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Kazakhstan is among the highest TB burden countries in the Eurasian Region and the highest drug-resistant burden countries in the world. It is estimated that the number of TB cases among migrants in Kazakhstan is about 10 percent of the total number of TB cases in the country. Migrants have limited access to TB diagnostics and treatment services as existing regulations restrict provision of services to them. This problem contributes to the growth of drug resistant TB in the country.

In 2014 Project HOPE implemented a three-year program – “Addressing Cross-Border TB and TB/AIDS Among Labor Migrants” – with support from the Global Fund to Fight AIDS, Tuberculosisand Malaria (GFATM). HOPE continues to work with high risk populations including migrant workers by improving access to TB services through direct TB outreach work and collaboration with health providers to ensure free diagnosis and treatment. HOPE also links migrants who have started TB treatment in Kazakhstan with their host countries to complete treatment.

History

While working on a region-wide initiative to improve the effectiveness of the health system in response to Tuberculosis (TB), Project HOPE initiated an anti-TB strategy by implementing Directly Observed Therapy-Short Course (DOTS) in 1994. Throughout the years, the TB program has expanded to become the current region-wide management program.

In 2009, HOPE implemented a five year USAID funded partnership with Population Services International (PSI) to increase access to TB prevention and treatment among at-risk populations in Uzbekistan, Tajikistan, Kazakhstan and Kyrgyzstan. The initiative provided direct outreach services and training to those populations most at-risk and focused on increasing TB and HIV knowledge and prevention as well as training for providers on stigma reduction.

Starting in 2010, Project HOPE, in partnership with Abt Associates, Inc., successfully implemented a five year USAID-funded regional Quality Health Care Project focusing on TB management systems and quality management systems of laboratory services, infection control training, and activities to raise TB awareness and to reduce the HIV and TB epidemics among key populations – interventions that further aligned HOPE’s expertise, processes and people with its mission.


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Media training in Kazakhstan about migrant workers and TB Media Training and Coverage of TB Among Working Migrants
A media training tour for journalists took place in October as part of the project “Addressing Cross-Border TB, M/XDR-TB and TB/AIDS Among Labor Migrants” implemented by Project HOPE Kazakhstan with the support of The Global Fund to Fight AIDS, Tuberculosis and Malaria.

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