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ORDER OF THE MINISTRY OF HEALTH OF THE KYRGYZ REPUBLIC

of September 18, 2013 No. 541

About approval of communication strategy and the action plan on increase in knowledge of the population concerning HIV for 2013-2016

For the purpose of implementation of complex actions for improvement of knowledge of communities in the questions connected with HIV and also in execution of the State program on stabilization of epidemic of HIV infection in the KR for 2012-2016, I order:

1. Approve enclosed:

1.1. communication strategy for increase in knowledge of the population concerning HIV for 2013-2016 (Appendix 1);

1.2. the action plan on increase in knowledge of the population concerning HIV for 2013-2016 (Appendix 2);

1.3. management for specialists of office of strengthening of health in work with rural committees of health concerning HIV (Appendix 3).

2. To coordinators of health care of areas and Osh, to directors of DZ Bishkek, city, district TsSM, TB and maternity hospitals to provide execution of communication strategy and the action plan on increase in knowledge of the population concerning HIV for 2013-2016, according to appendices 1, 2.

3. To the director of RTsUZ (Aytmurzayeva G. T.):

3.1. give methodical help to contractors on places;

3.2. provide coordination of donors during implementation of actions;

3.3. perform selective monitoring on realization of communication strategy once a year.

4. To impose control over the implementation of this order on the deputy minister Choybekov K. N.

Minister

D. Saginbayeva

Appendix 1

to the Order of the Ministry of Health of the Kyrgyz Republic of September 18, 2013 No. 541

Communication strategy for increase in knowledge of the population concerning HIV for 2013-2016

Description of situation

According to the Republican center "SPID" for August 1, 2013 in Kyrgyzstan 4910 cases of HIV infection, from them kyrgyzstanets - 4696 are registered. Died 781 persons, including from AIDS - 262. And it is only official statistics, the real figure assumes that the number of infected reaches 12 thousand people.

Kyrgyzstan remains the country with the low level of spread of HIV. However rapid growth of number of new cases of HIV infection is noted in recent years and by estimates of WHO/YuNEYDS our country is included into the seven of the countries with the highest growth rates of epidemic.

In total quantity of HIV-positive people of 69,7 of % men constitute. At the same time, growth of number of cases of HIV infection among women is observed (with % 9,5 in 2001 to % 30,3 in 2013). These data demonstrate that the share of sexual way of transfer of HIV increases (from 3% in 2001 to % 59,4 in 2013).

Owing to the above-stated factors the number of transfer of HIV from mother to the child (from 0 in 2005 to % 2,4 in 2013) from number of the registered LZhV increases. Now 549 pregnant women and 456 children with HIV stay on the registry, one third of children is revealed in 2012.

Increase in number of HIV of positive women and children demonstrates transition of epidemic from the circle of the consumers of injecting drugs (CID) in general population. Epidemic strikes people of young working-age. 69% of the people living with HIV are in the most productive age: 20-39 years.

In spite of the fact that many various events for informing the population are held, HIV-positive people are exposed to discrimination and stigmatization on places. Especially this threat is dangerous to families with HIV-positive children.

According to expert opinions of PROON the situation with HIV infection in Kyrgyzstan worsens because of internal and especially external migration. According to the latest data, in Russia and Kazakhstan 800 thousand kyrgyzstanets or 15% of the population of the country work.

Informing on disease and prevention of infections of reproductive path are the main mechanisms of prevention of spread of HIV.

In spite of the fact that these questions are widely taken up in media in recent years, all the same need of provision of information for all target groups remains high.

Besides, there is need of carrying out explanatory work among managerial personnel of health care system for the purpose of increase in their readiness for holding necessary actions for the prevention of spread of HIV.

Considerable target group which can exert powerful impact and support to health care system on this problem on places are heads and employees of public administrations and local self-government, responsible for health care. Carrying out information and explanatory work will serve increase in understanding of their role, responsibility and coordinate action with health care system.

Today in Kyrgyzstan there are steady mechanisms of holding actions for prevention and strengthening of health among rural population. The existing network of rural committees of health over all country serves as effective distribution channel of information.

Holding actions for questions of public health among urban population has the specific features of ensuring access to target group.

Distribution of information and carrying out broader explanatory work among the population is possible when using media.

Common problem: growth of incidence and spread of HIV in general population.

Communication problem: lack of sensitivity of the population to the problem connected with HIV.

The main priority topics connected with HIV in Kyrgyzstan:

1. Infections of reproductive path:

1.1. High rates of IRT in the country.

1.2. Lack of reliable statistics.

1.3. IRT/IPPP are the HIV indicator.

2. Transfer of HIV from mother to the child:

2.1. Growth of sexual way of transfer of HIV.

2.2. Low literacy of women in questions HIV.

2.3. Late negotiability and capture on accounting on pregnancy.

3. Migration and HIV:

3.1. Growth of external and internal migration.

3.2. Low literacy of men in questions HIV.

3.3. Lack of responsibility to family and partners.

4. Stigma and discrimination in case of HIV:

4.1. Low literacy of the population in questions HIV.

4.2. Negative prejudiced attitude to faces of risk group.

4.3. Concealment of the problems connected with stigma and discrimination.

4.4. Availability of intrahospital HIV infection.

Considering country situation on this problem, the first step of activities in this direction is increase in awareness and legal literacy of the population of the country on HIV. The best understanding of this problem as from persons making decisions at all levels and the population, will promote change of behavior of people in the questions connected with HIV.

Thus,

Purpose of communication strategy: by the end of 2016 the level of knowledge of the general population on the main priority topics, connected with HIV for 20% will increase.

Tasks:

1. Carrying out information and explanatory work among the population concerning HIV.

2. Carrying out educational work with medics of PHC (KUZY, GSV/FAPY) concerning HIV.

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