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UZBEKISTAN

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					                                                                      UZBEKISTAN

                                                                 Territory : 447,400 km2
                                                                 Capital:         Tashkent

                                                                 Map No. 3777 Rev. 6 UNITED NATIONS
                                                                 January 2004                                 BASIC DATA


                                                                 Total population (millions)                  2009 – 27.5*
                                                                 Population under age15 (as % of total)        2007 – 34*
                                                                 Life expectancy at birth (years)              2008 – 68**
                                                                 Adult literacy rate (% age 15 and above)      2008 – 97**
                                                                 Youth literacy rate (% age, 15-24)            2008 – 99**
                                                                 GDP per capita (US$)                          2009 – 2,800***

NOTE: The map displayed in this document serves as a reference aid only. The boundaries and names shown and
      the designations used on it do not imply official endorsement or acceptance by the United Nations.


* UN Population Database (2010)
** UNICEF Country Statistics (2010)
*** CIA The World Factbook (2010)



National Focal Point
Ms. Luiza Baymirova, Head Expert
Treatment and Care Central Department
Ministry of Health, Tashkent



Drug Abuse and Drug Dependence Treatment Situation

According to annual statistical data for the year 2008:

     •     The total number of registered drug users in the country made 20 111 persons (women make 4,7%)
     •     Heroin users made 13 732 persons, then follow 3 668 hashish users, 1 848 opium users,
     •     181 marijuana users and others
     •     Quantity of drug users from rural areas made 46,6%
     •     Injecting drug users (IDUs) made about 46.5%
                                                Registered drug users in Uzbekistan, 2000-2008


                             25000

                                                                         19 551     19 868   19 684     19 868          20 111
                                                       18 956   19 088
                             20000            18 087

                                      14278
                             15000


                             10000


                              5000


                                  0
                                      2000    2001      2002    2003     2004        2005    2006        2007            2008




The total number of treated patients was 5,842 in Uzbekistan (16.3% got outpatient treatment and 82.9% got inpatient
treatment), including 775 persons who got mandatory treatment. The ratio of patients who got outpatient treatment (in 2008 -
16,3% and 16,5% in 2007) and inpatient treatment (in 2008 - 82,7% and in 2007 - 82,9%) is almost the same. The number of
patients who got day-time inpatient treatment is slightly increased - 1% (0.6% in 2007). 3,452 persons were first-time
patients. The majority of them patients were opium users.


                                                     Quantity of IDUs , 2000-2008


                              2008                                                                               9 350


                              2007                                                                              9 153


                              2006                                                                          9 133


                              2005                                                                               9 370


                              2004                                                                              9 242


                              2003                                                                         9 012


                              2002                                                                      8 568


                              2001                                                              7 922


                              2000                                                5 864




Specialized drug treatment institutions, which provide treatment services for drug users:
     •    Republic rehabilitation centre
     •    17 drug dispensaries (13 of them have inpatient treatment)
     •    3 rehabilitation clinics
     •    12 drug departments in psychiatric hospitals

The total number of beds available for drug dependence treatment was 1,718 (including 704 for mandatory treatment). Drug
treatment rooms are available in every rural region under the central regions polyclinics. Confidential help lines providing
consultation are available in all regions of Uzbekistan.

The following drug treatment services are available in urban areas:

     •    mental healthcare services
     •    specialized drug treatment facilities (inpatient and outpatient treatment)
     •    psychiatric hospitals
     •    prisons
The following drug treatment services are available in rural areas:

     •    primary health care services
     •    outpatient treatment at specialized drug treatment facilities

Municipalities in Uzbekistan provide funding for the abovementioned organizations, excluding prisons. The Ministry of Health
invests money in psychiatric hospitals and specialized drug treatment facilities which provide inpatient and outpatient
treatment as well as mental healthcare services.

Primary health care services in Uzbekistan provide HIV testing and counseling as well as HCV testing. Mental healthcare
services and psychiatric hospitals suggest referral for specialized services, counseling and HIV testing and counseling.
Social welfare services in Uzbekistan include vocational training and job placements.

Psychiatrists and nurses in Uzbekistan provide primary health care and mental healthcare services, as well as services at
specialized drug treatment facilities and psychiatric hospitals. Psychologists provide the same list of services as psychiatrists
and nurses, but except primary health care services. However outreach workers and peers provide primary health care
services in Uzbekistan.

In the course of the year 200820 patients in Uzbekistan died from using drugs. The majority of them were males.


HIV/AIDS Situation

According to annual statistical data for the year 2008:

     •    Cumulative number of HIV cases made 15 831 persons (3 134 among them were females).
     •    7,373 of them were IDUs
     •    3,404 new HIV cases were registered in 2008 (2 039 males and 1 365 females)
     •    10,179 persons were HIV tested in drug treatment facilities of the country.

                                          Fem ale distribution am ong HIV infected people, 2000-2008

                                    40%
                                                                                              34%      35%
                                    35%

                                    30%
                                                                                      24%
                                    25%                                       22%
                                                        19%    20%
                                    20%                                18%
                                          17%

                                    15%
                                                 10%
                                    10%

                                    5%

                                    0%
                                          2000   2001   2002   2003    2004    2005   2006    2007     2008




HIV prevention, treatment and care services for injecting and other drug users in Uzbekistan:
     •    needle and syringe exchange programs;
     •    HIV testing and counseling;
     •    antiretroviral therapy;
     •    prevention and treatment of sexually transmitted infections;
     •    condom programs for injecting and other drug users and their sexual partners;
     •    targeted information; education and communication for injecting and other drug users and their sexual partners;
     •    prevention, diagnosis and treatment of tuberculosis;
     •    referral for drug dependence treatment;
     referral for other medical and social services
Training of Trainers

 Current Status

 Trainers                -----


At the moment there is no elaborate training program for medical staff on the issue of drug dependence treatment and
rehabilitation. However, medical staff and social workers can enrol for courses dealing with drug dependence and related
issues, even though there is no distinct information about the duration of these programs. General practitioners, physicians
and psychiatrists can obtain training at special institutions for advanced studies. The same applies to psychologists at
Universities or pedagogical institutions and to nurses at medical colleges. In any case, the training includes drug screening
and short-term intervention. Physicians and psychiatrists are furthermore entitled to prescribe psychoactive substances and
to practice modern methods of detoxification. As for the assessment of patients, psychiatrists and psychologists make use of
the Addiction Severity Index, as suggested by the Treanet training package. Training on psychological skills aims at the
counteraction of stigma and discrimination, deals with the Emotional Burnout Syndrome and puts an emphasis on family
counselling.


National Counterparts
        •     Ministry of Health
        •     National Information and Analysis Centre on Drug Control
        •     Institute for Advanced Studies
        •     Tashkent City Drug Dispensary
        •     Republic Rehabilitation Centre


Treatment Centre Details

Tashkent City Drug Dispensary
Phone: + 998 71 274 35 98
            + 998 71 274 87 46
            + 998 71 274 44 91
            + 998 71 274 67 82
E-mail: tshnarcod@sarkor.com


Republic Rehabilitation Centre
Phone: + 998 71 150 78 95
            + 998 71 150 79 34
Fax :       + 998 71150 78 94
E-mail: rncuz@yandex.ru
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