COMBATING HIV / AIDS, TUBERCULOSIS AND MALARIA - THE PURPOSE OF UZBEKISTAN TO PREVENT THEIR SPREAD
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The Millennium Declaration signed in 2000, Uzbekistan has pledged to achieve the Millennium Development Goals (MDGs) by 2015. National MDGs in Uzbekistan have been formulated in order to 8. One of them is MDG 6 - Combat HIV / AIDS, Tuberculosis and Malaria.
As pointed out in his speech, UN Resident Coordinator in Uzbekistan Stefan Prisner during the presentation of the national report on MDGs in Tashkent in April this year, the United Nations has noted the successes and dedicated efforts of Uzbekistan in achieving the Millennium Development Goals, including in the fight against HIV infection and tuberculosis.
Note that the key objective of MDG 6 - is the elimination and prevention of the spread of HIV / AIDS, tuberculosis and malaria, and the beginning of the process of reducing the incidence by 2015.
Positive results have been achieved in stabilizing the vertical transmission of HIV from an infected mother to her baby. Currently, almost 95% set by the registration of pregnant women are screened for HIV. This has resulted in a significant reduction in the proportion of HIV-infected infants born to HIV-infected mothers: in 2009, 3.9% of children of the total over 18 months. Born to HIV-infected mothers were also infected with HIV, 2013 year this figure dropped to 0.8%.
The prevalence of HIV among pregnant women declined in 2013 to 0.05%. The fact that the percentage of vertical transmission of HIV from mothers to children is reduced, proving the success of preventive measures.
From the moment in 2009 it was issued a corresponding decree of the government testing of pregnant women for HIV infection covers 100% of the women in the country. Vertical transmission of HIV is prevented by antiretroviral HIV-infected pregnant women and newborns. In addition, it conducted consultations on HIV / AIDS and other infections.
Currently, to prevent the growth of HIV / AIDS among young people is working through schools and local authorities (mahalla), Women’s Committee and NGOs. In schools and universities introduced courses to raise awareness about HIV / AIDS.
Progress in the fight against the disease is the result of coordinated measures taken by Uzbekistan in the framework of the national "strategic program to prevent the spread of HIV / AIDS ’(in 2003-2006, 2007-2011 and 2013-2017), the National Action Plan 2009-2011. Attention to the HIV epidemic at the national level has increased significantly since the adoption of the 2008 Presidential Decree number 1023, according to which the Cabinet of Ministers was set up State Commission for the coordination of activities aimed at combating the spread of HIV.
In September 2013, it adopted the Law of the Republic of Uzbekistan "On combating the spread of the disease caused by the human immunodeficiency virus (HIV)." In accordance with the Law, the Government provides the security, confidentiality and anonymity medical screenings for HIV.
As part of these documents implemented measures to ensure access for people living with HIV to treatment programs; prevention of vertical transmission of HIV from mother to child; strengthening the capacity of health personnel.
Currently, antiretroviral therapy (ART), covers more than 75% of HIV-positive people in need of this therapy. Global Fund covers the cost of the purchase of ART drugs. In recent years there has been a significant increase in financing for HIV programs at the expense of the State Budget. For example, in 2014 the government allocated 1 million USD, and in 2015 is expected to increase with the transition to national funding.
At the same time, a national strategy to combat HIV 2014-2017 would increase the share of funding for programs of prevention and diagnosis of HIV from national sources and 70%.
Speaking about the level of morbidity and mortality from tuberculosis in our country, it should be noted that it fell from the peak level in 2002. Today the situation has improved significantly: in 2002-2013 the incidence of this disease has decreased. For example, from 79.1 cases per 100 thousand population in 2002 to 50.8 cases in 2013. The mortality rate has begun to decline from 12.3 to 3.9 cases per 100 thousand. Population. The success of the treatment has remained stable at 80%. It will help to further reduce the capacity building in the areas of diagnosis, infection control.
The incidence and mortality of tuberculosis by region is also reduced.
For malaria, the goal was achieved. Between 2000 and 2013 the number of reported malaria cases dropped from 126 (per 100 thousand population) to 1 case. In the period from 2011 to 2013 in Uzbekistan has not observed cases of malaria.