© Vincent Tremeau

Kyrgyzstan

MSF focuses on treating drug-resistant tuberculosis (DR-TB) in Kyrgyzstan, one of 30 countries with the highest rates of the disease.

Kyrgyzstan is a landlocked country located in Central Asia, on the ancient Silk Road route between China and Europe.

The country became independent in 1991 following the breakup of the Soviet Union.

Ethnic Kyrgyz make up the majority of the country's 5.6 million population, most being Turkic-speaking Muslims.

MSF first worked in Kyrgyzstan in 2005, provided healthcare for people who would otherwise go without.

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MSF’s work in Kyrgyzstan: 2017

Kyrgyzstan has high rates of drug-resistant tuberculosis (DR-TB) and yet many people have difficulty accessing care, particularly in rural areas.

Tuberculosis (TB) is one of the 10 leading causes of death globally, according to the World Health Organization. The vast majority of these deaths occur in low- and middle-income countries. Strains of TB resistant to the main TB drugs pose an even deadlier threat: only half of patients with multi-drug resistant TB are cured.

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In Kara Suu, the largest region in Kyrgyzstan, MSF continues to work with the Ministry of Health in the fight against DR-TB. The project aims to provide outpatient treatment where possible, thereby limiting the amount of time patients have to spend in hospital. Patients receive comprehensive care, including treatment for side effects of the medication, care for any conditions linked to their TB, and social and psychological support. They are given daily observed treatment at smaller clinics, and have a monthly consultation with a doctor at one of the three TB cabinets supported by MSF.

A small group of patients with severe complications receive inpatient care at Kara-Suu hospital. In April 2017, MSF started using two new drugs – bedaquiline and delamanid – as part of the endTB observational study to treat patients who have been diagnosed with extensively drug resistant TB (XDR-TB) or pre-XDR-TB.

In Aidarken, Batken oblast (province), MSF is supporting the Ministry of Health to deliver better care for non-communicable diseases, as well as helping improve mother and child healthcare. In parallel, MSF is assessing the possible impact of heavy metal pollution on public health. 

 

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