Knowledge Hub Newswire - Vol.7 No.26 (Spring 2012)

IN THIS ISSUE:


Snapshot

These statistics reflect the Regional Knowledge Hub's activities
from its inception in March 2004 through May 2012

  • Knowledge Hub courses held: 259
  • Healthcare professionals trained: 6286
    • Russia: 2824
    • Ukraine: 2169
    • Uzbekistan: 449
    • Belarus: 220
    • Kazakhstan: 155
    • Moldova: 143
    • Tajikistan: 109
    • Kyrgyzstan: 107
    • Azerbaijan: 57
    • Estonia: 29
    • Turkmenistan: 24

Medical specialists who have earned nationally recognized advanced professional certification in adult/adolescent or pediatric AIDS treatment through the Knowledge Hub:

  • Ukraine: 294 physicians
  • Russia: 66 physicians and 22 nurses

The Knowledge Hub offers more than 40 courses on a broad range of HIV-related care and treatment topics, including:

  • An Integrated Approach in Treatment and Management of HIV/TB/Hepatitis Co-Infection in Substance Users
  • A Three-Step HIV/AIDS Program for Nurses
  • Case Management: Patients Adherence to ART (for social and medical workers)
  • An Integrated Care Model for PLWHA
  • A Training-of-Trainers Course: HIV/AIDS for Social Workers
  • Support of Sexual and Reproductive Health in People Living with HIV
  • Organ and System Complications in Patients with HIV-Infection
  • Laboratory Diagnostics of Opportunistic infections and Monitoring of HIV Treatment Quality
  • Viral Hepatitis C and B and HIV: Management Strategies for Co-infected Patients
  • Advanced Pediatric ART and Management of Opportunistic Infections
  • PMTCT
  • Advanced Adult ART
  • HIV/AIDS Treatment and Care for Injecting Drug Users
  • Management of HIV and TB Co-Infection

Ten of these courses have been developed with support from the WHO Regional Office for Europe.

In 2011-2012, the following five courses were updated based on recommendations from WHO/EUROPE and the key regional and international KH experts:

  • Advanced ART in Adults and Adolescents
  • Advanced pediatric ART and management of opportunistic infections (3-day course)
  • Advanced pediatric ART and management of opportunistic infections for multidisciplinary teams (5-day course)
  • Tuberculosis and HIV: management strategies for co-infected patients
  • Viral hepatitis C and B and HIV: management strategies for co-infected patients

The course "Organ and System Complications in Patients with HIV-Infection" is now provided with notes to the slide presentations.

A Russian Conference entitled, "HIV-Infection and Drug Dependence: an Epidemiological Survey, Prevention, and Adherence to Treatment"

Representatives from the AIHA/Regional Knowledge Hub for the Care and Treatment (KH C&T) of HIV/AIDS in Eurasia took part in the Russian conference, "HIV-Infection and Drug Dependence: an Epidemiological Survey, Prevention, and Adherence to Treatment" on May 30-June 1, 2012, in Moscow. At the AIHA exhibit they shared information about related capacity-building programs, training courses, and other informational products among representatives from all over Russia.  The informational material included:

  • The Pocket Guide to Adult HIV/AIDS Treatment 2010-2011 by J. Bartlett;
  • HIV-Medicine, 2012, by N. Belyakov, and A. Rakhmanova
  • DVDs with records of AIHA's medinars (medical webinars) on TB and TB/HIV;
  • DVDs with records of medinars conducted within a new AIHA initiative called "The School of Scientists";
  • KH C&T informational leaflets and KH C&T Course Brochures

In collaboration with Merck, Sharp and Dohme (MSD) Pharmaceuticals, AIHA presented and distributed 300 copies of HIV-Medicine, 2011, by G. Hoffman and J. Rockstroh, (with an introduction letter from Professor Jurgen Rockstroh),which was recently translated into Russian.


Knowledge Hub Calendar

The following trainings and events are scheduled to take place
at the Knowledge Hub or affiliated centers in June - August 2012

Russia

AIHA and the KH tentatively plan to translate into the Russian language the clinical protocol for the WHO European Region, "Management of Tuberculosis and HIV Co-infection," which is currently under revision by WHO.

KH C&T Co-Funded and Collaborative Activities

AIHA representatives will take part in the XIX International AIDS conference that will take place in Washington on July 22-27, 2012. They will present results of the Medical Chart Audit and Patient Satisfaction Survey conducted in St. Petersburg in 2010-2011, at two poster presentations:

  • Assessment of Adherence to HAART: Results of Medical Chart Audits and Anonymous Social Surveys of Patients at the St. Petersburg City AIDS Center
  • 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 cooperation with ViiV Healthcare, AIHA will finalize the translation of the book, Medical Management of HIV Infection 2011 (J. Bartlett and J. Gallant) which will be available in July. This comprehensive book is recommended for practicing healthcare workers from various specialties and for instructors at medical institutions of higher learning and advanced training faculties, as well as for all those providing health care to people living with HIV/AIDS.

The following medinars - medical webinars - for healthcare specialists from Russia and the CIS will be conducted by AIHA/KH Russian and international experts in June - August 2012 with support from AIHA's USAID-funded Strategic Health Partnership Initiative:

  • Medinar «Current Issues of Pediatric TB (Epidemiology, Vaccination, Early Detection)»
    (author/presenter: Anna Starshinova), June 1, 2012
  • Medinar «TB Diagnosis and Treatment in Children»
    (author/presenter: Anna Starshinova), June 15, 2012
  • Medinar «Differential Diagnosing of Pulmonary TB» 
    (author/presenter: Torkatyuk), June 25, 2012
  • Medinar « MDRTB: Treatment Adherence»  
    (author/presenter: Joseph R. Masci, USA), July 9, 2012:

Kazakhstan

In response to a request from the Project Implementation Unit (PIU) of the Global Fund project in Kazakhstan, the Republican AIDS Center Ministry of Health, AIHA/KH expert finalized the national clinical protocol on diagnostics and treatment of HIV/Hepatitis B and C co-infection in children and adolescents for Kazakhstan with funding from AIHA's USAID-supported Strategic Health Partnership Initiative. This protocol will be available in July at the KH C&T web site.

On June 11-15, 2012, in response to a request from two Kazakh medical universities, Almaty Institute of Postgraduate Medical Education and Shymkent International Hoca Ahmet Yesevi Turkish-Kazakh University, AIHA will conduct a series of trainings in Almaty and Shymkent with support from AIHA's Strategic health Partnership Initiative:

  • A five-day training on "Introduction to Research Methods" for 33 faculty members from the Shymkent International Hoca Ahmet Yesevi Turkish-Kazakh University. Russian experts Vasiliy Vlasov and Svyatoslav Plavinskiy will serve as faculty.
  • Two one-day trainings, "Distance Learning Through Webinars," one for faculty from the Almaty Institute of Postgraduate Medical Education and another one for faculty from Shymkent International Hoca Ahmet Yesevi Turkish-Kazakh University. An AIHA representative will teach this course.

Turkmenistan

In response to a request from the UNFPA/Turkmenistan office, AIHA/KH Russian experts from the Federal AIDS Center will develop 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

A workshop with Russian HIV/AIDS experts and the national working group on the development of the national HIV/AIDS clinical protocols took place in Ashgabat, Turkmenistan on June 25-29.


Knowledge Hub in Review

These events were hosted by the Knowledge Hub or affiliated centers, or attended by staff,
in March - May 2012

Russia

The AIHA/KH course "Prevention of Mother-to-Child Transmission" was updated by an AIHA/KH Russian expert based on the clinical protocol for the WHO European region "Prevention of HIV transmission from HIV-infected mothers to their infants: Optimizing clinical management and effective interventions towards eliminating new pediatric HIV infections (revision 2012)" and on other recent international and Russian recommendations. The course is available through the KH C&T web site.

KH Co-Funded and Collaborative Activities

Russia

Medical webinars

Eleven Medinars - medical webinars - for healthcare specialists in Russia and the CIS were conducted by AIHA/KH Russian and international experts in March 2011- May 2012 with support from AIHA's USAID-funded Strategic Health Partnership Initiative. These are available through the web site:

All other Medinars conducted in 2011 are available at:
http://www.eurasiahealth.org/health/resources/100244/

Kazakhstan

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.

Kyrgyzstan and Tajikistan

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.

During the roundtable workshop, the participants and Russian faculty agreed that there is a need for further scientific exchange, and that cooperation should be continued through distance education as well as through face-to-face meetings and workshops.