1. Overcoming the HIV/AIDS Epidemic in Ukraine Key issues for the Consolidation Group A National programme supported by the Global Fund

2. Background Years 3 – 5 of a 5 year proposal; reviewed by TRP and approved by GF Board. Years 3 – 5 of a 5 year proposal; reviewed by TRP and approved by GF Board. Changes in epidemic & response: Changes in epidemic & response: Young epidemic, still concentrated in vulnerable groups (& sexual partners) Young epidemic, still concentrated in vulnerable groups (& sexual partners) Feminization and vertical transmission Feminization and vertical transmission Strengthening of health systems (AIDS Centres) Strengthening of health systems (AIDS Centres) Complementarity of government services / NGO Complementarity of government services / NGO Needs to be seen in the context of what others are planning & funding Needs to be seen in the context of what others are planning & funding

3. Logic of interventions Information, education, advocacy, policy change Information, education, advocacy, policy change Individually focused prevention + community mobilization Individually focused prevention + community mobilization Scaling up of targeted services, commodities & information Scaling up of targeted services, commodities & informationProduce An enabling environment An enabling environment Empowerment for prevention (vulnerable groups) Empowerment for prevention (vulnerable groups) PLHA access to high quality comprehensive clinical care PLHA access to high quality comprehensive clinical care Leading to a reduction in rate of new infections rate of new infections mortality / morbidity of PLHA mortality / morbidity of PLHA  M&E (surveillance)  Capacity building

4. Stakeholder design: working groups 4 fairly distinct and vertical components in original structure of the proposal. 4 fairly distinct and vertical components in original structure of the proposal. Opportunity for greater integration. Opportunity for greater integration. Working groups provide technical input on: Working groups provide technical input on: Treatment, procurement & supply management Treatment, procurement & supply management Community based services & information Community based services & information Information & Education Information & Education Monitoring & evaluation Monitoring & evaluation

5. Resources available Funding Available for years 3 – 5 GF approved budget for years 1-592,153 Less phase 1 - Ex PR1,591 Alliance 23,379 Alliance 23,37924,970 Maximum available amount years 3-5 67,182 (Figures assume full spend in phase 1)

6. ComponentBudgetRatios by phase 1 st 2 ND PR 8,59212%13% Treatment, care and support37,38757%54% Focused prevention11,80010%17% Inform, education and advocacy 7,65514%11% M&E 2,0104%3% Man’t Fee 1,5003%2% Total68,945100% 100% Deficit 1.763 Current budget, by component ($000s) Based on plans of Working Groups

7. Stakeholder decisions Consolidation group Consolidate, check quality & consistency of proposal coming through working groups (WG) Consolidate, check quality & consistency of proposal coming through working groups (WG) Programme implementation strategy. Decide on issues beyond the scope of the (WG): Programme implementation strategy. Decide on issues beyond the scope of the (WG): Treatment targets: 5000 PLHA on ARVs? TB / methadone? Treatment targets: 5000 PLHA on ARVs? TB / methadone? Performance indicators Performance indicators Integration at oblast level? Comprehensive / essential package of services? Integration at oblast level? Comprehensive / essential package of services? Second PR? Assessments & support? Second PR? Assessments & support? Budget limitations; gaps & explanations? Budget limitations; gaps & explanations? Stakeholder leadership & coordination mechanisms? Stakeholder leadership & coordination mechanisms?

8. T h a n k y o u