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MainSurveillance and monitoringImplementation of international recommendations on NTP (2007-2011)Advocacy, communication, social mobilization

Advocacy, communication, social mobilization

Status of implementation of recommendations for section Advocacy, communication, social mobilization

Recommendations Status Implementation Institution responsible for implementation Deadlines
Advocacy, communication, social mobilization
General recommendations        

1. A comprehensive written national strategy and implementation plan for advocacy, communication and social mobilization should be developed and approved. Based on this, consistent oblast/rayon strategies and implementation plans should be developed and linked to the goals and objectives of the NTP.
Partially

National ACSM strategy to support the National Tuberculosis Program in Ukraine for 2012-2016 was developed and coordinated with the key stakeholders as early as 2012; however, it has not been adopted on the national level yet. Elements of ACSM strategy (advocacy of regulations adoption, arrangement of a system for social and psychological aid to vulnerable population groups, involvement of non-governmental organizations into cooperation with TB institutions, carrying out social surveys, development and implementation of the National Strategy for the Tuberculosis Awareness Campaign, regional ACSM plans) were included to the National Targeted Social Program on Combating Tuberculosis for 2012-2016 approved with the Law of Ukraine on October 16, 2012 No. 5451-VI.
In 2012, regional ACSM strategies were developed and approved at the meetings of coordination councils in 26 regions of Ukraine (except Zhytomyr region) within the framework of ACSM coordinators’ activity under the ”Stop Tuberculosis in Ukraine” program of Rinat Akhmetov Foundation for Development of Ukraine.
UCDC
31.12.14

2. Financial and human resources should be allocated to implement country and oblast-specific advocacy, communication and social mobilization activities and support the efforts of local organizations to reach out to marginalized populations for TB-intensive case-finding and management in order to prevent defaulting on treatment.
Partially

Within the framework of implementation of the Global Fund grant in the sphere of social mobilization, since 2011 All-Ukrainian Charity Foundation “Coalition of HIV-Service NGOs” has been implementing the following projects together with local non-governmental organizations:

  • involvement into active TB identification among risk group representatives (within 2011-2013, the projects were carried out in the Autonomous Republic of Crimea, the cities of Kyiv and Sevastopol, in Dnipropetrovsk, Donetsk, Zaporizhzhia, Kirovohrad, Luhansk, Lviv, Mykolaiv, Odesa, Kharkiv and Kherson regions. Since 2014, the projects have been launched in Vinnytsia, Volyn, Zhytomyr, Zakarpattia, Ivano-Frankivsk, Poltava, Rivne, Sumy, Ternopil, Khmelnytskyi, Cherkasy, Chernivtsi and Chernihiv regions).
  • involvement into active TB identification among Roma communities (mediators of communities from the International Charitable Foundation “Roma Women’s Fund Chirikli”, which acts as a sub-sub-recipient in this project, work in the Autonomous Republic of Crimea, Dnipropetrovsk, Donetsk, Zakarpattia, Zaporizhzhia, Kyiv, Kirovohrad, Lviv, Luhansk, Odesa, Kharkiv and Kherson regions).
  • social support of prisoners from penitentiary TB hospitals to a civilian sector for prevention of treatment interruption in 8 regions of Ukraine (Zaporizhzhia, Mykolaiv, Poltava, Kherson, Dnipropetrovsk, Luhansk, Ternopil and Kharkiv regions).
UCDC
 On an ongoing basis
Special recommendations        

3. Coordination councils should be designated at all levels to coordinate the implementation of the advocacy, communication and social mobilization strategy and a dedicated focal person and unit appointed within the NTP to oversee its implementation.
Implemented

In each region of Ukraine, there are Tuberculosis and HIV/AIDS Coordination Councils operating in regional governors’ offices. The commission includes a person responsible for implementation of this component – ACSM coordinator. Since March 2012 to April 2014, the Charity Foundation “Development of Ukraine” was financing their operation in all regions of Ukraine (from 2012 to October 2013 – from the budget of Global Fund grant, from October 2013 to April 2014 – from the budget of “Awareness Campaign” project launched by the Charity Foundation “Development of Ukraine”).

4. Advocacy, communication and social mobilization interventions should be incorporated into wider strategies to control TB, MDR-TB and TB/HIV, ensuring a community-based, clientcentred outpatient approach which also reaches the most vulnerable population groups.
Partially

Elements of ACSM strategy (advocacy of regulations adoption, arrangement of a system for social and psychological aid to vulnerable population groups, involvement of non-governmental organizations into cooperation with TB institutions, carrying out social surveys, development and implementation of the National Strategy for the Tuberculosis Awareness Campaign, regional ACSM plans) were included to the National Targeted Social Program on Combating Tuberculosis for 2012-2016 approved with the Law of Ukraine on October 16, 2012 No. 5451-VI.
UCDC
31.12.14

5. There should be a significant increase in the involvement and number of civil society organizations and affected communities in TB care and support, building from the experience of the HIV organizations. These should include such organizations as those working with prisoners and former prisoners and social groups that support homeless people.
Implemented

The National Targeted Social Program on Combating Tuberculosis for 2012-2016 provides for complying with an indicator “Number of regions where non-governmental organizations cooperate with TB facilities”, which aims to improve access to hard-to-contact or vulnerable population groups with the participation of non-governmental organizations.
Within the framework of Global Fund grant, active TB identification among risk groups, social support and persuading persons inclined to interrupt treatment to proceed with it (in particular, former prisoners as well) are carried out by the grant sub-recipients, such as All-Ukrainian Charity Foundation “Coalition of HIV-Service NGOs”, International Charitable Foundation “International HIV/AIDS Alliance in Ukraine”, Ukrainian Red Cross Society and other regional non-governmental organizations.

6. Training for health care and social service providers (including for staff in nongovernmental organizations) should be supported, built on successful advocacy, communication and social mobilization pilot projects, in the following specific areas:
a) assessing needs through quantitative and qualitative research;
b) strengthening interpersonal communication and counselling among providers to improve client-provider interactions, reduce stigma and discrimination and increase adherence to TB treatment;
c) increasing access to voluntary diagnostic counselling and testing for HIV among TB clients;
d) developing information, education and communications materials based on research;
e) working with the mass and print media.
Implemented

Within the framework of Global Fund grant, a range of trainings was held.
In 2012, All-Ukrainian Charity Foundation “Coalition of HIV Service NGOs” held trainings for heads, psychologists, community workers and other non-medical staff of non-governmental organizations, with the following topics:

  • Advocacy, Communication and Social Mobilization in TB control programs (23 persons trained in total).
  • Training of social mobilization community leaders – for psychologists, social workers and other non-medical staff of non-governmental organizations (30 persons trained in total).
  • Improved access for Roma communities to medical services in the sphere of anti-TB activity by Roma medical mediators (50 persons trained in total).

In 2012, Charity Foundation “Intelligence Prospect” held trainings for doctors, nurses, representatives of clergy, penitentiary workers, psychologists, community workers and other non-medical staff of non-governmental organizations, with the following topics:

  • Updating the problem of tuberculosis in penitentiary service (49 persons trained in total).
  • Updating the problem of tuberculosis. Interaction with non-governmental organizations, intensification of inter-agency cooperation in districts and towns of Odesa region (99 persons trained in total).
  • Topical issues of TB and co-infection diagnosis and treatment for a general practitioner – family doctor under the conditions of reformation (72 persons trained in total).
  • Intensified abilities of civil servants, local self-government officers responsible for social case work of the released prisoners, including the ones with tuberculosis (88 persons trained in total).
  • Intensified abilities of civil servants, local self-government officers responsible for social case work of the released prisoners, including the ones with tuberculosis (26 persons trained in total).
  • Specificity of social support provided to clients with tuberculosis, consultancy, social support (558 persons trained in total).

In 2011-2012, International Non-Governmental Organization “labour and Health Social Initiatives” (LHSI) held TB trainings for mass media. In general, 50 persons took part in trainings.

7. Work with the mass and print media, including the training of journalists, should be properly planned and overseen.
Partially

Within the framework of Global Fund grant, a sub-recipient in communication sphere – International Non-Governmental Organization “labour and Health Social Initiatives (LHSI)” – within 2011-2012 held TB trainings for mass media. In general, 50 persons took part in trainings.
Moreover, the National Mass Media and Journalist Contest “Stop Tuberculosis in Ukraine” was held in 2012, which aimed to popularize fight against TB and stigma on the national and regional levels via television, radio and electronic/printed publications. The contest had 82 participants. Based on its results, three works which narrated on TB problem in Ukraine in the best and most creative way were awarded. Details of the contest results may be found here.
Furthermore, within the “Stop Tuberculosis in Ukraine” program, the Charity Foundation “Development of Ukraine” annually holds press-conferences, press-tours and other informational events for journalists, which are devoted to the World TB Day and distributes tuberculosis brochures for journalists.

8. The International Standards for Tuberculosis Care (31) and the Patients’ Charter for Tuberculosis Care (30) should be promoted. The Patients’ Charter should be used to increase the involvement of people affected by TB.
Not implemented

Applicable regulations related to fight against tuberculosis do not fully comply with the Standards for Tuberculosis Care and Patients’ Charter, these documents are not promoted.
UCDC
 On an ongoing basis
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