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MSF in Armenia, 2002
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Tackling TB and STDs
MSF programs target mental health issues, sexually transmitted diseases (STDs) and tuberculosis (TB) in Armenia and the autonomous territory of Nagorno-Karabakh in Azerbaijan. Sovereignty of the enclave remains contested, though a cease-fire has held since 1994.
In Stepanakert, MSF works with health authorities to combat TB using the DOTS (Directly Observed Treatment Short-course) strategy, as well as training staff and providing public information. Some 533 patients have been included in the program since 1997, 52 of them needing adapted therapy for drug resistant TB. With an 80% cure rate for patients finishing DOTS and only 11% defaulting, the program is evolving positively and MSF will hand it over to the health authorities at the end of 2002.
In Yerevan, MSF has run a combined medical, psychological and social care program since 1997 for young people placed in the Vardashan Institute. The team also provides outreach to high-risk children and their families in the city.
In late 2001, MSF began outpatient support for people with mental disorders in Sevan, and opened a day center there in June 2002 for therapeutic and community integration activities.
In Tavush province, MSF runs an STD/HIV program targeting sex workers and the general community in Bagratashen. In May 2002, MSF opened a counseling and information center with a women's group in Berd, as part of a joint project on family planning and STD/HIV prevention.
MSF has worked in Armenia since 1988 and in Nagorno- Karabakh since 1989.