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Deworming Campaign in Kyrgyzstan
 
•  Goal:
Reduce the burden of soil-transmitted helminth infections in the general population, especially children, and strengthen preventive activities against re-infection
 
•  Scale: 4.5 million individuals
•  Where: nationwide in Kyrgyzstan
•  When: 2008- 2011
•  Partners:
•  Ministry of Health of Kyrgyzstan
•  United States Department of Defense
•  United States Department of State
 
•  Sustainability:
Kyrgyzstan will take over 20% of the total cost of a follow-up round of deworming in 2011
 
The Program:
The Rostropovich-Vishnevskaya Foundation (RVF) has launched a nationwide deworming campaign in Kyrgyzstan. Approximately 3 million children and adults will benefit from the 12-month campaign, which is being financed by the U.S. government. This builds on RVF’s pilot deworming campaign which took place in 2008-2009 in
vrf
The children in southern Kyrgyzstan are happy and healthy following two rounds of treatment for intestinal worms.
Kyrgyzstan’s two most impoverished regions- Batken and Osh. Over 1.5 million children and adults were treated in this successful school-based program.

The Kyrgyz Ministry of Health has made the campaign a public health priority because of the high burden of intestinal parasites among the general population.

In addition to providing 2 rounds of treatment against intestinal worms with the drug abendazole, the campaign includes a pre- and post-treatment lab study to measure outcomes as well as extensive social mobilization to ensure high coverage rates.  

The campaign will be carried out entirely by Kyrgyz health care personnel. Other capacity building measures include training in modern laboratory diagnostics and the provision of educational materials for teaching hygienic practices to the general population. 

Implementation of this nationwide health initiative by local healthcare workers is essential to developing a sense of local ownership and sets the stage for long-term program sustainability.

 
Identifying Needs:
The burden of soil-transmitted helminth infections in Kyrgyzstan is extraordinarily high. Epidemiologic surveys conducted by The Swiss Tropical Institute, UNICEF, and local governments have consistently shown parasite burdens of 50% or more among the general population. School-aged children are especially vulnerable. Offending pathogens include pin worms (enterobiasis), round worms (ascariasis) and the whipworm (trichuris trichiura).These intestinal worms can cause children to suffer from reduced growth rates, learning problems, malnutrition, and anemia.

Additional information on pin worms, round worms, and the whipworm can be found here:
•  Pin worms
•  Round worms
•  Whipworm
Results to Date:
•  345,984 individuals were dewormed in Batken in 2008
•  1,216,659 individuals were dewormed in the Batken and Osh regions in 2009
•  In addition to the actual treatment, the RVF has successfully raised awareness about the effects of worms among children, families, teachers, and medical staff
ca. 2,978,000 individuals will be treated in 2010
 
Program Details:
According to the World Health Organization, the most effective and immediate way to reduce the morbidity associated with these soil-transmitted helminths is to mount regular deworming campaigns using the safe, inexpensive, and highly effective treatment with either mebendazole or albendazole.

Long term measures include the implementation of public health measures to improve sanitation and access to safe water. Public awareness campaigns on safe hygienic practices can also significantly reduce the danger of reinfection.

The RVF first partnered with the Ministry of Health of Kyrgyzstan in 2008 – 2009 to conduct a pilot deworming campaign in Kyrgyzstan’s two most impoverished regions- Batken and Osh. Over 1.5 million children and adults, representing over 95% of the targeted population, were treated in this successful school-based prototype operation.

As in the deworming program in the Batken and Osh regions, the nationwide campaign will be implemented entirely through the existing public health infrastructure by Kyrgyz health care workers, with oversight provided by both local and international RVF representatives.

The support of the RVF includes the provision of 5,330,000 tablets of chewable, mint-flavored albendazole, video and printed materials to raise awareness of basic methods of hygiene, funding for social mobilization, salary support for supervision of the program, and monitoring by representatives of the RVF from the U.S., Azerbaijan, and Kyrgyzstan.

The program will follow the successful school-based prototype operation of the Batken and Osh oblasts, which resulted in coverage rates greater than 95%. The national program will be a year-long effort. In the first six months the program will target the oblasts of the country sequentially – one oblast per month – until the targeted population has been treated. In the following six months all schoolchildren will receive a second round of treatment.
 
Sustainability:
The strategy underlying RVF programs is to create mechanisms of sustainability by strengthening the existing health care infrastructure and avoiding the establishment of parallel structures. Kyrgyzstan will assume 20% of the total cost of a follow-up round of deworming in 2011.
 
For more information on the how the RVF assures the sustainability of its programs, please click here.
 
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Vishnevskaya-Rostropovich Foundation
The Rostropovich-Vishnevskaya Foundation (RVF) is a non-political, non-partisan organization whose mission is to improve the health and wellbeing of children in need through selected, sustainable, and transformational public health programs. ...

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