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.

Recent events: Training-of-Trainers on New HIV and TB Educational Courses for Russian and CIS Faculty (Suzdal, October 2011)

With financial support from USAID through the Strategic Health Partnership Initiative, AIHA conducted a ToT on new HIV and TB courses for postgraduate and undergraduate education developed with leading Russian medical universities in 2011. AIHA also conducted a session and on innovative educational methodologies for 38 heads of the infectious diseases and pulmonology departments of most medical schools of Russia and the CIS. The following three courses were presented:

  • "Issues of Specialized Medical Care for Patients with HIV-infection and Sexually Transmitted Diseases," a postgraduate course developed with Moscow State University of Medicine and Dentistry and Bashkir State Medical University;
  • "Issues of Specialized Medical Care for HIV/TB Co-infection," a postgraduate distance learning course developed with the St. Petersburg Medical Academy of Post Graduate Studies; and
  • "TB Epidemiology and Prevention," an undergraduate course developed by the I.M. Sechenov First Moscow State Medical University.

Recent events: The International MDG-6 Forum (Moscow, October 2011)

AIHA representatives took part in the International MDG-6 Forum, participating in a number of events, debates, and discussions. AIHA presented key program results at the Strategic Health Partnership Initiative session.

At the exhibition, AIHA organized a number of activities, including the presentation of AIHA programs to the high-level US delegation that included Ambassador E. Goosby, US Global AIDS Coordinator and USAID/Russia representatives. AIHA also distributed HIV/AIDS and TB products developed by AIHA/KH C&T, along with major translated materials, CDs, and other educational tools.


Recent events: Training on Integrated Medical HIV Case Management for Multidisciplinary Team (Chisinau, September 2011)

In response to a request from Center PAS in Moldova, AIHA conducted a 5-day training titled "Integrated Medical HIV Case Management" for multidisciplinary teams consisting of coordinators of services who provide care and treatment to PLHIV in Moldova.

The faculty team of Russian and Ukrainian experts in HIV/AIDS and substance abuse treatment shared international best practices in the field of integrated medical HIV case management with 25 participants, who were also trained in mechanisms of coordination and integration of services and developing possible algorithms for building the system of comprehensive care and treatment to PLHIV in Moldova.


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

This three and a half day training took place in Minsk, Belarus, on June 7 through 10, 2011. It was conducted by AIHA and the Knowledge Hub with support from the EU-BLR WHO Country Office.

Through a multidisciplinary approach, experienced faculty from St. Petersburg, Russia, trained 21 specialists (physicians, nurses, psychologists and social workers) from Belarus advanced adult ART, management of opportunistic infections for provision of comprehensive care and treatment to PLHIV, as well as improvement of adherence to treatment.


Recent events: Training on Art Therapy for Children with HIV (Tashkent, March 2011)

On March 15-18, 2011, a four-day training on art therapy for children with HIV was conducted in Tashkent for 16 health care providers, psychologists and social workers from Uzbekistan who manage children living with HIV.

Participants were potential specialists for the provision of art therapy to HIV-positive patients at the local level. The training agenda included methodologies of art therapy, psycho-physiological and clinical approaches in art therapy, psycho-therapeutic factors and effects of art therapy, and organizational principles of art therapy for HIV-positive patients. Leading faculty in art therapy from St. Petersburg taught the course.


Revised WHO recommendations on ART for adults and adolescents are now available in Russian

Dear Colleagues,

As you may know, in 2010, in accordance with the latest evidence and results of the new studies, the World Health Organization published a revised version of the recommendations Antiretroviral therapy for HIV infection in adults and adolescents. We are pleased to inform you that the Russian version of this document is now available on line on the WHO headquarters (Geneva) web site: http://www.who.int/hiv/pub/arv/adult2010/ru/index.html and is also attached to this message for your convenience. At the same time, we would like to inform you that WHO Regional Office for Europe is currently revising five clinical European protocols on HIV/AIDS taking into account empirical data, HIV epidemics specifics for the region as well as countries resources and potential in the Region for provision of HIV/AIDS care. The following are the protocols under revision by WHO EURO:
  • Antiretroviral therapy for HIV infection in adults and adolescents
  • Tuberculosis and HIV infection: treatment methods of patients with concurrent infection
  • Hepatitis B and HIV infection: treatment methods of patients with concurrent infection
  • Prevention of transmission from mother to child
  • Treatment and assistance to children with HIV/AIDS

Preliminary dates of finalizing protocols' revision - 4th quarter 2011. WHO Regional Office for Europe will additionally inform you on the availability of the protocols for broader usage.

WHO endorses new rapid TB test

A major milestone for global TB diagnosis and care:
On December 8, 2010, World Health Organization endorsed a new and novel rapid test for tuberculosis (TB), especially relevant in countries most affected by the disease. The test could revolutionize TB care and control by providing an accurate diagnosis for many patients in about 100 minutes, compared to current tests that can take up to three months to have results.

WHO's endorsement of the rapid test, which is a fully automated NAAT (nucleic acid amplification test) follows 18 months of rigorous assessment of its field effectiveness in the early diagnosis of TB, as well as multidrug-resistant TB (MDR-TB) and TB complicated by HIV infection, which are more difficult to diagnose.

See the full story and relevant information on the WHO site »»

Recent Events: Training on Case Management for People Living with HIV, St. Petersburg (May-June 2010)

This training was conducted on May 31 through June 4, 2010, for 26 participants from Moldova, including representatives from ministries of health and social defense, faculty of the Moldova Medical University, and social and infectious diseases specialists. Leaders and coordinators from NGOs working with people living with HIV also attended the event, which was co-taught by a team of Russian faculty from Orenburg and St. Petersburg. Training sessions focused on strengthening the knowledge and practical skills of practitioners and NGO coordinators on key medical, psychological, and social issues in managing HIV-infected people. Topics included key components of the case management process, case coordination, and strengthening collaboration between relevant healthcare and social care facilities and NGOs. Engaging and maintaining clients in the case management process, developing service plans, and tools for effective case management and assessment were also covered, as was a strength-based approach to improving adherence to ART. Participants also learned about key features of managing substance users, prevention of burn-out among caregivers, and elements of end-of-life palliative care and communication with patients and their families.

Recent Trainings: Organ and System Complications in Patients with HIV (June 2010)

WHO and GTZ are supporting the efforts of AIHA and the Regional Knowledge Hub for the Care and Treatment of HIV/AIDS in Eurasia to continue scaling up dissemination of 10 newly developed training courses. On June 15-18, 2010, Knowledge Hub staff conducted in St. Petersburg the course "Organ and System Complications in Patients with HIV Infection," for 19 clinical HIV/AIDS leaders and faculty from medical institutions of postgraduate education from Azerbaijan, Belarus, Kazakhstan, Kyrgyzstan, Moldova, Russia, Tajikistan, Ukraine, and Uzbekistan.

This course focuses on the management of the most common opportunistic diseases and organ and system complications afflicting patients living with HIV, including respiratory, gastrointestinal, and central nervous system conditions, as well as complications related to kidneys, skin and mucous membranes, and the cardiovascular system. HIV and lymphoproliferative diseases and mental disorders also were discussed by leading international and Russian HIV/AIDS experts, who served as faculty for the course.


New WHO recommendations on treatment, prevention and infant feeding in the context of HIV (Nov. 2009)

On the eve of World AIDS Day 2009, WHO released new recommendations on treatment, prevention and infant feeding in the context of HIV, based on the latest scientific evidence.

WHO now recommends earlier initiation of antiretroviral therapy (ART) for adults and adolescents, the delivery of more patient-friendly antiretroviral drugs (ARVs), and prolonged use of ARVs to reduce the risk of mother-to-child transmission of HIV. For the first time, WHO recommends that HIV-positive mothers or their infants take ARVs while breastfeeding to prevent HIV transmission.