PIH Russia project history

1998 - Based on our experience in Peru, as well as on international advocacy for improved treatment of MDR-TB, PIH is asked to provide consultation and services for prisoners and civilians with MDR-TB.

2000 - PIH begins collaborating with local authorities in Tomsk on a DOTS-Plus project for treatment of MDR-TB and assumes primary clinical responsibility for the first on-the-ground MDR-TB project in Russia. In September, the DOTS Plus project begins enrolling its first patients in the TB prison in Tomsk.

2001 - The project begins enrolling MDR-TB patients in the civilian sector in Tomsk. PIH begins providing technical and financial support.

2003 - After accumulating five years of experience in Tomsk, PIH expands its responsibilities to provide training for healthcare professionals and to advocate for institutional change at the federal level. Drawing on financial support from the Eli Lilly and Co. Foundation, PIH’s training program for MDR-TB program managers and physicians plays an integral role in catalyzing change within the Russian TB services.

2004 - PIH Boston and the PIH Russia team assist our Tomsk partners in securing a five-year $10.8 million grant from the Global Fund to Fight AIDS, Tuberculosis, and Malaria to improve prevention, diagnosis and treatment of TB and MDR-TB in Tomsk. PIH assumes responsibility as Principal Recipient for this grant, providing management and oversight.

2005 - Training activities accelerate, with a clinical and epidemiological workshop for high-ranking officials from the Russian medical system that lays the groundwork for a series of five comprehensive training sessions on management of MDR-TB to cover the entire country in 2006 and 2007.

2006 - Working in collaboration with the Russian Ministry of Health and the World Health Organization, PIH conducts three comprehensive training sessions on management of MDR-TB. By the end of the year, PIH-led sessions have trained 215 physicians, representing three quarters of the territory of the Russian Federation.

In December, PIH teams up with Tomsk Oblast TB Services to launch the “Sputnik Program,” the first use in Russia of what has long been a key component of PIH’s model of care in other countries – recruiting, training and paying community health workers to provide directly observed therapy and comprehensive social, nutritional and medical support to improve treatment adherence and support for the poorest and most neglected MDR-TB patients in the region.

2007- 2008 - With support from the Global Fund to Fight AIDS, Tuberculosis and Malaria, PIH creates and expands services, including: TB screening for HIV positive patients and prophylactic TB treatment for more than 160 HIV patients with latent TB infections; psychological and social support for the estimated 50 percent of TB patients who are addicted to alcohol; and an early TB detection program to screen for cases among high-risk groups including the unemployed, homeless and ex-prisoners. Working with colleagues from the Tuberculosis Office and the Penitentiary System of Tomsk Oblast, and with financial support from the Eli Lilly Foundation, PIH provides intensive training for 93 doctors representing the majority of the former Soviet Union countries. Additionally, the team provides technical assistance to two Russian territories in Siberia—Novosibirsk and Altay Kray.

2009 - With help from the Eli Lilly Foundation and the Russian Health Care Foundation, PIH helps launch MDR-TB programs in Novosibirsk and Altay Kray. PIH provided intensive technical assistance to strengthen the capacity of TB providers to manage MDR-TB, establish regular clinical consultations, and improve collaboration between the prison and civilian sectors. In their first 18 months, the programs enrolled 1,400 patients on treatment.

The Tomsk Oblast Country Coordinating Mechanism (in which PIH serves as principal recipeint), receives a Global Fund grant totalling € 9.2 million over 6 years to treat 1,500 MDR/XDR-TB and Poli-drug resistant TB patients. Six sub-recipients will be involved in the grant implementation: TB Dispensary, Prison Health Department, Red Cross, AIDS Center, Nasha Clinika, and the TB Research Institute in Novosibirsk. PIH also provides technical assistance in implementation of all grant-related activities.