Transcript Document

10th Stakeholders’ meeting
15th of March, 2007
2006 and beyond:
Main achievements and further developments
Overcoming HIV/AIDS epidemic in Ukraine
(programme supported by the Global Fund)
Andriy Klepikov
Executive Director, International HIV/AIDS Alliance in Ukraine
Expenditure – Budget vs. Actual 2006
Activity description
Budget
(USD)
Actual
(USD)
Spent (%)
Variance
Under/(over)
spend
(USD)
1
Maintenance of PR Unit
2,163,382
1,887,863
87%
275,519
2
Treatment, care and support (excl
procurement of ARV and other
medical supplies)
4,725,062
4,715,650
100%
9,412
2.3
Procurement and delivery of ARV
and other medical supplies
7,332,013
7,226,275
99%
105,738
3
Focused prevention
3,489,143
4,018,845
115%
-529,703
4
Information, education and
advocacy
2,099,351
2,481,092
118%
-381,741
5
Surveillance and evaluation
700,848
640,555
91%
60,294
6
Alliance management fee
500,000
500,000
100%
-
21,009,800
21,470,280
102%
-460,480
TOTALS
Expenditure profile
Alliance’s expenditure structure within Global Fund Project:
from 1 January 2006 — 31 December 2006
Surveillance and
evaluation;
Alliance Management Maintenance of PR
$640 555;
Fee; $500 000;
Unit;
3%
2%
$1 887 863;
Information, education
9%
and advocacy ;
$2 481 092;
12%
Focused prevention ;
$4 018 845;
19%
Maintenance of PR Unit
Treatment, care and support (excuding procurement of ARV and other medical supplies)
Procurement and delivery of ARV and other medical supplies
Focused prevention
Information, education and advocacy
Surveillance and evaluation
Alliance Management Fee
Treatment, care and
support (excuding
procurement of ARV
and other medical
supplies) ;
$4 715 650;
22%
Procurement and
delivery of ARV and
other medical
supplies;
$7 226 275;
34%
2006 key results:
• 3730 people (3178 adults and 552 children) are receiving
antiretroviral therapy;
• 1836 (4487 cumulatively since 2004) HIV-positive
pregnant women received ARV to prevent mother-to-child
transmission of HIV before and during labour during
2006;
• 436 opiate-dependent people are receiving substitution
maintenance therapy;
• the groups most vulnerable to HIV have access to
prevention and information services, including over
110,000 injecting drug users, over 15,000 women involved
in commercial sex and over 29,000 of prisoners;
• 406 medical institutions in all regions of Ukraine received
medicines and other medical supplies
www.aidsalliance.org.ua
Key results:
 Scaling up of ARV therapy has influenced declining in the
AIDS mortality growth rate;
 Introduction of the substitution maintenance treatment
has demonstrated posive implications. The examples
include:
- a number of clients survived from death while being on SMT;
- crime rate falls dramatically among SMT’s clients;
- Illegal drug business loses significant money income from drug users
reoriented on SMT;
 In the area of HIV prevention several promising
innovations were started (pharmacy initiative, peer driven
interventions, VCT with rapid tests, community centres);
 Round 6 process had very positive implications for the
R1 grant (incl. progress with the methadone registration,
substantial increase in the national AIDS budget for 2007
etc.)
www.aidsalliance.org.ua
Challenges:
 Several indicators were not met in 2006,
particularly, the ones related to substitution
maintenance treatment and prevention of
mother-to-child transmission;
 Lack of clear and consistent governmental
policy in regard to sufficient rolling out of the
substitution therapy maintenance treatment
with methadone
 In order to make an impact, HIV prevention
efforts require more substantial funding over
the next years
 Over 2007 clear confidence should be built to
pick up with governmental funding Round 1
activities related to ARV treatment
and PMTCT
www.aidsalliance.org.ua
2007 targets
• 5,040
patients on ART (including 725 children)
• 3,500
IDUs on ST (850 of which also on ART);
• 7,325
pregnant women receive PMTCT
(cumulative target starting 2004);
• 24,500 PLHA access non-clinical care & support
(including 3,000 children)
• 128,000 IDUs
• 12,500 sex workers
• 17,000 prisoners
www.aidsalliance.org.ua
access prevention services
Next steps
 Harmonization with Round 6 programme and with
resumed World Bank loan project as well as with
other major interventions including national and
locally funded programmes
 Addressing programme challenges e.g. ARV
treatment dropouts, growing needs in substitution
therapy, and coverage of most at risk populations
and PLHA
 Year 5 planning (October 2007 – September 2008)
including incorporation of the savings to bridge
Round 6 timetable
 Recommendations from the external evaluation of
the grant will be applied for the current and Round 6
grants as well as for the overall country
response
www.aidsalliance.org.ua