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Andriy Klepikov, Alliance Ukraine 22 September 2009 Lessons of the 1st Global Fund Grant Programme Looking forward into the Future Ambitious Goals Ambitious Goals If you have courage to set ambitious goals, you have a chance to achieve them Ambitious Goals, Ambitious Results Number of new AIDS cases and persons died from AIDS-associated diseases among the citizens of Ukraine in 1991-2009 5000 4723 4573 4500 4217 4,380 4000 3500 3000 2743 2,710 2500 2420 1915 2188 2000 1285 867 1000 500 73 30 143 69 189 82 647 587 399 0 1775 1353 1500 148 253 Number of AIDS cases Кількість випадків СНІДу 834 415 473 Number of persons died from AIDS-associated diseases Кількість померлих від хвороб, обумовлених СНІДом 2508 Амбітні цілі Beyond the horizons За горизонтами Planning should go beyond the time bounds of the Programme 14000 12269 Global Fund (Alliance) 12000 Global Fund (PLHA Network) 9960 State Budget 10000 3828 Other sources 8000 2389 365 6000 6070 5268 1047 4000 157 3730 185 2714 2000 161 66 118 137 1052 Aug 2004 Jan 2005 865 1135 0 Jan 2006 Jan 2007 Jan 2008 Dec 2008 Jan 2009 Aug 2009 Together Together True partnership lays foundation for success Together 244 governmental and non-governmental implementing partners, and more than 400 clinics and medical facilities were involved into programme implementation. “Sand Bags/Ballast” Government Funding – PAST EXPERIENCE Government Funding Government Funding – AS IT SHOULD BE Government Funding Methadone Substitution Therapy - by the plan “Chronical lagging behind”: Substitution methadonebased therapy should catch up with the plan Diligent Programme Performance Violations and Conflicts. Diligent Programme performance should be priority №1 Ambitious Goals 2 2nd Phase Rd6 Budget OB3 Care and Support $ 16 797 188; 16% OB4 Supportive Environment $3 701 743 4% OB5 Monitoring and Evaluation; $4 770 960; 5% OB2 Treatment $ 24 759 269; 24% Administrative costs; $9 427 239; 9% OB1 HIV:Prevention; $44 415 123; 43% Key Targets • Substitution maintenance therapy provision for 11 300 patients • HIV and STI prevention services coverage annually for not less than 140 000 drug users 26 000 sex workers 17 000 men having sex with men 26 000 inmates Key Targets 2 • ARV treatment of 6 000 patients • Annual growth of care and support coverage for PLWH adults from 37 108 to 40 707 persons • By the end of 5th Year 4 680 children, affected by epidemics, will be receiving services of Community Centres for children, social support of ART and PMTCT Working, joining our efforts