Countries: Kazakhstan, Kyrgyzstan, Tajikistan || Duration: 2014 – 2016 || Donor: USAID || Budget: $2.9 mln.

USAID’s HIV React project works to reduce HIV transmission in Tajikistan, the Kyrgyz Republic, and Kazakhstan among key populations in detention and post-detention settings. The project provides technical assistance, training, transitional client management and prevention services to reduce HIV transmission among prisoners and post release inmates in these three countries and strengthen the quality of narcology services and their linkages with AIDS centers and legal and social support services for prisoners and ex-prisoners.


  • To increase number of People Who Inject Drugs and People Living with HIV (PWID, PLWH) and female prisoners in Central Asia reached receiving comprehensive package of HIV prevention, treatment, care and support services;
  • To improve capacity of prison staff to provide HIV prevention, ART and MAT services for prisoners;
  • To improve availability, quality and utilization of pre and post-release services for ex-prisoners;
  • To improve capacity of AIDS and narcology services in provision adequate set of HIV and drug-treatment services for prisoners and ex-prisoners;
  • To enhance country ownership to provide coordinated and continuous services for prisoners.


  • Expansion of a comprehensive package of services to strengthen prison-based HIV prevention, treatment, and care services for PWID and PLWH;
  • Strengthen the knowledge of prison staff and community leaders in prisons on HIV/AIDS, and strengthen the ability of medical service providers to provide anti-retroviral treatment (ART) and methadone assisted therapy (MAT), including side effects management, and case management;
  • Support pre-post-release services for ex-prisoners, emphasizing PWID and PLWH;
  • Build the capacity of narcology and HIV/AIDS services to provide evidence-informed and human-rights based HIV prevention and drug dependence treatment services in prisons;
  • Strengthen evidence-based advocacy, policies, and strategic planning related to country ownership and expansion of HIV programs in prisons and coordination between narcology and AIDS centers.


On August 17-18, 2015 partners from the region met in Almaty to discuss the results and achievements of the project’s first year:

  • From July 1, 2014 to June 30, 2015 a total of 4489 prisoners in the three countries were reached with informational mini training sessions on HIV prevention and harm reduction. Among them 490 prisoners enrolled in the Start Plus transitional client management programme;
  • 100% of amnestied prisoners in Tajikistan received voluntary consultation and testing (VCT);
  • 249 of the released prisoners in Kyrgyzstan were tested for HIV and 263 people tested for tuberculosis;
  • 140 prison staff in six Kyrgyzstan’s camps were trained on HIV prevention and harm reduction;
  • Series of training sessions were held in Kazakhstan for local NGOs that work in the field of HIV prevention, as well as for medical and non-medical prison staff on motivational interviewing and reduction of stigma and discrimination against people who live with HIV.