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Posts tagged "Tajikistan"
First Results of Tuberculosis Programme in Tajikistan

First Results of Tuberculosis Programme in Tajikistan

Within the framework of the Project “Assistance in reducing the burden of tuberculosis in the Republic of Tajikistan” – implemented in the country since May 2018 – 1,499 people have been tested for TB, of which 77 were diagnosed with TB. All 77 have started treatment and have been included in the Social Support Programme. The interim results of one of the project’s components – the Small Grants program – will be summarized in this article by Arthur Niyazov, Project Manager and representative of the international organisation “Project HOPE” in Tajikistan. The Project “Assistance in reducing the burden of tuberculosis in the Republic of Tajikistan” aimed to improve access to diagnostic services, treatment adherence, and patient support for vulnerable groups (specifically, migrants and their families). The international organisation “Project HOPE”, as a sub-recipient of the Global Fund grant, is responsible for the implementation of two important components of the project: the Small Grants programme and the motivational support programme for Drug-Resistant TB patients. The Principal recipient of the grant is the Project Implementation Unit of the Republican Center of Protection of the Population from Tuberculosis. The Small Grants programme aims to improve access to quality services for the diagnosis and More…

Giving MDR-TB Patients a New Lease on Life

Giving MDR-TB Patients a New Lease on Life

Multidrug-resistant tuberculosis (MDR-TB) can be successfully treated today; however, the treatment course can take as long as two years and side effects can be severe if not appropriately addressed. The rate of MDR-TB treatment success is largely dependent on a patient’s socioeconomic circumstances as patients from marginalized groups are particularly vulnerable to dropping out of treatment. That is why ensuring patients’ adherence to TB treatment through a patient-centered approach that engages communities and civil society organizations, is critical to the success of MDR-TB treatment outcomes. Consistent with the principles of the WHO End TB Strategy, Project Hope’s interventions in Tajikistan (within the framework of the Global Fund to fight AIDS, Tuberculosis and Malaria TB grant) have provided a robust foundation for building a strong coalition in which communities and civil society organizations play a crucial role in combatting TB. Trained members of civil society and non-governmental organizations (NGO) have a unique capacity through patient education and psychosocial support to reach out to their communities to ensure that TB and MDR-TB patients make full recovery. One such patient for whom Project HOPE’s community-based initiatives were life-changing is Alisher Latipov. A family man from the Spitamen district in Tajikistan’s Sughd region, Alisher More…

TB Europe Coalition meets and trains TB civil society and communities in Tajikistan

TB Europe Coalition meets and trains TB civil society and communities in Tajikistan

From 15 to 19 April 2015, members of the TBEC Steering Committee visited Tajikistan in order to meet with key stakeholders working on Tuberculosis (TB) and build the advocacy capacity of civil society and communities. This was the first TBEC visit in Central Asia and was facilitated by the recently created STOP TB Partnership Tajikistan and the organization hosting its secretariat, Young Generation for Tajikistan. Tajikistan is one of the 15 high-burden countries for Multi-Drug Resistant TB in the WHO European region. Since 2000, TB incidence has decreased from 250 to 100 cases per 100 thousands inhabitants. While general TB rates are improving, widespread poverty combined with mountainous terrain continue to limit access to health and TB services. In 2014, a total of 5313 new TB cases were reported. The country is currently drawing up its third national TB programme. The programme, however, remains heavily dependent on external financing, with close to 70% of NTP resources being provided by international donors, mainly the Global Fund and USAID. Other challenges for TB care relate to high rates of MDR- and XDR-TB, increasing incidence of TB among Tajik labour migrants, and difficult access to TB treatment in prisons. After three days of More…

USAID launches new tuberculosis control program in Tajikistan

USAID launches new tuberculosis control program in Tajikistan

DUSHANBE (TCA) — The United States Ambassador to Tajikistan Susan Elliott and the United States Agency for International Development (USAID) on Wednesday launched the USAID Tuberculosis (TB) Control Program, a new regional program to improve diagnosis and treatment of tuberculosis in Tajikistan, the U.S. Embassy in Dushanbe said. The new program is an extension of TB control activities initiated under past USAID projects such as TB CARE I, Quality Health Care Project and the Dialogue on HIV and TB Project. While joint collaboration between USAID, the Tajik government and other partners to combat TB has resulted in stabilization of TB over the past five years, the latest Global TB Report confirms an alarming increase in rates of multi-drug resistant TB in all five Central Asian countries. This five-year USAID TB Control Program aims to reduce the burden of TB and the development of multi-drug resistant TB (MDR-TB) in Tajikistan. The program will focus on improving access to diagnosis and treatment for vulnerable groups, supporting a patient-centered system of care, and strengthening laboratories and other parts of the health system in Sughd and Khatlon provinces and the Rasht Valley, including policy development at the national level. Ambassador Elliott pointed out the More…

Summary of the research of  "The Role and Challenges for INGOs in tackling TB in Tajikistan"

Summary of the research of “The Role and Challenges for INGOs in tackling TB in Tajikistan”

My name is Zulfiya.  I am a new TB European Coalition Coordinator.  I am originally from   Tajikistan but have been living in the UK since 2012.   I  recently obtained a Master’s degree  from the London School of Economics and Political Science, for which I conducted research “The Role and Challenges of INGOs in tackling TB in Tajikistan”. Here is a summary of this thesis. Tuberculosis (TB) is the leading cause of death in many developing countries including Tajikistan.  The ineffectiveness  and lack of technical as well as financial resources of the government makes it difficult for the government to fight with the disease in isolation. As a result, many international organisations including INGOs, UN agencies and donor countries fill this gap through providing direct TB care services as well as building the capacity of the government to fight TB.  Additionally, they also aid patients and families to address the social determinants of TB as a means of prevention and mitigation. One of the most serious challenges facing Tajikistan relates to the growing problem of multi drug resistant – TB (MDR-TB). The country is among the 27 high MDR-TB burdened countries (WHO, 2010).  It is believed that Tajikistan has one of the highest rates More…

Changing the face of TB through the involvement of communities

Changing the face of TB through the involvement of communities

“Empower civil society and community representatives to generate change from the bottom up”, this is one of the key messages we took away from a session organised by the TB Europe Coalition and WHO Europe on “Community-driven solutions to the MDR-TB epidemic in the European region” at the Union Conference in Barcelona. Indeed, as civil society speaks the language of the people affected by the disease, and is well placed to take over numerous functions at the local level such as case detection, patient support, prevention activities, especially targeting affected communities, its capacities should be strengthened. There is no doubt that by providing basic services, making patients’ voices heard and spreading awareness about TB, civil society can be of great added value to national efforts. Speakers from civil society from Tajikistan and Moldova as well as the National TB Programmes of Bulgaria and Russia presented best practices in the involvement of communities and civil society in TB care. It was widely agreed that a clear shift from perceptions of TB as a medical condition to a human and social problem was urgently needed, especially in the way that conferences and trainings are organised for medical and programme staff. An equal More…

Voices in the fight: Shamsiya

Voices in the fight: Shamsiya

This post is comes from our partners in Tajikistan and tells the story of Shamsiya and her family experience with TB. This story was written by our partners in Tajikistan, Safar and Abdusamd. Shamsiya’s Story  “At night, when I hear the sound of any vehicle stopping near my house, I feel so scared. I think this is somebody bringing more bad news. I am worried about my father,” narrates Shamsiya as she bursts into tears. Shamsiya is a citizen of Tajikistan. Over the course of two decades she has watched nine of her family members succumb to the harrowing consequences of tuberculosis. Today, Shamsiya and her father are the only members still alive out of a large family who were once living happily before the killer disease, TB, found its way into their lives. Shamsiya’s family knew very little about TB before 1994. It was in this year that her eldest sister suddenly began to vomit blood and was immediately taken to hospital.  One and a half months later and Shamsiya’s sister unexpectedly died. Just over a decade later and the family’s troubles with TB returned. In 2006, both Shamsiya’s mother and her 24-year-old brother fell ill with a cough and More…

TB: Voices in the fight against a European and Worldwide epidemic

TB: Voices in the fight against a European and Worldwide epidemic

Today we’re sharing the story of Safar Naimov and his two brothers Nazarsho and Ismoil. TBEC member, Fanny Voitzwinkler, met Safar on a recent trip to Tajikistan where he told her his story. Safar lost his two brothers to MDR-TB and has just recovered from the very difficult treatment himself. He is now ‘determined to support anyone sick or vulnerable and seeks to now advocate for the elimination of tuberculosis in Europe, Central Asia and worldwide. Safar has shared with us his powerful testimony which we present below.   Testimony of Safar Naimov, 34, Tajikistan We were more like friends, me and my brother-Nazarsho. We were brought up in a large family and life was difficult following the collapse of the Soviet Union and subsequent civil war in Tajikistan. Hunger was common then. We grew up taking care of each other in all difficult moments.  We studied hard at school and we would dream of having a better life. In 2002 I was studying in India while my brother Nazarsho worked as an interpreter in Dushanbe. He was the only member of our family earning money. Nazarsho lived in a hostel with bad sanitation, as is the case with most More…

TBEC participates in 2013 WHO Review of Tajikistan TB Programme

TBEC participates in 2013 WHO Review of Tajikistan TB Programme

In July 2013, Fanny Voitzwinkler of Global Health Advocates, was part of the World Health Organization team as TBEC representative and Advocacy, Communication and Social Mobilisation (ACSM) expert, which reviewed the Tajikistan National TB Programme (NTP). As part of the review, TBEC met with half a dozen NGOs, international partners such as Project HOPE, USAID, and KNCV, health workers, former patients as well as community and religious leaders in Dushanbe the capital city but also in the Khatlon region/oblast in the southern part of the country. Tajikistan has a high burden of multidrug-resistant tuberculosis (MDR-TB), and is one of 18 countries in the WHO European Region in which TB control is the highest priority. Of the 6850 total cases registered in Tajikistan in 2012, 80% (5484) were new cases. The case-detection rate has improved over recent years, but remains low: 47% (39–57%). Civil society involvement in TB care and control is quite impressive in Tajikistan. 37 local non-governmental organisations (NGOs) have been working on TB projects. Most of them have started their activities in the past five to ten years and rely on 3096 volunteers trained on outreach activities around health issues. NGOs are providing crucial services to patients and More…

Multidrug-Resistant Tuberculosis: No Promises

Multidrug-Resistant Tuberculosis: No Promises

 Today we’re sharing both a moving and compelling video, Mutlidrug-Resistant Tuberculosis: No Promises, that specifically tells the tale of TB in Tajikistan but that also serves to highlight the myriad of problems TB patients, their friends and families have to endure when undergoing, and following, treatment. The video focuses on issues surrounding childhood TB, the problems with both the length and type of treatments involved. Shockingly, it notes that 64,000 children die every year because of the disease. Exacerbating this shock, and sadness, is the fact that this number is likely to be higher given the range of problems currently associated in diagnosing children – you can read more about Childhood TB here. For those that do survive, they still have to deal with being unable to attend school or enjoy time with their friends. The duration and difficulty of treatment for both children and adults is another considerable problem. A problem that only serves to hamper the fight against tackling TB and, in particular, multidrug-resistant TB. When we know that with enough resources and political will we can eliminate TB the power of stories like these are even greater. You can find out more in the video below: Multidrug-Resistant More…

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