Oleksandr Zeziulin
15.10.2018 - 15.04.2019

World Health Organization

Evaluation of changes of clinical practice of those primary health care workers who completed Essential Training on the Integrated Management of Hypertension and Diabetes in 7 pilot regions.

- To understand how the training was able to influence changes in PHC clinical practice in pilots in order to plan further improvements/adjustments of training’s content and teaching approaches, but also to identify other factors that need to be strengthened at PHC level for better NCDs prevention, early detection, care and support.;

- The evaluation of the project is planned to be carried out using three data collection approaches. Changes in risk assessment and treatment practices and outcomes will be evaluated by collecting information from patient records. Organizational changes in clinics and changes in division of tasks will be assessed performing observations of patient pathways. Focus group interview will be carried out to assess professionals’ opinions on effects of training in changing the practice and related possibilities and challenges.

Oleksandr Zeziulin
13.04.2018 - 30.06.2020

Yale University

Using qualitative interviews with HIV care providers and with 50yo+ patients diagnosed with HIV in the last 6 months, to explore diverse factors that shape HIV risk and HIV care engagement for HIV+ 50yo+, and challenges experienced by HIV care providers in reaching and servicing this population.

1) Explore HIV care providers’ views on what factors shape (dis-)engagement with HIV care for their 50yo+ clients newly diagnosed with HIV, what challenges they experience when working with this population group, and how they respond to these challenges.

2) Describe the patient-level factors that shape HIV risk practices and health expectations for 50 yo+ newly diagnosed with HIV.

3) An additional strength of this study is to further quantitative study of 100 patients views on how the pandemic coronavirus and quarantine affected the life and behavior of 50+ patients with HIV-positive diagnosis, including their understanding of the risks СOVID-19, HIV and other diseases during the quarantine and how patients cope with these difficulties.

Tetiana Kiriazova
01.07.2017- 30.06.2020

Johns Hopkins University

The proposed research project will explore the social and place-based context of injection drug use and HIV and HCV risk among people who inject drugs (PWID) in Ukraine. Study participants will include men and women 18 years of age and older in Dnipro, Ukraine.

Principal Investigator - Jack DeHovitz; Ukraine Principal Investigator - Tetiana Kiriazova
01.06.2017 - 31.05.2022

Fogarty International Center

The aim of the project is to build capacity in conducting implementation science research that will address gaps in the HIV care cascade in Ukraine through a research training collaboration with the School of Public Health of National Ukraine Kyiv- Mohyla Academy and The State University of New York.

Sergii Dvoriak
01.07.2017 - 10.08.2017
PACT, Inc.
The Initiative Center to Support Social Action "Ednannia"

Holding an international conference after the publication in the journal "The Lancet"

A two-day meeting in Kyiv (28-29 July, 2017) explored the range of possibilities to improve health services access for people who use drugs at three distinct time periods: pre-incarceration, incarceration and immediately post incarceration. The meeting focused on aligning current advocacy, policy directions and future research in EE&CA towards enhanced health and criminal justice outcomes for key stakeholders working across the interface of drug use, health service provision and criminal justice systems in the region. The meeting included a formal press event to cast a Ukrainian and EE&CA lens on challenges and opportunities in responding to the dual issues of drug policy and health in the criminal justice system in the region.

Tetiana Kiriazova
01.04.2017 - 31.03.2018
National Institute of Allergy and Infectious Diseases (NIAID)
National Institutes of Health (NIH)

Study of the aspects of stigma (as a barrier to HIV treatment) that can be changed through the development and implementation of interventions

Sergii Dvoriak
01.08.2016 - 30.09.2022

Centers for Disease Control and Prevention (CDC)

The purpose of the project is to develop a coherent system of evaluation and quality improvement which can be used by institutions implementing opioid substitution therapy, as well as by national agencies responsible for the implementation and effectiveness of the program.

1. Development of the Adapted clinical guidelines and the Unified clinical protocol of healthcare services.
2. Development of the standard of healthcare services provision.
3. Development, recording and dissemination of video-trainigs for treatment of opioid dependence and comorbid diseases, provision of psychosocial support.
4. Development and piloting of the quality improvement system.
During the project period, the Adapted Clinical Guideline, the Unified Clinical Protocol of healthcare services and the Standard of healthcare services provision "Treatment of Mental and Behavioral Disorders due to the Use of Opioids" were developed. The developed documents are submitted for approval to the Ministry of Health of Ukraine.
In 2017 4 video courses for physicians, nurses, psychologists, and social workers were developed and recorded: 1. Treatment of opioid dependence; 2. Integrated care to people with mental and behavioral disorders due to the use of opioids; 3. Organizational aspects of providing integrated services to people with mental and behavioral disorders due to the use of opioids; 4. Psychosocial support for patients with opioid dependence in accordance with international recommendations and national standards. More than 500 clinicians and other healthcare workers were trained on Public Health Center of Ukraine online platform. 1st and 2nd courses were updated.
The concept of the quality assessment system is developed. It consists of the following components:
1. Regular analysis of data obtained through centralized electronic reporting (the concept has been developed and agreed with donor, implementation has been started on pilot sites)
2. Periodic external evaluation of quality indicators (a monitoring form has been developed and piloted)
3. Periodic sample evaluation of patient satisfaction (the patient satisfaction assessment questionnaire was developed and piloted)
Tetiana Kiriazova
01.03.2016 - 28.02.2017

National Institutes of Health (NIH), Harvard University

Collection of samples and observation of the growth of culture in dense nutrient media and incubation in test tubes with an indicator of growth of mycobacteria