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PROGRAM UPDATE

PROGRAM UPDATE. OVERCOMING HIV/AIDS EPIDEMICS IN UKRAINE. NATIONAL PROGRAM SUPPORTED BY GFATM. COMPONENT : TREATMENT, CARE AND SUPPORT. Presentation by Treatment, Care and Support Department at the 3rd Steakholders Meeting on the GFATM Grant to Ukraine

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PROGRAM UPDATE

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  1. PROGRAM UPDATE OVERCOMING HIV/AIDS EPIDEMICS IN UKRAINE NATIONAL PROGRAM SUPPORTED BY GFATM COMPONENT: TREATMENT, CARE AND SUPPORT Presentation by Treatment, Care and Support Departmentat the 3rd Steakholders Meeting on the GFATM Grant to Ukraine September 2, 2004, Kiev, Ukraine

  2. TREATMENT, CARE AND SUPPORT • Clinical component • Monitoring of treatment, adherence, procurement, etc. • Technical support of National AIDS center in developing capacity for programme implementation • Component on training doctors, nurses and social workers • Development of national protocols. • Creation of the unified system of procurement management and monitoring • Process of procurement (ARV medicines, non-ARV medicines, equipment, consumables) • Procurement management • Non-medical care and support

  3. Partnership that facilitates successful project implementation • Ministry of Health of Ukraine • Ukrainian center for AIDSprevention • Institute of epidemiology and infectious diseases of the AMS of Ukraine • PATH • MSF • Ukrmedpostach • Employees and consultants of the International HIV/AIDS Alliance (Brighton, GB) • National and international consultants • Creation of new department in the Alliance

  4. Procurement of ARV medicines • Procurement of ART medicines was the most complicated task for Alliance • Absence of experience • Recruitment of consultants on procurement, logistics, brokers, lawyers, and other professionals • Despite the difficulties the Alliance has successfully managed achievement of its objectives. As a result, the cargo has obtained the status of humanitarian aid • Issuance of the Edict of the Ministry of Health of Ukraine has approved the Schedule of the supply and implementation of ART on the regional and local levels • On August 16, 2004 the medicines have been supplied to all regional AIDS centers

  5. Procurement of non-ARV supplies • Ratification of the specifications on procurement of diagnostic equipment: three flow cytometers, viral load analyzers and drugs for opportunistic infections, and also buprenorphine for implementation of substitution therapy • On August 31, 2004 the tender has been conducted on three flow cytometers, viral load analyzers and drugs for opportunistic infections

  6. Training of medical staff and social workers • In June 2004 the series of trainings have been conducted on Providing ART to Adults and Adolescents (by Knowledge Hub and the Ministry of Health of Ukraine at the premises • of the Lavra Clinic) • On September 1, 2004 we have started preparation on providing trainings listed below: • Pediatric ART Course • Pediatric Mentoring On-site • ART Adult and Adolescent Mentoring On-site • Currently we negotiate withAHF-Global Immunityon providing system of treatment monitoring and training of medical staff on its use

  7. Non-medical care and support • Providing rehabilitation services for HIV-positive intravenous drug users (IDU) – • 5 projects • Medical-social and psychological support of ART – 7 projects • Medical-social and psychologicalsupport of HIV-positive pregnant, recently confined women and children born to HIV-positive mothers” – 4 projects

  8. Megaprojects: • Ukrainian center for AIDSprevention – project „Organization of medical support for HIV/AIDS infected people and improvement of epidemiological monitoring in the country for realistic estimation of the scale of HIV/AIDS epidemic” • Charitable Fund „Substance Abuse and AIDS Prevention Foundation” – project „National hotline on the issues • of HIV/AIDS”. • All Ukrainian Network of PLHA – project „Development • of care and support for people living with HIV/AIDS” • which includes 34 projects.

  9. Non-medical care and support Megaproject:ACO „All Ukrainian Network of PLHA” Trend: Development of non-medical care and support for people living with HIV/AIDS – 5 projects Trend: Care and support for people living with HIV/AIDS in prisons – 3 projects Trend: Development of Community Center model for HIV- positive people – 5 projects Trend: Development of self-help movement – 12 projects Trend: HIV/AIDS self-help (summer camps) – 3 projects Trend: Care and support for children with HIV/AIDS – 4 projects Trend: Comprehensive care and support – 2 projects

  10. Making ART accessible to intravenous drug users (IDUs) • Currently, the Alliance has been unable to proceed with only one project – substitution therapy. • Preparatory work on the purchase of buprenorphine has been successfully performed. It can now be purchased at any time. • The project has not been started for a number of reasons. • However, the new adequate schemes to offer substitution therapy for IDUs on ART are constantly being searched for.

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