ომით დაზარალებული მოსახლეობის ფსიქიკურ ჯანმრთელობის კვლევაზე იხილეთ, გამოცემა “ლიბერალის” სტატია “დეპრესია, შფოთვა, სტრესული აშლილობა – დევნილი მოსახლეობა და ფსიქიკური ჯანმრთელობა”
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გაზეთი 'რეზონანსი'დევნილთა 24%-ს პოსტტრავმული აშლილობა აქვს, 14%-ს-დეპრესია…
გაზეთი ‘რეზონანსის’ სტატია საერთაშორისო ფონდი კურაციოს კვლევაზე ომით დაზარალებული მოსახლეობის ფსიქიკურ ჯანმრთელობის მდგომარეობის შესახებ.
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The Forbes and Skoll World Forum to discuss HIV/AIDS Epidemic with Director of CIF
Which Region Has The Fastest-Growing HIV/AIDS Epidemic In The World?- Giorgi Gotsadze, Director of Curatio International Foundation was asked to discuss this issue with Forbes.
The discussion precedes many health-related discussions to take place in September at the Clinton Global Initiative, the Social Good Summit, UN week and other such events.
‘Editor’s Note: In advance of the many health-related discussions to take place in September at the Clinton Global Initiative, the Social Good Summit, UN week and other such events, the Skoll World Forum asked some of the world’s leading voices in global health to paint a comprehensive picture of key trends, challenges and opportunities to realizing healthcare access and treatment around the world. A new piece will be posted everyday through Friday, and you can view the entire series here.
Dr. George Gotsadze, MD, PhD, has more than 15 years of experience in health policy and systems. Since 1996, he has led Georgian think tank Curatio International Foundation, which focuses on health policy and health systems issues, primarily in the post-Soviet states.’
See the interview on Forbes.com.
See discussion on Skoll World Forum.
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CIF Participation in the Private Sector in Health Symposium 2013
On July 6, Sydney, Australia hosted the Private Sector in Health Symposium 2013. Three rounds of parallel sessions covered diverse range of issues, such as regulation, influencing quality of care, health financing and a focus on equity.
Mr. George Gotsadze, on behalf of Curatio International Foundation was one of the speakers at the event. Purchasing private health insurance for the poor in Georgia: Preliminary results and policy implications was the topic Mr. Gotsadze presented on the 1st parallel session.
Learn more about the symposium and session topics.
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Article on Springer-Determinants of Risky Sexual Behavior Among Injecting Drug Users in Georgia
Curatio International Foundation has published the article on Springer, Aids and Behavior Section. The article covers the findings of CIF’s recent study on Injection risk practices and risky sexual behaviors among injection drug users (IDUs) and their sexual partners particularly vulnerable to HIV. The purpose of the study was to describe and understand determinants of high-risk sexual behavior among IDUs in Georgia. A cross-sectional, anonymous survey assessed knowledge, behavior and HIV status in IDUs in five Georgian cities (Tbilisi, Gori, Telavi, Zugdidi, Batumi) in 2009. The study enrolled in total 1,127 (1,112 males, 15 females) IDUs. Results indicate that occasional sexual relationships are common among male IDUs, including married ones.
Authors of the article are: Ivdity Chikovani, Ketevan Goguadze, Ivana Bozicevic, Natia Rukhadze & George Gotsadze.
See the abstract on Springer.
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Tobacco Use and Nicotine Dependence among Conflict-Affected Men in the Republic of Georgia
Article published on International Journal of Environmental Research and Public Health ISSN 1660-4601
by Bayard Roberts, Ivdity Chikovani, Nino Makhashvili, Vikram Patel and Martin McKee
There is very little evidence globally on tobacco use and nicotine dependence among civilian populations affected by armed conflict, despite key vulnerability factors related to elevated mental disorders and socio-economic stressors.
The study aim was to describe patterns of smoking and nicotine dependence among conflict-affected civilian men in the Republic of Georgia and associations with mental disorders.
As research in populations free from conflict has shown that greater tobacco use and nicotine dependence are associated with both post-traumatic stress disorder (PTSD) and common mental disorders such as depression, anxiety and alcohol use, it might be expected that those exposed to conflict may be more vulnerable to heightened tobacco use. Indeed, there is increasing concern over chronic diseases among conflict-affected populations, including tobacco-related diseases. Yet despite this potential vulnerability for heightened tobacco use, there are very few studies on tobacco use among conflict-affected civilian populations and they are generally characterized by small sample sizes and limited analysis, with only a few examining associations between tobacco use and mental disorders or trauma exposure. Identified papers include those addressing: smoking patterns of 989 Kurdish youth in Iraq; antismoking messages and current cigarette smoking status among 1,122 youth in Somaliland; current smoking and smoking cessation rates among 740 elderly people (including refugees) in Beirut, Lebanon; variances in smoking rates between 32 adolescent IDPs with 528 non-IDPs adolescents in Belgrade, Serbia; links between subjective threat of armed conflict and psychosocial outcomes (including cigarette smoking) among 24,935 conflict-affected Israeli and Palestinian youth; tobacco use among 194 immigrant and refugee youth in British Columbia, Canada; and smoking patterns, nicotine dependence and correlations with PTSD among 66 Bosnian refugees in a primary care setting in the United States.
Better understanding of patterns and determinants of smoking is a first step in strengthening tobacco control, tackling tobacco use and its effects and thus of improving the long-term health of conflict-affected populations. This paper takes advantage of data collected as part of a broader study on mental health among conflict-affected populations in Georgia to examine smoking and nicotine dependence among conflict-affected civilian men in the Republic of Georgia.
See the full article.
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HIV risk and prevention behaviors among People Who Inject Drugs in six cities, Georgia, 2012
Georgia is among the countries with low HIV/AIDS prevalence but high potential for developing a widespread epidemic. From the early stage of HIV epidemic in Georgia injecting drug use was the major mode of transmission. However, for the last two years heterosexual transmission became prevailing route for HIV spread.
Current study represent the subsequent wave of Bio-Behavioral Surveys (Bio-BSS) undertaken in Georgia among People Who Inject Drugs (PWIDs) since 2002. Objective of Bio-BSS was to measure prevalence of HIV among PWIDs, provide measurements of key HIV risk behaviors and generate evidence for advocacy and policy-making. The study was implemented within the GFATM-funded project “Generate evidence base on progress in behavior modification among MARPs andeffectiveness of preventive interventions, to inform policies and practice” by Curatio International Foundation (CIF), Public Union Bemoni and the National Center for Disease Control and Public Health.
See full version of the study report.
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Survey of Barriers to HIV Testing Among People who Inject Drugs, Georgia, 2012
HIV testing is an important preventive measure to avoid the HIV epidemics spread. Along with other measures implemented with the Government and donor organizations support in Georgia HIV testing is offered to the representatives of high-risk groups, including PWIDs. Although the level of awareness of this risk-group about the availability of counseling and testing services is satisfactory, the utilization of these services is low. This survey aimed at investigating factors promoting or hampering utilization of HIV testing services among PWIDs.
The qualitative survey among PWIDs was conducted in 2012 in six big cities of Georgia (Tbilisi, Batumi, Kutaisi, Zugdidi, Telavi, Gori) in parallel with the Bio-Behavioral Surveillance Survey. The survey applied in-depth interviews technique. In total, 56 respondents participated in the qualitative survey, 12 of which were females. Anonymity was ensured for the study participants. The study protocol and the questionnaire were approved by the Ethics Committee of the HIV/AIDS Patients Support Foundation. The fear of diagnosis is one of the leading barriers to HIV testing. This psychological barrier is supported by a deeply rooted stereotype that a positive HIV test result means a death sentence for the patient and that HIV infection is a disease which is dangerous for the patient’s social contacts. The fear of diagnosis is closely connected with stigma that exists in the society in relation with HIV positive / AIDS affected individuals. The survey revealed that stigma associated with drug users, especially female drug users, is a major impeding factor for undertaking HIV testing. By avoiding HIV testing drug users are, in fact, trying to keep themselves away from acquiring the double label of an “AIDS patient” and a “drug addict” (double stigma).
Read the full report.
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აივ გავრცელების მხრივ მაღალი რისკის ჯგუფებში ქცევაზე ზედამხედველობის კვლევები გამოქვეყნდა
2012 წელს, საერთაშორისო ფონდმა ‘კურაციომ’ ჩაატარა ქცევაზე ზედამხედველობის კვლევები აივ გავრცელების მხრივ მაღალი რისკის ჯგუფების წარმომადგენლებს შორის. შესწავლილ იქნა აივ ინფექციის გავრცელება და სარისკო ქცევები ინექციური ნარკოტიკების მომხმარებლებში საქართველოს ექვს ქალაქში, ჰომოსექსუალური ურთიერთობების მქონე მამაკაცებში თბილისში, კომერციული სექსის-მუშაკებში თბილისსა და ბათუმში, და პატიმრებში. ქცევაზე ზედამხედველობის კვლევები ბიომარკერის კომპონენტით (Bio-BSS) განმეორებით ტარდება რისკის ჯგუფის წარმომადგენლებში. კვლევების მიზანია, მოხდეს დაკვირვება ეპიდემიის გავრცელებაზე და სარისკო ქცევების ცვლილებაზე, შეფასდეს პრევენციული ინტერვენციები და შედეგებზე დაყრდნობით დაიგეგმოს ადეკვატური საპასუხო ღონისძიებები.
კვლევის განხორციელებაში საერთაშორისო ფონდ ‘კურაციოსთან’ ერთად მონაწილეობდნენ საზოგადოებრივი გაერთიანება „ბემონი“, საინფორმაციო სამედიცინო-ფსიქოლოგიური ცენტრი ”თანადგომა” და დაავადებათა კონტროლისა და საზოგადოებრივი ჯანმრთელობის ეროვნული ცენტრი.
კვლევების საპრეზენტაციო დოკუმენტი ნახეთ აქ.
- აივ ინფიცირების რისკის შემცველი და უსაფრთხო ქცევები პატიმრებს შორის საქართველოში
- აივ ინფიცირების რისკის შემცველი და უსაფრთხო ქცევები ჰომოსექსუალური ურთიერთობების მქონე მამაკაცებს შორის თბილისში
- აივ ინფიცირების რისკის შემცველი და უსაფრთხო ქცევები ინექციური ნარკოტიკების მომხმარებლებში საქართველოს 6 ქალაქში
- აივ ინფიცირების რისკის შემცველი და უსაფრთხო ქცევები სექს-მუშაკებს შორის საქართველოს ორ ქალაქში
- ინექციური ნარკოტიკების მომხმარებლებში აივ ინფექციაზე ტესტირების ბარიერების შემსწავლელი კვლევა საქართველოში 2012 წელს
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HIV prevalence and risk behaviors among key populations- Study Findings Published
HIV prevalence and risk behaviors among key populations were studied in Georgia in 2012. The Biomarker Behavioral Surveillance Surveys (Bio-BSS) were carried out among People Who Inject Drugs (PWIDs) in six major cities, among Men who have Sex with Men (MSM) in Tbilisi, Female Sex Workers (FSW) in Tbilisi and Batumi, and Prison inmates. Bio-BSSs are repeatedly carried out among key populations to monitor HIV epidemics, provide measurements of HIV risk behaviors, evaluate preventive interventions and generate evidence for policy-making.
The studies were implemented by Curatio International Foundation; Public Union Bemoni; Center for Information and Counseling on Reproductive Health – Tanadgoma; and the National Center for Disease Control and Public Health. The studies were implemented within the GFATM-funded project.
You can read the full reports here:
HIV risk and prevention behaviors among Prison Inmates in Georgia
HIV risk and prevention behavior among Men who have Sex with Men in Tbilisi, Georgia
HIV risk and prevention behaviors among People Who Inject Drugs in six cities of Georgia
HIV risk and prevention behavior among Female Sex Workers in two cities of Georgia
Survey of Barriers to HIV Testing Among Intravenuous Drug Users in Georgia