International HIV/AIDS Alliance in Ukraine at the International AIDS Conference, Melbourne, July 2014

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1 International HIV/AIDS Alliance in Ukraine at the International AIDS Conference, Melbourne, July 2014 In 2014 and beyond the International HIV/AIDS Alliance in Ukraine continues to strengthen the responses to concentrated HIV epidemics. We support implementation of large-scale comprehensive HIV prevention and care programme, start-ups and revisions of existing interventions targeting people wh o use drugs and other key populations. We combine direct management of programme development and implementation with systematic and structure d technical support, as well as state-of-the-art monitoring and evaluation. We implement programmes and deliver support domestically in Ukraine, as w ell as internationally in a range of countries facing concentrated HIV epidemics in Eastern Europe, Asia and the Pacific, East and West Africa. Our Kyiv I nternational Technical Support Hub delivers high quality technical support through long-term programmes and short-term assignments delivered by ou tstanding specialists with extensive experience of developing, managing and supporting HIV prevention and care interventions among people who use d rugs and other marginalised communities. Our latest achievements and key priorities are reflected in a range of presentations and discussions at Melbourne conference and include the following: SCALE and FOCUS: Ensuring that interventions focus on key affected populations in order to maximise the impact of HIV prevention and care efforts: Further development and application of effective outreach methods, including peer-driven outreach models based on the exploration of natural social networks of key populations; Maximising the potential for strategic use of ART by making the essential testing and treatment service accessible to key populations in community settings; Engaging sexual partners of key affected populations such as sexual partners of people who inject drugs and clients of sex workers in order to prevent further HIV transmission and acquisition; Maximising the preventive effects of PMTCT interventions. QUALITY: Further development of the essential HIV prevention and care services such as:

2 Ensuring that needle and syringe programmes are fully tailored to the local drug scenes and address the whole spectrum of risks associated with the production, transportation, distribution and consumption of substances; Improving the quality of opioid substitution treatment and addressing challenges faced by the clients and service providers; Ensuring access of people who inject drugs and other key populations to HIV care and treatment. Acknowledging and strengthening the role of communities in the detection of HIV, timely progression to and retention in HIV treatment. SPECTRUM: Addressing related conditions affecting the outcomes of HIV prevention and care programmes: Integrating HCV prevention and care into HIV interventions; Introducing early TB detection and improving treatment efficiency among key populations. SUSTAINABILITY: Ensuring sustainability and increasing allocation of public funds to HIV Establishing strategic stakeholder dialogue and involving the governments in the development and funding of essential prevention and care interventions targeting key populations; Working with donors to facilitate transitions towards public funding of key interventions. EFFECTIVENESS: Strengthening the evidence base for interventions: Studying impact of HIV prevention programmes on HIV seroconversion and other essential epidemiological parameters. ETHICS and RIGHTS: Addressing complexities of working with key populations in order to increase the effectiveness of prevention and care, e.g. addressing ethical dilemmas of working with the most at risk adolescents; Addressing stigma and discrimination as key factors restricting access of key affected populations to effective HIV prevention and care services; Addressing emergencies in HIV programming (rescue operation among Crimean OST patients). The list of presentations and events involving the Alliance Ukraine, the Kyiv International Technical Support Hub, and our partners is attached.

3 Events PRE CONFERENCE, July PRE CONFERENCE CHILDREN S SYMPOSIUM Children and HIV: Start Early, Start Now Integrated int erventions for young children born into HIV-affected f amilies This symposium will examine proactive, integrated ap proaches that focus on early childhood and HIV. Grand Hyatt Hotel, 123 Collins Street) Zharuk Iryna Day 1, 20 July Registration 19:00 20:30 Opening session Location: Plenary Ukraine Social Theatre: Rehearsal for AIDS 2014 Globa l Village Main Stage in the Global Village at the M elbourne Convention & Exhibition Centre Liudmyla Shulga ; Elena German Day 2, 21 July 07:00 08:30 PEPFAR IAS Satellite Changing the Course of the Epid emic: Using Data, Modeling, Economic Analyses, and I nnovation to Improve Program Impact Oral presentation Data use for planning, implementa tion and evaluation of prevention, care and treatment programs for PWID in Ukraine 11:00-12:30 WHO Workshop, Increasing access to TB services as part of the integrated care for PWID. Oral Presentati on Room 104 Room Andriy Klepikov, Pavlo Smyrnov Zahedul Islam a nd Nataliya Niz ova

4 Poster presentation Rescue operation project to save OST patients from the Crimea and Eastern Ukraine 12:30-14:30 Poster presentation How to do HIV treatment in conc entrated epidemics 14:00-15:00 TB-HIV EU SESSION, Building Bridges: Bringing TB and HIV activist and communities of the EU region togethe r for a more effective response to the epidemics. Global Village, TB/HIV networking Zone, Booth 816 Pavlo Smyrnov Zahedul Islam, Speaker at Pan el discussion ALLIANCE FAMILY MEETING Crowne Plaza Hotel Tuesday 22 July 12:30-14:30 1. Poster presentation Community initiated ARV treatment for injection drug users: overlooked burden on community workers. 2. Poster presentation Scale up access to ART for injection drug users in Ukraine. 3. Poster presentation Behavioral patterns and knowledge level about HIV/AIDs/STI of male clients of female sex workers in Ukraine. 4. Poster presentation Rescue operation project to save OST patients from the Crimea and Eastern Ukraine Liudmyla Shulga 13:00-14:00 HIV Treatment and Care for Substance Users: Just Do I t! Room 104 Zahedul Islam

5 Oral presentation Wednesday 23 July 12:30-14:30 "Further identification of Opioid Substitution Treatme nt (OST) program implementation needs in regards to HIV/AIDS in Ukraine". Poster presentation Rescue operation project to save OST patients from the Crimea and Eastern Ukraine Mazhnaya Alyo na 16:00-17:00 Poster presentation «Advocating for access to HCV tre atment in Ukraine» Vibrant and Alive! Commo Action. TB/HIV Networking Zone TB/HIV Networking Zone, Booth 816, Glo bal Village Ludmila Maistat Zahedul Islam, Speaker at Pan el discussion Thursday 24 July 11:00-12:30 Regional Session: No Region and Nobody Left Behind: HIV in Eastern Europe and Central Asia (EECA) Oral presentation An update on the epidemic in Ukra ine (11:40) Social Theatre Against Stigma and Discrimination (Glo bal Village) Poster presentation "Copying with fragility of AIDS res ponse in the modern world: the case of today s Ukrain e". Room 203-2j04 Main Stage in the Global Village at the M elbourne Convention & Exhibition Centre Andriy Klepikov Liudmyla Shulga, Elena German Andriy Klepikov

6 12:30-14:30 Poster presentation Peer-dri ven intervention (PDI) for men having sex with men (MSM) i n Ukraine. Poster presentation Results o f the study on piloting the inst rument on solving ethical dile mmas for most at risk adolesc ents in Ukraine. Iryna Zharuk Behavioral patterns and knowledge level about HIV/ AIDs/STI of male clients of female sex workers in Exhib ition Hall, Ground Level Ukraine. Evaluation of HIV prevention impact on seroconversi on using a combination of retrospective and prospecti ve study designs Poster presentation Rescue operation project to save OST patients from the Crimea and Eastern Ukraine Pavlo Smyrnov Maria Samko

7 Strengthening the analysis of commodity circulation in PWID communities: elements of photo ethnography i n formative assessments for harm reduction intervent ions 14:30-16:00 Session Title: People Who Inject Drugs: Risks and Resp onses. Oral presentation How do PWID prevention activities impact the HIV epidemic? Case of Ukraine Melbourne Room 1 Slava Kushakov Olga Varetska

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