Annual Program Report 2004 - American International Health Alliance

Annual Program Report 2004 - American International Health Alliance

Photo: Dmitrii Volkov

meetings and initiating consultations with HRSA

and country teams on incorporating partnerships

and volunteers into the HIV/AIDS plans of the

focus countries.

National Tuberculosis Control


With USAID funding, AIHA is implementing a comprehensive

project, Strengthening Tuberculosis

Control in Moldova, in support of WHO’s Directly

Observed Therapy-Short Course (DOTS) strategy.

The four-year project, begun in 2003, is upgrading

laboratories; enhancing skills in detection, treatment

and follow-up; improving TB surveillance; and

increasing awareness of symptoms and treatment.

The renovated National TB Reference Laboratory

and two Regional Reference Laboratories reopened

in March 2005 for World TB Day, with equipment

provided by the Global Fund to Fight AIDS,

Tuberculosis and Malaria. An environmental mitigation

and infection control plan and revised guidelines

for laboratory procedures were approved. A

total of 15 laboratory staff, TB specialists, PHC

physicians and nurses, and medical professors

received instructor training at the International

Training Center at the State Center of Tuberculosis

and Lung Diseases of Latvia. These individuals subsequently

trained 350 PHC practitioners in cooperation

with the World Bank and the State Medical and

Pharmaceutical University “Nicolae Testemitanu.”

Providers now have the information and skills to

better communicate with TB patients.

Results of a baseline knowledge, attitudes and practices

survey were used to design a public awareness

Culture method room in the newly-reopened National TB

Reference Laboratory in Chisinau.

campaign, “TB can be treated! See the doctor!”, that

was launched in 2004 and continued in 2005. The

campaign addresses a stark result of the survey –

nearly one-fourth of respondents believed TB cannot

be cured completely. Awareness raising activities

included press briefings and providing interview

opportunities for journalists. A series of televised TB

roundtables included AIHA’s Project Director, representatives

from the Ministry of Health, Institute of

Phthisiopneumology, Municipal TB Clinic, National

TB Control Programme and The Global Fund to

Fight AIDS, Tuberculosis and Malaria.

Design and indicators for a TB surveillance system

were agreed upon with the Ministry of

Health. The software is being developed in collaboration

with the Scientific-Practical Center for

Sanitary Management. AIHA joined forces with

UNAIDS on a common surveillance system platform,

with AIHA developing the TB component

and UNAIDS developing the HIV/AIDS component.

This interagency cooperation facilitated

achievement of an agreement by authorities of the

breakaway Transnistria region to carry out TB

control activities consistent with DOTS within the

framework of the Moldovan National

Tuberculosis Program.

Center of Excellence for

Multidrug-resistant TB


In November, the International Training Center at

the State Center of Tuberculosis and Lung Diseases

of Latvia was designated officially as a WHO

Collaborating Center for Research and Training in

Management of Multidrug-resistant TB (MDR-TB).

At the opening ceremonies in Riga, the Latvian

Minister of Health presented an award to the US

coordinator of the Riga/Little Rock partnership in

recognition of the role the University of Arkansas

for Medical Sciences (UAMS) played in the certification

of the Center. With USAID funding, UAMS

assisted the Center during 2002-2004 in enhancing

teaching methodologies and management skills and

instituting a business plan for financial stability. The

Center is recognized for its world-class training in

diagnosis, treatment and management of MDR-TB

and has trained trainers for the Moldova TB project.

10 American International Health Alliance

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