USAID supports policy change and helps the Government of Ukraine implement the National TB program. Past USAID programs focused on strengthening the laboratory network for quality TB diagnostics, improving treatment regimens, mobilizing community support, and institutionalizing best practices. Since 2007, USAID has been working to increase access to quality TB services based on the WHO-recommended Directly Observed Treatment Short course (DOTS) strategy. A new five-year project, Strengthening TB Control in Ukraine focuses on improving TB treatment outcomes and adherence to appropriate TB treatment regimens. It seeks to ensure the implementation of effective management of multi-drug-resistant (MDR) TB cases, an effective response to growing rates of TB-HIV co-infection and the strengthening of pharmaceutical systems.