1. Global Fund grant VII Stakeholders meeting 21st October, 2005

2. Overcoming the HIV/AIDS epidemic in Ukraine Outline of phase II Global Fund grant 7th Stakeholders meeting 21st October, 2005

3. Contract conditions - Alliance Part of national response –not stand alone programmePart of national response –not stand alone programme Participatory planning process, lead by MoH & CG.Participatory planning process, lead by MoH & CG. Same components as original proposalSame components as original proposal Full € 55 Million (USD 67 M) for the next 3 y. following contractual conditions still pending:Full € 55 Million (USD 67 M) for the next 3 y. following contractual conditions still pending: –Detailed workplan & PSM plan (by end Oct) –Revised M&E plan (by end Nov) –Plan for ITA for drug substitution (by end Nov)

4. Contract conditions – Other stakeholders Plan for transfer to 2 nd PR:Plan for transfer to 2 nd PR: –nominated by a fully functional CCM –with a draft plan from the CCM regarding long term sustainability of universal access to treatment & prevention activities –passes global fund assessment; accelerated & effective use of available resources (budget and WB loan)

5. Components & budget overview Phase 2 Year 3Year 4Year 5Totals 1 Establishment and maintenance of PR Unit 2 350 5052 645 8042 630 8387 627 147 2 Treatment, care and support (excl procurement of health products) 5 044 4714 214 2813 829 79313 088 545 2.3 Procurement and delivery of ARV and other medical supplies 6 951 0127 753 26410 146 87524 851 151 3 Focused prevention 3 665 4043 668 0083 676 44711 009 860 4 Information, education and advocacy 2 357 1482 366 3372 376 4457 099 930 5 Surveillance and evaluation 632 274737 130646 0722 015 476 6 Alliance management fee 500 000 1 500 000 Totals 21 500 81521 884 82423 806 47067 192 109

6. 6,000 patients on ART 6,000 IDUs on ST (1250 of which also on ART); 12,200 pregnant women receive PMTCT; 26,300 PLHA access non-clinical care & support 150,000 IDUs 15,000 sex workers access prevention services 19,200 prisoners Ambitious 2008 targets

7. Key changes  Site based planning information and services:  One integrated strategy & work-plan per site  “Clients” in the site access focused prevention + care & support + information in coordinated way.  One organization = one proposal  Plans for a 2 nd Principal Recipient.  Closely linked to national response  Better coordinated but more dependent (e.g. WB loan)  Standards and gaps will become more apparent

8. Immediate action  Finalise documentation required by GF  Extend contracts to all performing grantees.  ARV procurement. Treatment plan  Reorganisation of Alliance Ukraine office; reflects programme changes and results of org review.

9. Stakeholder involvement UCC (to which we will be reporting): effective supervision & coordination of national response. Continue stakeholder meetings / transparent information Technical support with response-wide focus

10. An eye beyond 2008 All resources available are effectively utilised. Additional resources, both from national budget and international community Continue stakeholder mobilisation & trust