The primary objective of the Regional Knowledge Hub for the Care and Treatment of HIV/AIDS in Eurasia is to create the human resource capacity necessary to provide care to people living with HIV/AIDS (PLWHA) by developing expertise among healthcare professionals, cultivating training capacity so knowledge and skills can be passed on to others, and massing a body of evidence-based resources and informational materials. To do this, the Hub is collaborating with international experts and educational institutions throughout the region to develop and provide a series of training workshops and online resources designed to give practitioners the skills necessary to improve care for PLWHA.

Knowledge Hub Snapshot of Activities

Activities since the Knowledge Hub's inception in 2004 through September 30, 2012:
  • Knowledge Hub courses held: 264
  • Healthcare professionals trained: 6437
    • Russia: 2837
    • Ukraine: 2170
    • Uzbekistan: 450
    • Belarus: 221
    • Kazakhstan: 158
    • Moldova: 145 
    • Tajikistan: 111
    • Kyrgyzstan: 108
    • Azerbaijan: 58
    • Estonia: 29
    • Turkmenistan: 24
    • Armenia: 1

Knowledge Hub's presentations, posters, and reports

  • Training Course Guide (PDF Booklet, 542K)
  • The Regional Knowledge Hub for the Care and Treatment of HIV/AIDS in Eurasia. Providing Clinical Training, Technical Assistance, and Capacity Building to Combat HIV and AIDS in Eastern Europe and Central Asia (PDF Booklet, 259K)
  • Contribution of American International Health Alliance and AIDS Training and Education Center (St.-Petersburg, Russia) to HIV/AIDS Capacity Building in Central Asia (PDF, 347K, in Russian): a poster from the III Eastern Europe and Central Asia AIDS Conference (Moscow, October 28-30, 2009)
  • Baltic ATEC-St. Petersburg. Providing Clinical Training and Capacity Building to Combat HIV and AIDS in the Russian Federation (PDF Booklet, 1.2M)
  • "Strengthening Ukraine's Ability to Provide Antiretroviral Therapy to PLWHA: The Regional Knowledge Hub's Strategy to Build Human Resource Capacity for Rapid Scale Up of Treatment," a poster overview of the Knowledge Hub's work in Ukraine, presented at the XVI International AIDS Conference in Toronto, Canada, on Thursday, August 17, 2006. (PDF Poster, 195 K)
  • The Regional Knowledge Hub ’s Strategy to Build Human Resource Capacity for Rapid Scale-up of Ukraine’s Ability to Provide Antiretroviral Therapy to PLWHA. Eastern European and Central Asian AIDS Conference, Moscow, May 2006. (PDF poster, 128 K)

Training courses updated in 2011-2012 based on recommendations from WHO/EUROPE and the key regional and international KH experts:

Recent events: Development of Six National HIV/AIDS Clinical Protocols for Turkmenistan

In response to a request from the UNFPA/Turkmenistan office and with financial support from UNFPA and AIHA's "Strategic Health Partnership initiative", AIHA and Knowledge Hub experts from the Federal AIDS Center developed the following six national HIV/AIDS clinical protocols based on the HIV/AIDS Treatment and Care Clinical Protocols for the WHO European Region:

  • Patient Evaluation and Antiretroviral Treatment for Adults and Adolescents 
  • Management of Hepatitis B and HIV Co-infection 
  • Management of Opportunistic Infections and General Symptoms of HIV/AIDS 
  • Palliative Care for People Living with HIV 
  • Post-exposure Prophylaxis for HIV Infection 
  • Support for Sexual and Reproductive Health in People Living with HIV 
Through this project, AIHA facilitated two workshops with Russian HIV/AIDS experts from the Federal AIDS Center and key national working groups in Ashgabat June 25-29 and August 28-29. The protocols developed are currently under revision by a group of national specialists and they will be available at the  Knowledge Hub web site as soon as they are finalized.

Recent events: XIX International AIDS Conference (Washington DC, July 2012)

AIHA and various representatives of the Knowledge Hub participated in AIDS 2012, which was held in Washington, DC, in July. Staff presented results of the Medical Chart Audit and Patient Satisfaction Survey conducted in St. Petersburg in 2010-2011 during two poster presentations titled: Assessment of Adherence to HAART: Results of Medical Chart Audits and Anonymous Social Surveys of Patients at the St. Petersburg City AIDS Center; and The Impact of Highly Active Antiretroviral Therapy (HAART) on the Social Adaptation of Drug Users: Results of an Anonymous Survey in Patients of the St. Petersburg City AIDS Center.

In addition, two noted HIV/AIDS experts - Jurgen Rockstroh, editor of the textbook HIV Medicine 2011, and John Bartlett, editor of Medical Management of HIV Infection 2011 - spoke at special sessions conducted at AIHA's organizational exhibit to promote the Russian-language versions of these preeminent HIV/AIDS care and treatment resources.

Recent events: Training of Trainers workshops in Kyrgyzstan and Tajikistan (May 2012)

Through the USAID-funded Strategic Health Partnership Initiative, AIHA conducted two Training of Trainers workshops on the postgraduate course, "Issues of Specialized Medical Care for Patients with HIV-infection and Sexually Transmitted Diseases" in Kyrgyzstan and Tajikistan on May 16-23. Three of the experts from Moscow State University of Medicine and Dentistry and Bashkir State Medical University who helped develop the course visited both of these countries, where the course is currently being adapted and translated to the national languages.

Fifteen healthcare educators from each country took part in these two-day workshops. Both workshops featured presentations by Russian faculty on the topics covered by the course, the methodology and selected modules. Tajik specialists, who have already finalized the adaptation, presented the adapted chapters for discussion. The Kyrgyz colleagues and the authors discussed the current epidemiological situation in the country and possible strategies for creating continuous training for educators of higher education. AIHA staff described the medinars and other distance education tools available through the AIHA website.

Recent events: Advanced training on Pediatric ART (Shymkent, April 2012)

In response to a request from the Shymkent Regional Center "Mother and Child" and the Project Implementation Unit (PIU) of the Global Fund project in Kazakhstan, the Republican AIDS Center Ministry of Health, AIHA/KH conducted a five-day advanced training on Pediatric ART for multidisciplinary teams.

Twenty-seven specialists from the Shymkent Region who provide care and treatment to HIV-infected children were trained.

This training was funded by AIHA's USAID-supported Strategic Health Partnership Initiative.

WHO/Europe releases revised clinical protocols on HIV treatment and care and management of hepatitis B and HIV co-infection

Ensuring universal access to treatment and care for people living with HIV and to comprehensively address their health problems, including preventing and treating co-infections and co-morbidities are main objectives of the European Action Plan for HIV/AIDS 2012-2015.

In 2010, in response to new and important evidence on approaches to treatment and care of HIV infection, the World Health Organization issued new global recommendations on antiretroviral therapy for adults and adolescents, infants and children and HIV-infected pregnant women. While global WHO recommendations cover key global issues; regional and country adaptation is needed to reflect the regional context, infrastructure and health care system capacities. Consequently, the WHO Regional Office for Europe had initiated the revision of its 2007 clinical protocols on HIV/AIDS treatment and care.

Four clinical protocols have been revised:

These are now available in both English and Russian languages.

It is planned to release one more protocol in 2012: 

  • Protocol 4: Management of Tuberculosis and HIV Coinfectionю

The revised European protocols are the cornerstone of the strategic WHO Europe contribution to universal access to treatment and care - one of the six priority areas of the European Action Plan for HIV/AIDS 2012-2015. They should serve as a basis for adaptation of national HIV/AIDS treatment guidelines. Reflecting the diverse implementation capacity of the countries in the WHO European Region, the revised protocols contain preferable, alternative and acceptable options. This approach allows countries to choose appropriate recommendations depending on available national resources.

WHO highly appreciates participation of all partners who contributed to the development of the protocols.

Recent events: Workshop on Development of National HIV/AIDS Guidelines for Turkmenistan (Ashgabat, November 2011)

AIHA/KH C&T launched a new initiative - Capacity Building of HIV Medical Specialists in Turkmenistan - in response to a request from the UNFPA and WHO offices in country.

This meeting brought together the national working group with Russian HIV/AIDS expert from the Federal AIDS Center in Moscow, who are currently assisting with the development of national HIV/AIDS clinical, diagnostic, and treatment guidelines based on WHO's revised recommendations on ART for adults and adolescents. At the same time, 24 Turkmen specialists: ID physicians, epidemiologist, TB-specialists, laboratory specialists, gynecologists and faculty from the State Medical University were trained in diagnostic, treatment and management of HIV-infection.

Recent events: Training on Advanced Adult ART and Adherence to Treatment for Multidisciplinary Teams (Minsk, November 2011)

This 3.5-day training was conducted by AIHA/KH C&T with support from the EU-BLR WHO Country Office.

Using a multidisciplinary approach, experienced faculty from St. Petersburg and Minsk taught 31 physicians, nurses, psychologists, and social workers from Belarus advanced adult ART and management of opportunistic infections with the goal of improving provision of comprehensive care and treatment to PLHIV, as well as increasing adherence to treatment.