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HIV Prevention, Testing and Treatment for Youth and Women in Conflict with the Law in Ukraine

Project goal Reducing incarceration in high-HIV-prevalence adult prisons (youth and women) and improving access to HIV testing and treatment for those in conflict with the law
Timeframe September, 2016 – September, 2019 (36 Months)
Implementing organization  HealthRight International in partnership with the ICF “Ukrainian Foundation for Public Health”
Implementation sites Six adolescent prisons (in Kovel, Militopol, Kremechuk, Dubno, Kuriagy, Pryluky); probation services in Kyiv, Chernihiv, Dnipropetrovsk, Kharkiv and Zaporizhzhia regions; local AIDS Centers, local NGOs, local Centers of Social Services
Donor Elton John AIDS Foundation
Partners State Penitentiary Service of UkraineMinistry of Social Policy of Ukraine

UCDC

All-Ukrainian Public Center “Volunteer”

 

PROJECT OBJECTIVES

  1. Comprehensive case management, HIV prevention and testing for incarcerated, on probation, and at-risk youth and women.
  2. Reducing HIV risk behaviors and preventing recidivism to high-HIV-prevalence prisons.
  3. Trained and improved capacity for service providers to deliver case management, HIV prevention and testing, and recidivism risk reduction education.

 

EXPECTED PROJECT RESULTS

  1. 3000 of incarcerated, on probation, and at-risk youth and women engaged in the HIV prevention and recidivism risk reduction intervention.
  2. 2400 of incarcerated, on probation, and at-risk youth and women tested for HIV and referred for treatment, as needed.
  3. 1800 of incarcerated, on probation, and at-risk youth and women engaged in comprehensive case management.
  4. 220 of criminal justice, social service, health and NGO staff trained to prevention HIV.

 

PROJECT OUTCOMES

It is expected that the project will result in (1) improved capacity of 220 service providers to deliver case management, HIV prevention and testing, and recidivism risk reduction education; (2) improved HIV-related knowledge and intended behaviors among 2,600 youth and 300 women; (3) improved access for youth and women in conflict with the law and at risk to HIV-related services; (4) improved capacity of parents/caregivers to provide support; (5) buy in from stakeholders leading to improved implementation and sustainability.


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Strengthening humanitarian response to the need of most vulnerable women and female adolescents affected by armed conflict in Eastern Ukraine through multi-sectorial prevention and response to GBV and access to SRH services

PROJECT REGIONS:  Dnipropetrovsk, Kharkiv, Zaporizhzhia regions and controlled by the Ukrainian Government areas of Donetsk and Luhansk regions.

 SYNOPSIS

The project is addressing humanitarian needs of most vulnerable woman and female adolescents affected by armed conflict in Eastern Ukraine through trough strengthening of the multi-sectorial coordination, protection and prevention systems and enhancing access to legal, health and social-psychological care services for survivors of GBV. Project activities are streamlined along two key inter-dependent objectives: (A) To address immediate needs of GBV survivors (life-saving protection) through coordination, assessment of GBV prevalence, advocacy and multi-sectorial referral mechanism at the regional level and (B) To strengthen  capacity of local service providers (Legal protection, socio-psychological support, health care) to respond to GBV (including referral and provision of services to survivors) and implement community-level prevention programs.

 The Ukrainian Foundation for Public Health was chosen as UNFPA’s partner to enhance capacities of service providers to address needs of gender-based violence survivors and persons at risk.

UFPH’s activities within the project include the following:

  • Facilitation of work of 21 mobile teams in 5 regions, who will do outreach and provide counseling and other services to survivors of GBV
  • Strengthening capacity and organizing support to local service providers (governmental and NGOs) in 5 regions, including training for 100 local social service providers on psycho-social support to survivors of GBV and GBV prevention, and provides mini sub-grants.

Staff of 21 mobile teams of 2 psychologists and 1 social worker will monitor cases of GBV in Dnipropetrovsk, Kharkiv, Zaporizhzhia regions and controlled by the Ukrainian Government areas of Donetsk and Luhansk regions, with a special focus on areas with the highest numbers of internally displaced people. Outreach teams will do regular visits to regional centers and remote areas to identify cases of GBV, including domestic violence. Psychologists and socials workers will provide the following services:

  • Socio-psychological screening to identify survivors of GBV and their psychological condition
  • Counseling with survivors in order to prevent recidivism and improve their situation
  • Assess complex needs of survivors and refer to additional services
  • Individual and group sessions for GBV survivors
  • Counseling with family members.

Locations of mobile teams and areas covered with their services:

Zaporizhzhia region:

  • 1st mobile team – Zaporizhzhia city;
  • 2nd mobile team – Berdiansk city and Berdiansk region;
  • 3rd mobile team – Melitopol city and Melitopol region.

Dnipropetrovsk city:

  • 1st mobile team – Dnipropetrovsk city;
  • 2nd mobile team – Kryvyi Rih city;
  • 3rd mobile team – Pavlohrad city and Pavlohrad region;
  • 4th mobile team – Nicopol city and Nicopol region.

Donetsk region:

  • 1st mobile team – Sviatohirsk city and Sloviansk region, Krasnyi Lyman city, and Oleksandrivsk region;
  • 2nd mobile team – Sloviansk city, Kramatorsk city, Druzhkivka city;
  • 3rd mobile team – Kostiantynivka city and Kostiantynivka region, Bakhmut city and Bakhmut region, Dzerzhynsk city;
  • 4th mobile team – Pershotravneve city and Pershotravnevy region, Volodarskyi region, Volnovakchskyi region, Velykonovosilkivskyi region;
  • 5th mobile team – Dobropillia city and Dobropillia region, Selydove city, Dymytrov city, Novogrodivka city, Mar’inskyi region.

Luhansk region:

  • 1st mobile team – Novoaidar urban-type community and Novoaidar region;
  • 2nd mobile team – Severodonetsk city;
  • 3rd mobile team – Lysychansk city;
  • 4th mobile team – Stanytsia-Luhanska urban-type community, Stanytsia-Luhanskyi region;
  • 5th mobile team – Kryminna city and Kryminnyi region.

Kharkiv region:

  • 1st mobile team – Kharkiv city;
  • 2nd mobile team – Kharkiv city;
  • 3rd mobile team – Losova city and Losivskyi region;
  • 4th mobile team – Izium city and Iziumsky region.

 


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Emergency Support for Victims of Torture in Ukraine

The goal of the project is to provide screening and referrals for comprehensive social, psychological and legal services for soldiers engaged in the security operation in Eastern Ukraine and internally displaced women, as well as provision of psychological, social and legal services to survivors of torture, their family members, including provision of psychological first aid, narrative exposure therapy. In addition, the ground work will be laid to build towards a longer term model of treatment for torture victims. This ground work will include in­house training of HealthRight project staff, mentoring of local service providers and service provision organizations, and engagement in a referral network of the relevant government and civil society agencies.

Target group: survivors of torture among soldiers engaged in the security operation in Eastern Ukraine and internally displaced women, and their family members.

Definition of torture: HealthRight and UFPH use the United Nations Convention Against Torture (CAT) to determine eligibility for victims of torture receiving services, wherein “the term ‘torture’ means any act by which severe pain or suffering, whether physical or mental, is intentionally  inflicted on a person for such purposes as obtaining from him or a third person information or a confession, punishing him for an act he or a third person has committed or is suspected of having committed, or intimidating or coercing him or a third person, or for any reason based on discrimination  of any kind, when such pain or suffering is inflicted by or at the instigation of or with the consent or acquiescence  of a public official or other person acting in an official capacity.”

Project objectives:

  1. Survivors of torture have access to treatment and relevant services so that they can improve their functioning, decrease their Post-Traumatic Stress Disorder (PTSD) symptoms, and increase their connected to resources
  2. The family members of victims of torture (secondary survivors) have access to care to address their trauma and help them provide support to victims
  3. Service providers are trained and supported to deliver high­quality, evidence­based torture treatment and make referrals for additional services: In­house training, supervision and mentoring of professionals directly assisting victims of torture will be delivered by torture treatment consultant Monica Indart, Psy.D. Dr. Indart is a torture treatment practitioner, with particular expertise in delivering treatment and training providers working directly with torture victims in active conflict settings.

Expected results:

  1. Minimum 70 survivors of torture will be identified and receive initial counseling (screening) in military hospitals, camps for internally displaced people, governmental centers of social services, NGOs.
  2. Minimum 50 survivors of torture will receive psychological support and comprehensive assistance (legal, medical. Informational services, assistance in obtaining state entitlements).
  3. Minimum 50 family members of torture survivors will receive initial counseling (screening)
  4. Minimum 20 family members of torture survivors will be engaged in individual and group counseling.

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Violence Free: Improving Access to Social Services Across Ukraine

Population/Community Description
The project target population is street-involved girls and women who are extremely vulnerable to HIV, STIs, and unplanned pregnancy, as well as violence, discrimination and stigma. Street-involved girls and women include those who are living and sleeping all or part of the time on the street, in informal housing (basements, sewers or unfinished homes), moving frequently between the homes of friends, or engaging in transactional sex for shelter. Street-involved women are often formerly incarcerated or migrants from other countries or other parts of Ukraine, and they commonly do not have legal residency status or identity documents for the region in which they are living. This severely limits their access to social and medical services, HIV treatment, and crisis shelters, and makes them especially vulnerable to discrimination by providers and the police.

Expected projecr results

During the 12 month project, 220 street girls and women will receive support services in the Service Center for Women and Girls with a special focus on reproductive health and HIV-prevention. Among them, 100 clients will receive reproductive health counseling, and 120 clients will be tested for HIV and syphilis, referred for gonorrhea and Chlamydia testing in a laboratory, and assisted to access to advanced medical care, if needed. Of those clients testing HIV-positive, at least 80% will be registered at the AIDS Center, including those who do not have residency documents. All HIV-positive pregnant clients will receive PMTCT services. Additionally, eight most vulnerable pregnant women or young mothers will receive services in the halfway house. UFPH will strengthen services for HIV-positive and street-involved girls by engaging at least 20 HIV-positive girls in comprehensive case management, ART, and group work sessions, in order to increase their knowledge about HIV, and their understanding of ART and the services available through this project and other agencies in Kyiv. Additionally, 50 street girls and young women will participate in the STEPS HIV-prevention trainings in order to improve their knowledge of HIV, reduce risky behaviors, and learn to protect themselves and others.


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Violence Free: Improving Access to Social Services Across Ukraine

Project goal – Promote inclusive and empowered local communities by strengthening CSOs’ and local governments’ capacities to improve the availability, access to and quality of social and rehabilitation services to survivors and perpetrators of violence against women (VAW). Geographical coverage: Kyiv city and 10 administrative regions of Ukraine Partners: Ministry of Social Policy of Ukraine, All-Ukrainian Public Center “Volunteer”, International Humanitarian Center “Rozrada”, International Women’s Rights Center “La Strada Ukraine”, Kyiv City Center for Family, Children and Youth, All-Ukrainian Network of People Living with HIV.

PROJECT OBJECTIVES

  1. Developing capacity of local authorities, government and CSO service providers in provision of VAW response services and intersectoral response protocol (IRP).
  2. Implementing the VAWIRP model in Kyiv that includes identifying and providing rehabilitation services for survivors and perpetrators; and creating, facilitating and strengthening the local interagency VAW working group through the implementation of IRP.
  3. Scale up of the model implemented in Kyiv to three additional service sites in Ukraine. These sites will be chosen from 10 regions engaged in the project.
  4. Dissemination of methodologies and lessons learned to promote replication in all of Ukraine.

EXPECTED PROJECT RESULTS

  1. At least 20 trainers from  10 Ukrainian regions will be prepared to train service providers on the program on intersectoral VAW response. Trainers will acquire knowledge and skills necessary to train service providers from social services, healthcare and police how to effectively identify, provide referrals and services to women who have survived violence and men who committed violence.
  2. In 10 regions of Ukraine up to 800 representatives of local authorities, government and CSO service providers (socialworkers, police and healthcare professionals) will be trained on VAW and IRP, and will improve their capacity to address VAW, provide identification and references of VAW survivors.
  3. In Kyiv and 3 scale-up service sites will be implemented  with the functional VAW IRP model; at least 700 survivors and perpetrators of violence against women will receive the project services.
  4. The project methodologies and lessons learned will be presented at the final press-conference to promote replication in all of Ukraine.

PROJECT OUTCOMES It is expected that the project will result in increased capacity of social services, healthcare and police in providing violence prevention services, as well as in implemented effective mechanisms for intersectoral collaboration. As the overall result, an estimated one million survivors of violence against women (VAW) in Ukraine will benefit every year from improved identification and referrals, as well as will receive psychosocial, medical and legal services provided by government and CSOs through the VAW IRP.


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Improving Capacity of Service Providers in Psychosocial Adaptation of Internally Displaced Families with Children

Project goal: Increase capacity of governmental and NGO service providers (social workers, psychologists, teachers, volunteers) who provide psychosocial support and adaptation services in Kyiv and Kyiv region for internally displaced children and their parents who fled from violence in Eastern Ukraine.

Project objectives:

  1. Developing manual (30 – 40 pages) for service providers on provision of psychosocial support and adaptation services for internally displaced children, their parents, and families with children who survived violence in Eastern Ukraine.
  2. Increase capacity of service providers (professional psychology volunteers, school psychologists, social workers, teachers) in provision of psychosocial support to internally displaced children, their parents and families with children through trainings.
  3. Engage internally displaced families with children in psychosocial support.

 


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Ensuring Access to Reproductive Health Services in Kyiv for Women and Girls in Difficult Living Circumstances Caused by Homelessness, Violence or HIV

Project goal: Ensure access to reproductive health services in Kyiv for women and girls in difficult living circumstances caused by homelessness, violence, or HIV through strengthening partnership, improving capacity and coordination of services of NGOs and healthcare facilities in Kyiv (women’s clinics, youth friendly clinics, dermatovenerologic dispensaries).

Project objectives:
1. Establish partnership and collaboration between the state-run healthcare facilities (women’s clinics, youth friendly clinics, dermatovenerologic dispensaries) and NGOs in order to provide medical services to women and girls in difficult living circumstances caused by homelessness, violence, or HIV.
2. Improve knowledge of state service providers (women’s clinics, youth friendly clinics, dermatovenerologic dispensaries) about specifics of provision of healthcare services to women and girls in difficult living circumstances caused by homelessness, violence, or HIV.
3. Improve public awareness on the problem of access to reproductive healthcare services for women and girls in difficult living circumstances caused by homelessness, violence or HIV.

Expected project results:
The project will result in improved access to reproductive health services in Kyiv for women and girls in difficult living circumstances caused by homelessness, violence, or HIV.

Expected project outputs:
– Established collaboration between the state-run healthcare facilities (women’s clinics, youth friendly clinics, dermatovenerologic dispensaries) and NGOs in ensuring access to reproductive health for women and girls in difficult living circumstances.
– Improve knowledge of state service providers (women’s clinics, youth friendly clinics, dermatovenerologic dispensaries) about specifics of provision of healthcare services to women and girls in difficult living circumstances caused by homelessness, violence, or HIV
– Defined the list of reproductive health services for women and girls in difficult living circumstances caused by homelessness, violence, or HIV.
– Improved public awareness on the problem of access to reproductive healthcare services for women and girls in difficult living circumstances caused by homelessness, violence, or HIV.

Expected project outcomes:
– Developed procedures for collaboration between NGOs and state-run healthcare facilities (women’s clinics, youth friendly clinics, dermatovenerologic dispensaries) and referrals for reproductive health services.
– Women and girls in difficult living circumstances caused by homelessness, violence, or HIV received access to reproductive health services and were informed about reproductive health and pregnancy planning; increased number of women and girls who accessed care.


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