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According to UNAIDS estimates, Eastern Europe and the CIS remains one of the few regions where HIV prevalence continues to rise; from an estimated 630,000 in 2001 to 1.5 million in 2008. Nearly 90 percent of newly reported cases in the region were from the Russian Federation and Ukraine. In Central Asia and the Caucasus, the number of newly reported HIV diagnoses is also rising, with Uzbekistan having the largest incidence rate in Central Asia. UNDP’s activities are in line with the UNAIDS co-sponsor division of labor and Global Task Team recommendations, in which UNDP plays a leading role in HIV/AIDS as it relates to the MDGs and development planning, governance, human rights, gender and sexual diversity. UNDP’s capacity in the region to promote HIV responses is demonstrated through our portfolio of some 30 active projects in 28 countries with an annual budget of approximately US$ 4.3 million. (These figures are exclusive of the Global Fund grants that UNDP supports in the region, which play an important role in support of national HIV responses and amount to an average of US$ 35 million per year.) Practice work is supported by an extended network of practitioners/experts with approximately 50 members (including global/regional practitioners, Country Office-designated professionals and external experts e.g. UNAIDS representatives). The network is further supported with specific tools such as the regional HIV/AIDS workspace. The specific capacity areas cover: MDGs & Development planning: integrating AIDS responses vertically and horizontally into poverty reduction strategies, Millennium Development Goals-based national development plans, and macroeconomic processes – (for example, supporting the poverty reduction processes in Armenia and Tajikistan through the UNDP/UNAIDS/World Bank Joint Programme on PRSP Integration). Governance of the AIDS response: strengthening national capacities for inclusive governance and coordination of AIDS responses and supporting the meaningful participation of civil society and people living with HIV in decision-making processes and service provision (for example, a strategic capacity assessment initiative in six countries, which mapped the assets and gaps for effective responses with concrete short- and medium-term recommended actions). Law, human rights, gender and sexual diversity: ensuring that policies and programmes are implemented to protect the rights of key populations at risk and people living with and affected by HIV; understanding and mitigating gender-related vulnerability, including the recently confirmed UNDP lead mandate on sexual diversity and HIV, in which men who have sex with men play a key role in this region (for example, the regional vulnerability study in six countries across the region both enhanced local-level research capacity and fed the development and launch of a special RHDR on AIDS in Eastern Europe and the CIS – The Human Cost of Social Exclusion); Public health and development partnerships: strengthening national capacities for implementation of AIDS funds and programmes financed through multilateral funding initiatives, including the Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM) and the World Bank-funded Central Asia AIDS Control Project. UNDP serves as GFATM Principal Recipient in four countries of the region – Belarus, Bosnia and Herzegovina, Montenegro and Tajikistan – and provides implementation support to Principal Recipients in Kyrgyzstan and Uzbekistan. In Central Asia, UNDP supports the flagship World Bank/DFID-funded Central Asia AIDS Control Project through a joint regional project in four countries – with a delivery of approximately US$ 4 million in 2009. This partnership provides capacity building and implementation support to the five-year initiative in Kazakhstan, Kyrgyzstan, Tajikistan and Uzbekistan. In total, through combined regional and country level efforts, the UNDP HIV/AIDS practice implements projects in the region with a combined estimated budget of US$ 42 million per year. |
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