1. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua What is the Strength of NGOs in Response to the HIV Epidemic? A. Klepikov, International HIV/AIDS Alliance in Ukraine

2. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua IN THE EPICENTRE OF THE EPIDEMIC  Closest to communities  Sometimes – direct voice of communities  Knowledge of real needs

3. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua SCALESCALE

4. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua EFFECTIVENESSEFFECTIVENESS At the opening of the International AIDS Conference in Vienna in July 2010 the example of Ukraine was given in WHO report as a success story: The most encouraging as shown on the slide (on the right) is that these decreases have more than doubled among IDUs with a recent history of drug injections. Collaboration among the health sector, low enforcement against the IDU communities and NGO has been critical to success to date. The chart shows decrease of HIV infection prevalence among IDUs injecting drugs for less than 2 years.

5. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua EFFECTIVENESSEFFECTIVENESS Officially Recorded HIV Cases among IDUs in Dynamics

6. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua STABILITYSTABILITY  Were the first to start harm reduction programmes and are still “in the forefront”  Assure sustainability on the back of new appointments in local and central authorities  Act as permanent advocates of programme interests

7. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua SUSTAINABILITYSUSTAINABILITY ART Programmes Transferred to the State Continue Developing

8. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua FUNDRAISINGFUNDRAISING  $230 million to fight AIDS  $100 million to fight tuberculosis  Sustainable support from US Government

9. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua STANDARDSSTANDARDS Purchase Prices for ARV Medications are Gradually Flattened out 2009

10. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua LEADERS OF BEST PRACTICE / WORLD INTEREST The Way Home (Odesa) in SCIENCE magazine VAM, Insight, From Heart to Heart (Cherkasy) in LANCET Eney, Vertical, Step by Step (Kyiv) in British Medical Journal Convictus (Kyiv) in Die Zeit

11. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua PARTNERSHIPPARTNERSHIP  over 200 healthcare facilities (AIDS centers, drug, STI and TB treatment clinics, hospitals, etc.)  17 city and district centers of the Social Services for Family, Children and Youth  111 pharmacies  90 shelters and 25 centers of social and psychological rehabilitation of children, subordinated to the Ministry of Ukraine for Family, Youth and Sport NGOs work in partnership. Programme implementation involves:

12. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua Press conference: The doctors’ plot: criminal prosecution of doctors and their patients, 03.06.2010, UNIAN, Kyiv Punished for Fighting AIDS by Pavol Stracansky THE POWER OF ADVOCACY

13. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua On September 25, 2010 after 120 days of incarceration by resolution of the Odesa Court of Appeal doctor Ilya Podolyan was released Though tough court proceedings are still awaiting him … THE POWER OF ADVOCACY

14. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua ISSUES ON THE AGENDA  ART extension. HIV-positive injection drug users do not have proper access to treatment – their share among ART patients is less than 8%  Funding of prevention programmes. Not a penny has been disbursed from state budget for prevention activities among female sex workers, men who have sex with men.  Secret war of law enforcers against substitution treatment.  Treatment of hepatitis. TB treatment.

15. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua SUBSTITUTION TREATMENT IMPLEMENTATION: THREATS

16. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua AGAINST CRIMINALIZATION AND REPRESSIONS As a result of recent enforcement of the Order of the MoH of Ukraine No.634, the level of criminalization of users of the most wide-spread illicit injection drugs has been increased 20-fold (!). Operation of prevention syringe exchange programmes implemented by NGOs and department of the State Social Service according to the National Programme on HIV/AIDS is brought to a standstill: millions of syringes will stay in children’s playgrounds, at the stairs and next to residential houses.

17. Міжнародний Альянс з ВІЛ/СНІД в Україні www.aidsalliance.org.ua 10 years of joint work