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Regional Migrant Health Survey on Tuberculosis and HIV and Health Service Response for Migrants in Armenia, Azerbaijan and Georgia

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Regional Migrant Health Survey on Tuberculosis and HIV and Health Service Response for Migrants in Armenia, Azerbaijan and Georgia Regional Migrant Health Survey on Tuberculosis and HIV and Health Service Response for Migrants in Armenia, Azerbaijan and Georgia International Organization for Migration 17 route des Morillons, P.O. Box 17, 1211 Geneva 19, Switzerland Tel: +41 22 717 9111 • Fax: +41 22 798 6150 Email: [email protected] • Website: www.iom.int The opinions expressed in the report are those of the authors and do not necessarily reflect the views of the International Organization for Migration (IOM) or the Governments of Armenia, Azerbaijan and Georgia. The designations employed and the presentation of material throughout the report do not imply the expression of any opinion whatsoever on the part of IOM or the Governments of Armenia, Azerbaijan and Georgia concerning the legal status of any country, territory, city or area, or of its authorities, or concerning its frontiers or boundaries. IOM is committed to the principle that humane and orderly migration benefits migrants and society. As an intergovernmental organization, IOM acts with its partners in the international community to: assist in meeting the operational challenges of migration; advance understanding of migration issues; encourage social and economic development through migration; and uphold the human dignity and well-being of migrants. This regional survey report is a final outcome document of the regional project in the South Caucasus countries of Armenia, Azerbaijan and Georgia titled “Enhancing Mechanisms for Prevention, Detection and Treatment of HIV/AIDS and Tuberculosis Among Migrant and Mobile Populations in the South Caucasus Countries” supported by the IOM Development Fund. Publisher: International Organization for Migration 17 route des Morillons P.O. Box 17 1211 Geneva 19 Switzerland Tel: +41 22 717 9111 Fax: +41 22 798 6150 Email: [email protected] Website: www.iom.int ____________________________________________________ © 2019 International Organization for Migration (IOM) ____________________________________________________ All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without the prior written permission of the publisher. 03_19 Regional Migrant Health Survey on Tuberculosis and HIV and Health Service Response for Migrants in Armenia, Azerbaijan and Georgia ACKNOWLEDGEMENTS Author of the report: Lisa G. Johnston, Independent consultant (E-mail: lsjohnston.global@gmail. com, website: www.lisagjohnston.com) We wish to acknowledge everyone who participated in this survey. Armenia Dr Samvel Grigoryan, PhD, DSc; Director of the National Center for AIDS Prevention, Ministry of Health of the Republic of Armenia Dr Arshak Papoyan, Head of HIV Surveillance Department, National Center for AIDS Prevention, Ministry of Health of the Republic of Armenia Dr Trdat Grigoryan, Monitoring and Evaluation specialist, HIV Surveillance Department, National Center for AIDS Prevention, Ministry of Health of the Republic of Armenia National Qualitative and Quantitative Survey Team: Tigran Hovsepyan, Data manager Lilit Hovhannisyan, Data analyst Hripsime Abrahamyan, Interviewer Rusanna Movsisyan, Interviewer National Center for Seda Abgaryan, Translator AIDS Prevention of RA MoH Azerbaijan Dr Esmira Almammadova, Director, Republic Centre of the Struggle against HIV/AIDS, Ministry of Health of the Republic of Azerbaijan Dr Afet Nazarli, Head of Epidemiological Department, Republic Centre of the Struggle against HIV/AIDS, Ministry of Health of the Republic of Azerbaijan Dr Hagigat Gadirova, Director, Scientific Research Institute of Lungs Disease, Ministry of Health of the Republic of Azerbaijan Irada Akhundova, MD, PhD; Deputy Director, Scientific Research Institute of Lungs Disease, Ministry of Health of the Republic of Azerbaijan Cross-border survey team of the Republic Centre of the Struggle against HIV/AIDS under the Ministry of Health of the Republic of Azerbaijan: Team leader: Dr Javid Jahangirli, Doctor-epidemiologist Interviewers: Dr Sabuhi Aliyev, Doctor-epidemiologist Ms Valiyeva Samira, Doctor-epidemiologist Nurse: Ms Taghiyeva Reyhan Driver: Mr Bayramov Bakhtiyar Regional Migrant Health Survey on Tuberculosis and HIV and Health Service Response for Migrants in Armenia, Azerbaijan and Georgia iii In-country survey team: Researcher: Dr Sharafat Ismayilova, Consultant Sociologist: Ms Aynura Rashidova AIDS Notetaker and assistant: Ms Durdana Gasimova Technical support: Mr Anar Mammadov For support in conducting the cross-border survey special thanks to: Personnel of the Red Bridge Border Checkpoint (Azerbaijan–Georgia border) Georgia Team members: Dr Amiran Gamkrelidze Dr Irma Khonelidze Dr Ketevan Stvilia Dr Khatuna Zakhashvili Dr Maia Tsereteli Dr Tsira Merabishvili Ms Ana Aslanikashvili Mr Giorgi Chakhunashvili Ms Nino Baluashvili Field Worker’s Team: Ms Pikria Shavreshiani Ms Ana Giguashvili Ms Nino Gugushvili Ms Nino Nizharadze Ms Nana Kishmarelia Ms Khatuna Zoidze Ms Tamar Pachuashvili Ms Maia Gabisonia Ms Tamila Shavadze Mr Edisher Khalvashi Mr Levan Bakuradze iv Acknowledgements Technical support: Mr Gia Kobalia Ms Ekaterine Jabidze Mr David Zorikov Ms Ia Chkhaidze Ms Tamar Alpenidze Drivers: Mr Nikoloz Chantladze Mr Levan Katamadze International Organization for Migration Team Dr Kolitha Prabhash Wickramage, Migration Health and Epidemiology Coordinator, Migration Health Division Dr Jaime Calderon, Regional Migration Health Advisor, IOM Regional Office for South- Eastern Europe, Eastern Europe and Central Asia, Mission to the UN and other International Organizations in Vienna Ms Ursula Wagner, Regional Migration Health Assistant, IOM Regional Office for South- Eastern Europe, Eastern Europe and Central Asia, Mission to the UN and other International Organizations in Vienna Ms Ilona Terminasyan, Head of Office, IOM Armenia Ms Nune Asatryan, Migration Health Project Coordinator, IOM Armenia Mr Serhan Aktoprak, Chief of Mission, IOM Azerbaijan Ms Farida Babayeva, Migration Health Project Coordinator, IOM Azerbaijan Ms Marija Nikolovska, Project Officer, IOM Azerbaijan Ms Sanja Celebic Lukovac, Chief of Mission, IOM Georgia Ms Nino Shushania, Senior Migration Health Project Assistant, IOM Georgia Ms Ilyana Derilova, Former Chief of Mission, IOM Georgia Mr George Bagrationi, Designer, IOM Georgia Ms Nino Sanikidze, Translator, IOM Georgia Ms Valerie Hagger, Publications Coordinator, IOM Geneva Ms Melissa Borlaza, Editor, IOM Manila Ms Anna Lyn Constantino, Layout Artist, IOM Manila Regional Migrant Health Survey on Tuberculosis and HIV and Health Service Response for Migrants in Armenia, Azerbaijan and Georgia v CONTENTS ACKNOWLEDGEMENTS .....................................................................................................................iii LIST OF TABLES AND FIGURES ...................................................................................................... ix ABBREVIATIONS/ACRONYMS ........................................................................................................ xi EXECUTIVE SUMMARY ..................................................................................................................... xiii BACKGROUND ........................................................................................................................................ 1 Tuberculosis in the South Caucasus............................................................................................................. 1 HIV in the South Caucasus .............................................................................................................................. 2 Increased risk of tuberculosis and HIV among migrants ..................................................................... 3 Migration in the South Caucasus .................................................................................................................. 3 RESEARCH METHODS .......................................................................................................................... 5 Qualitative methods ........................................................................................................................................... 5 Quantitative methods ........................................................................................................................................ 6 QUALITATIVE DATA FINDINGS .....................................................................................................11 Domain 1: General information about the population .....................................................................11 Domain 2: HIV knowledge and access to HIV-related health care ..............................................11 Domain 3: Tuberculosis knowledge and access to tuberculosis-related health care ............12 Discussion .............................................................................................................................................................13 QUANTITATIVE FINDINGS ..............................................................................................................15 Sociodemographic factors ..............................................................................................................................15 Nationality, citizenship and primary residence among all migrants ..............................................16 Migration patterns among all migrants .....................................................................................................17
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