Ukraine - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Ukraine - FY 2009 Approved Funding by Program Area, Agency and Funding Source

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

Despite very limited PEPFAR funding in Ukraine, PEPFAR has demonstrated a significant impact in key program areas. Because Ukraine's epidemic is driven by injecting drug use, PEPFAR programs have focused on prevention and care for IDUs. Working with the Government of Ukraine and with other donors, a major recent accomplishment was the implementation of MAT utilizing methadone and buprenorphine. PEPFAR has provided assistance in developing policy and legal frameworks for MAT and supported the development and implementation of MAT programs. In particular, PEPFAR-supported pilot programs which integrate MAT and HIV care for HIV-positive IDUs. In this setting, MAT serves the dual purpose of addressing prevention by reducing injecting drug use and other risk behaviors, and enhancing care by supporting healthy behaviors (e.g. improving adherence to treatment). Pilot programs will be implemented in ten sites in five regions, with the possibility of later expansion to additional sites.

PEPFAR supports a range of services in Ukraine, including prevention, counseling and testing, TB/HIV, OVC, and health system strengthening. Prevention programs focus on most-at-risk populations, or MARPs, including IDU and street children and adolescents. Other programs target at-risk youth, working with local communities to improve awareness of HIV and reduce risky behaviors.

PEPFAR also supports prevention in military populations, providing HIV prevention information and strengthening counseling and testing services for military personnel. Health system strengthening interventions provide assistance to strengthen public sector and nongovernmental capacity to deliver HIV/AIDS programs.

Additional FY09 funds will be used to support the development of a Partnership Framework in Ukraine. Specifically, funds will support the recruitment of additional staff, including an interagency PEPFAR Coordinator. These funds will also support baseline assessments to guide in planning and developing the Partnership Framework, and provision of technical assistance.

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