Region
European Region
Country
Tajikistan
Date
-
Status
Assessment Date
P.3.1 National IHR Focal Point functions
4
P.6.1 Surveillance of foodborne diseases and contamination
2
P.5.2 Response to zoonotic diseases
2
P.5.1 Surveillance of zoonotic diseases
3
P.4.2 Surveillance of AMR
3
P.4.1 Multisectoral coordination on AMR
3
P.3.4 Antimicrobial stewardship activities
3
P.3.3 Strategic planning for IHR, preparedness or health security
2
P.3.2 Multisectoral coordination mechanisms
3
P.2.1 Financial resources for IHR implementation
2
P.7.1 Whole-of-government biosafety and biosecurity system is in place for human, animal and agriculture facilities
4
P.1.3 A financing mechanism and funds are available for timely response to public health emergencies
3
P.1.2 Gender equity and equality in health emergencies
3
P.1.1 Legal instruments
3
D.4.3 In-service trainings are available
3
D.4.2 Human resources are available to effectively implement IHR
3
D.4.1 An up-to-date multi-sectoral workforce strategy is in place
3
P.6.2 Response and management of food safety emergencies
3
P.7.2 Biosafety and biosecurity training and practices in all relevant sectors (including human, animal and agriculture)
4
D.2.2 Event verification and investigation
3
Recommendation P6
Strengthen the multisectoral body that coordinates biosafety and biosecurity activities in
human and animal health sectors and across
public and private facilities.
human and animal health sectors and across
public and private facilities.
Grant licensing for laboratories and conduct
monitoring activities of biosafety and biosecurity
practices.
monitoring activities of biosafety and biosecurity
practices.
Create a centralized inventory of dangerous
pathogens and toxins and conduct monitoring
activities of designated facilities.
pathogens and toxins and conduct monitoring
activities of designated facilities.
Develop policy for using diagnostic tests to reduce the cultivation of dangerous pathogens.
Ensure regular funding for biosafety and biosecurity training of staff in all relevant institutions.
Recommendation Re1
• Establish a joint coordination platform for the
sectors of human health, animal health and the
environment to systematically engage with authorities from the Nuclear and Radiation Safety
Agency and the CoES on radiation hazards,
events and emergencies.
sectors of human health, animal health and the
environment to systematically engage with authorities from the Nuclear and Radiation Safety
Agency and the CoES on radiation hazards,
events and emergencies.
• Organize a tabletop and a simulation exercise on
radiation-related health emergencies with the
participation of health professionals from riskprone regions.
radiation-related health emergencies with the
participation of health professionals from riskprone regions.
Recommendation R5
• Incorporate the eGovernment concept as a central component of the public health emergency
communications strategy to enhance Internet
connectivity, particularly in rural areas.
communications strategy to enhance Internet
connectivity, particularly in rural areas.
Develop a risk communications training programme for all relevant government actors.
• Create a systematic approach to scanning and
tracking rumours, integrating communications
and EBS functions for early detection and monitoring.
tracking rumours, integrating communications
and EBS functions for early detection and monitoring.
Recommendation R4
Identify health care facilities and equipment to
ensure adequate first response to mass casualty
events.
ensure adequate first response to mass casualty
events.
• Develop case management guidelines for all
IHR-related hazards.
IHR-related hazards.
• Conduct training on tabletop exercise methodology
Conduct tabletop exercises on deployment of
medical countermeasures for all IHR-related
hazards at points of entry (PoE), particularly at
ground crossings.
medical countermeasures for all IHR-related
hazards at points of entry (PoE), particularly at
ground crossings.
Recommendation R2
• Conduct tabletop exercises on emergency response, focusing particularly on existing procedures for receiving international assistance.
• Conduct exercises on emergency management,
particularly targeting medical personnel.
particularly targeting medical personnel.
• Increase the level and complexity of exercises on
emergency management over time.
emergency management over time.
Develop and implement policy decisions and
interventions to improve response activities informed by the lessons learned from after action
reviews (AARs) of past emergencies.
interventions to improve response activities informed by the lessons learned from after action
reviews (AARs) of past emergencies.
Recommendation R1
Strengthen intersectoral committees tasked with
writing interdisciplinary protocols, SOPs and
checklists for all threats, and test them through
exercises.
writing interdisciplinary protocols, SOPs and
checklists for all threats, and test them through
exercises.
Designate and implement a separate budget
line for preparedness activities according to an
analysis of threats and in order to finance training and adequate medical equipment, infrastructures and other resources.
line for preparedness activities according to an
analysis of threats and in order to finance training and adequate medical equipment, infrastructures and other resources.
Use volunteers for surge capacity to counter the
lack of manpower.
lack of manpower.
Recommendation POE1
• Review the list of officially designated PoE, limiting to PoE that are more relevant according to
the volume of international trade and travel and
the epidemiological risk.
the volume of international trade and travel and
the epidemiological risk.
• Integrate all public health emergency contingency plans for designated PoE into a national
emergency plan.
emergency plan.
Train sanitary personnel working at PoE in the
legal nature and requirements of the IHR (2005).
legal nature and requirements of the IHR (2005).
Clarify communication and coordination procedures between all relevant sectors involved in the
response to an emergency at PoE and test them
through simulation exercises.
response to an emergency at PoE and test them
through simulation exercises.
Recommendation P7
Develop a joint resource mobilization plan of the
MoHSPP and the Ministry of Finance (MoF) that
ensures the maintenance of national routine immunization programmes.
MoHSPP and the Ministry of Finance (MoF) that
ensures the maintenance of national routine immunization programmes.
Improve the quality of immunization data by
introducing a digital data collection system and
establishing a common health database.
introducing a digital data collection system and
establishing a common health database.
Strengthen the capacity of frontline health workers and epidemiologists on immune prophylaxis
issues to improve the quality of the immunization services being provided.
issues to improve the quality of the immunization services being provided.
Recommendation P5
Register the designated emergency contact
point for the International Food Safety Authorities
Network (INFOSAN) on the INFOSAN Community
Website.
point for the International Food Safety Authorities
Network (INFOSAN) on the INFOSAN Community
Website.
Finalize and endorse the draft national food
safety strategy.
safety strategy.
Strengthen the participation of the Republic
of Tajikistan in Codex Alimentarius, including
through the harmonization of national legislation
and policy with Codex Alimentarius standards,
guidelines and codes of practice.
of Tajikistan in Codex Alimentarius, including
through the harmonization of national legislation
and policy with Codex Alimentarius standards,
guidelines and codes of practice.
R.1.1 Emergency risk assessment and readiness
3
Recommendation p4
Strengthen multisectoral collaboration and communication between public health, animal health,
food safety and other relevant sectors through the
organization of One Health workshops.
food safety and other relevant sectors through the
organization of One Health workshops.
Raise awareness among the rural population
about infectious diseases in animals, the need
for their notification and vaccination.
about infectious diseases in animals, the need
for their notification and vaccination.
• Ensure that farmers receive appropriate compensation when their animals are slaughtered after
being infected with any of the infectious diseases
that are listed as a priority for the country.
being infected with any of the infectious diseases
that are listed as a priority for the country.
Establish an operational electronic information
disease surveillance system in the animal health
sector; ensure that the analogous public health
system is fully functional at all levels; and that
there is interoperability between both systems.
disease surveillance system in the animal health
sector; ensure that the analogous public health
system is fully functional at all levels; and that
there is interoperability between both systems.
Revise and implement comprehensive joint action plans for the prevention and control of the
priority zoonotic diseases following the restructuring of the surveillance system in the animal
and human health sectors.
priority zoonotic diseases following the restructuring of the surveillance system in the animal
and human health sectors.
Recommendation P3
• Improve the system for epidemiological and
laboratory-based surveillance and reporting for
AMR in both animal and human health sectors.
laboratory-based surveillance and reporting for
AMR in both animal and human health sectors.
Expand the programme for AMR susceptibility
testing to hospitals throughout the Republic of
Tajikistan.
testing to hospitals throughout the Republic of
Tajikistan.
Develop and implement legislation that restricts
the sale and use of antimicrobials by farmers
and veterinarians.
the sale and use of antimicrobials by farmers
and veterinarians.
Enforce existing legislation to ban the sale of
antimicrobials for humans without prescription.
antimicrobials for humans without prescription.
Develop and implement guidelines for IPC in
livestock production.
livestock production.
Recommendation P2
• Develop operational procedures for intersectoral
coordination and exchange of information on
IHR implementation between the IHR NFP and
other sectors, including through the designation
of contact persons in relevant institutions.
coordination and exchange of information on
IHR implementation between the IHR NFP and
other sectors, including through the designation
of contact persons in relevant institutions.
Raise awareness about the IHR (2005) and the
NFP functions across all relevant stakeholders
including within the MoHSPP
NFP functions across all relevant stakeholders
including within the MoHSPP
Conduct regular simulation exercises to train and
test IHR NFP functions, including that of multisectoral coordination.
test IHR NFP functions, including that of multisectoral coordination.
Enhance the human resources capacity of the
designated IHR NFP, including through the appointment of staff member(s) responsible solely
for the implementation of IHR-related functions.
designated IHR NFP, including through the appointment of staff member(s) responsible solely
for the implementation of IHR-related functions.
Recommendation P1
• Amend the Health Code of the Republic of Tajikistan to include the legal status, structure and
functions of the IHR NFP.
functions of the IHR NFP.
• Update the review of national legislation to ensure that IHR requirements are adequately embedded in relevant laws, ministerial decrees and
policies.
policies.
Allocate the adequate budget line for the implementation of all IHR capacities and increase
funding related to IHR activities in all sectors.
funding related to IHR activities in all sectors.
R.3.1 Case management
4
R.2.3 Emergency Operations Program
4
R.2.2 Emergency Operations Center Operating Procedures and Plans
4
R.2.1 Public health and security authorities (e.g. law enforcement, border control, customs) are linked during a suspect or
4
R.1.2 Public health emergency operations centre (PHEOC)
2
D.2.3 Analysis and information sharing
3
D.2.1 Early warning surveillance function
3
D.1.4 Effective national diagnostic network
3
R4: Average Capacities Score(%)
66
R5: Average Capacities Score(%)
64
PoE: Average Capacities Score(%)
40
CE: Average Capacities Score(%)
80
RE: Average Capacities Score(%)
70
Recommendation Ce1
Expand environmental and agricultural monitoring and investigation.
Strengthen laboratory capacity, especially with
respect to agricultural petrochemicals and unknown substances.
respect to agricultural petrochemicals and unknown substances.
Reassess the national list of approved chemicals.
• Develop a poison control centre for the Republic of Tajikistan or in concert with neighbouring
countries.
countries.
Recommendation D1
Create a comprehensive national system for the
transport of samples that includes transportation means beyond vehicles and is supported by
standard operating procedures (SOPs) for specimen collection, packaging, transport and tracking of shipments.
transport of samples that includes transportation means beyond vehicles and is supported by
standard operating procedures (SOPs) for specimen collection, packaging, transport and tracking of shipments.
Improve the reference laboratory system by defining:
• pathogens for which reference testing is conducted; and
• core functions for reference laboratories.
• pathogens for which reference testing is conducted; and
• core functions for reference laboratories.
Establish a laboratory information system (LIS)
that connects the whole microbiology testing
process (and other types of tests in the future)
with epidemiology surveillance units.
that connects the whole microbiology testing
process (and other types of tests in the future)
with epidemiology surveillance units.
Review and optimize the national laboratory system for the human health sector to increase the
efficiency and cost-effectiveness of the tiered
systems.
efficiency and cost-effectiveness of the tiered
systems.
Assessment End Date
Recommendation D3
Establish and train a World Animal Health Information System (WAHIS) NFP.
Continue to develop and implement protocols
and procedures for reporting a potential public
health emergency of international concern (PHEIC) to WHO, FAO and OIE.
and procedures for reporting a potential public
health emergency of international concern (PHEIC) to WHO, FAO and OIE.
Strengthen the coordination between the human
and animal health sectors at all levels in order to
facilitate the multisectoral response to a potential PHEIC for relevant zoonotic diseases.
and animal health sectors at all levels in order to
facilitate the multisectoral response to a potential PHEIC for relevant zoonotic diseases.
Conduct a multisectoral simulation exercise for
the response to a potential PHEIC for a relevant
zoonotic disease in order to train on the use of
protocols and procedures.
the response to a potential PHEIC for a relevant
zoonotic disease in order to train on the use of
protocols and procedures.
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Recommendation D4
Converge the curricula of the human and animal
health faculties by applying the One Health approach.
health faculties by applying the One Health approach.
Promote the development and use of joint courses for professionals from the human and animal
health sectors.
health sectors.
Strengthen academic research in the veterinary
sector by, for example, supporting research projects focused on the One Health approach.
sector by, for example, supporting research projects focused on the One Health approach.
Provide modules of the FETP to medical doctors, epidemiologists and other health workers
as part of the continuing professional education
programme and enrol non-medical health professionals in the existing FETP.
as part of the continuing professional education
programme and enrol non-medical health professionals in the existing FETP.
CE.1 Mechanisms are established and functioning for detecting and responding to chemical events or emergencies
3
R.4.1 IPC programmes
3
Recommendation R3
Organize training for public health authorities on
security issues in relation to biological, chemical
and radiation events.
security issues in relation to biological, chemical
and radiation events.
Develop SOPs for information sharing across
sectors in the response to public health threats.
sectors in the response to public health threats.
• Organize simulation exercises at national and
local levels with international assistance.
local levels with international assistance.
• Improve communication techniques, protection equipment and procedures for public health
workers.
workers.
D.3.1 Multisectoral workforce strategy
1
R.4.2 HCAI surveillance
3
D.3.2 Human resources for implementation of IHR
2
R.4.3 Safe environment in health facilities
4
Recommendation D2
• Strengthen electronic reporting, ensuring functionality at district level, interoperability with both
public and private LIS and coverage of all surveillance needs.
public and private LIS and coverage of all surveillance needs.
• Systematically introduce event-based surveillance (EBS) at all administrative levels.
• Increase capacity for analysis of surveillance
data by conducting training in field epidemiology.
data by conducting training in field epidemiology.
• Develop annual epidemiological reports for priority communicable diseases and publish them
online.
online.
Conduct an external evaluation of the overall
national surveillance system building on the
assessment performed by WHO in May 2019
for improving the quality of surveillance for outbreak-prone and high threat pathogens.
national surveillance system building on the
assessment performed by WHO in May 2019
for improving the quality of surveillance for outbreak-prone and high threat pathogens.
R.5.1 RCCE systems for emergencies
4
R.5.2 Risk communication
4
R.5.3 Community engagement
3
R.5.4 Communication Engagement with Affected Communities
3
R.5.5 Dynamic Listening and Rumour Management
2
D.1.1 Specimen referral and transport system
3
D.1.2 Laboratory quality system
2
D.1.3 Laboratory testing capacity modalities
3
RE.2 Enabling environment in place for management of radiological and nuclear emergencies
4
RE.1 Mechanisms are established and functioning for detecting and responding to radiological and nuclear emergencies.
3
PoE.1 Core capacity requirements at all times for PoEs (airports, ports and ground crossings)
2
PoE.2 Public health response at PoEs
2
P1: Average Capacities Score(%)
60
P2: Average Capacities Score(%)
40
P3: Average Capacities Score(%)
60
P4: Average Capacities Score(%)
40
P5: Average Capacities Score(%)
50
P6: Average Capacities Score(%)
50
P7: Average Capacities Score(%)
80
D1: Average Capacities Score(%)
55
D2: Average Capacities Score(%)
60
D3: Average Capacities Score(%)
30
D4: Average Capacities Score(%)
45
R1: Average Capacities Score(%)
50
R2: Average Capacities Score(%)
80
R3: Average Capacities Score(%)
80