health commodities to scale up services for HIV, TB, HepC, and other infection diseases that can lead to waste management risk and biologically hazard, contamination of soil 13.3 Support MOH at the central and local levels to decentralize HIV services away from AIDS centers to primary care will support the medical system to absorb the increasing numbers of PLHIVs on treatment Low 13.4 Develop approaches to reduce the stigma and discrimination among health workers towards HIV positive patients and key populations will be addressed, as services for PLHIV will be provided in sectors of the health system that have not previously had contact with these populations Low Defined or illustrative activities under Activity 14: MMR and Health Reform Communication Potential Climate Risk Climate Risk Rating* 14.1 Providing small grant to investigate whether there has been a cover up of maternal mortality rates in Ukraine and provide the information to watchdog groups who will ensure accountability. The grant will also provide TA to MOH for communication for health reform Lack of awareness of the health policy makers and health providers of potential risks linked with increased number of health commodities to scale up services for HIV, TB, HepC, and other infection diseases that can lead to waste management risk and biologically hazard, contamination of soil Low Defined or illustrative activities under Activity 15: Safe, Affordable, and Effective Medicines for Ukrainians (SAFEMed) Potential Climate Risk Climate Risk Rating* 15.1 provide technical assistance to address policy and legislative barriers that hinder establishment of efficient, cost-effective, health financing, health procurement management and administration Lack of awareness of the health policy makers and health providers of potential risks linked with increased number of health commodities to scale up services for HIV, TB, HepC, and other infection diseases that can lead to waste management risk and biologically Low 15.2 support of development and adoption of evidence based pharmaceutical laws, policies, regulations, guidelines, and standard operating procedures (SOPs) Low 15.3 provide technical assistance to civil society organizations in their collaboration on demanding the best use of scarce health resources, improve trust in the healthcare system, ensure the proper use of quality-assured medicines, and promote good policy making Low 15.4 Build the capacity of the national and selected regional/ local GoU entities to design and establish a national purchasing agency Low
Climate Risk Screening and Management Tool for Activity Design OUTPUT MATRIX: CLIMATE RISKS, OPPORTUNITIES, AND ACTIONS * = A required element, according to the Mandatory Reference 1.1: Tasks / Defined or Anticipated Tasks or Interventions* 1.2: 1.3: 2: Climate Risks* 3: Adaptive Capacity 4: Climate Risk Rating* 5: Opportunities 6.1: Climate Risk Management Options 6.2: How Climate Risks are Addressed in the Activity* 7: Next Steps for Activity Implementation* 8: Accepted Climate Risks* Ukraine Health Project (PAD Level) National and Regional Level Lack of awareness of the health policy makers and health providers of potential risks linked with increased number of health commodities to scale up services for HIV, TB, HepC, and other infection diseases that can lead to waste management risk and biologically hazard, contamination of soil Lack of awareness of the best practices, EU standards, and regulatory documents, and weak access to financing to address the issues. LOW Tailored Trainings and awareness raising events (i.e. round table discussion, panel discussion, dedicated TV and radio programs, etc.) Monitor implementation of international best practices and capacity building work with health policy makers and health providers to improve their awareness and build their capacities Monitor implementation of waste management practices in selected facilities in focal regions None