programme update overcoming hiv/aids epidemics in ukraine national programme supported by gfatm...
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PROGRAMME UPDATE
OVERCOMING HIV/AIDS EPIDEMICS
IN UKRAINENational programme supported by
GFATMPresentation by Mikhail Minakov at the 3d Stakeholders’ Meeting
on the GFATM Grant to Ukraine, Kyiv, September 2, 2004
PROGRAMME STRUCTURE
oblast group
component
Kyiv
Ch
erk
asy
Dn
ipro
petro
vsk D
on
etsk
Myk
ola
yiv
Od
esa
Crim
ea
Kh
erso
n
Treatment, Care and Support
Focused Prevention
Information, Education and Advocacy
Monitoring and Evaluation
OBLAST GROUPS’ FUNCTIONS
• Geographic focus for stronger impact• Synergetic comprehensive responses at oblast level • Involvement of new partners • Definition of work-plans within each priority oblast• Reporting on programme activities per oblast (in
quarter 2, quarter 3 and quarter 4)• Monitoring of programme activities in each oblast• Coordination of supported projects in each oblast• Capacity building of partner NGOs in oblasts • Cooperation with Regional Coordination Committees,
HIV/AIDS Centres, other projects and other donors
OBLAST GROUPS’ MEMBERSHIP
Working now:• Employees from the four programme
components• Field Support Officers
To be appointed in September:• Regional Resource Centres
representatives• Regional Alliance Ukraine
representatives (will be appointed with support from USAID)
PROGRAMME COMPONENTS
• Prevention in Vulnerable Communities
• Creating an Enabling Environment through Information, Education, and Advocacy
• Monitoring and Evaluation• Treatment, Care and Support
RESULTS OF CALLS FOR PROPOSALS
• Focused prevention - IDUs, CSWs, MSM– 24 projects supported in priority oblasts and 14
projects in other regions of Ukraine– One more project to be supported in September– Total sum of grants is about $ 1,000,000– Number of people receiving services – 26,932
• Focused prevention – prisoners– 1 project supported in Mykolayiv oblast providing
services to 1,500 prisoners– 1 project supported to provide services to prisoners
in Cherkasy– 1 project (covering 5 oblasts) about to be approved– Spending on these grants by the end of the year will
total up to $80,000– 5,000 prisoners are expected to have access to
services
ALLIANCE INTERVENTIONS IN THE AREA OF
PREVENTION• Trainings for Programme partners in
– Project management– Financial management– Monitoring and evaluation– Situation assessment– Advocacy for representatives of vulnerable
groups– Procurement of prevention-related
commodities and medicines
• Technical assistance visits to grantees• Networking of supported organisations
NATIONAL COMMUNICATION STRATEGY
• Results of the working group activities have been presented during the UN HIV/AIDS technical group meeting
• 37 research reports have been collected and summarised
• Research matrix and abstracts prepared• Advocating for the strategy is in progress• The working group will have meetings in
September to analyse the collected materials and prepare report for all stakeholders
HIV PREVENTION THROUGH THE EDUCATION
SYSTEM (1)• Coordination of the Programme and Ministry of
Education and Science (MoES), as well as other key international and local institutions has been established– Programme related information distributed within
the MoES system– Joint working plan of the Programme component
approved by MoES– Education stakeholders meeting conducted on June
30, 2004– Working group including specialists of MoES,
representatives of donors and NGOs gathers regularly
• Nine education calls for proposals were prepared jointly by MoES and the Alliance and announced; all decisions on winners of the CFPs to be made in September 2004
HIV PREVENTION THROUGH THE EDUCATION
SYSTEM (2)• To continue successful initiatives in 2003 the
Alliance has provided a grant to the Ukrainian Scientific and Methodological Centre of Applied Psychology and Social Work. The project envisages:– Promotion of a curriculum content review and
programmes for secondary schools, technical colleges and high schools to effectively cover HIV/AIDS prevention education
– Involvement of teachers in activities aimed to build up and develop in children and young people safe behavioural skills, healthy life-style, and a tolerant attitude to PLHA
• Seven successful candidates will be chosen to run Regional Resource Centres on September 10, 2004
ADVOCACY COMPETITIONS• 2 calls for proposals have been completed:
– Advocacy for the rights and interests of representatives of groups vulnerable to HIV/AIDS
– Advocacy for the rights of PLHA• 7 grants issued to regional NGOs to advocate for the rights and
interests of representatives of groups vulnerable to HIV/AIDS• The Vinnitsa Human Rights group selected to implement project on
protection of rights and interests of PLHA
ALLIANCE ACTIVITIES• 1 policy briefing issued• 2 policy and advocacy up-date issued• 2 trainings implemented:
– Gathering alternative information on HIV/AIDS (jointly with the Network of PLHA)
– Advocacy in HIV/AIDS and project design• 700 PLHA in 15 regions of Ukraine have been interviewed within the
framework of the alternative information collection project (implemented by the Network of PLHA)
INFORMATION, EDUCATION AND COMMUNICATION WORK
WITH VULNERABLE
COMMUNITIES • Working group has assessed more then 200
materials according to developed criteria and continues collecting materials
• Old Information Technologies Co has been selected to develop the database software of IEC materials
• One call for proposals for periodical publications has been announced; the decision on 5 winners is to be made in September 2004
• 2 more calls for proposals are to be announced in September 2004
WORKING WITH MASS MEDIA
• 7 calls for proposals and tenders are completed• Winning organisations include:
– International youth festival ‘Chaika’ to implement a gala-concert on September 19, 2004
– AIDS Foundation East – West to implement a National Mass Media campaign on solidarity and tolerant attitude to people living with HIV/AIDS
– Eastern European Institute of Development to develop and produce an analytical bulletin for mass-media
– Charitable Foundation ‘Intellectual Perspective’ to hold national competition on HIV/AIDS issues among printed and electronic mass media, journalists and non-professionals
NATIONAL INDICATORS
In the framework of the National Programme the Alliance is supporting data collection on national indicators of the country response to the epidemic:- through support of the National AIDS
centre- through conducting special surveys
collecting information for 6 indicators from the list of 15 core indicators and for 11 indicators from the list of 15 additional indicators
NATIONAL M&E SYSTEMIMPROVING NATIONAL CAPACITY TO
MONITOR AND EVALUATE THE RESPONSE TO THE HIV/AIDS EPIDEMIC
Strategic results • Support for the Ukrainian AIDS Centre:
– 2 trainings for regional AIDS Centres on improving routine surveillance
– procurement of test-kits for sentinel surveillance begun – tender on equipment procurement for computerising the HIV case
registration system announced
• Software and registration forms for the HIV case registration system have been approved by the Ministry of Health
• Unified methodologies on collecting information on national indicators are being developed (under the coordination of UNAIDS ):– Method guidance for behavioural monitoring of youth as a component
of second generation surveillance– Method guidance for survey of tolerant attitudes to PLHA– Method guidance for survey of HIV/AIDS workplace policies and
programmes
NATIONAL M&E SYSTEMCONDUCTING RESEARCH AND SURVEYS
REQUIRED FOR COLLECTING INFORMATION ON NATIONAL INDICATORS
Short term results • 2 surveys are being conducted among
IDUs, CSW and MSM• 2 more surveys have been announced:
– “Behaviour monitoring of youth as a component of second generation surveillance”
– “Survey on HIV/AIDS workplace policies and programmes”
• 2 more surveys among people in uniform and among prison inmates will be announced
BEHAVIOUR SURVEY OF INJECTING DRUG USERS (IDU) AND COMMERCIAL SEX
WORKERS (CSW) AS A COMPONENT OF SECOND GENERATION SENTINEL
SURVEILLANCE
• The State Institute for Family and Youth Problems has been chosen to implement the survey. This agency is responsible for conducting behavioural monitoring as a component of second generation surveillance given the approval of the national M&E system. The budget for 14 oblasts needed for data extrapolation for national level and development of prevention programmes in new oblasts is $89,074.
• Piloting of survey tools is now finished. The field stage of survey is in progress.
BEHAVIOUR MONITORING OF MEN HAVING SEX WITH MEN AS A PART OF SECOND GENERATION SURVEILLANCE
• In 2004 the group of social research experts developed a method guidance for behavioural monitoring of MSM and recommended research tools.
• Recognising that men who have sex with men constitute an under-researched community in Ukraine, the Alliance and the UK Government department for international development (DFID) have agreed that technical assistance should be provided to the agency that wins this contract. This will be funded through DFID's Technical Assistance Programme to Ukraine. Robert Oostvogels will be the consultant from DFID and Paul Boyce will provide TA from the Alliance.
• The proposal of the Centre of Social Expertise of the Institute of Sociology of the National Academy of Sciences of Ukraine was supported by the tender review committee on some conditions. A contract is currently being finalised.
M&E SYSTEM AND PLAN
The Alliance has developed a standardised reporting system. The system is used by its sub-grantees, intermediary organisations and the Alliance itself and is based on: 1) Programme objectives and expected results, and 2) the following coverage indicator categories:
• Number of people reached• Number of service points supported• Number of people trained
The M&E system and plan specially designed by the Alliance for the National Programme has been acknowledged by the Global Fund as a model for similar programmes around the world.