Strengthening HIV Treatment, Laboratory Services, Medication Assisted Therapy, and Program Monitoring in Ukraine under the President's Emergency Plan for AIDS Relief (PEPFAR)

The Award Ceiling for Year 1 is 0 (none). CDC anticipates an Approximate Total Fiscal Year Funding amount of $3,000,000 for Year 1, subject to the availability of funds. The HIV epidemic in Ukraine predominantly impacts key populations (KPs) with the largest burden among people who inject drugs (PWID) and men who have sex with men (MSM). There are approximately 220,000 people living with HIV (PLHIV) in Ukraine. PEPFAR has been providing technical support to Ukraine to scale up index testing and for sexual and needle-sharing partners, social network testing, and increased access to pre-exposure prophylaxis (PrEP) and medicated assisted therapy for PWID. PEPFAR has also been supporting improved access to World Health Organization (WHO) recommended first line antiretroviral therapies (ARTs) and delivery strategies to improve retention and viral suppression. This NOFO will create an enabling policy environment and full implementation of the HIV electronic data entry system (HIV MIS). The strategies include providing technical assistance (TA) for HIV testing and treatment providers to enhance care and treatment, to create a National Medical Assisted Therapy (MAT) Hub to ensure government leadership in MAT scale up and enhance laboratory capacity. The assistance provided will ensure national level strengthening of surveillance, research, and epidemiology (SRE) by focusing on improved HIV case-based, mortality, surveillance, epidemic modelling, routine KP cascade based on program and medical data, and HIV drug resistance (DR). All activities will build capacity and contribute to achieving 95-95-95 targets and maintain epidemic control in Ukraine.