The increase of HIV infection cases in the country is quite alarming: Over the last 5 years, the number of officially registered HIV cases has skyrocketed by eight times, increasing from 506 in 2005 to 4,674 in 2012. According to the UNAIDS Report on Global AIDS Epidemic 2012, Tajikistan is among of the countries where HIV prevalence has increased by more than 25% over the last 10 years.
A comprehensive and fully-fledged approach is crucial to continue keeping the HIV epidemic in a concentrated stage in Tajikistan. UNDP in Tajikistan intends to control HIV infection nationwide through increased HIV/AIDS awareness to influence positive behavioral change, increased access to voluntary confidential counseling and testing, stigma reduction, improvement of human resource development and training for effective HIV/AIDS prevention, care and support, provision of test kits, anti-retroviral treatment, and provision of other medical supplies to healthcare facilities across the country. The HIV Control project aims to scale-up equal access to HIV prevention services for all segments of the population, including most at-risk and vulnerable groups.
In Tajikistan annually 6,000 to 8,000 new registered cases of tuberculosis are detected and numbers are growing. In 2012, the incidence rate reached 80 per 100,000 persons. One of the serious challenges is a high rate of multi-drug resistant (MDR)-TB, 16.8% among new cases and 61.6% among previously treated TB patients, as well as a growing trend of HIV-infected patients among TB patients.
UNDP supports the Health Sector Reform that has been approved by the Tajik Government and has been implementing TB projects since August 2007. The main goal of the project is to reduce the burden of TB in the Republic of Tajikistan by 2015 in line with the MDGs and Stop TB Partnership targets, aiming at strengthening TB prevention and control in the framework of health system reform.
The ultimate goal of the project is to interrupt the transmission of malaria by 2015 following by certification of malaria elimination. In areas where malaria had been eliminated, attention is given to maintaining the malaria-free status through strengthening malaria surveillance system, capacitating national counterparts in early detection and effective treatment as well as promoting integrated vector control management.
Accordingly, UNDP in Tajikistan has put considerable efforts to achieve national targets in line with targets for MDG6 and the National Strategy Programme until 2015; namely, Malaria Control Project has succeeded to reduce the malaria infection rate by five times from 165 cases in 2010 to 33 incidences in 2012 as well as to eradicate the P.falciparum form of malaria in the country as of 2009.
UNDP Health Programme working towards reducing the burden of HIV/AIDS, TB and Malaria in Tajikistan pursues the following aims: establish sustainable and efficient multi‐sectoral response structures to halt the spread of HIV/AIDS and TB epidemics and eliminate Malaria by 2015. To reach this outcome, UNDP will scale up HIV prevention, treatment, care and support interventions among high risk groups and general population; build public healthcare sector capacities to reduce the burden of TB; and strengthen management of national malaria control programme results in interruption of local malaria transmission.more