Treatment of sexually transmitted infections at the primary health care level in Tajikistan


Tajikistan is one of the countries implementing WHO recommended sexually transmitted infections (STI) syndrome treatment at the primary health care level. This kind of service provision was started with a Global Fund HIV/AIDS, tuberculosis and malaria (GF ATM) grant for labour migrants and their family members. In total, 45 friendly cabinets throughout the country have been established to provide STI syndrome treatment, HIV and STI prevention services and free of charge.

From 11-14 April, based on requests from the United Nations Development Programme (UNDP) in Tajikistan (the principal recipient of the GF ATM grant in Tajikistan) and the Ministry of Health, WHO/Europe and the WHO Country office in Tajikistan organized an evaluation of activities of these cabinets in order to identify challenges and develop recommendations to improve and strengthen their capacity.  
For this purpose, a team of experts from WHO and the National STI Center visited nine districts of Tajikistan situated in different administrative regions. The evaluation showed a high demand for these kinds of services, not only among labour migrants and their family members, but also among the general population.

The mission concluded with a 2-day workshop 15-16 April 2011, which aimed to openly discuss evaluation findings and challenges with the service providers and national authorities. During the workshop participants also had a chance to refresh their knowledge on the WHO Global Strategy on STI Prevention and Control for 2006-2015, progress achieved on STI management in eastern Europe and the WHO syndrome treatment approach. At the end of the workshop participants came up with recommendations which will be included in the evaluation report. The main recommendations were to establish a mechanism for uninterrupted drug supply, to strengthen monitoring and evaluation and to find possibility to expand this experience in other districts of Tajikistan with high level of labour migration.