{"id":2274,"date":"2021-12-01T07:59:27","date_gmt":"2021-12-01T04:59:27","guid":{"rendered":"https:\/\/mededu.org.ua\/?post_type=news&#038;p=2274"},"modified":"2023-09-30T11:19:13","modified_gmt":"2023-09-30T08:19:13","slug":"the-fourth-issue-of-the-medical-education-marathon-on-the-role-of-primary-care-in-hiv-response-2","status":"publish","type":"news","link":"https:\/\/mededu.org.ua\/en\/news\/the-fourth-issue-of-the-medical-education-marathon-on-the-role-of-primary-care-in-hiv-response-2\/","title":{"rendered":"The fourth issue of the Medical Education Marathon on the role of primary care in HIV response"},"content":{"rendered":"<p>In Ukraine, approximately one in 165 people are living with HIV. Many people are unaware of their HIV status because society is not well-informed about the virus\u2019s spread, prevention, and treatment. Today, the HIV epidemic in Ukraine can be overcome by mass testing of the population. If everyone knows ones\u2019 HIV status, it will be the slightest chance of getting or transmitting the virus to someone. Hence, on World AIDS Day, during the fourth issue of the Medical Education Marathon, we reflected on the following:<\/p>\n<ul>\n<li aria-level=\"1\">how primary care has become a part of a support for people living with HIV;\u00a0 what is the role of primary health care, what opportunities are available, and what challenges it is working with,<\/li>\n<li aria-level=\"1\">a vision of the role of primary health care in HIV prevention, response to new commitments,<\/li>\n<li aria-level=\"1\">transfer of supporting people living with HIV to primary health care facilities, positive changes,<\/li>\n<li aria-level=\"1\">what is the support of people living with HIV now, what is the difference between the support at the primary health care level and in specialized institutions (HIV centres), the role of nurses in support of people living with HIV,<\/li>\n<li aria-level=\"1\">peer groups as an opportunity to share experiences with doctors who support HIV patients.<\/li>\n<\/ul>\n<p>The family doctor is significant for patients\u2019 first contact with the health care system. In a sense, family doctors are health gatekeepers who diagnose, prevent, and treat. For people living with HIV, the role of family doctors is essential. Therefore, their dialogue can be based on trust.<\/p>\n<p>In Ukraine, the relationship between family doctors and patients living with HIV has begun to develop due to health care reform.\u00a0<em>\u201cUnfortunately, despite our country\u2019s significant successes in the fight against the HIV\/AIDS epidemic, according to the WHO, Ukraine remains a country at high risk of HIV infection among Central European and Asian countries. Today, the Healthcare Guarantee Programme has outlined a clear list of medical services and medicines that the state guarantees to each patient according to his clinical needs. The goal of the National Health Service of Ukraine (NHSU) is to diagnose, detect infection and prescribe antiretroviral drugs as soon as possible,\u201d<\/em>\u00a0said\u00a0<strong>Ruslana Dutchuk<\/strong>, chief specialist of the Clinical and Scientific Expertise Department of the Universal Medical Services Coverage Strategy Department, (NHSU).<\/p>\n<style>\n\t.slickslider li a img {\n\t\tdisplay: block;\n    width: 100%;\n    height: auto;\n    aspect-ratio: 3 \/ 2;\n    object-fit: cover;\n\t}\n<\/style>\n<ul class=\"slider slickslider\">\n\t\n\t\t<li>\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8320-2-scaled.jpg\"\n\t\t\t\ttarget=\"_blank\"\n\t\t\t\trel=\"noopener\">\n\t\t\t\t<img width=\"1280\" height=\"853\" src=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8320-2-scaled.jpg\" class=\"gallery-slider__image\" alt=\"\" loading=\"lazy\" decoding=\"async\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" srcset=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8320-2-scaled.jpg 2560w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8320-2-300x200.jpg 300w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8320-2-1024x683.jpg 1024w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8320-2-768x512.jpg 768w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8320-2-1536x1024.jpg 1536w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8320-2-2048x1365.jpg 2048w\" \/>\t\t\t<\/a>\n\t\t<\/li>\n\n\t\n\t\t<li>\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8338-2-scaled.jpg\"\n\t\t\t\ttarget=\"_blank\"\n\t\t\t\trel=\"noopener\">\n\t\t\t\t<img width=\"1280\" height=\"820\" src=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8338-2-scaled.jpg\" class=\"gallery-slider__image\" alt=\"\" loading=\"lazy\" decoding=\"async\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" srcset=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8338-2-scaled.jpg 2560w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8338-2-300x192.jpg 300w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8338-2-1024x656.jpg 1024w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8338-2-768x492.jpg 768w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8338-2-1536x984.jpg 1536w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8338-2-2048x1311.jpg 2048w\" \/>\t\t\t<\/a>\n\t\t<\/li>\n\n\t\n\t\t<li>\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8488-2-scaled.jpg\"\n\t\t\t\ttarget=\"_blank\"\n\t\t\t\trel=\"noopener\">\n\t\t\t\t<img width=\"1280\" height=\"853\" src=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8488-2-scaled.jpg\" class=\"gallery-slider__image\" alt=\"\" loading=\"lazy\" decoding=\"async\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" srcset=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8488-2-scaled.jpg 2560w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8488-2-300x200.jpg 300w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8488-2-1024x683.jpg 1024w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8488-2-768x512.jpg 768w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8488-2-1536x1024.jpg 1536w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8488-2-2048x1365.jpg 2048w\" \/>\t\t\t<\/a>\n\t\t<\/li>\n\n\t\n\t\t<li>\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8341-2-scaled.jpg\"\n\t\t\t\ttarget=\"_blank\"\n\t\t\t\trel=\"noopener\">\n\t\t\t\t<img width=\"1280\" height=\"853\" src=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8341-2-scaled.jpg\" class=\"gallery-slider__image\" alt=\"\" loading=\"lazy\" decoding=\"async\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" srcset=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8341-2-scaled.jpg 2560w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8341-2-300x200.jpg 300w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8341-2-1024x683.jpg 1024w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8341-2-768x512.jpg 768w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8341-2-1536x1024.jpg 1536w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8341-2-2048x1365.jpg 2048w\" \/>\t\t\t<\/a>\n\t\t<\/li>\n\n\t\n\t\t<li>\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8375-2-scaled.jpg\"\n\t\t\t\ttarget=\"_blank\"\n\t\t\t\trel=\"noopener\">\n\t\t\t\t<img width=\"1280\" height=\"853\" src=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8375-2-scaled.jpg\" class=\"gallery-slider__image\" alt=\"\" loading=\"lazy\" decoding=\"async\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" srcset=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8375-2-scaled.jpg 2560w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8375-2-300x200.jpg 300w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8375-2-1024x683.jpg 1024w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8375-2-768x512.jpg 768w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8375-2-1536x1024.jpg 1536w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8375-2-2048x1365.jpg 2048w\" \/>\t\t\t<\/a>\n\t\t<\/li>\n\n\t\n\t\t<li>\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8404-2-scaled.jpg\"\n\t\t\t\ttarget=\"_blank\"\n\t\t\t\trel=\"noopener\">\n\t\t\t\t<img width=\"1280\" height=\"853\" src=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8404-2-scaled.jpg\" class=\"gallery-slider__image\" alt=\"\" loading=\"lazy\" decoding=\"async\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" srcset=\"https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8404-2-scaled.jpg 2560w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8404-2-300x200.jpg 300w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8404-2-1024x683.jpg 1024w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8404-2-768x512.jpg 768w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8404-2-1536x1024.jpg 1536w, https:\/\/mededu.org.ua\/wp-content\/uploads\/2021\/12\/vk8a8404-2-2048x1365.jpg 2048w\" \/>\t\t\t<\/a>\n\t\t<\/li>\n\n\t<\/ul>\n<p>&nbsp;<\/p>\n<p><em>\u201cFor me, the topic of HIV is very close. I have been working for people living with HIV for about three years. As a general practitioner, it is important for me that people who come for medical care must be completely honest with me. So, I understand what treatment they need, what referrals, what screening questionnaires need to be conducted, what additional preventive measures are needed for this person,\u201d<\/em>\u00a0said\u00a0<strong>Dmytro Skirgiko<\/strong>, a family doctor of the All-Ukrainian network for people living with HIV, 100% life. Family physicians do not deal with different diseases in their daily work but with individual patients. And for every doctor, a patient is a person who needs help.\u00a0<em>\u201cWe need to understand that when a person learns about one\u2019s HIV-positive status, it is difficult for them. And who but a general practitioner can be the first to provide psychological assistance, refer to a specialist or psychologist, refer to the various social services,\u201d<\/em>\u00a0Dmytro added.<\/p>\n<p>The role of the family doctor is valuable in the diagnosis of HIV infection. A timely diagnosis is an important step that helps a person with HIV live a full life.\u00a0<em>\u201cI am 100% in favor that the diagnosis should be made by family doctors who know the family better and the environment in which the family lives. They are the ones who can help and motivate family members to retake the test,\u201d<\/em>\u00a0said I<strong>ryna Raus<\/strong>, an infectious disease doctor, and pediatrician at the Kyiv City Center for AIDS Prevention and Control.<\/p>\n<p><em>\u201cTesting should be offered to everyone, not based on symptoms, but as part of routine care for their health. Once a year \u2014 must-have. If this is constantly repeated to patients, sooner or later, there will be a positive effect. If every family doctor starts telling his patients that they need to be tested, that they can live with HIV, and urges people to be treated if something goes wrong, then the stigma will disappear,\u201d<\/em>\u00a0said\u00a0<strong>Valeriia Rachynska<\/strong>, a person living with HIV and a member of the NGO 100% Life.<\/p>\n<p>To build a relationship of trust and respect between a person living with HIV and a family doctor, it is necessary to train doctors and nurses to be aware of this topic. Intolerance is often caused by a lack of knowledge about HIV. Today, there are many online courses for health professionals on the website of the National Health Service of Ukraine and the Center for Public Health. They help to understand the topic better.\u00a0<em>\u201cI have been working as a nurse for many years and have repeatedly faced situations where there is discrimination against people living with HIV. It infuriates me. I am very tolerant of all people. I perceive every patient as equal,\u201d<\/em>\u00a0said\u00a0<strong>Anna Asanova<\/strong>, a nurse at the 7th outpatient clinic, Center of PHC # 1 of Dniprovskyi district.<\/p>\n<p>Today, attention must be paid to the treatment and diagnosis of patients and the cultivation of an empathic attitude toward people living with HIV among doctors.\u00a0<em>\u201cIt\u2019s very cool that the National Health Service of Ukraine and the Center for Public Health are initiating the creation of courses not only on hard skills. We are now talking about soft skills, which become an advantage in financial moments and communication with the patient,\u201d<\/em>\u00a0said\u00a0<strong>Daryna Dmytriievska<\/strong>, a family doctor and consultant for the Ukrainian-Swiss project \u201cDevelopment of Medical Education.\u201d<\/p>\n<p>Thank you for joining our discussion of this important topic. You can view other issues of the medical education marathon at this link \u2192\u00a0<a href=\"http:\/\/mededu.tilda.ws\/marathon\" target=\"_blank\" rel=\"nofollow noopener\">http:\/\/mededu.tilda.ws\/marathon<\/a>. By the way, the team of Tviy simeynyi likar has prepared posters calling to find out your HIV status and QR code, which can be used to find the nearest testing point in your city \u2192\u00a0<a href=\"https:\/\/bit.ly\/3Ea3c44\" target=\"_blank\" rel=\"nofollow noopener\">https:\/\/bit.ly\/3Ea3c44<\/a><\/p>\n","protected":false},"featured_media":0,"template":"","meta":[],"class_list":["post-2274","news","type-news","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mededu.org.ua\/en\/wp-json\/wp\/v2\/news\/2274","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mededu.org.ua\/en\/wp-json\/wp\/v2\/news"}],"about":[{"href":"https:\/\/mededu.org.ua\/en\/wp-json\/wp\/v2\/types\/news"}],"wp:attachment":[{"href":"https:\/\/mededu.org.ua\/en\/wp-json\/wp\/v2\/media?parent=2274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}