Overcoming the HIV/AIDS epidemic in UkraineOvercoming the HIV/AIDS epidemic in UkraineOvercoming the HIV/AIDS epidemic in UkraineOvercoming the HIV/AIDS epidemic in Ukraine

Looking ahead:

Programme supported by the Global FundProgramme supported by the Global Fund

Stakeholders meetingStakeholders meetingFebruary, 2006February, 2006Stakeholders meetingStakeholders meetingFebruary, 2006February, 2006

Andriy KlepikovAndriy KlepikovExecutive Director,Executive Director, International HIV/AIDS Alliance in UkraineInternational HIV/AIDS Alliance in Ukraine

Major developments so farMajor developments so farMajor developments so farMajor developments so far

www.aidsalliance.org.ua

Meeting all major 2005 targetsMeeting all major 2005 targets

Rolling out substitution therapy Rolling out substitution therapy

Being substantial part of national response Being substantial part of national response

Catalyzing improvements in national response Catalyzing improvements in national response

Strengthening coordination at the local level Strengthening coordination at the local level

Linking prevention and care through community Linking prevention and care through community based services and information (CBSI)based services and information (CBSI)

Meeting the contractual conditionsMeeting the contractual conditions

Recent milestones Recent milestones Recent milestones Recent milestones

www.aidsalliance.org.ua

Extension of Extension of 126 grant agreement126 grant agreementss withwith 89 subrecipient 89 subrecipientss for for a total amount of a total amount of over over 3535 million million UAH UAH

Expanding ARV treatment to 5 new oblasts (20 in total) Expanding ARV treatment to 5 new oblasts (20 in total)

Provision of substitution therapy to over Provision of substitution therapy to over 11660 0 patientspatients

Starting introducing ART for 30 patients in the penitentiary Starting introducing ART for 30 patients in the penitentiary system (Daryivska penitentiary institution system (Daryivska penitentiary institution № 10 № 10 in Kherson in Kherson oblastoblast)) and launching pilot needle exchange projects in Lviv and launching pilot needle exchange projects in Lviv and Mykolaivand Mykolaiv

Scaling up harm reduction services to all oblasts of Ukraine Scaling up harm reduction services to all oblasts of Ukraine (except Ternopil)(except Ternopil)

Overcoming the HIV/AIDS epidemic in Ukraine Overcoming the HIV/AIDS epidemic in Ukraine Budget to actual for 2005, USDBudget to actual for 2005, USDOvercoming the HIV/AIDS epidemic in Ukraine Overcoming the HIV/AIDS epidemic in Ukraine Budget to actual for 2005, USDBudget to actual for 2005, USD

www.aidsalliance.org.ua

  Total for 2005

  Budget Expenditure Variance

  USD USD USD

Management / PR Implementation Unit/international Technical Assistance

1 883 855 1 547 647 336 208

Treatment, Care & Support (excluding ARV and other health products)

3 453 633 4 099 564 (645 931)

ARV and other health products procurement 5 341 139 3 753 613 1 587 526

Focused Prevention 2 315 285 2 046 434 268 851

Information, Education & Advocacy 2 154 605 2 546 343 (391 739)

Surveillance & Evaluation 656 177 766 941 (110 765)

Alliance management fee 500 000 500 000 0

Total 16 304 692 15 260 543 1 044 150

Challenges:Challenges:Challenges:Challenges:

www.aidsalliance.org.ua

Lack of support in rolling out substitution therapy Lack of support in rolling out substitution therapy and constraints in registration and setting up and constraints in registration and setting up projects with methadoneprojects with methadone

Absence of national HIV/AIDS strategy ensuring Absence of national HIV/AIDS strategy ensuring treatment and prevention continuumtreatment and prevention continuum

Growing gap in funding for focused prevention, i.e. Growing gap in funding for focused prevention, i.e. due to the failure with the World Bank project due to the failure with the World Bank project implementationimplementation

Continuous changes in the Ukrainian government Continuous changes in the Ukrainian government

2006 targets2006 targets2006 targets2006 targets

www.aidsalliance.org.ua

• 3,700 patients on ART (including 600 children)

• 700 IDUs on ST (400 of which also on ART);

• 5,700 pregnant women receive PMTCT;

• 15,500 PLHA access non-clinical care & support

(including 2,000 children)

• 98,00098,000 IDUs

• 10,00010,000 sex workers access prevention services

• 14,00014,000 prisoners

• 3,700 patients on ART (including 600 children)

• 700 IDUs on ST (400 of which also on ART);

• 5,700 pregnant women receive PMTCT;

• 15,500 PLHA access non-clinical care & support

(including 2,000 children)

• 98,00098,000 IDUs

• 10,00010,000 sex workers access prevention services

• 14,00014,000 prisoners