Stop TB Partnership

U.S. Government Launches TB Infection Control Demonstration Site and Base for National Training Project at the National TB hospital in Vahdat


April 17, 2014 - Dushanbe, Tajikistan - The United States Agency for International Development’s (USAID) Tuberculosis (TB) CARE II Project, in partnership with the Ministry of Health and Social Protection (MOHSP), the National TB Hospital and the National TB Program launched a one-year TB Infection Control (TB IC) Demonstration Site and Base for National Training Project to be implemented by Project HOPE. The USAID TB CARE II Project, led by University Research Co., LLC (URC) and implemented by a wide consortium of health and development organizations, including Project HOPE, began in 2010 with the aim of complementing and building upon existing and planned projects in the Bureau for Global Health to provide global leadership and support to National TB Programs and other in-country partners.

The Deputy Chief of Mission, Robert Burgess, and representatives of the Ministry of Health, the Republican TB Center, UNDP, German Development Bank and other local and international NGOs participated in the official opening ceremony of the USAID Tuberculosis Infection Control Resource Center in the National TB Hospital at Machiton.

Mr. Burgess noted in his speech that Tajikistan has a high rate of both TB and multidrug-resistant TB. The United States Government is supporting this resource center because TB infection control is one way to reduce these high rates. The resource center will be used to develop and implement effective practices for infection control and will serve as a clinical base for training. It is expected that the center’s success will potentially pave the way for the future expansion of the TB IC program into district TB hospitals.

The Deputy Minister of Health and Social Protection, Navruz Jafarov, said the Machiton TB Hospital has been selected for establishment of a TB IC demonstration and training base because of its existing strong political commitment to make TB infection control a priority in the country. With the support of various donor organizations, Machiton Hospital has already made improvements in line with good TB IC practices. Mr. Jafarov emphasized that the future success of the project at the Machiton TB Hospital would ultimately influence the potential to expand the program into the other district TB hospitals and would provide a basis for regional influence.

The Project obtained an MOHSP order giving the center official status of the TB demonstration site and base for national training. The center received the required training equipment and has already prepared a national team of trainers. Fourteen NTP representatives (including regional and country level epidemiologists, TB physicians from the National Research TB and Pulmonology Center, faculty of the medical university and Machiton TB hospital) were selected to serve as future faculty for the TB IC training and demonstration site for Tajikistan (and potentially for CAR). They were trained on a five-day training of trainers (ToT) course on Nosocomial TB Infection Prevention and Control (April 21-25, 2014). The team will further be mentored to cascade trainings for other TB specialists, primary health care providers and laboratory specialists. Leading international experts were invited to conduct the ToT, including Grigory V. Volchenkov (Vladimir Regional TB Dispensary, Vladimir Center of Excellence for TB Infection Control, Russia), Paul A. Jensen and Garry L. Blackwelder (Centers of Disease Control and prevention, USA). The ToT was focused on TB infection prevention and control hierarchy, as well as on planning, prioritization, advocacy, implementation and evaluation of WHO-recommended airborne precautions for TB transmission risk reduction. The training consisted of lectures, discussions and two practical sessions, held in the Machiton hospital, including BSL3 National reference TB laboratory and in-hospital departments. Prior to the ToT, the team was also trained on adult learning methodologies and techniques by Project HOPE’s ACSM Regional Specialist.

This training center will train 60 HCW over the next year, document and share best practices in implementation of TB IC policies and practices. This will be an important step to reduce transmission within hospitals and health care facilities across the country.