Strengthening the supportive environment and scaling up prevention, treatment and care to contain HIV epidemic in Tajikistan

What is the Programme about?

Round 8 HIV Grant Strengthening the supportive environment and scaling up prevention, treatment and care to contain HIV epidemic in the Republic of Tajikistan, is a five-year project that intends to reach highly at-risk and vulnerable groups of population by HIV prevention and harm reduction program in Tajikistan. The two-phased project started on 1 October 2009 and will last until 30 September 2014. Due to restructuring of the Global Fund grants the Transition Funding Mechanism has been introduced and approved for Tajikistan for the period of 2013-2015.   

The key goal of the project is to provide universal access to HIV services, and lay the foundation for stabilizing the country’s epidemic.

The project is based on the outcomes of the ongoing HIV project, which is focused on health system strengthening interventions, particularly, on the expansion and integration of VCT services into the Primary Health Care. It will also keep contributing to national health care reform through building and improving technical and managerial capacities of health professionals, promoting participation of civil society in the response to the epidemic, and enhancing the cooperation of public ogranizations with the public health sector.  In addition, the current HIV project intends to continue supporting a variety of service delivery points for Injecting Drug Users (IDU), Sex Workers (SW), men who have sex with men (MSM), prisoners, ex-inmates, migrants, vulnerable women and other high-risk groups of population. The project remains the only source of funding for strengthening VCT services in the country; expanding the program to prevent the transmission of HIV from mother-to-child; improving the system of monitoring and evaluation; and providing treatment for ARV therapy and opportunistic infections.

Accomplishments so far

  • Based on the national sentinel surveillance of late years among most at-risk groups of population the Ministry of Health of the Republic of Tajikistan has stated that HIV epidemic is in the concentrated stage. HIV prevalence among most at-risk groups is as follows: 13.5% IDUs,  3.7% SWs, and 1.5% MSM (BSS 2011)
  • Comprehensive HIV harm reduction services were provided to 41% IDUs, 48% SWs, 11% MSM, 45% prisoners through more than 80 service providing points in 2012 out of overall estimated number of risky groups.
  • In 2011 the pilot Opioid Substitution Therapy (OST) initiative was launched in the country, opening 4 sites in Dushanbe, Khujand, Khorog, Kurgan-tyube. As of December 2012 a total of 384 clients have been receiving  methadone-based treatment.
  • As of December 2012 overall 1,044 people with advanced HIV infection have been provided with antiretroviral therapy, that comprises 22.3% out of registered PLHIV in the country.
  • Number of HIV-tested pregnant women has increased nine-fold since 2005. A total of 15,051 pregnant women were tested in 2005 and this number increased up to 143,643 (72% out of total registered pregnant women) in 2012.

Who finances it?

The Global Fund to fight HIV/AIDS, tuberculosis and malaria

Delivery in previous fiscal year

$ 7,594,305.57

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