Tajikistan

MSF began operating in Tajikistan in 1997, and since 2011, has been working with the Tajik Ministry of Health to implement a comprehensive paediatric tuberculosis care program.

Tuberculosis Care

The coordinated effort between MSF and the Tajik Ministry of Health aims to demonstrate the feasibility of treating tuberculosis (TB) in children, and that even in its drug-resistant forms, the disease can be successfully diagnosed and cured.

The model of care encompasses active case finding by contact tracing, testing, treatment, drug compounding (preparing personalised medications for patients), and the monitoring and management of side effects. 

Where possible, we aim to treat patients at home. We also support the paediatric ward in Machiton hospital.
The comprehensive TB project is ground-breaking, in that it uses new combinations of medications with children of all ages, with successful results.

The modernised program, using new drugs, allows for a shorter regimen, and more personalised care

The program also offers psychosocial support, with adherence counselling and play therapy, schooling for hospitalised children, and care for children with HIV co-infection and/or severe malnutrition.
 
In 2017, an updated, MSF-developed paediatric treatment protocol was adopted as a national guideline. In order to strengthen the Ministry of Health’s long-term capacity, MSF conducts training sessions with local doctors, nurses, and healthcare staff.
Tajikistan

MSF staff staff at Dushbane paediatric hospital grind tablets into a syrup, which is significantly easier for child TB patients to digest. © Lee / MSF

Family Projects for HIV Treatment

In the south of the country, we run the Kulob paediatric HIV and family project with the objective of reducing illness and mortality of children with HIV/AIDS, as well as their families.

The project focuses particularly on opportunistic infections (especially TB), preventing mother-to-child transmission, and infection control to prevent the transmission of blood-borne infections.

 


 

Find out more about TAJIKISTAN

Médecins Sans Frontières has been working in Afghanistan since 1980, providing emergency surgical care, responding to conflict and natural disasters, and treating people cut off from healthcare. 

MSF worked in Angola from 1983 until 2007. Why were we there? Armed conflict Endemic/Epidemic disease Social violence/Healthcare exclusion

MSF worked in Argentina from 2001 until 2003. Why were we there? Providing essential medicines and supplies

MSF worked in Belgium from 1987 to 2009

Why are we there? Endemic/epidemic disease

Why are we there? Endemic/epidemic disease Social violence/healthcare exclusion Natural disaster

Why are we there? Endemic/Epidemic disease

Cameroon is facing multiple and overlapping crises, including recurrent epidemics, malnutrition due to food insecurity, displacement, and conflict.

Why are we there? Armed conflict Endemic/epidemic disease Healthcare exclusion

Why are we there? Armed conflict Healthcare exclusion Natural disaster

The political, economic and military crises of 2002-2010 have taken a severe toll on the Ivorian health system.

MSF worked in Ecuador until 2007. Why were we there? Endemic/Epidemic disease Natural disaster

Find out more about MSF's work in Egypt

In France, we work with migrants and refugees, who encounter policies and practices aimed at preventing them from settling or claiming their rights.

Why are we there? Healthcare exclusion

Why are we there? Armed conflict Endemic/epidemic disease Social violence/heathcare exclusion

Why are we there? Endemic/epidemic disease

Haiti’s healthcare system remains precarious in the wake of natural disasters and ongoing political and economic crises. Ongoing disasters have led to Haiti becoming the poorest country in the Western Hemisphere.

Honduras has experienced years of political, economic and social instability, and has one of the highest rates of violence in the world. This has great medical, psychological and social consequences for people.

An MSF team in Hong Kong opened a project at the end of January focusing on health education for vulnerable people. Community engagement is a crucial activity of any outbreak response and in Hong Kong, this focuses on groups who are less likely to have access to important medical information, such as the socio-economically disadvantaged. The team is also targeting those who are more vulnerable to developing severe disease if they are infected, such as the elderly.

MSF worked in Indonesia between 1995 and 2009 Why were we there? Natural disaster

Find out about MSF's work in Iran

Why we are there? Healthcare exclusion Natural disaster

Why are we there? Natural disasters

Jordan hosts over 700,000 refugees, according to the UNHCR, many of whom reside in camps or have settled in the country.

Why are we there? Endemic/epidemic disease Healthcare exclusion

Why are we there? Healthcare exclusion

Although health services are being progressively restored in Liberia, important gaps persist, notably in specialised paediatric care and mental health.

Libya remains fragmented by a decade of conflict and political instability. The breakdown of law and order, the collapse of the economy, and fighting have decimated the healthcare system.

Why are we there? Endemic/epidemic disease Natural disaster

Access to medical care remains very limited in the north and centre of Mali due to a lack of medical staff and supplies and spiralling violence between armed groups.

Why are we there? Access to healthcare

In Mozambique we are responding to emergencies including disease outbreaks, providing care to people with advanced HIV, while also working in the conflict-ridden Cabo-Delgado province.

Why are we there? Endemic/epidemic disease Social violence/healthcare exclusion

Why are we there? Providing comprehensive emergency healthcare to people in remote regions of Pakistan is a priority, yet accessibility and security are a constraint for both Médecins Sans Frontières (MSF) and patients.

Why are we there? Armed conflict Healthcare exclusion

MSF worked in Rwanda from 1991 until 2007.
Why were we there? Conflict Healthcare exclusion Endemic/Epidemic disease

Why are we there? Endemic/epidemic disease Healthcare exclusion

Why are we there? Armed conflict Endemic/epidemic disease Healthcare exclusion

Why were we there? Endemic/epidemic disease Healthcare exclusion

Why are we there? Refugee assistance

Why are we there? Healthcare exclusion

Why are we there? Armed conflict Endemic/Epidemic disease Healthcare exclusion

Why were we there? Healthcare exclusion

Why are we there? Endemic/epidemic disease

Why are we there? Endemic/epidemic disease Social violence Healthcare exclusion