- Odesa, Ukraine -

Estimated number of PWID 22 500
HIV prevalence in PWID 27,5 %
Estimated number of CSW 5 900
HIV prevalence in CSW 9,5 %
Estimated number of MSM 8 600
HIV prevalence in MSM 12,3 %
PLHA registered 11 313
New TB cases + TB relapses (per 100 thousand population) 110,1
- City background -

Odesa is the city which has the longest history of HIV epidemic in Ukraine. Currently 20 000 PWID are estimated to live in Odesa with 30,2% of them being HIV-positive. The number of FSW in Odesa is estimated as 5 000 persons with HIV prevalence 10,30%. The number of MSM in Odesa is estimated as 9 600 persons with HIV prevalence 7,6%. Both incidence of TB (111,2 per 100 000) and tuberculosis-related mortality (11,1 per 100 000) according to local statistics are reported to be quite high in Odesa.
There is a city program ‘Health’ for 2015-17 approved of by the Odesa city council.

Odesa city coordinating council of prevention of spread of HIV/AIDS, TB and Drug Use has been established since 2011 and is headed by the Deputy Mayor on Humanitarian Issues. Its membership includes local government representatives, AIDS authorities and other medical staff, police, NGOs. 55% of PWID. 40% of CSW and 8,5% of MSM were reached by the Global Fund program in 2014. In Odesa a high percentage of TB treatment interruption cases (both newly diagnosed and MR-TB) occurs on the background of high incidence rates and prevalence of all TB forms.

− Activities planned −
in the project
Development and implementation of a model for key populations for the '90-90-90’ targets of the HIV and TB response in Odesa
  • Situation assessment, April – May 2017
  • Conducting dialogue on the results of situation assessment, May – June 2017
  • Development of city improvement plan, June – September 2017
  • Operational research Promoting outpatient TB treatment model in Odesa, Ukraine
  • Receiving the advocacy visit by Stop TB Partnership, 2017
  • Joining the training on TB by Zero TB Cities, 2018
  • Receiving the technical support visits on TB Zero TB Cities, 2019
  • Joining Zero TB Cities project 2018 or 2019
Establishing effective partnerships between Odesa municipality and NGOs/CSOs in Odesa
  • Establishment and functioning of City Task Forces, February 2017 – December 2019
  • Signing Paris Declaration by Odesa, 2017
  • Participating in Exchange visit to Bern or Amsterdam, 2017
  • Ongoing collaboration and active engagement of key populations networks
  • Ongoing supporting the provision of legal support to key populations
  • Organizing facilitated city sessions on removing barriers to access for key populations, 2018
Ensuring sustainable allocations of municipal funding for key population programs in Odesa
  • Organizing training on innovative funding approaches, 2018
  • Organizing information session for NGOs on municipal planning and budgeting process and timelines, 2018
  • Developing and adopting models of sustainable funding mechanisms, 2018
To increase knowledge management and popularize Odesa response on HIV and TB in Ukraine, in EECA region and globally
  • Every year Odesa representatives will visit one other city in the project to share learning and results
  • Develop case study on Odesa city model of response in 2019
  • ‘Youth development center’ will partner with local print media, TV and Radio stations for story telling of the successful and sustainable municipal responses to HIV/TB in cities throughout the project
  • ‘Youth development center’ will participate in sharing achievements through the annually organized International City Health Conference in 2017, 2018 and 2019 as well as International AIDS Conference 2018 in Amsterdam
− Expected results −
in the city by 2019
Impact indicator Target Comments
2017 2018 2019
AIDS related mortality (per 100 000 population) 16,9 16,5 16,0 It is planned to achieve an ambitious 8% reduction in AIDS-related mortality per 100 000 in three years
TB mortality rate (per 100 000 population) 10,7 10,4 10,0 It is planned to achieve an ambitious 10% reduction in TB-related mortality per 100 000 in three years
Percentage share increase of funding for TB/HIV activities targeting the key populations from the cities health budgets 10% 20% The baseline value will be established during the situational assessment to be carried out in Odesa in 2017, and the targeted percentage increase is 20% in comparison to the value established
− Implementing partner −

Youth development center from Odesa works with PWID, SW, partners of PWID, prisoners/ex-prisoners, PLWHA, and youth. It provides comprehensive package of services related to HIV/TB/HepB,C/STI. This is one of the major organizations working in Odesa. It has very good relations with CCM and municipality. They have influence on the decision making process in Odesa.

It is a member of Odesa City Coordination Council. The Head of this organization is acting as a Secretary of Odesa Oblast Coordination Council.

City project coordinator: Olena Gribova elenapril@i.ua