Transcript Overcoming HIV Epidemic in Ukraine

Overcoming HIV/AIDS Epidemic in
Ukraine
National programme supported by
GFATM
Presentation by Alvaro Bermejo and Andriy Klepikov at the Stakeholders
Meeting on the GFATM Grant to Ukraine, Kyiv, April 8, 2004
Overcoming HIV/AIDS Epidemic in
Ukraine
• Complex effort in support of Ukrainian
response to HIV epidemic
• Designed taking into account other
initiatives implemented or planned
• Success is conditioned on co-ordination
and partnerships
What is Expected from International
HIV/AIDS Alliance
• Quick completion of the start up phase and start of
large scale implementation
• Concerted implementation of all components
• Implementation largely in accordance to the original
programme design
• Articulated leadership and appropriate involvement of
relevant stakeholders
• Compliance with international standards and good
practice in programme management and
implementation
• Transparency and accountability
Constituents of Success
• Renewal of the grant for years 3 to 5
• Considerably improved access to treatment
• Significant coverage of focused prevention
efforts in selected areas
• State public health system ready to take over
the clinical care work
• Fully operational CCM resume programme
oversight and strategic guidance
Components of the Programme
• Improving and Scaling Up Treatment,
Care and Support for PLHA
• Focused Prevention in Vulnerable
Communities
• Enabling Environment through
Information, Education, and Advocacy
• Guiding Performance through Improved
Surveillance and Evaluation System
Treatment, Care and Support
• ARV procurement and supply management
• Treatment planning, implementation and
monitoring
• Fine-tuning the national treatment protocols
• Procurement and supply of non-ARV health
products
• Capacity building through comprehensive
training programmes
• Broad package of non-clinical care and
support services
• Implementation of substitution therapy
programmes for HIV-positive IDU
Focused Prevention
• HIV prevention scaled up programmes aimed at
reaching substantial coverage of vulnerable
communities (IDU and those involved in commercial
sex) in 8 intensive focus regions
• Basic level of support for currently existing
programmes targeting IDU and those involved in
commercial sex in other regions
• Development of HIV prevention projects in
penitentiary institutions
• Comprehensive technical assistance to organisations
implementing the projects
• Strong co-ordination between prevention and care
programmes
Information, Education, and Advocacy
• Coordination of all branches of national
response to the epidemic through appropriate
communication strategy
• Mainstreaming of HIV prevention on
education system
• Working with and through media
• IEC work with vulnerable communities
• Database of Russian/Ukrainian language IEC
resources
• National and local level advocacy work
• Best practice documentation and sharing of
lessons
Surveillance and Evaluation
• Improvements of the national epidemiological
surveillance system including introduction of regular
and well-structured sentinel and behavioral
surveillance
• Social research necessary to improve understanding
of epidemiological trends and development of
appropriate responses
• Development of the financial and managerial
efficiency assessment system
• Development of national response evaluation system
• Project monitoring and evaluation system
Progress so Far
• Agreement with GFATM signed on 15th March 2004
for 12 months for the amount of 15,737,000 USD
• Interruption of services on the ground avoided with
bridging funding
Budget breakdown by components, USD
Treatment and support
747,000
Focused prevention
2,869,000
Information, education
and advocacy
Surveillance and
evaluation
1,396,000
10,725,000
Progress so Far (Cont’d)
Whilst awaiting first disbursement:
• Project implementation unit established
• We have been assessed by the LFA
• International technical support provision intensified
• Workplans adjusted to the current situation
• A series of consultations were conducted with key stakeholders
(government agencies, international organisations and donors,
NGOs, PLHA)
• Established good working relations with the Ministry of Health of
Ukraine -- key partner on the GFATM project
• Dr. Oleg Zalata is appointed as the project co-ordinator on behalf of
the MOH
• Agreed to sign a Memorandum of Understanding and Co-operation
between MoH and the Alliance under the Global Fund project
Ukrainian AIDS Center is designated to be the recipient of ARV
medications
Progress so Far (Cont’d)
• By the end of this week Alliance is planning to sign a contract
with IDA to procure ARVs for Ukraine according to the list of
drugs agreed with the MOH.
• ARV drugs borrowed from MSF to cover emergency gap will be
reimbursed under this procurement
• Preparation for renewal of contracts with organisations that
started their work at the first stage of the Project implementation
and demonstrated the progress in the areas of care and support,
and prevention
• New tenders for the project implementation in several areas are
at the preparatory stage
• Concluding negotiations with PATH to assist with procurement of
non-ARV health products and supply management
• Establishing geographic coverage concept including scaling up
in the targeted oblasts as well as maintenance of a basic level of
services in other oblasts
• External monitoring from the NGO and PLHA community was
proposed by the NGO Coalition