Tuberculosis Management - Project HOPE is working on a region-wide initiative with the goal of improving the effectiveness of the health system in responding to TB by implementing DOTS (Directly Observed Therapy – Short Course) in five countries. The project has the following objectives: (1) increase the utilisation, quality, and successful completion of DOTS; (2) improve the management of the TB control system; (3) develop approaches to bring DOTS to special populations; (4) improve laboratory support to DOTS; and (5) facilitate an improved TB policy environment and appropriate practices through dissemination of results and lessons learned.

Child Survival - Project HOPE is working with the Ministry of Health, local leaders, and all members within the family unit to improve the health status of mothers and children in Navoi, Uzbekistan, through reproductive health promotion, which includes family planning and sexually transmitted infections education components. In addition to the benefits of provider training and quality improvement of health facilities, mothers receive additional support within the home; fathers – with instrumental support from religious leaders – and grandmothers are especially encouraged to participate in educational activities regarding danger signs of childhood diseases, maternal health and hygiene, breastfeeding, and nutrition. Unique to the region, adolescent reproductive health issues are also addressed through school activities, peer educators, and a youth-friendly clinic established by Project HOPE.

Healthy Family - Project HOPE is leading a consortium of pre-eminent international NGOs to implement a large-scale maternal/child health and reproductive health programme across three of the largest and most populous countries in Central Asia. An initial and instrumental step involved effecting national and regional policy in support of the Healthy Families Initiative. Integrated management of childhood illness, control of diarrhoeal diseases, pneumonia case management, immunisation, and sexually transmitted infections programmes benefited from the subsequent employment of international standards in infection prevention. Additional policy changes enabled improvements in contraceptive flow, aiding family planning activities. Intense provider training and capacity building at the Ministry of Health and health facility levels increases the capacity of physicians to provide quality maternal and newborn care. Complementary breastfeeding and nutrition programmes involve substantive and expansive community health education activities. Fathers, mothers, adolescents and grandmothers, led by local authorities and NGOs, teachers, health-providers and religious leaders, participate in health promotion activities and disseminate health education messages within their communities and across generations.