Models of integrated TB treatment for

drug users in Kyrgyzstan and Russia

Marina Smelyanskaya, International Harm Reduction Development
Program, Open Society Institute.
Funding Gap
Data from WHO Europe, Plan to Stop TB in 18 High-priority countries in the WHO European Region, 20072015
Even those who are treated, are
treated not like patients, but like
the potentially dead.

Kyrgyzstan Russian Federation
Data from WHO Collaborating Centre for the Surveillance of Tuberculosis in Europe. Report on Tuberculosis cases in
Europe, 2006.
Treatment Success Rates
No one is interested in TB/HIV patients.
The institutions are only worried about
their mortality statistics if the patient has
HIV, the TB clinic can finagle the data and
assign HIV as the cause of death, if there
is no HIV they will have to take
responsibility.


13 million
14.4 million 33.2 million
0.7 million
3 million
?
?
TB HIV
IDU
TB, HIV and Drug
Treatment
Joint WHO, UNAIDS and UNODC issued Guidelines for collaborative TB and
HIV services for drug users