The Central Asia Regional HIV/AIDS Programme (CARHAP) was established in 2004 with the aim to contribute to averting a generalised HIV epidemic in the Kyrgyz Republic, Tajikistan and Uzbekistan. The actual implementation of the programme started in 2005, with a focus on reducing high-risk behaviours among most-at-risk populations (MARPs), especially people who inject drugs (PWID), sex workers (SWs) and men who have sex with men (MSM).
CARHAP has been investing in strengthening the capacity of harm-reduction service organisations (HRSOs), and the development of technical standards and guidelines for harm-reduction services. Monitoring and evaluation (M&E) has been a key priority for CARHAP since the onset of the programme. CARHAP and its partners have also developed and implemented tools for Client Behaviour Assessments (CBA), to assess and monitor behaviour changes among programme clients, and thus evaluate the results of the programme (outcome level). The Quality Management Toolkit (QMT) complements the Management-Information System (MIS) and CBA tools by focusing on the quality of services, and the necessary organisational capacity of partner organisations to deliver these (high) quality services.