Central Asia Regional Office
HIV/AIDS Assets and Strategic Focus
CDC brings to bear its technical expertise and direct partnerships with Ministries of Health (MoH) to support PEPFAR’s legislative mandates in: (1) Prevention, including a renewed emphasis on prevention of mother-to-child HIV transmission; (2) Improved diagnostic laboratory capabilities across HIV/AIDS, tuberculosis (TB), and malaria; (3) Supporting the goal of training and retaining 140,000 health care workers; and (4) Health systems strengthening in consultation with the World Health Organization. A Total of ten full time staff and one part time staff member support the regional office with nine of them being locally employed staff who receive daily on-the-job training and mentoring.
CDC’s CAR office works to strengthen public health systems in the region by focusing on strategic information, blood safety, injection safety, laboratory services, and prevention for at-risk and vulnerable populations for HIV/AIDS treatment and care services.
Prevention for at-risk and Vulnerable Populations for HIV/AIDS
Build capacity of prevention specialists through training and on-the-job mentoring; Implement evidence-based pilot programs to illustrate and test prevention programs; Adopt new modes of service delivery; and Expand prevention and related services for at-risk populations.
Treatment & Care Services
Build capacity of clinicians through training and on-the-job mentoring; Strengthen HIV and opportunistic infection treatment and care services; Develop clinical guidelines for screening and managing HIV infection; and Enhance screening for and diagnosis of HIV infection and co-infection.
CDC provides technical assistance to MoH and key stakeholders in areas vital to the prevention, control, and monitoring of HIV infection to: build in country capacity of epidemiologists through training and on-the-job mentoring; improve surveillance systems, including sentinel surveillance; implement data triangulation; develop an electronic surveillance HIV case management system; improve monitoring and evaluation systems; and assist in data analysis and use for decision making.
Strengthening Laboratory and Health Systems
CDC builds in-country capacity for high-quality laboratory specialists, blood transfusion specialists, and epidemiologists through training and on-the job-mentoring; assisting with the rapid expansion of HIV diagnosis, treatment, and care; creating reference laboratories; developing national strategic laboratory plans; implementing quality management systems; participating in or conducting national external quality assessment and proficiency testing; implementing quality assurance and control programs; and supporting laboratory accreditation activities.
In September 2011, CDC completed an assessment on safe injection practices in Central Asia. During the period 2006-2008, Central Asia faced three known nosocomially acquired HIV outbreaks among children in the region. Per the requests of the MoH of the Republics of Kazakhstan, Kyrgyzstan, and Tajikistan, CDC conducted an assessment on safe injection practices in 263 health care facilities in three republics of Central Asia. CDC helped to develop protocols that were approved by the MoHs and the institutional review board.
In collaboration with the World Bank Central Asia AIDS Program, CDC conducted four workshops for 80 field workers on how to use the assessment tool. As the result, 42 local assessors were ready to collect the data. CDC closely monitored the data collection process and provided technical assistance in the assessment results analysis.
This breakthrough study marks the first time that the Central Asian Republics have given serious consideration to the problem of nosocomially acquired HIV infection, despite four documented hospital outbreaks involving hundreds of patients in recent years. The study report provides a solid basis for reforms in in-hospital injection practices.