Extensive Review of TB Prevention, Care and Control Services in Armenia

Total Page:16

File Type:pdf, Size:1020Kb

Extensive Review of TB Prevention, Care and Control Services in Armenia The WHO Regional Office for Europe The World Health Organization (WHO) is a specialized agency of the United Nations created in 1948 with the primary responsibility for international health matters and public health. The WHO Regional Office for Europe is one of six regional offices throughout the world, each with its own programme geared to the particular health conditions of the countries it serves. Member States Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Georgia Germany Greece Hungary Extensive Review of TB Iceland Ireland Israel Edited by: Masoud Dara Prevention, Care and Italy Kazakhstan Zaruhi Mkrtchyan Kyrgyzstan Control Services in Latvia Gayane Ghukasyan Lithuania Luxembourg Malta Armenia Monaco Montenegro Netherlands 21 April – 4 May 2011 Norway Poland Portugal Republic of Moldova Romania Russian Federation San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Tajikistan The former Yugoslav Republic of Macedonia Turkey Turkmenistan Ukraine United Kingdom Uzbekistan World Health Organization Regional Office for Europe ISBN Scherfigsvej 8, DK-2100 Copenhagen Ø, Denmark WHOLIS number Tel.: +45 39 17 17 17. Fax: +45 39 17 18 18. E-mail: [email protected] Original: Web site: www.euro.who.int Mission Report Extensive Review of TB Prevention, Care and Control Services in Armenia 21 April – 4 May 2011 ii Address requests about publications of the WHO Regional Office for Europe to: Publications WHO Regional Office for Europe Scherfigsvej 8 DK-2100 Copenhagen Ø, Denmark Alternatively complete online requests form for documentation, health information, or for permission to quote or translate, on the WHO/Europe web site at http://www.euro.who.int/pubrequest. © World Health Organization 2012 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. The views expressed by authors, editors, or expert groups do not necessarily represent the decisions or the stated policy of the World Health Organization. Writing Committee Written by Masoud Dara, WHO Regional Office for Europe Andrei Dadu, WHO Regional Office for Europe Smiljka de Lussigny, WHO Regional Office for Europe Brenda van den Bergh, WHO Regional Office for Europe Alejandra Gonzalez Rossetti, WHO Regional Office for Europe Bert Schreuder, KNCV TB Foundation Askar Yedilbayev, Partners in Health Doris Hillemann, Supranational Reference Laboratory, Borstel Kristin Kremer, WHO Regional Office for Europe Nonna Turusbekova, KNCV TB Foundation Andre Zagorski, Management Sciences for Health With contributions from Diana Atajanyan, independent consultant Edited by Masoud Dara, WHO Regional Office for Europe Zaruhi Mkrtchyan, Independent consultant Gayane Ghukasyan, WHO Country Office in Armenia Acknowledgements The members of the mission would like to thank the Minister of Health of Armenia, Professor Kushkyan, for his timely request to the WHO Regional Office for Europe and for facilitating the extensive tuberculosis (TB) programme review. The following organizations and individuals contributed their valuable time, knowledge and experience to the extensive review of TB prevention, control and care in Armenia: − representatives of the Ministry of Health of the Republic of Armenia, acting on behalf of the Minister, Professor Kushkyan, and Deputy Minister, Dr Khachatryan; − heads of marz (provincial) health departments and TB coordinators in Gegharkunik, Kotayk and Lory marzes (provinces); − administration and staff of the Republican TB Dispensary, acting on behalf of Dr Marina Safaryan; − heads and staff of health-care facilities and TB services in Yerevan, Kotayk, Gegharkunik, Lory and Aragatsotn marzes; − heads and staff of the health-care unit of the criminal-executive department of the Ministry of Justice, criminal-executive institutions and the Central Hospital for Detainees; − representatives of the United States Agency for International Development (USAID)/Armenia mission, the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) and World Bank Project Implementation Unit, and Médecins Sans Frontières France. Contents Abbreviations ...................................................................................................................................... i Executive summary ............................................................................................................................ iii Key recommendations ........................................................................................................................ iv Background ......................................................................................................................................... 1 Epidemiology of TB in Armenia ............................................................................................................ 3 Organization and management ............................................................................................................ 6 Findings ....................................................................................................................................................... 7 Accountability, responsibility and institutional capacity......................................................................... 7 Stewardship ............................................................................................................................................. 8 Recommendations ...................................................................................................................................... 8 Financing .......................................................................................................................................... 10 Findings ..................................................................................................................................................... 10 Recommendations .................................................................................................................................... 11 Human resources development ......................................................................................................... 13 Findings ..................................................................................................................................................... 14 Recommendations .................................................................................................................................... 15 Management of TB medicines ........................................................................................................... 16 Findings ..................................................................................................................................................... 16 Selection ................................................................................................................................................ 16 Procurement .......................................................................................................................................... 17 Registration ........................................................................................................................................... 17 Distribution and storage ....................................................................................................................... 18 Recommendations .................................................................................................................................... 19 Diagnosis .......................................................................................................................................... 20 Findings ..................................................................................................................................................... 20 Case detection ....................................................................................................................................... 20 Intensified TB case-finding in people living with HIV ............................................................................ 20 HIV testing and counselling in TB patients and
Recommended publications
  • What You Should Know About HIV and AIDS
    WHAT YOU SHOULD KNOW ABOUT HIV & AIDS WHAT IS AIDS? AIDS is the Acquired Immune Deficiency Syndrome – a serious illness that makes the body unable to fight infection. A person with AIDS is susceptible to certain infections and cancers. When a person with AIDS cannot fight off infections, this person becomes ill. These infections can eventually kill a person with AIDS. WHAT CAUSES AIDS? The human immunodeficiency virus (HIV) causes AIDS. Early diagnosis of HIV infection is important! If you have been told that you have HIV, you should get prompt medical treatment. In many cases, early treatment can enhance a person’s ability to remain healthy as long as possible. Free or reduced cost anonymous and confidential testing with counseling is available at every local health department in Kentucky. After being infected with HIV, it takes between two weeks to three months before the test can detect antibodies to the virus. HOW IS THE HIV VIRUS SPREAD? Sexual contact (oral, anal, or vaginal intercourse) with an infected person when blood, pre-ejaculation fluid, semen, rectal fluids or cervical/vaginal secretions are exchanged. Sharing syringes, needles, cotton, cookers and other drug injecting equipment with someone who is infected. Receiving contaminated blood or blood products (very unlikely now because blood used in transfusions has been tested for HIV antibodies since March 1985). An infected mother passing HIV to her unborn child before or during childbirth, and through breast feeding. Receipt of transplant, tissue/organs, or artificial insemination from an infected donor. Needle stick or other sharps injury in a health care setting involving an infected person.
    [Show full text]
  • Adverse Reactions to HIV Vaccines: Medical, Ethical, and Legal Issues
    Adverse Reactions to HIV Vaccines: Medical, Ethical, and Legal Issues September 1995 OTA-BP-H-163 GPO stock #052-003-01429-7 Recommended Citation: U.S. Congress, Office of Technology Assessment, Adverse Reactions to HIV Vaccines: Medical, Ethical, and Legal Issues, OTA-BP-H-163 (Washington, DC: U.S. Government Printing Office, September 1995). oreword IDS researchers are investigating new vaccines that would prevent infection with HIV and reduce the spread of AIDS. Some have argued that product liabil- ity concerns have discouraged investment in HIV vaccine research and devel- opment. The purpose of this OTA background paper is to describe the current state of development of HIV vaccines, and to discuss what is known about adverse reac- tions that may occur. The background paper provides an overview of ethical issues that arise in the conduct of HIV vaccine trials. The report also discusses alternatives to the current product liability system to encourage the development of HIV vaccines and to fairly compensate those who are harmed as a result of adverse reactions to the vaccine. This background paper was prepared in response to a request from the Subcommittee on Health of the House Ways and Means Committee. It is eleventh in OTA’s series of studies on HIV-related issues. The preceding papers in this series were: Do Insects Transmit AIDS? (9/87), AIDS and Health Insurance: An OTA Survey (2/88), How Effective is AIDS Education? (6/88), The Impact of AIDS on the Kaiser Permanente Medical Care Program (Northern California Region) (7/88), How Has Federal Research on AIDS/HIV Disease Contributed to Other Fields? (4/90), The Effectiveness of Drug Abuse Treatment: Implications for Controlling AIDS/HIV Infection (9/90), HIV in the Health Care Workplace (11/91), The CDC’s Case Definition of AIDS: Implications of the Proposed Revisions (8/92), Difficult-to-reuse Needles for the Prevention of HIV Infection Among Injecting Drug Abusers (10/92), and External Review of the Federal Centers for Disease Control and Prevention’s HIV Prevention Programs (9/94).
    [Show full text]
  • International Guidelines on HIV/AIDS and Human Rights 2006 Consolidated Version
    International Guidelines on HIV/AIDS and Human Rights 2006 Consolidated Version Second International Consultation on HIV/AIDS and Human Rights Geneva, 23-25 September 1996 Third International Consultation on HIV/AIDS and Human Rights Geneva, 25-26 July 2002 Organized jointly by the Office of the United Nations High Commissioner for Human Rights and the Joint United Nations Programme on HIV/AIDS OFFICE OF THE UNITED NATIONS HIGH COMMISSIONER FOR HUMAN RIGHTS Material contained in this publication may be freely quoted or reprinted, provided credit is given and a copy containing the reprinted material is sent to the Office of the United Nations High Commissioner for Human Rights, CH-1211 Geneva 10, and to UNAIDS, CH-1211 Geneva 27, Switzerland. The designations employed and the presentation of the material in this publication do not imply expression of any opinion whatsoever on the part of the Secretariat of the United Nations or UNAIDS concerning the legal status of any country, territory, city or area, or of its authorities, or concerning the delimitation of its frontiers or boundaries. Published jointly by the Office of the United Nations High Commissioner for Human Rights and the Joint United Nations Programme on HIV/AIDS. HR/PUB/06/9 UN PUBLICATION Sales No. E.06.XIV.4 ISBN 92-1-154168-9 © Joint United Nations Programme on HIV/AIDS (UNAIDS) 2006. All rights reserved. Publications produced by UNAIDS can be obtained from the UNAIDS Information Centre. Requests for permission to translate UNAIDS publications—whether for sale or for noncommercial distribution—should also be addressed to the Information Centre at the address below, or by fax, at +41 22 791 4187, or e-mail: [email protected].
    [Show full text]
  • LISTING Armenia Securities Exchange
    Armenia Securities Exchange Monthly Bulletin | March 2019 See Inside For: Securities Listed and Delisted in March, 2019 Equities Market Financial Highlights of the Issuers Listed on Armenia Securities Exchange Corporate & Government Bonds Market REPO/SWAP Market Overview of Depository Activities LISTING As of March, 2019, 83 securities of 23 issuers were listed and admitted to trading at Armenia Securities Exchange: 10 stocks of 10 issuers and 73 bonds of 16 issuers. Please find below information about securities, listed and/or admitted to trading during this month. List / Free Number of Date listed/ N Ticker Company Nominal value Market securities issued admitted to trading 1 Bbond FNCAB4 FINCA UCO CJSC 80,000 USD25 18.03.2019 2 Abond ANLBB7 IDBank CJSC 50,000 USD100 27.03.2019 In February, 2019 the following securities were redemed from trading at Armenia Securities Exchange. Number of N List Stock symbol Company Nominal value Termination Date securities issued 1 Abond ANLBB3 IDBank CJSC 50,000 AMD20,000 15.03.2019 1 amx.am EXCHANGE TRADING All financial figures are in Armenian Drams (AMD) unless otherwise noted. Exchange rates established by the Central Bank of Armenia as of March, 2019 were as follows: USD - 486AMD, EUR - 545AMD Equities Market In March, 2019, 3 trades with total value of AMD 1,219,200 were concluded in the equities market. 548 stocks of 2 issuers were traded. Compared to the same period of the previous year (Mar-18) the number of trades, the number of stocks traded and the total value traded decreased by -57.143%, -99.446% and -95.070%, respectively,.
    [Show full text]
  • Coversheet for Thesis in Sussex Research Online
    A University of Sussex DPhil thesis Available online via Sussex Research Online: http://eprints.sussex.ac.uk/ This thesis is protected by copyright which belongs to the author. This thesis cannot be reproduced or quoted extensively from without first obtaining permission in writing from the Author The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the Author When referring to this work, full bibliographic details including the author, title, awarding institution and date of the thesis must be given Please visit Sussex Research Online for more information and further details Knowledge Accumulation and Vaccine Innovation: Lessons from Polio and HIV/AIDS Ohid Yaqub Doctor of Philosophy University of Sussex Submitted in September 2008 ii I hereby declare that this thesis has not been submitted, either in the same or different form, to this or any other university for a degree. Ohid Yaqub iii To my parents and Corinne, Two worlds that should not be separate. iv ACKNOWLEDGEMENTS This thesis was funded by the Economic and Social Research Council and supervised by Paul Nightingale. Paul is a supervisor who is extremely generous with his time, ideas and encouragement; and who manages to make academia look extremely fun. His energy and enthusiasm were most important to me when I really thought the ship was sinking. I cannot thank him enough and feel privileged to have worked with him. My first opportunity to pursue some of the ideas in this thesis was under the supervision of Ed Steinmueller and Aldo Geuna.
    [Show full text]
  • Republic of ARMENIA Country Profile
    Anush PERIKHANYAN MPH Yerevan State Medical University Department of Public Health Republic of ARMENIA Country profile http://www.who.int/countries/arm/en/ 1 Armenia - a lower-middle income country 3-5% (officially)prevalence of HCV among the general population (2013). HCV in 3rd highest rate in CIS countries (Georgia 6.7% Armenia/CIS and Uzbekistan 6.5%) Hepatitis C in Armenia- 44% have HCV genotype 1 37% have genotype 3 19% have genotype 2 Maistat L., Golovin S., Deineka O. and T, Khan. Hepatitis C in Eastern Europe and Central Asiа: Civil Society Respone to the Epidemics; 2015. http://www.aidsalliance.org.ua/ru/news/pdf/28.10.2015/EECA%20HCV%20EN.pdf. Accessed November 9, 2015 injecting drug users imprisoned persons patients getting hemodialysis commercial sex workers patients with tuberculosis healthcare workers oncological patients healthy population 70% HCV among 60% different groups is: people who inject drugs; 50% people who use intranasal drugs; recipients of infected blood products or 40% invasive procedures in health-care facilities with inadequate infection control practices ; children born to mothers infected with HCV ; 30% people with sexual partners who are HCV- infected; 20% people with HIV infection; prisoners or previously incarcerated persons; 10% people who have had tattoos or piercings 0% 1 2 In 2015 effective N3691 order-A “Methodological guideline for epidemiological management of viral Management hepatitis B, C”. of Hepatitis C The epidemiological control of viral hepatitis C is done by the National Center for Disease Control of the in Armenia Republic of Armenia (NCDC), which provides methodological management of prevention and regular control activities of HCV.
    [Show full text]
  • Qualitative Study to Explore the Knowledge and Attitude of Pregnant Women Regarding HIV/AIDS Testing in Kotayk Region and in Yerevan, Armenia
    Qualitative study to explore the knowledge and attitude of pregnant women regarding HIV/AIDS testing in Kotayk region and in Yerevan, Armenia Utilizing Professional Publication Framework Henrik Khachatryan, MD, MPH candidate, American University of Armenia Primary Adviser: M. Thompson, MS, DrPH Secondary Adviser: K. White, RN, PhD, CNAA October 2005 Table of Contents INTRODUCTION ...........................................................................................................................................................1 Background Information and Literature review....................................................................................................1 Rationale for the Research and Research Questions.............................................................................................4 METHODS AND MATERIALS........................................................................................................................................5 Study design...........................................................................................................................................................5 Study population ....................................................................................................................................................5 Sampling and Study Setting...................................................................................................................................6 Data collection Instrument.....................................................................................................................................6
    [Show full text]
  • CURRICULUM VITAE Updated on Jan 24, 2020
    T. Davtyan, Armenia CURRICULUM VITAE Updated on Jan 24, 2020 Surname Davtyan First name(s) Tigran Affiliation and official address Rhea Pharmaceutical Armenia LLC Armenia, 0084, Yerevan Gusan Sherami St., 2 Building (Malatia-Sebastia adm. district) Republic of Armenia Tel.: (+374-) 91 400994, 98-55-96-29 E-mail: [email protected] [email protected] Present Positions: Professor, Chief Scientist Rhea Pharmaceutical Armenia LLC Home address: Michurin str. 5, 23, 375041, Yerevan, Republic of Armenia. Tel: +374 10 55-96-29 Date and Place of birth: 1 December, 1966, Yerevan, Armenia Nationality: Armenian Citizenship: Republic of Armenia Passport ARM, AH0248176, 24 OCT 2006, 009 ID № 1112660259 Marital status: Married, has 2 children, 3 grandchild Education (degrees, dates, universities) 2016 Professor. Field: Biology 2003 Doctor of Biological Sciences (ScD). Field: Molecular Biology 1993 Candidate of Biological Sciences (Ph.D); Field :Genetics and Immunology 1989-1992 Ph.D. student, Laboratory of Genetic Mechanisms of Cell Malignization And Differentiation, Institute of Cytology, St. Petersburg, Russia. 1983-1988 Yerevan State Medical University, Faculty of Pharmacy Specialization (specify) Drug Design and quality control, HIV/AIDS and clinical immunology; Viral infections; immunity and stress resistance; Molecular mechanisms and Genetic regulation of innate immune response; Autoinflammation; 1 T. Davtyan, Armenia Career/Employment (employers, positions and dates) 2011- 2019 Director of Analytical Laboratory of Scientific Centre of Drug and Medical Thechnology Experttise JSC 1999 - 2011 Head of HIV-Clinical Trail Laboratory of the ARMENICUM Research Center, Yerevan, Rep. of Armenia. 1998 - 2006 Consultant on Science, Laboratory of Immunology, The Second Clinical Hospital of the Yerevan State Medical University, Rep.
    [Show full text]
  • HIV an Illusion Toxic Shock
    SCIENTIFIC CORRESPONDENCE generated from a linear model could be a and Ho's] data is remarkable", note that vmons per day is not defined or function of both the baseline CD4 level Loveday et al. 8 report the use of a PCR­ addressed, nor can it be! No one else has and viral loads. Further studies with larg­ based assay and find only 200 HIV "virion access to either the unapproved drugs or er sample sizes are needed to resolve RNAs" per ml of serum of AIDS patients the branch PCR technology! What is the these discrepancies. - 1,000 times less than Ho and Wei. So benchmark rate for the turnover of CD4 Shenghan Lai, J. Bryan Page, Hong Lai much for the "remarkable concordance". cells in the general population? Departments of Medicine, Peter Duesberg To counter the 42 case studies of Wei et Psychiatry and Epidemiology, Department of Molecular and Cellular al. 1 and Ho et al.2, we at HEAL (Health University of Miami School of Medicine, Biology, University of California, Education AIDS Liason) can provide at Miami, Florida 33136, USA Berkeley, California 94720, USA least 42 people who are western-blot-posi­ Harvey Bialy tive for 'HIV', have low T4 cells, who are Bio/Technology, New York, not using orthodox procedures, and have HIV an illusion New York 10010, USA been healthy for years! On the other 1. Maddox, J. Nature 373, 189 (1995). hand, we can also provide you with hun­ SIR - In an editorial' in the 19 January 2. Ho, D.D. et al. Nature 373, 123-126 (1995).
    [Show full text]
  • A Review on Prevention and Treatment of Aids
    Pharmacy & Pharmacology International Journal Review Article Open Access A Review on prevention and treatment of aids Abstract Volume 5 Issue 1 - 2017 Human immunodeficiency virus (HIV) is a retrovirus which causes acquired immune Chinmaya keshari sahoo,1 Nalini kanta deficiency syndrome (AIDS) a condition where CD4+ cell count falls below 200 cells/ Sahoo,2 Surepalli Ram Mohan Rao,3 Muvvala µl and immune system begins to fail in humans leading to life threatening infections. 4 Many factors are associated with the sexual transmission of HIV causing AIDS. HIV Sudhakar 1 is transmitted by three main routes sexual contact, exposure to infected body fluids or Department of Pharmaceutics, Osmania University College of Technology, India tissues and from mother to child during pregnancy, delivery or breast feeding (vertical 2Department of Pharmaceutical Analysis and Quality assurance, transmission). Hence the efforts for prevention and control of HIV have to rely largely MNR College of Pharmacy, India on sexually transmitted disease (STD) control measures and AIDS. In the developing 3Mekelle University, Ethiopia countries both prevalence and incidence of AIDS are very high. The impact of AIDS 4Department of pharmaceutics, Malla Reddy College of on women’s health adversely affected by various reasons such as more susceptibility Pharmacy, India than men, asymptomatic nature of infection etc. The management of AIDS can be controlled by antiretroviral therapy, opportunistic infections and alternative medicine. Correspondence: Chinmaya keshari sahoo, Department of In present study is an update on origins of HIV, stages of HIV infection, transmission, Pharmaceutics, Osmania University College of Technology, India, diagnosis, prevention and management of AIDS. Email [email protected] Keywords: aids, HIV cd4+, vertical transmission, antiretroviral therapy Received: November 18, 2016 | Published: February 08, 2017 Abbreviations: HIV, human immunodeficiency virus; AIDS, bodily fluids such as saliva and tears do not transmit HIV.
    [Show full text]
  • THE ARMENIAN Ctator Volume LXXXVIII, NO
    MARCH 3, 2018 Mirror-SpeTHE ARMENIAN ctator Volume LXXXVIII, NO. 32, Issue 4527 $ 2.00 NEWS The First English Language Armenian Weekly in the United States Since 1932 INBRIEF (AP PHOTO) Azerbaijan Distorts Killing Orders Lays Bare Reality over Khojaly Orders for Armenian YEREVAN (Armenpress) — Twenty two Members of the European Parliament MEPs representing the Annihilation by Turkish Club of Azerbaijan`s Friends in the European Government Parliament have signed a declaration where noth- ing is mentioned about “genocide,” or Armenians or Armenia. A day before the Azerbaijani mass media spread information that allegedly the By Alin K. Gregorian European parliament has adopted a declaration Mirror-Spectator Staff over the “Khojaly events.” Earlier, in a meeting with Azerbaijanis in the Georgian city Marneuli, President of Georgia Giorgi Margvelashvili did not WORCESTER — Prof. Taner Akçam has yield to the provocation of one of the participant been at the forefront of finding evidence young men, who asked the President to honor the confirming the Armenian Genocide and the memory of the victims of the so-called “Khojaly role of the Ottoman central government in events” with a minute of silence. Azerbaijani media the murders for decades. His latest book, outlets note that the ceremony of the one-minute Killing Orders: Talat Pasha’s Telegrams and silence did not take place, instead Margvelashvili the Armenian Genocide, is the latest volley noted that he follows Nagorno Karabakh conflict he has launched to bring down the curtain People pray next to the closed doors of the Holy Sepluchre Church on February 25 settlement process. “Georgia is against the escala- of denial of the tion of Nagorno Karabakh conflict,” he said.
    [Show full text]
  • Agriculture and Food Processing in Armenia
    SAMVEL AVETISYAN AGRICULTURE AND FOOD PROCESSING IN ARMENIA YEREVAN 2010 Dedicated to the memory of the author’s son, Sergey Avetisyan Approved for publication by the Scientifi c and Technical Council of the RA Ministry of Agriculture Peer Reviewers: Doctor of Economics, Prof. Ashot Bayadyan Candidate Doctor of Economics, Docent Sergey Meloyan Technical Editor: Doctor of Economics Hrachya Tspnetsyan Samvel S. Avetisyan Agriculture and Food Processing in Armenia – Limush Publishing House, Yerevan 2010 - 138 pages Photos courtesy CARD, Zaven Khachikyan, Hambardzum Hovhannisyan This book presents the current state and development opportunities of the Armenian agriculture. Special importance has been attached to the potential of agriculture, the agricultural reform process, accomplishments and problems. The author brings up particular facts in combination with historic data. Brief information is offered on leading agricultural and processing enterprises. The book can be a useful source for people interested in the agrarian sector of Armenia, specialists, and students. Publication of this book is made possible by the generous fi nancial support of the United States Department of Agriculture (USDA) and assistance of the “Center for Agribusiness and Rural Development” Foundation. The contents do not necessarily represent the views of USDA, the U.S. Government or “Center for Agribusiness and Rural Development” Foundation. INTRODUCTION Food and Agriculture sector is one of the most important industries in Armenia’s economy. The role of the agrarian sector has been critical from the perspectives of the country’s economic development, food safety, and overcoming rural poverty. It is remarkable that still prior to the collapse of the Soviet Union, Armenia made unprecedented steps towards agrarian reforms.
    [Show full text]