Community-led monitoring of TB services in the Kyrgyz Republic

TB remains a major public health challenge in the Kyrgyz Republic due to continued transmission and drug resistance. Despite an overall decline in incidence, gaps persist in case notification, procurement processes, and patient-centred care.

This study reports on the first community-led monitoring (CLM) initiative for TB services, implemented by TB People Kyrgyzstan in partnership with KNCV KG from 2019 to 2024. Programmatic data were combined with structured interviews of people with TB, community monitors, and health workers to identify barriers to diagnosis, treatment, and access to medicines.

Estimated TB incidence declined over the study period, yet under-notification remained substantial, with 56.5% of cases not notified in 2024. Procurement was generally stable; however, regulatory and customs delays limited access to new medicines. Patients reported stigma, transport costs, and limited psychosocial support as key barriers, while health workers highlighted shortages of trained staff in rural areas.

CLM complemented national surveillance by amplifying community perspectives and identifying actionable priorities. Expanding access to rapid diagnostics, strengthening procurement coordination, investing in the TB workforce, and sustaining community engagement are essential to accelerate progress towards End TB targets. This approach supports equity, improvement, and resilience.