Kyrgyzstan has an inadequate healthcare system, experiencing frequent shortages, and today, many people struggle to access free treatment for DR-TB.
The rates of drug resistance among new TB cases are as high as one third, and in previously treated TB cases, more than half of patients have developed the drug resistant form of the disease.
We provide outpatient care for people with DR-TB, thereby limiting the time they have to spend in hospital. Patients attend monthly medical consultations at one of three TB clinics supported by us, and include psychological support.
In April 2020, MSF teams started responding to the coronavirus COVID-19 pandemic in the country.
Our activities in 2020 in Kyrgyzstan
Data and information from the International Activity Report 2020.
In the largely rural and remote region of Aidarken, MSF supports district health authorities to screen, diagnose and prevent a range of chronic diseases including diabetes, hypertension and anaemia. The high prevalence of non-communicable diseases in this region is potentially linked to soil and water pollution; however, plans to carry out further environmental assessments were delayed because of COVID-19.
Our teams in Aidarken also run health services for women and children, with an emphasis on sexual and reproductive health, including ante- and postnatal care. In 2020, we started cervical cancer screening, but a more ambitious scale-up was halted as COVID-19 forced us to reduce outpatient consultations to prevent its spread.
As early as March, we started to reinforce COVID-19 preparedness measures in four of the main hospitals in Kadamjay, Batken province. We adapted infrastructure to improve patient flow, offered advice and training on infection prevention and control, and provided disinfectants and personal protective equipment for health staff. In addition, we worked with mobile government brigades to gather samples for testing and supported epidemiological surveillance by assisting with data collection.
When COVID-19 peaked in the country in July, we opened a COVID-19 home-based care programme for moderate and mild patients in Alamedin and Sokuluk, in Chuy province, to prevent hospitals from being overwhelmed. This programme was also extended to Kadamjay. The home-based management of COVID-19 was a first in the country and was introduced in collaboration with the Ministry of Health.
In October, following political unrest, we supported the Kyrgyz Red Crescent by donating first-aid kits, to provide care during demonstrations.