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Overcoming the HIV/AIDS Epidemic in Ukraine

A National programme supported by the Global Fund. Overcoming the HIV/AIDS Epidemic in Ukraine. Key issues for the Consolidation Group. Background. Years 3 – 5 of a 5 year proposal; reviewed by TRP and approved by GF Board. Changes in epidemic & response:

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Overcoming the HIV/AIDS Epidemic in Ukraine

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  1. A National programme supported by the Global Fund Overcoming the HIV/AIDS Epidemic in Ukraine Key issues for the Consolidation Group

  2. Background • Years 3 – 5 of a 5 year proposal; reviewed by TRP and approved by GF Board. • Changes in epidemic & response: • Young epidemic, still concentrated in vulnerable groups (& sexual partners) • Feminization and vertical transmission • Strengthening of health systems (AIDS Centres) • Complementarity of government services / NGO • Needs to be seen in the context of what others are planning & funding

  3. Logic of interventions • Information, education, advocacy, policy change • Individually focused prevention + community mobilization • Scaling up of targeted services, commodities & information Produce • An enabling environment • Empowerment for prevention (vulnerable groups) • PLHA access to high quality comprehensive clinical care Leading to a reduction in • rate of new infections • mortality / morbidity of PLHA • M&E (surveillance) • Capacity building

  4. Stakeholder design: working groups • 4 fairly distinct and vertical components in original structure of the proposal. • Opportunity for greater integration. • Working groups provide technical input on: • Treatment, procurement & supply management • Community based services & information • Information & Education • Monitoring & evaluation

  5. Resources available Funding Available for years 3 – 5 GF approved budget for years 1-5 92,153 Less phase 1 - Ex PR 1,591 Alliance 23,379 24,970 Maximum available amount years 3-5 67,182 (Figures assume full spend in phase 1)

  6. Current budget, by component ($000s) Based on plans of Working Groups Component Budget Ratios by phase 1st 2ND PR 8,592 12% 13% Treatment, care and support 37,387 57% 54% Focused prevention 11,800 10% 17% Inform, education and advocacy 7,655 14% 11% M&E 2,010 4% 3% Man’t Fee 1,500 3% 2% Total 68,945 100% 100% Deficit 1.763

  7. Stakeholder decisionsConsolidation group • Consolidate, check quality & consistency of proposal coming through working groups (WG) • Programme implementation strategy. Decide on issues beyond the scope of the (WG): • Treatment targets: 5000 PLHA on ARVs? TB / methadone? • Performance indicators • Integration at oblast level? Comprehensive / essential package of services? • Second PR? Assessments & support? • Budget limitations; gaps & explanations? • Stakeholder leadership & coordination mechanisms?

  8. T h a n k y o u

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