Overcoming HIV/AIDS epidemic in Ukraine Plans for Year 4 Programme supported by the Global Fund Stakeholders’ meeting 7 th November, 2006 Stakeholders’ meeting 7 th November, 2006 Andriy Klepikov Executive Director, International HIV/AIDS Alliance in Ukraine

Comparison budget table 10,91% 0,00% 30,83% 2,72% 5,11% 17,15% -7,36% Variance (%) —500,000 Alliance management fee6 187,3663,852,7703,665,405Focused prevention3 2,054,73414,032,92311,978,189Treatment, care and support (incl procurement of ARV and other medical supplies) ,8822,177,6222,350,504Maintenance of PR Unit1 59,0122,231,5972,172,585Information, education and advocacy4 2,323,15623,622,11421,298,958TOTALS 194,927827,202632,275Surveillance and evaluation5 Variance (USD) Year 4 (USD) Year 3 (USD)Activity description

September 2007 targets 4,720 patients on ART (including 725 children) 3,000 IDUs on ST (750 of which also on ART); 6,700 pregnant women receive PMTCT; 22,000 PLHA access non-clinical care & support (including 2,800 children) 120,000120,000 IDUs 12,05012,050 sex workers access prevention services 16,25016,250 prisoners 4,720 patients on ART (including 725 children) 3,000 IDUs on ST (750 of which also on ART); 6,700 pregnant women receive PMTCT; 22,000 PLHA access non-clinical care & support (including 2,800 children) 120,000120,000 IDUs 12,05012,050 sex workers access prevention services 16,25016,250 prisoners

Challenges:Challenges:  Lack of support in rolling out substitution therapy and constraints in registration and setting up projects with methadone  Insufficient national HIV/AIDS strategy and funding ensuring treatment and prevention continuum  Continuous changes in the Ukrainian government

Recent developments  Grant agreements with 83 subrecipients for a total amount of over 42.5 million UAH  Increased access to VCT using rapid tests for vulnerable groups (  Increased access to VCT using rapid tests for vulnerable groups ( people will receive VCT by September next year)  ARV in prisons: in 2007 over 100 HIV+ inmates will receive ART  ARV in prisons: in 2007 over 100 HIV+ inmates will receive ART (in Kherson, Donetsk, Mykolaiv, Volyn, Vinnitsa, Dnepropetrovsk, Odesa, Poltava, Ternopil, Zaporizhja, Chernihiv oblasts and Crimea)

Next steps  Harmonization with Round 6 proposal and with hopefully de-frozen World Bank loan as well as with other major interventions  Addressing programme challenges e.g. ARV treatment dropouts, growing needs in substitution therapy, and coverage of most at risk populations  Further benefiting from being on the radar screen