AIDS Foundation East West

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ACCESS Project: HIV/TB Collaborative Activities in Central Asia


Ministry of Foreign Affairs, The Netherlands

Implemented by:

AIDS Foundation East-West (AFEW)


KNCV Tuberculosis Foundation (The Netherlands)
National and regional: ministries of health, justice and internal affairs. Penitentiary systems, AIDS and TB centres.
USAID, Central Asian Regional HIV/AIDS Project (CARHAP), BOMCA/CADAP, Soros Foundation-Kyrgyzstan, The CAPACITY Project, ICRC, UN agencies, CAAP, MSF

Project duration:

1 January 2008—31 December 2012

Additional Information



'ACCESS Code', Edition No. 1, July 2009

'ACCESS Code, Edition No. 2, November 2009

'ACCESS Code', Edition No. 3, December 2009

Informational materials:

Promotional Materials:

'Leading HIV/TB Action in Central Asia' - leaflet on ACCESS activities (pdf, 680 KB, August 2009)

The Central Asian Republics have not been as hard hit by the HIV epidemic when compared with Eastern Europe. However, given its location along the drug trafficking routes between Asia and Western Europe, there is cause for concern, and new cases continue to rise across the region. As of the end of 2008, in the four Central Asian Republics (Kazakhstan, Kyrgyzstan, Tajikistan, and Uzbekistan) where AFEW currently carries out programme activities, 28 177 individuals have been officially registered as living with HIV, with experts putting the real figure close to 50 000 cases. These figures are expected to increase further in the years to come.

In some regions, prevalence rates among those most vulnerable to HIV—that is, prisoners, sex workers, and/or injecting drug users—have been found to exceed 5%. In an effort to provide holistic and patient-centred health and psycho-social services to those most at risk in the region, AFEW initiated the ACCESS Project: HIV/TB Collaborative Activities in Central Asia. This initiative represents a comprehensive and integrated response to HIV and HIV/tuberculosis (TB) co-infection in Kazakhstan, Kyrgyzstan, Tajikistan and Uzbekistan.

The activities outlined in AFEW’s ACCESS Project will focus on two main directions. The first priority is to improve the quality, range and distribution of HIV services available within the target region, largely through the introduction of the client management service model. Secondly, activities will focus on issues related to HIV and TB co-infection and facilitating the co-ordination of services between vertically separated and isolated health- and social care agencies.

The primary components of all project activities will focus on the following:

  • Raising awareness of policy development and advocacy among local-level agencies and national stakeholders;
  • Building up professional capacity and skills among service providers in the project regions to provide integrated and comprehensive care to those most in need; and
  • The provision of direct services and support to those most vulnerable to HIV and/or TB.

Through a series of training seminars and skills-building workshops with local stakeholders, as well as by developing, printing and distributing informational materials to service providers and vulnerable groups alike, AFEW’s activities will work to mitigate the impact of HIV and TB in Central Asia.

Ultimately, as a result of the ACCESS Project, there will be an increased continuity in HIV, STI and TB prevention and care services specifically for at-risk youth, sex workers, injecting drug users, prison inmates and/or people living with HIV. Furthermore, those already living with HIV and/or TB will have access to the medical and psycho-social care they need.

Thus far, the following progress has been made:

  • 34,530 services were provided to 7,177 clients in 2008;
  • Over 3,000 clients enrolled on client management programmes in 2008;
  • 21 social bureaus are now up and running (4 in Kazakhstan, 5 in Kyrgyzstan, 5 in Uzbekistan and 7 in Tajikistan);
  • A coordination model for TB and HIV prevention was created and presented to local partners and stakeholders;
  • A project assessment in Kazakhstan, Kyrgyzstan and Tajikistan was conducted during the first half of the 2008 related to needs and knowledge assessment among IDUs, SWs, PLHIV, service providers. At the same time. a coordination model for TB and HIV prevention was created and presented to local partners and stakeholders;
  • AFEW partners undertook study tours to Tomsk and Amsterdam in order to learn about the local models of cooperation between TB and AIDS services, state and non-governmental organisations, as well as the penal and civil medical services;
  • The Second Central Asian Regional Forum on Drug Use and Infectious Diseases in Prisons was conducted in Bishkek, October 29-31, 2008. 161 participants from 7 countries (Kyrgyzstan, Kazakhstan, Uzbekistan, Turkmenistan, Tajikistan, Azerbaijan, and Russia) succeeded in exchanging the best practice models of their countries in preventing HIV/TB and drug dependency in prisons.
Last update: 10/07/2009