Russia is classified by WHO as a high burden TB, HIV, and MDR TB country, with an incidence rate of 84 per 100,000 population in 2014 (approximately 102,340 new cases). MDR-TB is a huge and growing challenge for Russia and other countries in the Eastern Europe/Central Asia Region – an estimated 19% of new and 49% of retreatment cases of TB in Russia in 2014 were MDR TB cases.
PMDT Fellowship Program
A higher morbidity and mortality, long duration of treatment, and general complexities associated with MDR-TB cases, combined with a lack of clinical and programmatic experience among TB practitioners poses significant MDR-TB management challenges. To assist in addressing these critical MDR-TB challenges, TB CARE II offers TB practitioners an opportunity to participate in a yearly PMDT fellowship training in Russia, Lesotho, and Peru.
The MDR-TB epidemic is far from uniform within regions, and each region faces a variety of challenges. In the Russian Federation the breakdown of social safety nets, a growing HIV/AIDS epidemic and high rates of alcoholism combined have triggered a dramatic increase in TB cases, and subsequently, a rise of MDR-TB strains, especially in the prison sector. The PMDT fellowships are tailored to the context in which they are hosted to address the specific needs of the fellows working in these areas. For more information, please visit: https://drtbnetwork.org/.