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Tajikistan
TJK
Tajikistan
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Completed/Cancelled activities

Outcome 1.1

Output 1.1.1

Completed

Product/Service: Strengthening PHC to improve access to quality, people-centred health services

Technical Area: Service Delivery

Deliverables: Capacity building for better PHC-related outcomes

Output 1.1.1

Completed

Product/Service: Policy options to revise the State Guarantee Benefit Package (SGBP) proposed

Technical Area: Service Delivery

Deliverables: Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable

Output 1.1.1

Completed

Product/Service: Analytical work on access and use of health services initiated

Technical Area: Service Delivery

Deliverables: Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries

Output 1.1.1

Completed

Product/Service: Analytical work on access and use of health services initiated

Technical Area: Service Delivery

Deliverables: Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries

Output 1.1.4

Completed

Product/Service: Channelling evidence to policy dialogue at the Joint Annual Review (JAR) 2017

Technical Area: Governance

Deliverables: Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity

Output 1.1.4

Completed

Product/Service: Provision of technical assistance in development of a new health strategy 2021-2030

Technical Area: Governance

Deliverables: 1) National Health Strategy 2020 review report is finalized and published. 2) Concept for NHS 2030 governance process, ToRs for governing bodies, Operational Plan and budget developed 3) Technical assistance to TTWs on development of respective chapters of NHS2030 provided 4) Two policy dialog meetings conducted to agree on a Concept for health and well-being until 2030 and the final draft of the strategy

Output 1.1.4

Completed

Product/Service: Policy dialogue and consensus building around UHC activities proposed under the Partnership carried out

Technical Area: Governance

Deliverables: At country level, alignment and harmonization of health aid according to national health plans is consolidated and accelerated

Output 1.1.4

Completed

Product/Service: Capacity building on implementation UHC monitoring process including on-the-job training provided

Technical Area: Governance

Deliverables: Countries will have put in place expertise, monitoring and evaluation systems and annual health sector reviews

Output 1.1.4

Completed

Product/Service: Channeling evidence to policy dialogue at the Joint Annual Review (JAR) 2018 is done

Technical Area: Governance

Deliverables: Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity

Output 1.1.4

Completed

Product/Service: Policy dialogue and consensus building around UHC activities proposed under the Partnership carried out

Technical Area: Governance

Deliverables: At country level, alignment and harmonization of health aid according to national health plans is consolidated and accelerated

Output 1.1.4

Completed

Product/Service: Capacity building on implementation of the UHC monitoring process including on-the-job training provided

Technical Area: Governance

Deliverables: Countries will have put in place expertise, monitoring and evaluation systems and annual health sector reviews

Output 1.1.4

Completed

Product/Service: The arrangements to implement the UHC monitoring matrix defined

Technical Area: Governance

Deliverables: Countries will have put in place expertise, monitoring and evaluation systems and annual health sector reviews

Output 1.1.4

Completed

Product/Service: Costed plan for an institutionalized approach to UHC monitoring matrix 2016-¬2026 finalized and approved

Technical Area: Governance

Deliverables: Countries will have put in place expertise, monitoring and evaluation systems and annual health sector reviews

Output 1.1.4

Completed

Product/Service: UHC monitoring matrix to track UHC progress in Tajikistan finalized and approved

Technical Area: Governance

Deliverables: Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity

Output 1.1.5

Completed

Product/Service: Policy advice and technical assistance in strengthening national health workforce

Technical Area: Health Workforce

Deliverables: Support measures to improve the capacity and capability to implement HRH planning including with the application of the principles of NHWA and the LMF

Outcome 1.2

Output

Completed

Product/Service: Improving the targeting of public funds through efficient allocation of public funds and strategic purchasing though provision of technical support to the Inter ministerial expert Group of the Ministry of Finance

Technical Area: Health Financing

Deliverables: 1) Analytical reports with policy recommendations to revise the legislative base; 2) Analytical reports with policy recommendations to deploy pooling, strategic purchasing, benefit package etc.; 3) Round tables 4) Policy briefs/notes

Output 1.2.1

Completed

Product/Service: Training program on UHC developed and carried on at the national level

Technical Area: Health Financing

Deliverables: Countries receiving HF support will have implemented financing reforms to facilitate UC

Output 1.2.1

Completed

Product/Service: Support the establishment of the Health Financing Unit under the State Budget Department of the Ministry Finance

Technical Area: Health Financing

Deliverables: Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable

Output 1.2.1

Completed

Product/Service: Comprehensive health financing under UHC-P full mode and capacity building through BAR course

Technical Area: Governance|Health Financing|Health Workforce|Information Systems

Deliverables: Build the national capacity providing tailored tools and trainings. National Health accounts: Support to produce and institutionalize health accounts into routine health information system. Policy dialogue and analysis work for health financing. Support the national health financing working group.

Output 1.2.3

Completed

Product/Service: Thematic policy note about policy option for a more pro-poor benefit design developed

Technical Area: Health Financing

Deliverables: Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries

Outcome 4.2

Output 4.2.1

Completed

Product/Service: Strengthen the strategic collaboration of health development partners in Tajikistan

Technical Area: Governance|WHO Leadership

Deliverables: Strengthened Development Coordination Council health and its subgroups; |Co-organization of one meeting per month and updated ToR; |Co-organization of bi-monthly subgroup meetings and joint policy dialogues;|Jointly organized high-level policy dialogues, several workshops, seminars, and meetings.|Organize dedicated DCC Health subgroup meetings for joint planning and alignment|Maintain and regularly update an online shared platform (e.g. DCC Health SharePoint)|Compile and publish a comprehensive mapping of ongoing health development activities|Develop and circulate joint advocacy messages for the health sector|Conduct an annual multi-partner retreat to review progress and identify synergies|Host bilateral and multilateral stakeholder forums to strengthen WHO leadership and coordination

Output 4.2.1

Completed

Product/Service: Media relations and marketing of WHO's identity at the country level strengthened including launching and evaluation of World Health Days and events

Technical Area: Communication|WHO Leadership

Deliverables: Database of all visibility materials, including photos and videos, on WHO work and health topics;|Organization and promotion of World Health Day event with great visibility potential;|Development of a set of branding materials for WHO country office's health system activities.|Quarterly e-newsletter sharing key updates and upcoming milestones|Regular press briefings to showcase policy dialogues and reforms|Targeted social media campaigns supporting major health events|Focused capacity-building sessions on strategic communications for WHO staff and partners

Output 4.2.1

Completed

Product/Service: WHO leadership in strengthening coordination in support of national efforts to accelerate progress toward the health-related SDGs among government, multilateral organizations and other development partners

Technical Area: WHO Leadership

Deliverables: Strengthening the national system for monitoring and evaluating SDG indicators;|Joint policy dialogues for further coordination and advancing technical work in Tajikistan;|Strategic dialogue on improving coordination.|Support establishment of Foreign Aid Health Coordination Council under MoH.|Health development sector mapping and analysis exercise;|Alignment of several ongoing and planned partnerships in TJK to create a common vision, potential collaboration opportunities, and better coordination platform for MOH.|Co-organization of a multi-partner National Health Forum, aligning donor and government efforts to advance the Strategy on Healthcare of Population 2030|Facilitation of the National Coordinating Council for Foreign Assistance under MoH, enhancing structured dialogue and mutual accountability among partners|Launch of a DCC Health Retreat for data-driven collaboration, bringing together key ministries, donors, and development partners to accelerate progress on SDG targets|Regular DCC Health Subgroup Meetings to jointly review performance and harmonize technical support across priority health areas

Activity details

Outcome 1.1

Output 1.1.1

On track

Product/Service: PHC services improvement

Technical Area: Health Financing|Information Systems|Service Delivery

Deliverables: Supporting the new national PHC development plan by addressing key bottlenecks and priorities in the service delivery system and strengthening partner commitment and coordination;|Supporting the planning of a new improved model of PHC "District of Excellence" in one of the regions of the country to select a district, conduct an in-depth analysis, identify gaps, shortcomings (in terms of financing, staffing, infrastructure, equipment, etc.) and, together with partners, address them;|Organization of second study visit to WHO PHC Demo Platform in Kazakhstan;|Capacity building of the MOH staff and local specialists on PHC strengthening efforts;|Improving PHC reporting forms and creating an information system related to health financing reform. |Conduct a comprehensive situational analysis of the three “PHC Centers of Best Practices”|Coordinate service delivery model assessments with key development partners (WB, GIZ, UNICEF, GFF, USAID)|Develop a collaborative action plan to enhance service delivery models at PHC Centers of Best Practices|Revise and update PHC norms and regulations to expand family doctor teams and nurses’ roles|Introduce a one-month health management curriculum for family nurses (nurse-led PHCs)|Organize a high-level policy dialogue on PHC transformation and service provision (2025)

Output 1.1.4

On track

Product/Service: Support countries in developing National Health Workforce Strategies based on previous HWF assessments or Health Labour Market Analysis

Technical Area: Health Workforce

Deliverables: Support measures to improve the capacity and capability to implement HRH planning including with the application of the principles of NHWA and the LMF;|Support development of a health labor market analysis;|Organization of a high-level policy dialogue on Human Resources for Health.|Finalize and disseminate the HLMA report in English and Russian|Develop and submit the National HRH Action Plan (NAP) for formal approval|Support implementation of phased salary increases for healthcare workers (40% raise in 2024, additional 20% in 2025)|Expand family medicine residency slots and allocate additional budget-funded seats at TSMU|Enhance regional distribution of health workforce by prioritizing underserved areas|Monitor and evaluate the impact of HRH policy changes (retention rates, skill mix, service coverage)

Outcome 1.2

Output 1.2.1

On track

Product/Service: Comprehensive health financing policy support to large-scale UHC reforms

Technical Area: Health Financing

Deliverables: Strengthening the Basic Benefit package at the national level;|Establishment of the purchasing and contracting mechanisms in the Sughd oblast;|Creation of political dialogue and consensus on mandatory health insurance in the country;|Organization of a high-level policy dialogue and a high-level forum on benefit package design, and the third national health governance and financing workshop;|Technical support to MOHSPP and MOF on the evidence on the importance and potential spending on drug reimbursement programme.|Conduct budget modeling for NCD priority conditions|Facilitate analyses on pharmaceutical pricing and consumption patterns|Support plans to roll out outpatient drug benefit pilot focusing on essential NCD medicines|Provide guidance on legal/regulatory frameworks for mandatory health insurance|Organize annual national policy dialogues on strategic purchasing & MHI|Deliver capacity-building workshops on payment methods and performance-based financing

Outcome 4.1

Output 4.1.1

On track

Product/Service: Support capacity building in countries for translating evidence into policy and practice through awareness-raising, training, and establishing knowledge translation mechanisms (e.g. country-specific policy briefs, evidence

Technical Area: Governance|Health Financing|WHO Leadership

Deliverables: Сonducting analytical work on almost all building blocks of health system to provide evidence-based recommendations for changing health policy;|Capacity building of several health policy makers and officials from different profiles of the health system;|Several WHO technical products or other advocacy materials targeting the Ministry of Health and key development partners.|Establish and maintain an online library of policy briefs and evidence-based materials|Launch a targeted knowledge translation (KT) fellowship for mid-level policymakers|Develop a standardized training package on evidence-based policymaking|Convene biannual “Policy Labs” to link stakeholders with emerging data|Create practical guidelines for engaging civil society in evidence-informed policy|Form a multi-partner KT coordination body to regularly review data and recommend reforms

Medias

Primary health care in Tajikistan
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