The Kyrgyz Republic has one of the highest burdens of tuberculosis (TB) in Central Asia, with high and growing rates of multidrug-resistant (MDR) TB.  TB and MDR TB pose significant threats not only to the country’s health system but also to its economic development. HIV currently is concentrated in less than 1 percent of the population but is expanding, driven largely by injection drug use. Maternal and child mortality rates, while declining, still remain among the highest in the region.

USAID partners with the Kyrgyz Republic Ministry of Health to improve the public’s health by strengthening systems for the planning, delivery, and monitoring of essential health care services. U.S. government programs focus on increasing access to key services to help prevent the transmission and contain the expansion of both TB and HIV. USAID supports activities that improve the delivery of prevention, care and treatment services for TB; enhance the capacities of institutions to address MDR TB; and develop systems to strengthen the diagnosis of MDR TB and improve infection control practices. USAID works with health officials to expand use of patient-centered outpatient treatment approaches. USAID also helps health providers, communities, and patients to understand and address the treatment and care of TB and MDR TB.

To address rising HIV rates, USAID is expanding access to comprehensive HIV/AIDS prevention, treatment and care services for most at-risk populations and to reduce barriers, including stigma and discrimination that constrain knowledge of their status and limit their access to services. USAID also focuses on strengthening the capacities of national and local institutions, non-governmental organizations, and individuals to enable them to more effectively lead the planning, delivery and monitoring of quality services for most-at-risk populations.

USAID health programs:

• Challenge TB (2015-2019)
• HIV Flagship project (2015-2020)
• HIV REACT Project (June 2014 – June 2016)
• Defeat Tuberculosis (2014-2019)
• HIV Investment Approach (October 2012 - September 2017)
• LEADER for People Living with HIV (August 2014 - August 2017)
• The Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) project (August 2014 – September 2016)
• Health Finance & Governance: TB Strategic Purchasing (2014-2017)

CLOSED PROJECTS:

• Quality Health Care (September 2010 – 2015)
• Dialogue on HIV and Tuberculosis (September 30, 2009 –March 31, 2015)
• TB Care I (August 2011- September 2014)
• USAID WHO Tuberculosis Grant (January 2014 – January 2015)
• Demographic Health and Survey (DHS) (January, 2011- September 2014)
• Maternal and Child Health Integrated Project (September 2011 – April 2014)