Public Health and Preventive Medicine
doi: 10.25005/2074-0581-2019-21-2-258-262
THE ROLE AND OBJECTIVES OF PRIMARY HEALTH CARE SERVICES DUE TO GENDER- AND AGERELATED FEATURES OF HIV INFECTION IN TAJIKISTAN

D.A. Kadyrova1, S.S. Karimov2, N.A. Abdukhamedov2

1Department of Family Medicine № 1, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Republican Center for AIDS Prevention and Control, Dushanbe, Republic of Tajikistan

Objective: Proposing an effective measures of counteraction to HIV infection due to its gender-age characteristics in Tajikistan

Methods: A comparative analysis of official quantitative statistics on HIV infection by the Ministry of Health and Social Protection of the Republic of Tajikistan, the materials of international conferences on HIV infection, publications by WHO and UNAIDS, etc

Results: In Tajikistan, 1,207 new HIV cases (adults, children) were reported in 2017, most of them in reproductive age, representatives of key populations, labor migrants, pregnant women and others. The main, progressing route of HIV transmission is a sexual one (66%). The number of people living with HIV (PLWH) as of January 1, 2018, was 7,556, most of whom were of reproductive age and with an increasing proportion of women among them. About 70% of PLWHs receive treatment against HIV, an antiretroviral therapy that is prescribed for the first time in 2017 to 1,243 patients, many of them immediately after being diagnosed with HIV. According to routine monitoring of viral load to assess the effectiveness of treatment, almost 70% of patients have suppression of HIV.

Conclusion: In Tajikistan, the registration of new HIV cases is increasing, and the number of HIV recipients receiving HIV treatment. Primary health care needs to strengthen HIV education among the population, improve the availability of voluntary HIV testing for people at risk of infection, to cover HIV testing of all patients for clinical reasons and all pregnant women.

Keywords: HIV infection, AIDS, people living with HIV, antiretroviral therapy, HIV testing, primary health care, reproductive age.

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Authors' information:

Kadyrova Dilrabo Abdukayumovna
, Doctor of Medical Sciences, Full Professor, Head of the Department of Family Medicine № 1, Avicenna Tajik State Medical University

Karimov Sayfuddin Saytodzhevich
, Doctor of Medical Sciences, Director of the Republican Center for AIDS Prevention and Control

Abdukhamedov Numon Abdullaevich
, Doctor of Republican Center for AIDS Prevention and Control

Conflicts of interest: No conflict

Address for correspondence:

Kadyrova Dilrabo Abdukayumovna
Doctor of Medical Sciences, Full Professor, Head of the Department of Family Medicine № 1, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (907) 839988

E-mail: Kadirova_d@mail.ru

Materials on the topic:
  1. PREVALENCE OF OBESITY AMONG THE ADULT POPULATION OF TAJIKISTAN
  2. THE ROLE OF TELEMEDICINE IN TRAINING OF SCIENTIFIC-PEDAGOGICAL AND PROFESSIONAL MEDICAL STAFF
  3. THE VALUE OF SOME CLINICAL AND DYNAMIC CHARACTERISTICS OF HEROIN ADDICTION IN EVALUATION OF THE PROGNOSIS OF DISEASE
  4. MARKETING ASSESSMENT OF DRUGS USED FOR TREATMENT OF ACID-RELATED DISEASES IN BISHKEK
  5. CONTENT-ANALYSIS OF THE PHARMACEUTICAL MARKET OF NONSTEROIDAL ANTI-INFLAMMATORY DRUGS IN GROUPS OF ACETIC ACID DERIVATIVES IN THE KYRGYZ REPUBLIC
  6. PRACTICE OF IMPLEMENTATION OF REMOTE EDUCATIONAL PROJECTS BY INSURANCE ORGANIZATIONS WITHIN THE FRAMEWORK OF COMPULSORY AND VOLUNTARY HEALTH INSURANCE (CASE-STUDY)
  7. THE USE OF REMOTE TECHNOLOGIES IN EDUCATIONAL WORK TO PREVENT OCCUPATIONAL DISEASES IN FIELD OF EDUCATION
  8. SOME ISSUES OF ACCESSIBILITY AND QUALITY OF MEDICAL CARE FOR THE RURAL POPULATION OF THE REPUBLIC OF TAJIKISTAN
  9. SOCIO-DEMOGRAPHIC CHARACTERISTICS OF PERSONS SUFFERING WITH HEROIN ADDICTION
  10. THE POSSIBILITIES OF USING INFORMATION TECHNOLOGY IN MANAGEMENT OF THE ORGANIZATION’S PROCESSES OF EMERGENCY MEDICAL CARE

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