|Overview : |
The Kyrgyz Republic is a country with a high burden of tuberculosis. One of the priority tasks in the organization of anti-tuberculosis care is to strengthen primary health care to provide quality services to TB patients in outpatient settings. Since January 2011, by decision of the Country Coordinating Committee (CCC) and the Global Fund to Fight AIDS, Tuberculosis and Malaria (GF), the United Nations Development Programme (UNDP) in the Kyrgyz Republic (KR) has been the Principal Recipient (PR) of the GF grant on tuberculosis (TB).
Introduction of modern technologies for laboratory diagnostics of tuberculosis Xpert MTB/RIF, testing on Hain have created new challenges for the health care system and the need to ensure access and coverage. Accelerated methods provide an opportunity for early initiation of treatment and the establishment of an uninterrupted supply of medicines to the health care organization. The goal of the GF funding project is to reduce the burden of TB and HIV infections in the Kyrgyz Republic by ensuring universal access to timely and quality diagnosis and treatment of TB, implementing measures to prevent HIV among key populations based on evidence-based medicine, providing PLHIV with treatment, medical care and other types of assistance, creating an enabling environment and ensuring the sustainability of programs.
In July 2019, a transport system was introduced in Chui, Talas, Naryn, Issyk-Kul and Batken regions for the delivery of biological material from the district level to the regional and national level, as well as the delivery of anti-tuberculosis drugs from the regional level to the district level. For this purpose, a lot of work was done in the creation of the team, which included the National, regional and district levels, consultants/trainers were hired, laboratory service specialists, primary health care nurses were trained, and responsible persons were appointed and approved for the implementation of the transport system at all levels. In particular, UNDP included in the Agreement with RCTC regional coordinators responsible for organization and monitoring of transportation of biological materials and antituberculosis drugs at the RCTC level, hired a transport company and consultants/trainers. Training sessions were conducted with the PHC and RCTC officials, containers for biological material transportation were purchased and distributed, and basic analysis of TB patients was conducted. In Jalalabad and Osh regions, the transport system was not implemented for a number of technical reasons, but the activities described above were all implemented.
At present, a number of problems remain: establishment of interaction systems between the tuberculosis service, the primary link and the transport company, qualitative monitoring and evaluation, adjustment of the transport system and elimination of arising problems during transportation, as well as introduction of the transport system in Jalalabad and Osh regions, creation of mechanisms for transportation of biological materials by airlines.
In order to organize and operate the transport system efficiently, it is necessary to hire a Transport System Coordinator who will coordinate all involved parties (including consultants), provide technical assistance in capacity building of the involved specialists and coordinate the overall monitoring of the effective implementation of the transport system in the country and create conditions for close cooperation of all involved parties.
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Business Unit: KGZ10
Event ID: 2020-04
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