UNDP and HIV/AIDS …in Europe and the CIS 4 th COP Meeting Moscow, June 2007

1. UNDP and HIV/AIDS …in Europe and the CIS4th COP MeetingMoscow, June 2007

2. HIV/AIDS in Eastern Europe & the CIS • Relatively low, asymmetric prevalence BUT… • High growth (incidence), in fact with 270,000 new infections in 2006 EECA representing a twenty-fold increase in less than a decade !* • Bringing the total number of people living with HIV to approximately 1.7 million • Highly concentrated among youth and vulnerable groups, with extreme social exclusion AIDS Epidemic update: December 2006 UNAIDS

3. HIV infections newly diagnosed: Cases reported in 2005 per million population WHO European Region

4. HIV infections newly diagnosed per million population, 1995-2005, selected countries, Eastern Europe

5. New ‘Out-posted Model’

6. UNDP’s Response - Corporate Framework(in line with UNAIDS/UN Division of Labor)

7. UNDP’s Response - Corporate Framework& UNAIDS Division of Labour

8. 1) HIV/AIDS and Human Development • Mainstreaming HIV/AIDS into sectors, national strategies and PRSPs • Regional Programme support PRSP countries • Mainstreaming handbook translated into Russian • HIV/AIDS and Macro-economic Frameworks • Trade, TRIPS and Access to Treatment

9. 2) Governance of the HIV/AIDS Response • Governance support to National AIDS Strategies • Three Ones principles for coordination of national responses • RC System and Unified UN response to support National Planning

10. Regional Research Initiatives Regional Challenge • Major increase in resources available (Global Fund, WB, Gov.) • Weak/variable health systems and implementation capacity • Lack of Multi-sectoral approaches, Gov-NGO linkages UNDP Mandate • HIV/AIDS and Human Development • Governance of the HIV/AIDS Response Regional Capacity Assessment • 6 Countries • Stand-alone tool • Policy recommendations • Follow-on projects ? +

11. 3) HIV/AIDS, Human Rights and Gender • Human Rights, Legislation, Greater Involvement of People Living with HIV/AIDS • Gender Equality • Advocacy & Media Campaigns

12. Regional Research Initiatives Regional Challenge • Extreme social exclusion, stigma & discrimination • Challenges to outreach: IDUs, CSW’s, MSM… • Putting a “human face” on the numbers Vulnerability Assessment • 6 Countries (EST, GEO, RUS, TUR, UKR, UZB) • Regional HDR for Advocacy • Stand-alone tool for Policy Development • Follow-on projects + UNDP Mandate • HIV/AIDS Human Rights and Gender

13. 4) Making the Money Work – More & More Strong growth in strategic position supporting flagship multi-lateral initiatives (especially Central Asia) GFATM (1st completed grant in EE/CA) + $62 mil. (2006) • UNDP as Principal Recipient: Belarus, BiH, Montenegro, Tajikistan, Turkmenistan ?? (17% of UNDP total COs) • “New Model” Capacity development support to national PR’s Armenia, Kyrgyzstan, Uzbekistan (43% of UNDP total COs) World Bank/EuraSEC + $25 mil. mobilised (2006) • First HIV/AIDS Regional Project for RBEC– signed NOV 2006 • Capacity development & implementation support to $27 million World Bank Central Asia Project, KAZ, KYR, TAJ, UZB

14. The New Country Office Support Facility • Strengthening Regional - Country Partnership & Alignment • Enhancing Regional coherence • Rigorous application process utilizing BDP NY capacity • Stimulating CO buy-in and “ownership” of Regional Programme • Nearly $600,000 for one year

15. COSF – Mid year delivery

16. COSF – Mid year delivery

17. Looking Ahead – Drivers for 2007 • KM Management & Products • Launch Knowledge Management strategy • Coordinating the Vulnerability Research in 5 countries and synthesize results into a high-visibility advocacy & policy Regional HDR • Preparing the regional focal points meeting to take place around the Trade/Trips regional meeting • Sub-Regional Focus: • Enhanced engagement with Central Asian countries to facilitate both the rapidly increasing GFATM responsibilities, including ‘marketing’ UNDP support to PR capacities to current PRs. • Other sub-regions, EU Neighbourhood • External & Partnerships • Monitor developments in UNDP and UN reform in general & HIV/AIDS • Follow up on discussions for regional partnerships with World Bank, TPAA and UNAIDS on the CIS Parliamentarian Working Group • HR & Funding Structure: • Complete the Regional Team restructuring placing international Policy Advisor based in Moscow. • Providing ongoing support to the COSF and managing the transition from 1st to 2nd phase for 16 countries

18. Looking Ahead – Drivers for 2007 • Greatest Challenges • Taking the Capacity Assessment to the Next Step • Roll-out of the Vulnerability Initiative and realizing the next RHDR • Ensuring that UNDP remains a relevant player in the field of HIV/AIDS – finding a niche and comparative advantage based on the UNAIDS division of labour • Greatest Opportunities • Sub-regional partnerships • Regional Parliamentary working groups • Joint resource mobilisation with UNAIDS (e.g. 3 Ones) • Current initiatives (regional vulnerability study) will help identify programming opportunities both at the regional and national (CO) level

19. Religious Leaders/ FBOs • Uniting Initiatives in the Region • Ongoing projects in the Orthodox countries (Russia, etc.) • Partnership opportunity with the World Bank funded Central Asia AIDS Control Project • 2008 EE/CIS International AIDS Conference - Moscow

20. Parliamentarian Working Groups on AIDS • Uniting Initiatives in the Region • Russian Federation • Partnership opportunity with the World Bank funded Central Asia AIDS Control Project • Leverage our global partnership with the International Parliamentary Union • ‘Leaders Forum’ which would also include the visit of the Central Asian Parliamentary Working Group on AIDS (Kyrgyzstan, Kazakhstan, Uzbekistan, Tajikistan) fall 2007 • CIS regional event in Moscow 4rth quarter 2007 ? • 2008 EE/CIS International AIDS Conference - Moscow