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Country Coordinating Mechanism
Russian Health Care Foundation
The Global Fund To Fight AIDS, Tuberculosis and Malaria


09.02.10 February 9, 2010
Last week, a roundtable was arranged to discuss practical cooperation between regional TB Services and AIDS Centres in the area of TB+HIV screening.

Infectionists and TB doctors from four Russian regions (the Volgograd, Ulyanovsk, Kemerovo and Ivanovo Oblasts) shared their experience in cooperating with non-profit organisations actively working with target groups.
A particularly important issue under the discussion was related to discrepancies in reporting on co-infection cases (TB+HIV), using different forms for federal statistical observations - Form # 33 and Form # 61, as well as causes to defects in communication of information about patients screened for TB and HIV between AIDS Centres and TB dispensaries. Participants of the roundtable decided to send a letter to the MOHSD to request it to provide clarifications of the wordings in the reporting forms and specify the information sharing arrangements.
They also discussed monitoring of the R4 Program funded by the GF. Grant proceeds were spent to establish reference diagnosis and HIV pre- and post-testing counselling offices in TB Dispensaries. They have been actively operating for 2.5 years; however, the statistical reporting of cases is yet not well-established. Unfortunately, specialists from the CPHRI could not join this discussion.
Apart from health workers, active participants of the roundtable included representatives from the GBC (Global Business Coalition against HIV/AIDS, TB and Malaria), and specialists from the University Research Company (USAID), who shared their experience in screening of HIV patients for TB in St-Petersburg.

[Фото] (2185 kb)

22.01.10 22.01.10 A course of training in TB among HIV patients for TB doctors

Since April 23, 2010, the Centre of TB Care for HIV Patients and the MMA named after Sechenov will deliver a certification course of training for TB doctors in TB among HIV patients. Most of the lectures will be dedicated to HIV and hepatises in TB patients. The lectures will be delivered by lead specialists from the Centre of TB Care for HIV Patients under the MOHSD, the Federal AIDS Centre, and the MMA named after Sechenov.
In the period of April 23 - May 10, 2010, training will be delivered in Moscow (18 days) and followed with extramural training.
The training is free of charge.
Training participants will be accommodated in a dormitory (RUR 300 a day).
Applications are to be submitted by February 1, 2010.

Please, send you applications and questions to Ms. Olga Frolova: (the Centre of TB Care for HIV Patients).

19.01.10 Intensified efforts to provide TB care to HIV patients in the Omsk Oblast

In the Omsk Oblast, the growth of TB+HIV co-infection has necessitated to intensify efforts to provide TB care to HIV patients. In August 2009, the Omsk Regional Clinical TB Dispensary received a grant to implement a project aimed at improving TB care for HIV patients. The grant proceeds were generated from savings under this budget line, and were made available per written request from the Omsk TB Dispensary. It was spent to put in place and equip a TB reference diagnosis office and an HIV pre- and post-testing counselling office. During 5 months in 2009, the latter provided counselling services to 1,218 patients. Specialists from the Omsk Regional TB Dispensaries visited the Novosibirsk Regional TB Dispensary to learn about its experience in TB care provision to HIV patients. Specialists of the Novosibirsk TB Dispensary also told them about the specifics of keeping a register of TB+HIV co-infection cases.

11.01.10 TB/HIV Epidemiological Bulletin # 8 was published (in 999 copies) in December 2009.

TB/HIV Epidemiological Bulletin # 8 was published (in 999 copies) in December 2009.

Its first section covers various aspects of HIV and TB in children (the epidemiological situation, statistics, lessons learnt from regional prevention activities).

The second section provides recommendations from the Federal AIDS Centre and the Research and Clinical Centre of HIV Prevention and Treatment for Pregnant Women and Children (specifics of antiretroviral treatment for TB patients, etc.).

The third section presents outputs and outcomes of TB prevention and treatment among HIV patients in Russia in 2009.

The e-version of Bulletin # 8 is available from the Library (under the TB+HIV co-infection heading).

To address dissemination-related questions, would you, please, contact Olga Frolova in the Centre of TB Care for HIV Patients (Barbolin Str. 3, 107104 Moscow).

24.12.09 In the fight against drug-resistant tuberculosis enormous difficulties arise

To read this article about the difficulties in the fight against drug-resistant tuberculosis, go to:

24.12.09 December 24, 2009. Supply of expensive anti-TB drugs to the Republic of Altai

According to Dr. E. Sabashkina, Chief TB Physician of the Regional Ministry of Health, second-line anti-TB drugs have been delivered to the region since September 2009. But to participate in the MDR-TB Treatment Project and enter into an agreement with Green Light Committee (Geneva), extensive organisational efforts are needed.
She informed participants of a briefing meeting at the regional MOH that the per patient cost of MDR-TB treatment was roughly estimated at Euro 4,000, with 50 patients included in the project. She also said that all the drugs would be supplied to the region within the nearest two years, and reminded that the number of MDR-TB cases had been increasingly growing both in the region, in Russia as a whole and in the world. Treatment of MDR-TB is a time-consuming and costly process; and it is for MDR-TB treatment that the drugs are meant.
As reported at the same meeting, in September and October 2009, WHO experts worked in the Republic of Altai to evaluate measures to ensure compliance with TB and MDR-TB diagnosis and treatment standards. They visited the Choya and Turochak Central Rayon Hospitals, Gorno-Altaisk City Hospital, Chemal Mountainous Climatic Sanatorium, Regional TB Dispensary and some other health facilities, and noted good performance of the TB service in the region. They were also fairly impressed with the premises where a MDR-TB department is to be opened, but its refurbishment completion is somewhat delayed due lack of funds.

Based on information from the Ministry of health of the Republic of Altai

16.12.09 01.01.09 - 30.11.09 Preparation and submittion of applications to Green Light Committee

Green Light Committee has approved the start of MDR TB Project in the Republic of North Osetia-Alania. The first cohort is 45 patients.


On November 24 - 26, 2009, the Global Fund held a regional meeting for its grant recipient countries from Eastern Europe and Central Asia. The Meeting took place in Sofia (Bulgaria).
The Russian Health Care Foundation is a Principal Recipient of the Global Fund grants, and the Program: Promoting a Strategic Response to TB -- Treatment and Care for Vulnerable Populations in the Russian Federation is the largest MDR-TB treatment project in Eastern Europe and Central Asia. The Program is providing treatment to 5,600 MDR-TB patients. At the MDR-TB Treatment Session, the RHCF was represented by Ms. Tatyana Fomicheva, Deputy Project Director, and Ms. Anna Brattseva, Project Financial Manager, who tool an active part in the session. The Regional Meeting was also attended by representatives from key
country stakeholders, including implementing organisations (Principal Recipients and Sub-Recipients), County Coordinating Mechanisms, the public sector and civil society, the Global Fund Board and the GF’s partners participating in the implementation of HIV, TB and Malaria Control Programs.

On the first day, the meeting discussed the evolution of the GF grant architecture and processes, and issues related to performance management and civil society involvement in grant program implementation on a broader basis. On the second day, a number of parallel sessions were held; they were led by program managers and technical experts to review best practices and implementation challenges in difference program areas. The sessions were focused on HIV and TB control. Some sessions were thematically linked with malaria control programs. The third day was dedicated to panel sessions on grant management and ways to ensure implementation effectiveness and efficiency. The meeting also provided opportunities to establish contacts and a dialogue among its participants.

The Regional Meeting enabled its participants to get acquainted with achievements and best practices and to discuss difficulties faced by GF-supported HIV, TB and malaria programs in the region. Its participants also discussed such priority issues as maximisation of the coverage of vulnerable populations with prevention activities and prevention quality; improved adherence to antiretroviral therapy and TB treatment; efforts to scale up of TB and MDR-TB control programs; and coordination of integrated measures to prevent and treat TB+HIV co-infection. Partners and technical specialists could establish contacts, share their experience and scale up the coverage and magnitude of on-going programs through strengthening regional cooperation among various stakeholders and communities.

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[Ф_2] (2174 kb)

02.12.09 Eighty free-of-charge hospital beds available for children with liver diseases in the Russian Academy of Medical Sciences

Dear colleagues,

The MOHSD has allocated to the clinic of the RAMS Institute of Nutrition 80 free-of-charge beds for children with liver diseases. But only a little more than one month is left before the end of this year, i.e. before the end of the period when it is possible to capture and make use of this gift from the MOHSD. The Institute has practically no channels to communicate this information. The situation is paradoxical: there are available free-of-charge beds for children to be treated by the best specialists, yet neither parents nor paediatricians know about it.


Official announcement: The clinic of the RAMS Institute of Nutrition offers to admit children to treat chronic liver diseases, including chronic viral hepatites, metabolic and autoimmune liver diseases, and cirrhosis. Children are admitted to the Department of Paediatric Gastroenterology, Hepatology and Dietology, with their treatment to be funded out of the public budget proceeds made available by the Ministry of Heath and Social Development of the Russian Federation in the form of quotas for high-tech medical care.

Contact phones: 8-499-794-36-52 8-499-794-36-52, 8(499)613-77-51,

Main website of the RAMS Institute of Nutrition is to be found at

and the website of the clinic where this announcement is confirmed (the right column) is:

Contact person: Phones: 8-499-794-36-52
8-499-794-36-52, 8-499 -613-77-51, 8-499-613-77-51

05.10.09 October 5, 2009

On October 2, 2009, an Interregional TB Conference took place in Oryol to sum up the experience gained under international TB control projects in the Oryol Oblast. It was dedicated to the 10th anniversary of cooperation between the regional TB service in the Oryol Oblast and, international organisations.
The Conference brought together officials from the Regional Health and Social Development Department, representatives from the Oryol City Council, Central TB Research Institute of the Russian Academy of Medical Sciences, Health Unit of the USAID, International Federation of Red Cross and Red Crescent Societies, WHO, Russian Health Care Foundation, Russian Red Cross and Chief Physicians of regional TB care facilities from different Russian regions.
At the Conference, Dr. B. Kazenny, Chief Physician of the Oryol Oblast TB Dispensary, presented results of the ten-year cooperation between the regional TB service and international organisations. Other presentations highlighted such issues as drug resistance in the region; the TB epidemiologic situation and measures to improve it, XDR-TB diagnosis and treatment, laboratory diagnosis of DR- and МDR-TB.
Specialists from other Russian regions shared their experience.
As of today, the Oryol Oblast is one of the most successful regions: since 2000, it has been showing stabilisation of the TB epidemiological situation, with no growth in TB incidence rates in recent years. Owning to funding from the regional budget and international programs (supported by the WHO, CDC, IBRD, and GF; their coordinators took an active part in this Conference), TB care facilities of the Oryol Oblast strengthened their infrastructure; social support is provided to patients with assistance from the Russian Red Cross (funded by the Russian Health Care Foundation); training for health personnel is delivered (WHO, CDC, IBRD, GF/RHCF, etc.) and expensive second-line drugs are supplied to treat MDR-TB (under the GF-supported Program: Strategic Response to TB -- Care and Treatment for Vulnerable Populations in the Russian Federation).
Information about the Conference may be found at websites of various international organisations.

Below is a reference to the website of the Global Business Coalition against HIV/AIDS, TB and Malaria (GBC) where detailed information about the Conference and its participants’ presentations are available:
[ L.P. Kapkov, PhD in Medicine, Lead Research Officer, Central TB Research Institute, Russian Academy of Medical Sciences] (224 kb)
[B. Kazenny, Chief Physician, Oryol Oblast TB Dispensary. TB control programs in the Oryol Oblast with inputs from international organisations] (1068 kb)
[ B. Kazenny, Chief Physician, Oryol Oblast TB Dispensary, making his presentation] (1220 kb)

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