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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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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



Expenditure profile

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


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


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


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


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


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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