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 | .gif) | | | Recent Developments in Azerbaijan | New Program will Prevent the Transmission of Hepatitis B and HIV from Mother to Baby in Azerbaijan | In June 2008 the Rostropovich-Vishnevskaya Foundation (RVF) was requested by the Minister of Health of Azerbaijan, Dr. Oktay Shiraliyev, to aid in the establishment of a program to prevent the transmission of HIV and hepatitis B from mother to newborn. Hepatitis B and HIV/AIDS are two of the major diseases of mankind and are serious global health problems. Every Western country has robust programs to prevent the viruses hepatitis B and HIV/AIDS from being transmitted from pregnant women to their newborn babies at the time of birth. Azerbaijan lacks the capability to prevent the transmission of these terrible diseases. In response to the urgency and gravity of the problem, the RVF is partnering with the Azerbaijani Ministry of Health (MOH) to launch a program of prevention and treatment in February 2009. | | | In designing this two-year program the RVF has drawn on the experience gained from its successful effort of HIV and hepatitis B prevention in neighboring Georgia., where the RVF identified an astounding rate of 3.5% of hepatitis B carriage among pregnant women. |  | Azerbaijani Minister of Health Shiraliyev addresses RVF board members to affirm the high priority of preventing mother-to-baby transmission of HIV and hepatitis B |
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| Thus the program in Azerbaijan will include prenatal screening of all pregnant women in the country – a total of about 150,000 women yearly - using WHO prequalified rapid tests for these viruses. In the case of women found to be HIV positive, resources are already available to perform confirmatory testing and to begin appropriate preventative treatment of mother and baby. For women found to be hepatitis B carriers, the program will provide the immediate administration of HBIG to complement the extant neonatal vaccination program of the government. The combined approach will maximize available governmental resources and provide optimal protection to the emerging birth cohort. | | | In keeping with the RVF philosophy of supporting transformational public health initiatives, this program is expected to generate the following outcomes: | | | | 1. | Defined epidemiology of HIV infection among pregnant women | | 2. | Defined epidemiology of hepatitis B infection among pregnant women | | 3. | Prevention of transmission of HIV from mother to baby | | 4. | Prevention of transmission of hepatitis B from mother to baby | | 5. | Local capacity to unmask the epidemiology of two transmissible diseases (HIV and hepatitis B) | | 6. | Local capacity to prevent the transmission of HIV and hepatitis B from mother to baby | | 7. | Transformation of the public health system into a modern engine for the evaluation and prevention of contagious illnesses in society |
| As with all RVF-supported programs, this new program will be implemented entirely through the existing public health infrastructure by Azerbaijani health care workers, so that from the very start the Azerbaijani Ministry of Health and local healthcare workers have full ownership of the program. The program has been endorsed by the minister of health for continued funding by government sources beginning in 2011. This requirement of sustainability is an inherent part of all RVF programs in the country.
The RVF has a 5-year history of successful public health programs in Azerbaijan, the birthplace of RVF-founder Maestro Mstislav Rostropovich, who is a public icon in the country. Working in collaboration with the MOH, the RVF has made it possible for almost 4 million Azerbaijani citizens to be vaccinated. This was accomplished through its ongoing routine measles, mumps and rubella (MMR) vaccination program for children, as well as the mass immunization campaign against measles and rubella in 2006. In addition the RVF has contributed to the vaccine storage and distribution of the country. The RVF is in the process of modernizing the surveillance of emerging and dangerous infections throughout the country by providing computers, software and training. Lastly, the RVF has launched a robust deworming program for schoolchildren. To date nearly 266,000 children have been treated with an additional 100,000 children enrolled in the program in October 2008. At a press conference in Baku in November 2008 Minister Shiraliyev acknowledged the lasting contribution the RVF has made to the health and wellbeing of children in Azerbaijan and affirmed the high priority of the new program to strengthen the capacity of the public health system to protect babies from acquiring HIV and hepatitis B from their mothers. | | |
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The Mission of the Vishnevskaya-Rostropovich Foundation (VRF) is to improve the health care of children in the Russian Federation and other Newly Independent States (NIS) of the former Soviet Union....
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