Here, within the walls of the Room for Medical and Social Rehabilitation of GBV Survivors, women and girls who have endured unimaginable pain find not only shelter but also a lifeline - a chance to rebuild their lives with dignity.Dr. Nargis Zokirova, an obstetrician-gynaecologist, has been at the heart of this project since 2021. With compassion and resilience, she has guided GBV survivors through the darkest moments of their lives, providing essential medical care, psychological support and, most importantly, a safe space where they can begin to heal. One case that deeply moved Dr. Zokirova involved a 16-year-old girl who was pregnant after being sexually assaulted by a neighbour. When she arrived at the GBV survivors’ room, she was too traumatised to speak, her eyes filled with fear and despair. The facility offers everyone free health services, including emergency care, treatment for GBV-related injuries, and HIV and AIDS testing. However, it was Dr. Zokirova’s gentle and compassionate care and unwavering support over time that allowed the young girl to feel comfortable enough to break her silence. The girl shared her harrowing story, and with Dr. Zokirova’s help, she received the medical care, psychological counselling and specialist referrals she desperately needed. The room became her refuge, a place where she could regain her strength and begin to hope for a better future.UNFPA has established 21 similar rooms across Tajikistan in partnership with the Ministry of Health and Social Protection of the Population. Each one offers a sanctuary for survivors of gender-based violence through a range of essential services, including health care, psychological support, temporary lodging and meals, and referrals to other sectors, all free of charge. This kind of survivor-centred, multi-sectoral response to GBV remains rare in Tajikistan, where protocols and capacity among front-line workers are still limited."I was deeply moved by the professionalism, dedication, and love provided by Dr. Nargis Zokirova and others to women and girls who have experienced unimaginable trauma," said Florence Bauer, UNFPA Regional Director for Eastern Europe and Central Asia, who visited the facility in June. "These safe spaces embody UNFPA's unwavering commitment to ending gender-based violence and protecting and empowering survivors to rebuild their lives towards a brighter future." In another case Dr. Zokirova remembered, a 14-year-old girl arrived at the room 22 weeks pregnant, after a sexual assault by her aunt’s husband. Her mother, desperate and heartbroken, had attempted a dangerous at-home abortion, which led to severe health complications. The young girl was brought to the maternity house in critical condition to receive emergency treatment. The doctors were able to save her life and the life of the fetus. Once she was stable, the young girl was referred to the medical and social rehabilitation room for GBV survivors, while authorities arrested and jailed the perpetrator. “When the girl came to us, she was paralysed by shock, silent and suicidal,"  Dr. Zokirova recalled. “But over time, through our support, she and her mother found a way to rebuild their lives.” But the work is far from over. More than 40 per cent of women in Tajikistan reported problems even accessing basic health care, particularly in rural areas, according to a Demographic and Health survey. And there are only five shelters in the country providing longer-term care to GBV survivors, three of which are operated by NGOs without any state support. UNFPA has been working to improve these conditions by increasing the quality and coverage of GBV services. Its rooms for GBV survivors are located in districts where no other NGO or government-supported shelters are available, and it is advocating for more state funding for shelters in all regions of the country. Dr. Zokirova also believes that many more women in her community are suffering in silence, unaware of the available support. She has urged community leaders and local activists to spread the word about the rooms and the services they offer. “If more women knew about our room, we could reach so many more, and perhaps help  many more women and girls who are suffering from violence and its consequences,” she said. , filtered_html

In the face of growing threats posed by drug trafficking and related organized crime, the countries of Central Asia, with support from UNODC, came together in 2006 to form the Central Asian Regional Information and Coordination Centre for Combating Illicit Trafficking of Narcotic Drugs, Psychotropic Substances and their Precursors (CARICC) as a platform for regional counter-narcotics collaboration. Today, CARICC comprises seven member states, 18 observer states, and three international organizations with observer status: Interpol, the Cooperation Council for the Arab States of the Gulf (GCC), and the Southeast European Law Enforcement Center (SELEC).CARICC assists member states in joint operations by facilitating real-time information exchange and overcoming bureaucratic barriers. It also conducts a strategic analysis of the drug situation to identify areas requiring coordinated action. The Centre maintains a centralized database tracking drug trafficking trends to enable proactive operational planning. Furthermore, CARICC offers training and capacity-building programmes for law enforcement agencies, enhancing their capabilities to fight drug trafficking.Over the years, CARICC has developed expertise in controlled delivery operations and shares this knowledge with partners. The Centre’s international status and its liaison officers have facilitated the establishment of networks with international organizations and beyond its member states, enhancing the effectiveness of its operations.The Centre leads several long-term initiatives, including Operation REFLEX, targeting new psychoactive substances, and Operation SUBSTITUTE, aimed at preventing the diversion of controlled chemicals to illicit trafficking. It also engages in short-term operations focused on specific drug-related crimes, leading to significant drug seizures and legal actions against traffickers.CARICC’s impact on countering drug trafficking is significant: since its inception, it has contributed to 85 international counter-narcotics operations, resulting in the seizure of over 7.5 tons of narcotic drugs, more than 62 tons of precursors, and the arrest of 122 members of drug trafficking networks. On 12 September 2024, at the invitation of Turkmenistan, the Council of National Coordinators of CARICC Member States came together in Ashgabat to take stock of CARICC’s activities and give strategic direction for the future. Participants also discussed the rapidly evolving drug situation in Central Asia following the opium cultivation ban issued by the de facto authority in Afghanistan. Of particular concern was the spread of synthetic drugs, as well as the multiple indications of an emerging production of new psychoactive substances in several countries of the region. “Illegal drug trafficking, a persistent threat to humanity in the 21st century, is further exacerbated by the growing spread of new psychoactive substances and synthetic drugs. Urgent and comprehensive action is needed to address this crisis. It is essential to highlight our collective commitment through our ongoing collaboration with CARICC. We are continually strengthening this partnership by expanding the Centre’s reach and enhancing its role,” stated Yazguly Agabaev, Deputy Minister of Internal Affairs of Turkmenistan.“The evolving drug situation in the CARICC member states demands coordinated and targeted measures to suppress drug smuggling. A joint action plan is needed to investigate major drug seizures and develop effective responses,” said Atageldi Yazlyev, Director of CARICC. Dr. Oliver Stolpe, UNODC Regional Representative for Afghanistan, Central Asia, Iran and Pakistan, noted: “CARICC has made significant steps in enhancing regional cooperation and operational effectiveness. It is imperative that we sustain and build upon these achievements to address the dynamic challenges of drug trafficking in the region. Maintaining CARICC’s strategic priorities and operational capacity is essential for continuing our progress in this critical area.”  For more insights into CARICC’s work, watch: CARICC: 18 years of operational successes in countering illicit drug traffickingCARICC capacity-building programmes: Open-source intelligence regional training course For further information, please contact:Nurangez AbdulhamidovaCommunications and External Relations SpecialistUNODC Regional Office for Afghanistan, Central Asia, Iran and Pakistan Email: nurangez.abdulhamidova[at]un.org, filtered_html

“Some of my colleagues are a bit confused,” confesses Dr Rosa Nodirshoeva, who is known here simply as Dr Rosa. “We have not had any cases of sepsis for a few months now. They find this unusual,” she adds, smiling at her collaborator, Dr Joyrine Biromumaiso, before declaring, “but you and I, we know the reason.”Dr Rosa shifts comfortably in her chair. She has an air of authority about her. This suits her position as a senior doctor at the large Maternity Hospital Number 1 in Dushanbe, Tajikistan. Dr Rosa has worked at the health facility for over 30 years and knows it like the back of her hand.She works closely with Dr Joyrine, an expert on infection prevention and control based at the WHO Country Office in Tajikistan. Today they are discussing how much has changed since the start of their close collaboration, just over 3 years ago. Preventing health care-associated infections“Infection prevention and control training have changed the way we work,” Dr Rosa declares. “Before, nurses with years of experience could accidentally infect a patient while performing even the simplest procedures, such as inserting a catheter, because they simply weren’t aware of the right measures and techniques to prevent health care-associated infections. They had not been taught well.”Dr Rosa explains that the facility had been working on improving infection prevention and control for decades. However, since working with Dr Joyrine, they have been able to strengthen their capacity dramatically and accelerate progress.She gives examples of improvements made at the facility, adding that staff now pay close attention to infection prevention and control measures, and understand how important this is to provide safe, quality care.“Our staff apply the 5 moments of hand hygiene and have become much more diligent in how we clean the facility. My colleagues know how to properly dispose of used syringes, masks and other medical waste. Our facility has clearly articulated the need for disinfectants and other health products used for protection. We now have devices with disinfectant solutions throughout the facility. Patients want to receive quality care and all these changes help us to keep them, and our health workers, safe from health care-associated infections.”Dr Rosa notes that a simple reminder is sometimes enough to prevent a tragedy, and that patients themselves have become more aware of their own health. “They may come in for a treatment, but if they see that the doctor has not cleaned his hands, they speak up.” Fewer infection casesAt the end of the corridor, the discomfort of a mother-to-be can be heard. Almost 1000 babies per month are born in this facility. One in every 5 babies is delivered through a caesarean section, as the facility receives women with complications from all regions of the country.Before, at least 2 or 3 cases of septic complications were registered in the maternity hospital every month, but this situation has changed in recent years. The facility has also seen a dramatic reduction in other infections, including hepatitis B among health workers. The improvements made in infection prevent and control have been key to this success.Dr Joyrine is proud of the achievements of Dr Rosa and her staff. She herself knows how proper infection prevention and control practices save lives. She was in western Africa at the height of the Ebola crisis, which killed over 11 000 people. As a frontline worker, she trained health workers to provide safe treatment and to protect themselves from the virus, but it killed many of her colleagues.After this terrible experience, Dr Joyrine is one of the biggest advocates for implementation of infection prevention and control programmes in health-care facilities. “In Tajikistan, I often talk about my experiences in western Africa and East Africa and about what I have seen in the field.”She explains that the topic of cultural norms often comes up. “By having an open conversation about cultural practices and traditions – for example, those related to burial rites – the Tajik health-care workers start to understand how infections can spread. They are keen to learn about WHO’s guidance and to implement the practices and techniques which we recommend. This is why we see such improvements.”Since Dr Joyrine started working in Tajikistan, much has changed. With technical support from WHO, the country developed new national guidelines on infection prevention and control in 2022. Financial support from the United States Agency for International Development (USAID) has been crucial in developing further guidance for health workers on how to put these measures into practice. “Infection prevention and control are everything”Over the past few years, based on the WHO guidelines on infection prevention and control and in collaboration with other organizations, such as the United Nations Children’s Fund (UNICEF), over 8000 health workers across the country have been trained in infection prevention and control. Quality training and communication materials have been developed in national languages.Many partners are supporting Tajikistan to ensure access to adequate water, sanitation and hygiene infrastructure and services, as well as essential materials and equipment for infection prevention and control, to deliver safe care.The hard work continues. Many facilities in the country are still not following proper infection prevention and control practices, and many more health workers require training. Furthermore, the lack of access to safe, running water in health facilities, and the lack of availability of personal protective equipment such as gloves, masks and alcohol-based hand rub, pose major barriers to implementing infection prevention and control measures.With support from USAID, Dr Joyrine will train a monitoring and evaluation team that will be instrumental in keeping track of the progress made in health facilities in all districts of Tajikistan. Key next steps for the country also include ensuring that courses on infection prevention and control are incorporated into all medical curricula and offered to health workers in facilities systematically.The establishment of a new cadre of health workers, fully dedicated to guiding and monitoring the proper implementation of infection prevention and control practices in health facilities, is a key WHO recommendation.A cleaner passes the room that Dr Rosa and Dr Joyrine are sitting in. Dr Rosa adjusts her glasses and declares, “Infection prevention and control are everything. If you don't know how to prevent infections, you cannot work in a health-care institution.”, filtered_html

Regional cooperation among law enforcement agencies is pivotal in combating transnational organized crime, particularly illicit drug trafficking. The UNODC facilitates member countries in establishing a regional platform to collectively address the challenges posed by drug trafficking. A central component of this effort is the promotion of cross-border cooperation through the Border Liaison Offices (BLOs) network to tackle transnational threats and organized crime effectively.These offices play a pivotal role in identifying and halting various smuggling activities, including narcotics, psychotropic substances, and precursor chemicals, all while facilitating lawful international trade.On 7 March 2024, customs and border officers from the UNODC-supported BLO stationed at the Oybek border crossing point in the Tashkent region of Uzbekistan, in coordination with their counterparts from the BLO at the Fotehobod border crossing point in Tajikistan, thwarted an attempt to smuggle two kilograms of hashish. During the inspection of a cargo van, officers discovered two plastic bags attached to the trailer with magnets, containing a total of 1,981 grams of hashish. The BLOs at the Oybek and Fotehobod border crossing points are two of 24 such offices strategically positioned at key border checkpoints across Central Asia. These offices have been established under the Regional Project on Enhancing Cross-Border Cooperation by Strengthening the Capacity of Border Liaison Offices in Central Asia of Sub-programme 1 Preventing and Countering Transnational Organized Crime of the UNODC Programme for Central Asia 2022 - 2025.This pioneering project, supported by the Government of Japan, strives to establish BLOs across Central Asia, with stakeholder involvement from the Ministries of Internal Affairs, Border Troops, Customs Services, and Drug Control Agencies of each participating country. Its overarching goal is to bolster the capabilities of BLO officers representing various law enforcement agencies in combating transnational organized crime through comprehensive training programmes and the provision of state-of-the-art equipment.Such collaborative efforts highlight a shared commitment to preventing and countering transnational organized crime, making the borders in Central Asia safer and more secure.

*The photos are taken from kun.uzRead more about the projectFor further information, please contact:

Nurangez Abdulhamidova
Communications and External Relations Specialist
UNODC Regional Office for Central Asia
Email: nurangez.abdulhamidova[at]un.org, filtered_html