KEY RESULTS by decree


									                      2007 KEY RESULTS
  of the Joint UN Team on AIDS /UN Theme Group on HIV/AIDS

Outcome 1:
Country leadership empowered for effective scaling up towards universal
CAPACITY OF THE NATIONAL AIDS AUTHORITIES (NAC) and the Secretariat in the 1) overall coordination, 2)
resources mobilization and tracking and 3) strategic information management was strengthened with policy guidance,
information and reporting assistance of the AIDS Team. 2 meetings of the CCM were held in 2007 with UN assistance in
agendas formulation and background. The members of the NAC and the Secretariat were regularly up-dated on the re-
cent HIV policy briefings, global HIV response and initiatives. For effective participation in the strategic meetings the NAC
members were timely provided with expertise and analytical information to draft their presentations at the meetings of
different levels and develop relevant policy papers.
AIDS Team provided financial and guidance support to the CCM members (including civil society representatives and
faith based organizations) and NAC Secretariat for their strategic participation in various national, regional and interna-
tional meetings on harmonization of M&E and policy in scaling up towards the Universal Access to HIV prevention, treat-
ment, care and support (Regional Monitoring of Pandemic Meeting (May 2007), 3rd Regional Meeting of GFATM for the
Grant Recipient Countries of Eastern Europe&Central Asia, National HIV conferences, HIV/NGOs network meeting, In-
ternational conference "'Innovative technologies in Education" in Crimea, Ukraine; the 13th Annual Meeting of the Interna-
tional Association of Adolescent Health in St. Petersburg).
The national Universal Access targets were approved by the CCM in April 2007 and the Road Map towards the UA was
finalized by the end of the year. With the UNAIDS and WB assistance the national Road Map and AIDS costing metho-
dologies and the national specialists were given an orientation session on the methodology of AIDS costing as a prepara-
tion to the development of the Action Plan towards the UA 2009-2010.
In 2007 the CCM membership kept its percentage composition. It represents governmental agencies — 53%; non-
governmental and international organizations ― 41%; representatives of religious organizations ― 3%; private sector ―
3%. PLH constitute 6.25% and those living with tuberculosis constitute 6.25% of the total CCM composition. AIDS Team
advocacy for the PLH participation in the CCM continued with the Deputy Minister of Health who is the AIDS National
Coordinator in Belarus. Several meeting were organized with the participation of PLH and the Ministry of Health to an-
swer the questions posed by the PLH community.
Within the GFATM grant on HIV and AIDS, UNDP commissioned review of Belarusian legislation on HIV and AIDS. By
December the legal review was completed. In 2008 it is planned to organize a workshop with all the stakeholders to dis-
cuss the outcomes of the review.
 In 2007 in the framework of the project UNFPA in Belarus hosted international workshop on Youth Participation and
Project Planning Meeting. As the results young people from 8 CIS countries, including Belarus, were sensitized on youth
participation and project workplans were developed by young people with CO programme staff participation.

Outcome 2:
National partnerships mobilized and empowered for HIV prevention
UNAIDS provided strategic, information and financial support to the World AIDS Campaigns: Youth Festival ―Students
Against AIDS‘, local Svetlogorsk Concert against stigma and discrimination. The UN information and video package was
compiled by UNAIDS and distributed among national partners as resource materials for the thematic events.
Activities within WAC ―Stop AIDS, Keep the Promise‖ continued to be supported by the GFATM/UNDP. The ―star team‖
was formed out of famous Olympic and World champions, musicians and TV stars. They voiced their concern about AIDS
and agreed to participate in the campaign. Over 80 billboards were produced and displayed in Minsk and regional cities
suggesting promises that each one can make with regards to HIV – ―we promise to speak of HIV‖, ― we promise to take
care of HIV-infected children‖, ― we promise to take HIV test‖ and many more asking the viewers to make their own prom-
GFATM/UNDP supported the Minsk Road Police WAD Information campaign of massive distribution of information mate-
rials of the Start Team Giving Promises Campaign and flickers saying ―My veins are not for drugs‖ and ―AIDS and myself
are on different tracks!‖ Flickers were distributed by the Road Police Inspectors to the pedestrians, drivers and mostly to
school children. 10,000 young people received flickers and pocket calendars with the Star Team and the promises. In-
formational and educational recourse centers for HIV Prevention have been opened at the Regional centers for Hygiene
and Epidemiology, with the thematic library functioning in each of them. Web-site for young people on HIV prevention
was visited by 27,125 people during 2007. 843 people have been consulted on HIV ‗hot lines‘. 4,333 youngsters were
involved in HIV preventive activities within the Project. In 2007 the following seminars were held within the Project Com-
ponent: Country wide seminar on HIV issues for 21 journalist; — 1 country wide and 6 regional seminars on HIV/AIDS for
Deputy Chairmen of the Executive Committees and Secretaries of Interdepartmental Councils, — Country-wide seminar
for Ministries‘ specialists, — 2 country wide and 6 regional seminars on HIV issues for Deputy Directors of Ideological
Departments and for Trade unions‘ specialists.
UNICEF provided further support to the development of the youth journalism and opportunities for young people to de-
sign and lead information campaigns on healthy life style promotion, HIV/AIDS prevention.
Planned UNFPA National Conference on Youth Reproductive Health 2007 was postponed till launch of new project on
youth reproductive health issues. In 2007 UNFPA supported information activities dedicated to World AIDS day con-
ducted by the Military Academy with participation of other Force Educational Institutions of the republic. Information activi-
ties included poster contest and Humor festival of the ―Club of Jolly and Smart‖.

Outcome 3:
Strategic information for effective planning improved
Upon the developed Road Map and defined obstacles UNAIDS advocated for Country Resource Needs Estimate to es-
timate additional needs in resources to overcome the defined obstacles and reach Universal Access targets. The Needs
Estimate process was launched with assistance of the WB expert, whose report is presented to the NAC.
GFATM/UNDP improved access of HIV education trainers to the methodological materials. It supported publication of
training manual for schools (10,000 copies) and its distribution to all schools of Belarus. It had solid interactive part and a
CD-ROM with all the materials for further reprinting.
UNFPA conducted Youth Reproductive Health Project External Evaluation. Report was distributed among all National
Partners involved into the project implementation. Report recommendations will be used to develop new project on Ado-
lescents Reproductive Health. In the frame of the Evaluation UNFPA has also undergone Assessment of Peer Education
Programming on Reproductive and Sexual Health, and HIV/AIDS Prevention among Young People in the Republic of
Belarus. UNDP has partially covered costs related to the assessment. Results of the report were presented at the Inter-
national Forum on improvement of peer-education programming organized by UNFPA in Belarus and distributed among
assessment participants. ―HIV/AIDS prevention in Armed Forces – Best Practices Report‖ was not prepared. Youth
Friendly Services situation analyses was partially made within Youth RH project Evaluation. The comprehensive situation
analyses will be made by UNFPA in the framework of the regional project on Youth RH issues. As it was planned UNFPA
has conducted mass-media content analyses to assess the coverage of RH and healthy life style issues by republican
and regional media within the period from 1 June 2005 till 31 May 2006. Behavioral survey was not conducted due to
refusal of the MoE to approve the questionnaire that was used for initial survey conducted at the beginning of the project.
Following to the agreement with the GF project indicators related to UNFPA project were included into GF project regular
survey on adolescents responsible behavior. UNFPA finalized the development of 5 information brochures 70,000 copies
each) on ASRH issues.
UNFPA together with the Scientific Institute of Statistics and Analysis commissioned a National Report on Data Availabili-
ty in the Area of Population and Development, Sexual and Reproductive Health, and Gender. The report describes all
surveys undertaken in these thematic areas in 2004-2006 and includes description of the sample design and population
groups covered, survey instruments used, forms (in terms of reports, published tabulations, and microdata) and condi-
tions under which the results of the surveys are accessible; identifies the current and potential users of the data. Broad
distribution of the report among policy makers, scientists and researchers, university teachers and students will increase
their knowledge on existing data and information and improve access to it.
UNICEF provided support for the Situation analysis of the status of women and children in context of HVI/AIDS. UNICEF
supported development of 2 Manuals ―I would like to be loved‖, ―Community based care and support to HIV-infected and
affected children and their families‖. The recommendations developed within the framework of the “Survey of the accu-
mulated capacity, skills and experience of the adults and children for the effective youth participation in decision-making
process in all issues concerning their health and development” were introduced to the main stakeholders of the Ministry
of Education and will be used for the development of the future projects and programmes for enhancing participation of
children and students in the life of the society and for the development of the monitoring criteria to conduct social monitor-
ing for the purpose of sampling the potential for participation. For in-depth monitoring of the country‘s progress in imple-
mentation of MDG6 UNICEF advocated for the extension of the number of indicators regarding HIV/AIDS in BelarusInfo:
the percentage of the vertical transmission, the percentage and number of the HIV+ pregnant women received the full
course of the ARV prophylaxis, the AIDS death rate in the population of the Republic of Belarus were included in Belarus
database in addition to adult‘s HIV/AIDS prevalence rate and number of people living with HIV/AIDS disaggregated by
age and sex.

Outcome 4:
One Monitoring and Evaluation System gives basis for political decisions in
HIV response
With GFATM/UNDP Project support the national M&E system was further strengthened and the one National M&E plan
was developed and submitted for approval. The Project provided support to 5 social surveys: Informational and Educa-
tional activities on HIV/AIDS at the workplace issues; Determining the behavioural features and awareness level among
women between 18 and 45 years of age; Behavioural features and awareness level among young people between 15
and 24 years of age; Behavioural features and HIV/AIDS awareness level among IDU, CSW and MSM; Carrying out in-
formational and educational activities in educational institutions. Results of the surveys were used while preparing Na-
tional report on implementation of the UNGASS Declaration (2006–2007). Manual on principles of calculating the Nation-
al M&E indicators on HIV/AIDS was developed and published (300 copies).

In order to provide CRIS connection the technical capacity of the regional Centers for Hygiene, Epidemiology and Public
Health (Pinsk, Lida, Soligorsk, Svetlogorsk, Zhlobin, Bobruisk) for M&E was strengthened through provision of a server
for keeping the software. 19 specialists were trained to manage the above mentioned software in 8 organizations. Capac-
ity of 57 specialists was improved to M&E of activities held for and with the vulnerable groups. Publication of the national
Methodological manual on the M&E was supported by the UNDP.

2 specialists were trained on HIV/AIDS epidemiological control at the educational centre of Zagreb, Croatia, (February-
March 2007) with UNDP support. GFATM/UNDP supported training of 32 specialists during the National M&E Seminar.

The software on treatment of HIV-infected patients in hospitals and ARVT organization is under development with the
GFATM/UNDP project support. The software has been designed for the infectious diseases services. Experts of the Na-
tional AIDS Center have developed the Technical Specification for software on HIV laboratory testing. The testing version
of the software was ready by the end of January. Full-fledged launch of the software is planned for 1st Q of 2008 after
testing is complete and the staff is trained.

Outcome 5: Funds for projects building national capacity are mobilized and
UNAIDS mobilized USD 99,255 extra funds for realization of the activities in the filed of building capacity of the AIDS
team in joint Programming and support to the newly emerging activities of the national partners for the UA: interchurch
cooperation, strategic planning of the newly registered AIDS servicing NGOs network and HIV prevention among IDUs.
In the framework of UNFPA regional project funded my the Government of the Republic of Finland the CO in Belarus got
105, 000 USD for development of reproductive health strategy and youth friendly services standardization in the Republic
of Belarus, increasing youth participation in decision making. The project will be implemented in 2007—2009.

UNICEF strengthened capacity of the Territorial Centres of the Social Services in Soligorsk and Svetlogorsk. 20 social
workers were trained on CBCS to HIV infected and affected children by Russian experts from Kaliningrad. The round
table with main regional CBCS stakeholders was conducted and the model of interagency collaboration in Zshlobin re-
gion was discussed and is under development now.
According to the UNAIDS priorities HIV Prevention was considered a priority for 2007 UN assistance framework, the na-
tional HIV response and specifically GFATM/UNDP Project for 2007. With the main assistance of the GFATM/UNDP
Project the prevention programmes for the vulnerable groups and the youth were scaled up.
IDUs: During 2007 within the GFATM/UNDP Project ―HIV/AIDS Prevention and Treatment‖ 20,701 IDU received consult-
ing services at 56 Anonymous Consulting Points (ACP). In 2007 1,447,068 syringes were exchanged and 1,070,392
condoms were distributed among IDU; 15,581 IDU were consulted on HIV prevention. Brochures on TB treatment and
ARVT were published and distributed among ACP clients together with other informational and educational materials.
119 social workers have started working with IDU using peer education methods. After MoH authorization on one-off im-
port was obtained, the first lot of methadone was delivered to Belarus. In September 2007 the Methadone Therapy Pro-

gramme was initiated at Gomel Narcological dispensary. In 2007 within the Project Component 57 social workers were
trained on working with IDU. On 9 November 2007 National Seminar on Methadone therapy for 57 narcologists was held.
For establishing partnership between ACP specialists and specialists working with the vulnerable groups, a seminar was
held in Gomel with participation of MIA and BRC representatives and social service centers‘ specialists. For this purpose
3 round tables with participation of MIA Drug and Human Trafficking Departments‘ representatives were held in Minsk,
Gomel and Vitebsk .
MSM: Within the GFATM/UNDP HIV Project anonymous testing for MSM on STI was organized in regional centers and
Svetlogorsk. 365 MSM were tested and consulted on HIV. 147,900 condoms distributed among MSM. 16,736 informa-
tional and educational materials on HIV prevention distributed. 23 MSM were consulted by ‗virtual doctor‘ at web-site. 303 MSM were consulted on HIV hot-lines. 40 outreach workers have consulted 23,503 MSM
on HIV and STI prevention. In June 2007 seminar ‗Providing Consulting Services for MSM on STD and HIV prevention‘
was held with participation of 31 regional coordinators, social workers and volunteers. In September 2007 seminar on
consulting issues was organized for medical workers, psychologists and regional coordinators.
CSW: In 2007 within the GFATM/UNDP Project ‗HIV/AIDS Prevention and Treatment‘ 984 CSW have been consulted,
375 CSW were tested on STI, medical treatment of 163 CRW was conducted out of Project budget. 254,358 condoms
were distributed. 38,340 informational and educational materials on HIV and STI prevention were distributed. 4104 CSW
were consulted by outreach workers. Two seminars were held in 2007: July, 24–25 – educational seminar on social work
among CSW, 27 participants; November, 26–27 – seminar on International experience of NGOs working with CSW. The
project on HIV prevention among CSW on the highways was implemented with UNAIDS and UNDP financial support and
covered by information activities and increased access to prevention 568 CSW and 853 clients (almost 4,000 information
booklets and 17.5 thousand condoms distributed).
Prisoners: GFATM/UNDP Project has been implemented in 32 penitentiary institutions. 4 types of educational and in-
formational materials on HIV testing and STI prevention (13,200 copies each) were developed and published. Heads and
medical staff of penitentiary medical departments (136 total) attended a seminar and 2 working meeting on HIV issues.
169,350 condoms distributed. 45 doctors were trained on HIV testing. Due to the Project implementation activities prior
and post HIV testing consultations were organized in all prisons. Within the GFATM grant 145 HIV-infected prisoners are
receiving ARVT. Gomel Prison #4 was supplied with furniture and medical equipment for treatment of HIV-infected pris-
oners. Cytofluorimeter for Prison #1 has been provided out of the Project resources. 8 doctors have attended seminar on
modern principles of ARVT. 5 doctors and 1 laboratory assistant were trained at the Medical Academy on HIV/AIDS
treatment. UNICEF advocated for the enlargement of the work with vulnerable groups of adolescents in Mogilev‘s College
and School and Petrikov‘s College of closed type within the framework of the project ―Bumerang‖ with NGO ―Association
of the UNESCO Clubs‖. UNICEF strengthened the commitment of the national counterparts from the Ministry of Educa-
tion and Interior, local authorities and administration of these establishments which allowed to implement this project suc-
Adolescents: UNFPA increased capacity in delivering YFS: in addition to 4 early opened YHC (Gomel, Mogilev, Grodno,
Soligorsk) UNFPA opened one more in Vitebsk in 2007. UNFPA has also organized and conducted workshop on youth
friendly services and possibilities of their standardization in the Republic of Belarus. 14 Representatives of Oblast and
Minsk City Authorities and Heads of YHCs opened by UNFPA and UNICEF, as well as representatives of MoH, UNFPA,
UNICEF and WHO took part in the workshop
 HIV at workplace: With the support of the GFATM/UNDP two national and 6 regional trainings were organized for 230
representatives of big enterprises on the issues of HIV in the work place. The participants were either Deputy Directors
for ideological work or heads of the youth unions at the factories. Each participant developed a follow-up plan to the se-

minar and in 2008 it is planned to have another seminar to summarize the results of their work in 2008.
GFATM/UNDP supported the work of the Resource centre based at the National Department of HIV prevention. The Na-
tional AIDS Resource Center served as a model for the organization of complex prevention activities for the youth and its
experience is multiplied in all 6 regions of Belarus in 2007.
With UNICEF support and South General Hospital in Stockholm 22 health care providers exchanged experience and
enhanced their knowledge and skills on adolescent sexual and reproductive health. More then 60 teachers, tutors, social
workers of the regional commissions dealing with minors enhanced their knowledge and skills at the training on the man-
agement of the information-education campaign on HIV, drug use prevention and development of the healthy behaviour
patterns among vulnerable groups of adolescents. The creation of the 3 Information-Education Centres gave the oppor-
tunity for adolescents and adults for interactive communication with the use of the launched internet resource as well as with the use of the special e-mail address for the representatives
of the regional commissions dealing with minors. UNFPA and UNICEF will jointly continue work on development of the
Adolescent sexual and reproductive health strategy for Belarus.
Within the Component 5 ―To provide access to treatment, care and support to people living with HIV‖ of the
GFATM/UNDP Project ―Prevention and Treatment of HIV/AIDS in Belarus‖ complex advocacy and technical assistance
activities allowed significantly to scale up access to ARV treatment. As of end of 2007, 884 patients are getting medical
treatment (incl. 145 in penitentiary system and 69 children). 444 HIV infected people have been treated against opportu-
nistic infection. After holding an international tender, 16 types of ARV drugs have been supplied, covering the annual
demand. 6 types of pharmaceuticals for treatment of opportunistic infections procured and delivered to regional hospit-
als.On 26.06.2007 the meeting on ARVT issues was held with participation of Chief Regional Infectiologists and Chief
doctors of regional dispensary rooms. The conference on Modern ARV Principles was held on 18-19.12.2007, with partic-
ipation of 68 specialists, including international ones from Denmark, Lithuania and Ukraine.
Laboratory monitoring of effectiveness of ARV treatment of HIV infected people is being carried out.: from 6% in 2004 to
up to 90% (638 persons, 60 of them are treated in prisons) by the end of 2006. 83.2% of HIV positive pregnant women
were covered by the PMTCT programme receiving ARV prophylaxis. The average cost of the ARVs reduced 6 times
(1,347.3 USD). The number of registered ARV medicines increased up to 19 allowing 26 schemes of treatment. WHO
provided technical recommendations for laboratory and treatment services in Belarus prior to ARV treatment in 2006
Thanks to UNICEF supported project access to HIV testing for women and children was increased. More than 2000
women and children were tested in 2007.
With assistance of WHO under funding of USAID and UNAIDS the national capacity to adequately provide HIV/AIDS
treatment and care was improved in the following aspects: Implemented didactical/clinical training courses to introduce
team approach in providing treatment, care and support to PLHIV. 6 care teams which provide HIV/AIDS treatment and
care for adults, f2 pediatric care teams, 6 care teams which provide HIV/AIDS treatment and care in penitentiary system,
for 6 care teams which provide palliative care to PLHIV were prepared plus 13 specialists (obstetrician/gynecologysts and
neonatologists) on prevention of mother-to-child (PMTCT) issues. In total 84 numbers of health care providers, including
social workers have been trained. PLH representing Belarusian NGOs ―Positive Movement‖, ―Alternativa‖, and ―Mothers
against drugs‖ have been trained as members of care and work as social workers/peer-consultants to support ART adhe-
rence. Pool of National trainers was created: 5 physicians-trainers from leading medical educational institutions have
been trained as part of care teams and successfully completed training of trainers (ToT) course. This allowed them to
improve content and quality of undergraduate and postgraduate trainings for students and to bring it closer to the interna-
tional standards. To raise sustainability of health care professionals‘ education on HIV/AIDS National Training Pro-
grammes were updated with training packages in line with international standards and approaches and approved for us-
ing at the medical institutions. In addition to updated training programmes training tools on different aspects of HIV/AIDS
were developed upon an AIHA workshop. WHO assisted in improving access to different aspects of HIV/AIDS informa-
tion through launch of the educational web page: WHO provide expert and technical assistance in
improving normative guidance on HIV/AIDS treatment and care: National clinical protocols on HIV/AIDS have been under
development by technical working group (TWG). Set of national HIV/AIDS protocols is updated and submitted to the MoH
for approval. The Protocols include new protocol on ARV treatment for HIV infected IDUs, which has never existed before
in the national recommendations.

Outcome 6:
HIV and AIDS mainstreamed in to the relevant sectors and development
Financial support, policy guidelines and advice were provided to the church and civil society representatives in develop-
ing the strategy of interchurch social partnership within the UNAIDS (PAF) and UNDP technical support project ―Consoli-
dating Efforts of Christian Churches in Response to the HIV/AIDS Epidemic in Belarus‖. The Declaration on Social Part-
nership of the Christian churches against HIV and AIDS was reviewed by the UNAIDS senior adviser (Geneva, Switzer-
land), Calle Almedal and officially signed on 28 November 2007 by the leaders of four Christian churches in Belarus (Or-
thodox, Baptists, Lutherans, Catholics).

Outcome 7:
UN HIV/AIDS policy at workplace being implemented
AIDS team developed 5 years ―Belarus UN Plan: HIV/AIDS at the Workplace‖ in 2007. It was approved by the UHCT and
has been implemented through the 1st year. According to the plan and global requirements for the implementation of the
HIV at Workplace Policy thematic trainings wee conducted for 90% UN staff (target 70%).


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