1. Two Steps Forward, One Step Back: HIV Crisis among Street Youth

2. Background  Russia and Ukraine account for >90% of HIV cases in CEE  >650,000 registered HIV cases in Russia; >200,000 in Ukraine  Estimated 1 million street youth in Russia (2006); 100,000 in Ukraine  37.4% HIV prevalence in street youth in Russia; 18.4% in Ukraine

3. Continuum of Care for Street Children and Youth, 2007 Drop-in Center Foster Family Street Outreach Mobile Testing Unit Overnight Shelter Assistance to victims of abuse Long-term Shelter Orphanage Halfway House Independent Living Birth Family Drug Detox AIDS Center Drug Rehab

4. Continuum of Care – Transfer to Local Government Drop-in Center Foster Family Street Outreach Mobile Testing Unit Overnight Shelter Assistance to victims of violence Long-term shelter Orphanage Halfway House Independent Living Birth Family Drug Detox AIDS Center Drug Rehab

5. Government of Russia St. Petersburg City Government Unites States Agency for International Development Johnson & Johnson European Commission World Childhood Foundation Ford Foundation M A C AIDS Fund Elton John AIDS Foundation EMpower