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Main achievements and further developments

10 th Stakeholders’ meeting 15 th of March, 2007. 2006 and beyond:. Main achievements and further developments. Overcoming HIV/AIDS epidemic in Ukraine (programme supported by the Global Fund). Andriy Klepikov Executive Director, International HIV/AIDS Alliance in Ukraine.

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Main achievements and further developments

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  1. 10th Stakeholders’ meeting 15th of March, 2007 2006 and beyond: Main achievements and further developments Overcoming HIV/AIDS epidemic in Ukraine (programme supported by the Global Fund) Andriy Klepikov Executive Director,International HIV/AIDS Alliance in Ukraine

  2. Expenditure – Budget vs. Actual 2006

  3. Expenditure profile Alliance’s expenditure structure within Global Fund Project:from 1 January 2006— 31December 2006

  4. 2006 key results: • 3730 people (3178 adults and 552 children) are receiving antiretroviral therapy; • 1836 (4487 cumulatively since 2004) HIV-positive pregnant women received ARV to prevent mother-to-child transmission of HIV before and during labour during 2006; • 436 opiate-dependent people are receiving substitution maintenance therapy; • the groups most vulnerable to HIV have access to prevention and information services, including over110,000 injecting drug users, over 15,000 women involved in commercial sex and over 29,000 of prisoners; • 406 medical institutions in all regions of Ukraine received medicines and other medical supplies www.aidsalliance.org.ua

  5. Key results: • Scaling up of ARV therapy has influenced declining in the AIDS mortality growth rate; • Introduction of the substitution maintenance treatment has demonstrated posive implications. The examples include: - a number of clients survived from death while being on SMT; - crime rate falls dramatically among SMT’s clients; - Illegal drug business loses significant money income from drug users reoriented on SMT; • In the area of HIV prevention several promising innovations were started (pharmacy initiative, peer driven interventions, VCT with rapid tests, community centres); • Round 6 process had very positive implications for the R1 grant (incl. progress with the methadone registration, substantial increase in the national AIDS budget for 2007 etc.) www.aidsalliance.org.ua

  6. Challenges: • Several indicators were not met in 2006, particularly, the ones related to substitution maintenance treatment and prevention of mother-to-child transmission; • Lack of clear and consistent governmental policy in regard to sufficient rolling out of the substitution therapy maintenance treatment with methadone • In order to make an impact, HIV prevention efforts require more substantial funding over the next years • Over 2007 clear confidence should be built to pick up with governmental funding Round 1 activities related to ARV treatment and PMTCT www.aidsalliance.org.ua

  7. 2007 targets • 5,040patients on ART (including 725 children) • 3,500IDUs on ST (850 of which also on ART); • 7,325pregnant women receive PMTCT (cumulative target starting 2004); • 24,500 PLHA access non-clinical care & support (including 3,000 children) • 128,000 IDUs • 12,500sex workers access prevention services • 17,000 prisoners www.aidsalliance.org.ua

  8. Next steps • Harmonization with Round 6 programme and with resumed World Bank loan project as well as with other major interventions including national and locally funded programmes • Addressing programme challenges e.g. ARV treatment dropouts, growing needs in substitution therapy, and coverage of most at risk populations and PLHA • Year 5 planning (October 2007 – September 2008) including incorporation of the savings to bridge Round 6 timetable • Recommendations from the external evaluation of the grant will be applied for the current and Round 6 grants as well as for the overall country response www.aidsalliance.org.ua

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