National Dialogue initiated by TBPeopleUkraine on joint actions of state institutions and civil society organizations, including the community of people affected by TB, in overcoming barriers to quality medical and social services for the treatment of tuberculosis as part of the transition from donor funding for the state was organized in Ukraine on October 29, 2020.

The event supported by TBEC within the TB-REP 2.0 project as well as in partnership with Public Health Center, CO «100% Life» and Stop TB Partnership. Ukraine was held in a combined offline and online format, which allowed the numerous stakeholders to join the meeting. The leaders and representatives of the Ministries of Health, Social Policy, Education and Science, Culture and Information Policy, President’s office and other government bodies, parliamentarians, representatives of key
international organizations working in Ukraine, and a wide range of civil society organizations took part in the National Dialogue.

The participants paid special attention to the discussion of existing legal barriers and opportunities for further sustainable introduction of TB services, as well as the development of a concept for the creation and implementation in Ukraine of acceptable legal conditions for the healthy development of children affected by TB.

A separate session was devoted to the development of social contracting mechanisms to involve civil society organizations in the provision of TB services. Within the framework of this session, co-facilitated by Yuliia Kalancha, Acting Director of TB Europe Coalition, the participants discussed the barriers that exist in the provision of TB services to people affected by TB, namely:
🔘 Lack of a systematic approach to providing services to people affected by TB for budgetary funds;
🔘 Lack of interaction and procedure for intersectoral redirection between the Ministry of Health and the Ministry of Social Policy;
🔘 Difficulties with the continuous provision of medical care and a well-functioning logistics system of essential medicines for people affected by TB within an outpatient treatment, especially in the context of the COVID-19 pandemic;
🔘 Problems in the implementation of the State standard of social services for representing the interests of people affected by TB within inpatient care.

Based on the results of the discussion, the participants formed a list of possible solutions and steps to be taken by both state institutions and representatives of civil society. These proposals will be discussed as part of the finalization of the resolution based on the results of the National Dialogue and will be implemented within the framework of the ministries legislative activity plans for 2021, as well as within the framework of the plan for the implementation of activities of the National ACSM-TB Strategy for 2021.

We thank our partners in Ukraine for their active participation in the National Dialogue – an important initiative to bring together the efforts of all stakeholders in the country to strengthen a decisive TB response.