Think Global Health | Ukraine keeps HIV response steady under fire

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War has strained Ukraine’s HIV programs, but capacity built years earlier has kept most prevention and treatment in place.

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Think Global Health analysis

Ukraine’s HIV response has weathered four and a half years of war, largely on the strength of decisions that its health ministry and civil society organizations made before the war began in 2022. Since then, roughly 1 in 10 health facilities have been damaged or destroyed, 15 million people have been displaced, and 60% of the national budget has been swallowed by defense, but Ukraine hasn’t lost control of one of the region’s worst HIV epidemics. Officially registered new infections fell from 15,360 in 2021 [PDF] to just over 8,000 in 2025 [PDF] — a decline that partly reflects lost territory, emigration, and thinner testing in the southeast — while testing volumes nationally climbed by more than 40% during that period. Coverage of key populations has also remained relatively stable from 2022 to 2026. The number of people receiving PrEP services at least once annually has more than doubled. The country is rolling out long-acting injectable prevention drugs [PDF] that many of its wealthier neighbors, including Hungary, Poland, Romania, and Slovakia, do not yet offer.

Read the full analysis here.

 

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