In Russia, PEPFAR is supporting efforts to improve the quality and scope of health care and related services available to people living with HIV/AIDS (PLWHA) through a twinning partnership between Russia and the United States.
The Emergency Plan-supported twinning partnership pairs new Russian HIV/AIDS case managers with experienced case managers from Minnesota and New York. Russian case managers attend courses in which they learn about case management from their American counterparts.
Olga Fyodorova and Vladimir Dementyev, two case managers, are pioneering the new system of health care service delivery for PLWHA in the Saratov Oblast city of Engels. Thanks to the training they received through the PEPFAR-supported twinning partnership, Olga and Vladimir now provide comprehensive care and support services to their HIV-positive clients.
The case workers now refer clients to resources for antiretroviral and tuberculosis treatment, HIV-discordant couples counseling, and employment and legal services. They also provide assistance with disability pension applications. The new case management system has significantly improved services for PLWHA in Engels and throughout Russia. | 
Olga Fyodorova and Vladimir Dementyev are pioneering