Publications by authors named "Olga Vitruk"
Background: Ukraine has implemented ambitious HIV-prevention programs since 1999 and began offering preexposure prophylaxis (PrEP) in 2017. Little is known about PrEP uptake and persistence in this setting.
Setting: We analyzed data from 40 facilities providing PrEP in 11 oblasts (regions) of Ukraine between October 2020 and February 2022.
The 2022 Russian invasion of Ukraine has caused serious challenges for healthcare workers (HCWs) and HIV-related healthcare services. This study assessed the effects of the invasion on HCWs wellbeing and on continuity of HIV services, using in-depth interviews with HCWs from facilities offering HIV antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP) services in the Donetsk region of Eastern Ukraine. A directed content analysis, with both inductive and deductive approaches, was conducted.
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- Community-based oral PrEP provision, aided by HIV self-testing, shows promise for expanding access but may risk inappropriate use and drug resistance due to lower testing sensitivity compared to traditional methods.
- * A simulation study conducted in western Kenya evaluated the effectiveness and cost of various HIV testing methods combined with PrEP scale-up over 20 years, finding a 29% PrEP coverage could significantly reduce HIV infections and related deaths.
- * Drug resistance rates were low across testing scenarios, with self-testing methods showing slightly higher resistance compared to provider-administered tests, but overall drug resistance remained manageable.