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This case examine was printed on 8 December 2022 as a part of the WHO delivering outcomes and making an influence: tales from the bottom report, which presents a snapshot of how WHO has delivered on its mission in nations and contributed to well being outcomes throughout a variety of points throughout 2020-2021.
Tajikistan’s well being system is structured round input-based financing and vital out-of-pocket funds.1 Consequently, entry to high quality important well being providers and merchandise is inequitable. Common well being protection (UHC) signifies that
all folks have entry to the well being providers they want, when and the place they want them, with out monetary hardship.2 To realize UHC in Tajikistan, strengthened management, governance and advocacy for well being are important.
Tajikistan was one of many world pilot nations for the implementation of the International Motion Plan for Wholesome Lives and Effectively-being for All (SDG3 GAP). Launched within the nation in 2019, it has been instrumental in bringing collectively and higher aligning
multilateral well being, improvement and humanitarian companions, enabling them to higher help the Authorities of Tajikistan in transferring in direction of UHC. Between 2019 and 2021, Tajikistan’s UHC service protection index – a measure of indicator
3.8.1 of the Sustainable Improvement Objectives (SDGs) – moved in a optimistic trajectory, growing from 66 to 68. WHO continues to work on bettering companion coordination beneath the umbrella of SDG3 GAP in Tajikistan, serving to to higher place
native and worldwide well being companions to realize not solely UHC, but in addition all well being associated SDGs by 2030.
A Tajik household visiting a major health-care clinic. ©WHO Nation Workplace in Tajikistan/Mukhsin Abidzhanov
The well being financing mission organized by WHO and the World Financial institution as a part of a European Union-funded undertaking. ©WHO
Nation Workplace in Tajikistan/Mukhsin Abidzhanov.
How did Tajikistan, with the help of the WHO Secretariat, obtain this?
- Strengthening the Improvement Coordination Council on Well being
Tajikistan’s Improvement Coordination Council on Well being was established to foster collaboration and dialogue, each throughout the improvement group and with the Authorities of Tajikistan. Co-chaired by the European Union and the WHO Nation Workplace
in Tajikistan, the Improvement Coordination Council on Well being has held common conferences and developed instruments to facilitate data alternate and dialogue on health-related actions. A retreat organized by the WHO Nation Workplace for improvement
companions – in collaboration with the European Union; the International Financing Facility for Girls, Kids and Adolescents; and the World Financial institution – enabled the companions to solidify working constructions and coordination mechanisms, facilitating
higher and extra aligned help for Tajikistan’s Ministry of Well being and Social Safety of the Inhabitants. Not too long ago, 5 subgroups of the Improvement Coordination Council on Well being had been established and aligned with the strategic priorities
of the not too long ago launched Nationwide Well being Technique 2021–2030, wherein UHC is a key goal.
- Producing joint place statements that offered a typical imaginative and prescient
Joint place statements on well being financing and first well being care (PHC) had been developed by the companions, and place statements on well being administration data methods and human sources for well being are in progress. Presenting the joint imaginative and prescient
of well being improvement companions, the place statements present high-level steering to Tajikistan, whereas aligning and coordinating companions’ technical help and monetary help with authorities agenda and nation wants. On well being
financing, the joint assertion urges the nation to modernize budgeting and cost methods, enhance home funding for well being and distribute sources equitably. The joint assertion on strengthening PHC was signed by each improvement companions
and the Ministry of Well being and Social Safety of the Inhabitants, which share a typical imaginative and prescient and ambition to construct an efficient PHC mannequin in Tajikistan. These dwelling paperwork can be up to date as new points emerge and because the nation’s
well being system is strengthened over time.
- Partaking in coverage dialogue to be taught from previous implementation and plan
for the long run
The WHO Nation Workplace organized coverage dialogues to debate matters addressed within the joint statements, evaluation the primary 12 months of implementation of the brand new Nationwide Well being Technique and develop concrete implementation plans. This helped to additional align
well being companions’ help offered to the Authorities of Tajikistan.
- Partnering as much as pivot in direction of well being financing reforms
The UHC Partnership is one in all WHO’s largest platforms for worldwide cooperation on UHC and PHC. Tajikistan joined the UHC Partnership in 2016. Moreover, the WHO Nation Workplace is presently implementing a
European Union-funded UHC programme with Deutsche Gesellschaft für Internationale Zusammenarbeit GmbH (GIZ) and the United Nations Kids’s Fund (UNICEF). Thanks to those partnerships and the joint assertion on well being financing, the
Ministry of Well being and Social Safety of the Inhabitants and the Ministry of Finance are discussing vital modifications to the well being financing system, which can be instrumental to attaining UHC.
Aligning companions has been crucial to transferring in direction of UHC in Tajikistan. The WHO Nation Workplace in Tajikistan has performed a vital position, utilizing its convening energy to strengthen total management, governance and advocacy for well being. Along with
its convening position, the WHO Nation Workplace has collaborated with well being companions on numerous pilot initiatives and offered technical help to ministries and nationwide and regional our bodies in furthering the implementation of well being financing reforms
for attaining UHC.
References
- Tajikistan [website]. Geneva: Common Well being Protection Partnership; 2022 (accessed 14 August 2022).
- Common well being protection [website]. Geneva: World Well being Group; 2022 (accessed 14 August 2022).
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