Global Fund grant VII Stakeholders meeting 21st October, 2005

Overcoming the HIV/AIDS epidemic in Ukraine Outline of phase II Global Fund grant 7th Stakeholders meeting 21st October, 2005

Contract conditions - Alliance Part of national response –not stand alone programmePart of national response –not stand alone programme Participatory planning process, lead by MoH & CG.Participatory planning process, lead by MoH & CG. Same components as original proposalSame components as original proposal Full € 55 Million (USD 67 M) for the next 3 y. following contractual conditions still pending:Full € 55 Million (USD 67 M) for the next 3 y. following contractual conditions still pending: –Detailed workplan & PSM plan (by end Oct) –Revised M&E plan (by end Nov) –Plan for ITA for drug substitution (by end Nov)

Contract conditions – Other stakeholders Plan for transfer to 2 nd PR:Plan for transfer to 2 nd PR: –nominated by a fully functional CCM –with a draft plan from the CCM regarding long term sustainability of universal access to treatment & prevention activities –passes global fund assessment; accelerated & effective use of available resources (budget and WB loan)

Components & budget overview Phase 2 Year 3Year 4Year 5Totals 1 Establishment and maintenance of PR Unit Treatment, care and support (excl procurement of health products) Procurement and delivery of ARV and other medical supplies Focused prevention Information, education and advocacy Surveillance and evaluation Alliance management fee Totals

6,000 patients on ART 6,000 IDUs on ST (1250 of which also on ART); 12,200 pregnant women receive PMTCT; 26,300 PLHA access non-clinical care & support 150,000 IDUs 15,000 sex workers access prevention services 19,200 prisoners Ambitious 2008 targets

Key changes  Site based planning information and services:  One integrated strategy & work-plan per site  “Clients” in the site access focused prevention + care & support + information in coordinated way.  One organization = one proposal  Plans for a 2 nd Principal Recipient.  Closely linked to national response  Better coordinated but more dependent (e.g. WB loan)  Standards and gaps will become more apparent

Immediate action  Finalise documentation required by GF  Extend contracts to all performing grantees.  ARV procurement. Treatment plan  Reorganisation of Alliance Ukraine office; reflects programme changes and results of org review.

Stakeholder involvement UCC (to which we will be reporting): effective supervision & coordination of national response. Continue stakeholder meetings / transparent information Technical support with response-wide focus

An eye beyond 2008 All resources available are effectively utilised. Additional resources, both from national budget and international community Continue stakeholder mobilisation & trust