1. Critical PSM bottlenecks and solutions Ukraine Olena Wagner International HIV/AIDS Alliance in Ukraine Procurement and Supply Management Workshop 13-16 March 2006, Moscow, Russia

2. Objectives 1. To present current status of GFATM treatment and procurement implementation 2. To present Ukrainian perspective on the country’s critical PSM issues 3. Suggest possible solutions

3. GFATM treatment and procurement implementation 1. International HIV/AIDS Alliance (NGO) is a sole Principal Recipient since March 2004 2. Phase 1 ended on 30 th of Sept 2005 3. Phase 2: October 1, 2005 – September 30, 2008

4. Background  At the moment of GFATM program start there were three small HIV treatment & procurement programs: MoH (137 pts) MoH (137 pts) MSF (147) MSF (147) BMS (35) BMS (35)

5. Current status

6. MoH enrolment trend

8. Possible solutions  Improve coordination of procurement on the country level  Build capacity of both MoH and NAC  Delegation of responsibility from MoH to NAC will result in better operational flexibility  Resource generation Human resources Human resources Facilities Facilities Funds Funds Etc Etc