Improving quality of medication assisted treatment in Ukraine

Sergii Dvoriak
The term of realization
01.08.2016 - 30.09.2022

Centers for Disease Control and Prevention (CDC)

The aim of the progect

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.

Goals and objectives
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.
Results and publications
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)