Ukraine.

By using eTB Manager and a system strengthening approach, SIAPS intends to improve and enhance—