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Improving HIV Treatment Cascade for Key Populations through Differentiated Case Detection and Linkage to Care and Increased Capacity at Center for Public Health and Strategic Information in Ukraine

Award Number: NU2GGH002114
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Ukraine is a country in Eastern Europe, the only region in the world where the HIV epidemic continues to grow, contrary to the global trends. The consolidated efforts of multiple stakeholders, including PEPFAR and GF, have led to substantial progress in many areas; however significant gaps in the HIV care continuum still exist, particularly for PWID and MSM. According to the latest estimates, there are 238,000 people currently living with HIV in Ukraine. About 83,000 of all PLWH are PWID and 15,000 are MSM, but only 23,000 (28%) and 900 (6%) of them, respectively, are receiving ART. Among those not on ART, there are at least 41,000 PWID and 13,000 MSM who are unaware of their status and not receiving care. This demonstrates the urgent need to strengthen the existing HIV testing services, linkage and treatment programs in order to get closer to the ambitious 90-90-90 targets Ukraine committed to achieve by 2020. The primary goal of the METIDA2 project is to contribute to sustained improvements in the HIV treatment cascade in two main key populations, PWID and MSM, in Ukraine. Our proposal builds upon successful experience of the first METIDA project, implemented by the Alliance for Public Health (APH) in collaboration with UCSF and UIPHP beginning in 2012. In the new project we will introduce important innovations to the main activities and continue to improve the outcomes. The strategy includes three overarching objectives: (a) to improve effectiveness, efficiency, and coverage of HIV case detection and linkage to care through differentiated service delivery; (b) to increase capacity of relevant GOU institutions (national and regional centers for public health) to collect, analyze and use data, and improve the availability of SI for HIV programming; (c) to strengthen the institutional and technical capacity of the GOU institutions to conduct economic evaluations. The important innovations include the addition of differentiated service delivery (DSD) algorithms to case finding and case management interventions, in order to optimize staff workload and improve efficiency and outcomes. We will maximize the potential of DSD through the use of mobile technology to instantly determine the best suitable version of the intervention based on individual client’s characteristics. Another innovation will be the extensive use of e-learning in our capacity-building activities. The curricula previously developed in the METIDA project, as well as newly developed ones, including the certification programs in M&E and SI for public health practitioners, will be fully or partially converted to electronic distant learning formats. We expect that increased efficiency and effectiveness of the network recruitment and case-management services for KPs will lead to improvements in each element of the HIV treatment cascade. Improved capacity in the institutions leading the HIV/AIDS response will improve the availability, interpretation, communication and use of SI and will lead to better programmatic decisions and optimal resource allocation. These outcomes will result in reductions in HIV incidence and mortality in Ukraine. Our proposal builds upon several decade-long experience of three organizations: The APH – as the prime recipient -- UCSF, and the UIPHP. Each member of our consortium has in-depth knowledge of the local context, unique experience in KP programming, and capacity to conduct state-of-the-art evaluations and strengthen national counterparts. The unique capacity of APH in developing interventions managing nation-wide service delivery, proven by the successful implementation of GF and PEPFAR projects, is the assurance of the seamless transition and continuous improvement of activities from METIDA to METIDA2.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $2,513,754 )
2024	2024	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	KYIV			UKR	Global AIDS	03	5	4/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	province			UKR	Global AIDS	02	5	2/14/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$2,513,754
2024	2023	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	province			UKR	Global AIDS	02	5	2/14/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	KYIV			UKR	Global AIDS	03	5	4/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	province			UKR	Global AIDS	01	5	12/11/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	province			UKR	Global AIDS	02	5	2/14/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	province			UKR	Global AIDS	01	5	12/11/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	KYIV			UKR	Global AIDS	03	5	4/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2021	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	KYIV			UKR	Global AIDS	03	5	4/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2021	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	province			UKR	Global AIDS	02	5	2/14/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2021	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	province			UKR	Global AIDS	01	5	12/11/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	province			UKR	Global AIDS	02	5	2/14/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	KYIV			UKR	Global AIDS	03	5	4/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	province			UKR	Global AIDS	01	5	12/11/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	province			UKR	Global AIDS	02	5	2/14/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	province			UKR	Global AIDS	01	5	12/11/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KYIV	KYIV			UKR	Global AIDS	03	5	4/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,513,754

Issue Date FY: 2023 ( Subtotal = $8,617,472 ) (Continued on the next page)
2023	2023	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	08	4	6/14/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	05	4	3/31/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	07	4	6/9/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	00	5	8/24/2023	NON-COMPETING CONTINUATION	$5,377,861
2023	2023	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	06	4	5/2/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	04	4	3/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$3,239,611
2023	2022	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	Bud. 24	Kyiv	province			UKR	Global AIDS	01	4	12/2/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	07	4	6/9/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	05	4	3/31/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	00	5	8/24/2023	NON-COMPETING CONTINUATION	$0
2023	2022	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	08	4	6/14/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	03	4	3/10/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	04	4	3/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	02	4	3/1/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	06	4	5/2/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	02	4	3/1/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	08	4	6/14/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	Bud. 24	Kyiv	province			UKR	Global AIDS	01	4	12/2/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	00	5	8/24/2023	NON-COMPETING CONTINUATION	$0
2023	2021	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	04	4	3/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	03	4	3/10/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	06	4	5/2/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	07	4	6/9/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	05	4	3/31/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	Bud. 24	Kyiv	province			UKR	Global AIDS	01	4	12/2/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	03	4	3/10/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	00	5	8/24/2023	NON-COMPETING CONTINUATION	$0
2023	2020	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	02	4	3/1/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	06	4	5/2/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	08	4	6/14/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	MIZHNARODNIY BLAGODIYNIY FOND ALYANS GROMADSKOGO ZDOROV'YA	VUL. BULVARNO-KUDRYAVSKA 24	KIEV	province			UKR	Global AIDS	05	4	3/31/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
Grand Total All Awards = $34,941,840

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Improving HIV Treatment Cascade for Key Populations through Differentiated Case Detection and Linkage to Care and Increased Capacity at Center for Public Health and Strategic Information in Ukraine

Award Number: NU2GGH002114

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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Department of Health & Human Services

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