Continuing Scale Up of the Response to HIV

Project Goal

Youth volunteers learn how to support people living with HIV
UNDP in Uzbekistan: The enthusiasm and drive of youth volunteers has had a significant role in combating the national HIV epidemic

 

The Government of Uzbekistan is making efforts to stop and reverse the HIV epidemic in the country by mobilising both national and international resources. In view of the escalating epidemic, Uzbekistan applied for Global Fund to Fight AIDS, Tuberculosis and Malaria Grants and the country has been awarded a number of grants. The last grant awarded worth of around 33 million dollars is implemented by UNDP jointly with the Government of Uzbekistan, the civil society and international organizations.

The full name of the grant or project is ‘Continuing Scale Up of the Response to HIV with Particular Focus on Most At Risk Populations and Strengthening System and Capacity for Universal Access to HIV Prevention, Diagnosis, Treatment and Care’. Its main purpose is to prevent the spread of HIV/AIDS into the general population and reduce its impact on most-at risk populations throughout all regions of Uzbekistan. It also provides targeted support by strengthening national capacities for universal access to HIV prevention, diagnosis, treatment and care in Uzbekistan.

This project has been designed to ensure universal access to HIV prevention, treatment, care and support by all those who require such services.

Our Results

  • Following continued advocacy efforts towards providing free universal treatment to people living with HIV, there has been significant increase in the number of patients receiving antiretroviral treatment (ARVT) as compared to 2013: by the end of 2014 10,089 people are recorded to be on treatment ( out of them 2631 men, 3677 women, 2398 boys and 1383 girls). Starting 2014 all the newly enrolled patients were taken on treatment at the expense of the government funding (1 mln USD).
  • The rapid testing for key population on the primary service provision points was introduced through the development of the normative base and procurements of respective diagnostics and actual service provision.
  • At the end of 2014, 23 277 IDUs ( out of them 20361 men (87,5%) and 2916 women (12,5%)), 1475 MSM, 11602 female commercial sex workers have been covered by basic HIV prevention services.
  • UNDP has been working on strengthening the supply chain management system and developed the Standard Operating Procedures for ARVs and diagnostics management and distribution.
  • New features of the e-monitoring information system (MIS) with more rigorous monitoring of service provision to key population was introduced. The system allows monitoring available stock of prevention commodities and drugs, which is linked to the reporting on services delivered to end-users. The system is available at Trust points and Friendly Cabinets: these are the points available in every rayon (district) in all of the 14 regions of Uzbekistan and are working to provide so called harm reduction and HIV prevention services to the injecting drug users, commercial sex workers and other.

Expected Results



UNDP continues providing on the job trainings and developing various SOPs on different aspects of programme implementation in order to transfer the role of the Principal Recipient of the HIV grant to a national entity. At the same time, UNDP as an interim Principal aims to build national operational system and advocates together with the other UN agencies and the Global Fund for sustainable financing in the healthcare sector.

In 2015 UNDP plans to continue and expand the ARV treatment provision for people living with HIV and cover most at risk populations with essential prevention services.

Specifically following will be done in 2015.

Prevention: The prevention component of the project envisages continued scale up of appropriate HIV prevention services for most at risk populations and strengthening referral networks to ensure access to specialized social, care, medical, and legal services.

Treatment: The treatment, care and support component of the project will ensure access to ARV treatment for all in need of treatment, as well as improve treatment adherence of patients receiving treatment, improve prevention and treatment of opportunistic infections, prevention of mother-to-child transmission and pediatric AIDS, improve care and support services for people living with HIV and their families. The project will work to strengthen the capacities of civil society organizations and, in particular, networks of people living with HIV to participate in service delivery to increase treatment adherence and improve treatment outcomes.

Advocacy and enabling environment: The National Action Plan and NSP recognize the need to support the development of an enabling environment. The proposed strategies include capacity building of the NGO sector, including networks of people living with HIV, to ensure their full participation in the implementation of the national HIV response. Specific interventions addressing stigma and discrimination are proposed to be implemented through advocacy, raising awareness and training for government officials, mass media, law enforcement, religious and community leaders as well as through providing access to qualified legal protection services for people living with HIV and most at risk populations.

Sustainability

The project has undertaken efforts aimed to ensure the sustainability of interventions initiated within its framework.

  • The capacities of national partners to manage projects within the area of HIV response have been developed and strengthened throughout the project’s implementation. A capacity assessment of project sub-recipients has been consequently carried out, a capacity development plan has been created, and on-the-job trainings, education programs and consultancy initiatives have been undertaken;
  • Technical assistance has been provided for the development of educational programmes for health care providers, which have been further incorporated into the curriculums of medical educational institutions;
  • Technical assistance has been provided in order to improve the system of collaboration between governmental and civil society organisations involved in the field of HIV response.

Finances

Total Budget: USD 35,039,300
GF: USD 33,000,000
UNDP: USD 1,039,300
Government: USD 1,000,000
Overview
Status:
Active
Project Start Date:
January 2012
Estimated End Date:
December 2015
Geographic Coverage:
Nationwide
Focus Area:
Governance
MDG:
6. Combat HIV/AIDS, tuberculosis, and malaria
Partners:
The Ministry of Health, and non-governmental and civil society organisations
Budget:
USD 35,039,300
Contacts
Zakir Kadirov, Project Officer


zakir.kadirov@undpaffiliates.org


+998 71 120 07 71/72/73

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