E/C.12/UKR/CO/6 Committee notes the commitment of the State party to increase ART coverage to 80 per cent by the end of 2018 (art. 12). The State party should continue its efforts to prevent and combat HIV/AIDS, including through the effective implementation of the National AIDS Programme 2014–2018, inter alia by: (a) Enhancing its national preventive strategy, including its awarenessraising activities, taking into account the spread of HIV infection beyond the original risk groups, and providing adequate funding for its prevention activities, including for needle and syringe exchange (NSE) programmes; (b) country; Improving the coverage of adequate confidential testing throughout the (c) Enhancing its counselling and referral services; (d) Addressing shortages of antiretroviral drugs; (e) persons; Providing for access to adequate laboratory monitoring for HIV-infected (f) Progressively increasing antiretroviral therapy coverage, including by considering the introduction of generic-based antiretroviral drugs. Tuberculosis 23. The Committee is concerned about the prevalence of tuberculosis, including multidrug-resistant tuberculosis (MDR-TB), the insufficiency of anti-tuberculosis drugs, deficient infection control activities, the low impact of detection efforts and the inadequate service delivery at the primary health-care level (art. 12). The Committee recommends that the State party step up its efforts with a view to improving its policies and strategies for disease prevention and detection, ensuring that there is sufficient, accessible specialized tuberculosis treatment and medication and adequate service delivery for patients at the primary health-care level. Drug use 24. The Committee is concerned about the punitive approach taken in the State party towards persons who use drugs, which results in high numbers of such persons being imprisoned. The Committee is also concerned about existing regulations which restrict access to opioid substitution therapy (OST) and needle and syringe exchange (NSE) programmes (art. 12). The Committee recommends that the State party adopt a human rights-based approach in addressing the problem of drug use, including by: (a) Conducting awareness-raising programmes about the serious health risks associated with drug use; (b) Addressing discrimination against drug dependent persons; (c) Providing appropriate health care, psychological support services and rehabilitation to such persons, including effective drug dependence treatment such as opioid substitution therapy; 9

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