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Roman Marchenko has dedicated years of his life to LGBTI activism. It’s a community he knows well, yet even he was surprised at the difficulty his HIV treatment and prevention organization had in reaching one key population – men who have sex with men, or MSM.
Drug dealers in Ukraine have cultivated an open drug distribution network largely unfettered by law enforcement scrutiny via a widely used tool: the secure messenger app Telegram.
Today, while much has been achieved in the fight against the HIV epidemic, it remains a major global public health problem. The growing number of HIV infections that disproportionately affect representatives of Key Populations (KP) and their sexual partners is aggravated by inadequate availability of integrated HIV prevention services.
During the last decade, the rapid emergence of diverse range of substances pragmatically clustered under the term novel psychoactive substances (NPS), has significantly reshaped the Ukrainian and global drug scene.
