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Штат Центра состоит из руководящего ядра и научно-преподавательской группы. Управление осуществляется совместно с Представительством ПРООН в Хорватии. Работу Центра финансируют Европейское региональное бюро ВОЗ, Германское общество технического сотрудничества, Европейская комиссия, Программа развития ООН и Региональное бюро ВОЗ для стран Восточного Средиземноморья.

Главное в деятельности Центра — отклик на потребности стран и регионов и развитие потенциала в области эпидемиологического надзора за ВИЧ-инфекцией. Работа ведется по следующим направлениям:
  • Разработка инновационных программ обучения и организация учебных курсов
  • Оказание технической помощи
  • Проведение исследований в области эпидемиологического надзора
  • Организация партнерств и сетей сотрудничества с национальными и международными учреждениями
  • Объединение широкого круга компетентных специалистов
  • Адаптация методических инструментов и рекомендаций по эпидемиологическому надзору
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С сентября 2004 года Центр организовал 30 учебных курсов, в которых приняли участие более 600 слушателей из 60 стран Европы, Северной и Центральной Африки и Ближнего Востока. Двадцать один курс был организован в Хорватии и девять — за ее пределами. Некоторые курсы, например по референтным выборкам и по мониторингу и оценке программ борьбы с ВИЧ-инфекцией, проводились несколько раз — в Загребе (Хорватия) и других городах.

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Разработаны и внедрены обширные учебные материалы с ситуационными задачами и практическими упражнениями по эпидемиологическому надзору за ВИЧ-инфекцией там, где уровень ее распространения невысок или эпидемия носит концентрированный характер, сосредоточиваясь в группах риска. Все модули прошли тщательную оценку. Обучение опирается на интерактивные методы, 30‑50% времени отводится практическим упражнениям, в частности разработке протокола для создания системы эпидемиологического надзора. Участникам предлагают подумать о том, как применить полученные знания на местах; некоторые из тех, кто прошел обучение, организовали подобные учебные курсы в своих странах.

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С 2006 года действует стипендиальная программа. Для обращения за стипендией нужно прислать свое резюме, заполненный бланк заявки и сопроводительное письмо. Главное требование к соискателям — работа в области эпиднадзора за ВИЧ-инфекцией и краткое изложение будущих планов работы в этой сфере. С 2006 года стипендии получили 49 участников из стран Восточной Европы и Ближнего Востока.
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Техническая помощь включала разнообразную деятельность, связанную с вопросами эпидемиологического надзора за ВИЧ-инфекцией и ее профилактики, в том числе подготовку и проведение опросов, разработку и внедрение систем мониторинга и оценки, составление заявок на гранты Глобального фонда. Техническая помощь была оказана 11 странам: Азербайджану, Боснии и Герцеговине, Бывшей Югославской Республике Македонии, Ирану, Литве, Черногории, Пакистану, Сербии, Сомали, Судану и Йемену. Мы также постоянно выступаем в качестве советников Европейского регионального бюро ВОЗ, Регионального бюро ВОЗ для стран Восточного Средиземноморья, ПРООН и ЮНИСЕФ по различным исследовательским проектам и консультативным миссиям, а также по разработке методических инструментов и рекомендаций по эпидемиологическому надзору за ВИЧ-инфекцией.
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Наша заинтересованность во внедрении и оценке различных методик исследования в области эпидемиологического надзора помогает нам разрабатывать высококачественные системы эпидемиологического надзора и выявлять факторы, способствующие или препятствующие их успешному внедрению.
Мы провели следующие исследования в области эпидемиологического надзора:
  • Биоповеденческий опрос мужчин, занимающихся сексом с мужчинами (МСМ), на основе референтной выборки. Этот опрос был проведен в Загребе в 2006 году и явился первым в Хорватии исследованием среди МСМ на основе вероятностной выборки и одним из первых исследований такого рода в Восточной Европе.
  • Популяционный опрос о сексуальном здоровье среди молодежи с применением кластерного метода. Проведен на основе общенациональной выборки в Хорватии в 2005 году.
  • Биоповеденческие опросы среди потребителей инъекционных наркотиков (ПИН) на основе референтной выборки. Проведены в трех городах Боснии и Герцеговины в 2007 году.
  • Оценка и интерпретация данных о распространенности ВИЧ-инфекции среди МСМ и ответных действиях в Восточной Европе для ЕРБ ВОЗ. Итоговый отчет по этой работе предполагается опубликовать в 2009 году.
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По поручению Регионального бюро ВОЗ для стран Восточного Средиземноморья (РБВС ВОЗ) разработаны рекомендации по внедрению систем эпиднадзора за ВИЧ/СПИДом в условиях начальной и концентрированной стадии эпидемии, чтобы помочь должностным лицам и руководителям программ в планировании, разработке и реализации различных компонентов эпиднадзора за ВИЧ-инфекцией. РБВС ВОЗ планирует перевести эти рекомендации на арабский и французский языки.

Центр также адаптировал разработанный Центрами контроля и профилактики заболеваний США учебный модуль по референтной выборке для Региона Восточного Средиземноморья и принял участие в семинаре по адаптации учебных руководств по эпиднадзору за ВИЧ-инфекцией для РБВС ВОЗ, состоявшемся в Луксоре в феврале 2008 года. Кроме того, мы работали над адаптацией опросников для изучения поведения групп риска в Хорватии, Боснии и Герцеговине, Азербайджане и Йемене.

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