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Year 1 Work-Plan YEAR 1 WORK-PLAN HIV REFORM IN ACTION COOPERATIVE AGREEMENYEART- HEALTH 1 SYSTEMS WORK STRENGTHENING-PLAN FOR A SUSTAINABLE HIV / AIDS RESPONSE IN UKRAINE (HSS SHARE) ANNUAL REPORT October 1, 2016 – September 30, 2017 AWARD NUMBER: AID-121-A-13-00007 DELOITTE CONSULTING, LLP This report is made possible due to the funding provided by the U.S. President’s Emergency Plan for AIDS Relief through the United States Agency for International Development (USAID) under the terms of the HIV Reform in Action project, award number AID-121-A-13-00007. The content of this report is the sole responsibility of Deloitte Consulting LLP and its implementing partners and does not necessarily reflect the opinion of PEPFAR, USAID, or the United States Government. Contents LIST OF ACRONYMS ...................................................................................................................... 4 GENERAL PROJECT INFORMATION............................................................................................. 7 CURRENT AND CUMULATIVE PROGRESS ...................... ERROR! BOOKMARK NOT DEFINED. EXECUTIVE SUMMARY ................................................................................................................. 8 Objective 1: Enhance national leadership and capacity for evidence-based and gender-sensitive HIV policy programming and implementation ........................................................................................................ 8 Objective 2: Improve and optimize resource allocation and financing for the national and selected regional HIV/AIDS programs targeting key populations ..................................................................................... 9 Objective 3: Optimize and strengthen human resources for health (HRH) for the delivery and scale-up of gender-sensitive HIV/AIDS services targeting key populations ............................................................ 9 Regional pilots .............................................................................................................................................. 10 Cross-cutting activities ................................................................................................................................. 10 Health Reform Component ........................................................................................................................... 10 Highlights and Challenges ............................................................................................................................ 11 OVERALL PROJECT PERFORMANCE ........................................................................................ 15 SECTION 1. HIV REFORM SUPPORT .......................................................................................... 15 Objective 1: Enhance national leadership and capacity for evidence-based and gender-sensitive HIV policy programming and implementation ................................................................................................................ 15 Sub-objective 1.1: Support national government institutions in AIDS policy development, programming, and implementation .................................................................................................................................... 15 Sub-objective 1.2: Strengthen capacity of local government entities to implement regional AIDS programs with emphasis on key affected populations ........................................................................................ 16 Sub-objective 1.3: Advocacy for improved policy dialogue and to ensure a transparent policy development environment ........................................................................................................................................ 17 Objective 2: Improve and optimize resource allocation and financing for the national and selected regional HIV/AIDS programs targeting key populations ............................................................................................. 18 Sub-objective 2.1: Develop evidence pool to create support for funding decisions in HIV response at the national and regional level .................................................................................................................. 18 Sub-objective 2.2: Support the development of HIV strategies and policies at the national and regional level which reflect optimized resource allocation and lead to the most cost-efficient and effective ............ 19 Sub-objective 2.3: Strengthen capacity of national and regional partners in finance planning, budget preparation and execution to match the needs to optimized HIV/AIDS service-delivery operations .. 20 Objective 3: Optimize and strengthen human resources for health (HRH) for the delivery and scale-up of gender-sensitive HIV/AIDS services targeting key populations ................................................................... 21 Sub-objective 3.1: Strengthen evidence base data for HIV workforce planning and development ............. 21 Sub-objective 3.2: Support the introduction of systemic and operational changes in HRH for the provision of sustainable and integrated HIV/AIDS services at the national and regional levels ............................ 22 Sub-objective 3.3: Strengthen capacity of Ukrainian institutions in HRH policy development and implementation .................................................................................................................................... 22 4. Regional Pilots. Building a sustainable model for the provision of critical services to key populations and people living with HIV at the local level ........................................................................................................ 23 Cross-cutting activities ................................................................................................................................. 35 Gender Equality/Women’s Empowerment issues ........................................................................................ 35 Institutionalization and Grants Management ................................................................................................ 35 Capacity Building .......................................................................................................................................... 39 Gender and Stigma Sensitization ................................................................................................................. 41 Communication and Knowledge Management ............................................................................................ 41 SECTION 2. HEALTH SYSTEM FINANCING REFORM SUPPORT .............................................. 43 Objective 2: Improve and optimize resource allocation and financing for the national and selected regional HIV/AIDS programs targeting key populations ............................................................................................. 43 Sub-objective 2.4: Build the capacity of the national and selected regional/local GoU entities to design and establish a national purchasing agency .............................................................................................. 43 2 Sub-objective 2.5: Support the MOH and relevant Parliamentary Committees to define and develop a basic benefits package of service, in consultation with civil society and patient organizations ................... 44 Sub-objective 2.6: Support MOH and selected local authorities in the design and establishment of a performance-based payment system under ‘money-follows-the client’ approach .............................. 44 Sub-objective 2.7: Support the National Purchasing Agency and MOH in developing and implementing effective IT solutions to launch, manage and administer health system financing reforms ................ 46 Cross cutting: Strategic Communication and Knowledge Management ...................................................... 47 PROJECT MANAGEMENT ISSUES .............................................................................................. 49 RELEVANT INDICATORS FOR REPORTING PERIOD ................................................................ 50 $6,371.21 TO PREVENTION, PROMOTION OF TESTING AND LINKAGE TO CARE PROGRAMMES FOR PRISONERS ................................................................................... 52 EVALUATION OF ACTIVITY WITH RESPECT TO ENVIRONMENTAL IMPACT .......................... 62 PROJECT ACTIVITY MONITORING MATRIX ............................................................................... 63 Section 1. HIV REFORM support ................................................................................................................. 63 Section 2. HEALTH SYSTEM FINANCING REFORM SUPPORT Under Objective 2. ............................... 88 3 LIST OF ACRONYMS Acronym Description AIDS Acquired Immune Deficiency Syndrome ART Antiretroviral Therapy ARV Antiretroviral (drug) BBP Basic benefit package BCC Behavior Change Communication CB Capacity building CCEC City Council Executive Committee CDC US Centers for Diseases Control CDH Central District Hospital CEAs Central Executive Agencies CME Continuous Medical Education CMH Central Municipal Hospital CMU Cabinet of Ministers of Ukraine CSO Civil Society Organization CSSFCY Center of Social Services for Family, Children and Youth COP Chief of Party DCOP Deputy Chief of Party DOT Directly observed treatment DNA Deoxyribonucleic acid DRG Diagnostic Related Groups ECOM Eurasian
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