Externally Financed Projects in the Tajik Health Sector in 2006
World Health Organization Country Office Tajikistan
First Edition
This document has been produced with the financial assistance of the European Community
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Table of contents
List of Acronyms ...... 5 Acknowledgements ...... 7 Introduction...... 9 Background ...... 10 Methodology...... 11 Interviews...... 11 Questionnaire ...... 12 Analysis and timeframe ...... 13 Geographic coverage and maps ...... 13 Alignment of strategies...... 14 Results...... 15 Time range of projects ...... 16 Projects by areas of work and components ...... 16 Comparison by areas and components of development and humanitarian aid projects ...... 20 District level analysis...... 21 Analysis of strategies for the health sector ...... 32 Millennium Development Goals ...... 34 National Strategy for Health Sector ...... 34 Poverty Reduction Strategy I (2002-2005) ...... 35 National Development Strategy...... 35 Poverty Reduction Strategy II (2007-2009)...... 36 Conclusions ...... 37 List of externally financed projects...... 39 ACT- Central Asia...... 41 Asian Development Bank ...... 42 Aga Khan Development Network ...... 45 Aga Khan Foundation ...... 47 Canadian International Development Agency...... 49 Department for International Development -UK...... 50 European Bank for Reconstruction and Development ...... 51 European Commission ...... 52 ECHO...... 60 Global Alliance for Vaccines and Immunization ...... 66 Global Fund...... 68 Government of Germany ...... 73 Government of Great Britain, Embassy ...... 74 Government of Italy ...... 75 Government of Japan...... 77 Government of Netherlands ...... 86 Global Partners...... 88 Government of the Islamic Republic of Iran ...... 89 GlaxoSmithKline plc...... 90 International Committee of Red Cross ...... 91 Islamic Development Bank...... 92
International Federation of Red Cross and Red Crescent Societies...... 93 International Planned Parenthood Federation ...... 97 OSCE ...... 102 OSI...... 103 OXFAM Netherlands ...... 104 SDC...... 105 SIDA...... 113 UNAIDS ...... 115 UNFPA ...... 116 UNICEF...... 120 UNWFP ...... 123 USAID...... 126 World Bank ...... 134 WHO ...... 136 Annexes ...... 139 Annex I – Organizations contacted ...... 141 Annex II - Questionnaire ...... 143
List of Acronyms
AAR Association for Aid and Relief ACTED Agency for Technical Cooperation and Development ADB Asian Development Bank AIDS Acquired Immune Deficiency Syndrome AKDN Aga Khan Development Network AKF Aga Khan Foundation BCG Bacille Calmette Guerin (Tuberculosis Vaccination) CIDA Canadian International Development Agency DFID Department for International Development DoH Department of Health DOTS Directly Observed Therapy Short-course DTP Diphtheria Tetanus Pertussis Vaccination (full course) EBRD European Bank for Reconstruction and Development EC European Commission ECHO European Community Humanitarian Aid Department EPI Expanded Programme of Immunization GAVI Global Alliance for Vaccines and Immunization GBAO Gorno Badakhshan Autonomous Oblast GFATM Global Fund to Fight AIDS, Tuberculosis and Malaria HIV Human Immunodeficiency Virus HSRP Health Sector Reform Project IDD Iodine Deficiency Disorder ICRC International Committee of Red Cross IMCI Integrated Management of Childhood Diseases IOM International Organization of Migration IPPF International Planned Parenthood Federation JICA Japan International Cooperation Agency MoH Ministry of Health NGO Non-governmental Organization OSCE Organization for Security and Co-operation in Europe OSI Open Society Institute PHC Primary Health Care PIU Project Implementation Unit PSF Pharmaciens Sans Frontières RCST Red Crescent Society of Tajikistan RRS Rayons of Republican Subordination SDC Swiss Agency for Development and Cooperation SIDA Swedish International Development Cooperation Agency SRHR Sexual and Reproductive Health Rights STD Sexually Transmitted Diseases SWAp Sector Wide Approach TA Technical Assistance TB Tuberculosis TFPA Tajik Family Planning Alliance
Page -5- UNAIDS The Joint United Nations Programme on HIV/AIDS UNDP United Nations Development Programme UNFPA United Nations Population Fund UNICEF United Nations Children’s Fund UNWFP United Nations World Food Programme USAID United States Agency for International Development USDA United States Department of Agriculture WB World Bank International Development Association WHO World Health Organization
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Acknowledgements
The preparation of this publication was extremely challenging, requiring the collection and verification of enormous amounts of data. Representatives of many different institutions and donor agencies were interviewed during the process, including individuals residing well beyond the borders of Tajikistan.
Special thanks should go to the International Agencies that have made this publication possible by providing detailed information on the projects they are financing within the Tajik Health Sector. Those and other agencies were extremely helpful in double-checking or clarifying information found within the pages of this publication. We are truly grateful for their assistance.
This completed document was compiled under the direction of Santino Severoni and written by Stefania Amato, Fernando F. Garcia-Abril, Francesco Carlei, Ardian Xinxo, Nazira Artykova; in collaboration with Sarah Simpson, Ola Nordbeck, Marc Suhrcke, Donald Edward Davis, Natasa Moravcevic, Petra Osinski, Aziza Hamidova, Sayohat Hasanova, Salokhiddin Miraliev, Ilhom Bandaev, Nazira Khojieva, Sabrina Ulmasova, Jelena Misic Davis, Victoria Yun, Nazar Nazarov, Rustam Babadjanov, Valeria Trupanova and Madina Ismailova.
We acknowledge the support given to this publication by the Ministry of Health and, in particular, the team would like to thank the Project Implementation Unit of the World Bank and the Aid Coordination Unit at the Ministry of Health for their contribution to this document.
We would also like to thank ECHO for sponsoring this publication.
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Introduction
The main purpose of this publication is to provide an introduction and overview of external investments in the Health Sector in Tajikistan. This document should promote further dialogue among stakeholders regarding current patterns of investment, including the alignment of those investments with the existing goals of poverty reduction and other development strategies.
The goal of the publication is to inform the decision making process of all those working in and supporting the Health Sector.
The objective of the publication is to facilitate the coordination process and to enhance collaboration and sharing of information within the Health Sector to improve decision making as stated in the Paris Declaration 1.
This project is led by WHO Country Office in Tajikistan as part of its mandate to advance the global agenda on health as well as directly contribute to national strategies and priorities. In addition, the project aims to bring the country’s realities and perspectives into a more global focus. The completion of the publication could not have been possible without the contribution of the donors and other international agencies working in Tajikistan and the commitment of the Government of Tajikistan in particular, as well as the Project Implementation Unit for the Community and Basic Health Project and the Department of Reforms and International Relations of the Ministry of Health.
Although this document is similar to other WHO publications that have successfully documented Health Sector investment in other countries, it is the first general overview describing externally funded projects in the Health Sector in Tajikistan. It is the present intention of the WHO Country Office in Tajikistan to provide updated publications to policy-makers on an annual basis.
The measure of success of this publication will be its appreciation and its use by the National and International Communities supporting the health reform process of Tajikistan.
Dr Santino Severoni WHO Representative Head of Country Office
1 Article 43.Chapter on managing resources and improving decision-making for results, Paris Declaration on Aid Effectiveness, Ownership, Harmonisation, Alignment, Results and Mutual Accountability (http://www.who.int/hdp/publications/1a_paris_declaration.pdf ).
Page -9- Background
Government and policy-makers are increasingly aware that access to knowledge enables better policy-making decisions.
Policy-makers at the national, regional, international level similarly acknowledge that they face common challenges and can learn and build on the experiences of each other. To improve the understanding and communication of these policy- makers, international technical assistance projects are detailed in this Health Sector inventory.
The challenge for any country experiencing health reform is to ensure that communication occurs among all its partners. This publication is there to meet and support that challenge by assisting the Government of Tajikistan in disseminating vital information about its Health Sector interventions to its partner organizations.
In Tajikistan health care funds are budgeted in a fragmented way, at the oblast , rayon and jamoat levels 2 . The problem is compounded by a lack of human resources in the Offices of the Ministry of Health. Complexities in the funding structure thus mirror complexities in the sector itself, often resulting in the fragmentation of externally funded projects.
Because of this fact, it may be more advantageous for donors to raise and spend aid “vertically” in order to show a direct link between monies and results. While this is an issue in all sectors, the consequences are particularly acute in health as this sector requires flexible resources that can be used to support recurrent costs and health systems. Although many donors may recognize the need to provide flexible funding to support country-owned health reform plans, the general concerns about public sector management and governance, particularly states in transition like Tajikistan, may make them reluctant to do so.
For the past 3 years, health issues in Tajikistan have been at the forefront of the debate on what aid effectiveness means from a sector perspective. Currently the idea of Sector Wide Approach (SWAp) is becoming increasingly popular. The SWAp system implies a unique strategy for the sector, jointly agreed upon by both donors and government. It is aimed to foster ownership, improve donor harmonization and aid predictability, and align policy behind a health-reform programme that is mutually agreed by each stakeholder.
The current publication aims to give an overview of the externally funded projects and the alignment of national strategies developed for the health sector in Tajikistan.
2 World Bank Report No. 29858-TI: Republic of Tajikistan, Health Sector Note, June 30, 2005
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Methodology
The methodology used to compile information on all projects in the Tajik health sector funded by external donors included: • investigations on agencies committed to the Health Sector; • interviews and double checks; • questionnaires; • analysis of the data.
Interviews
WHO Country Office in Tajikistan conducted this research largely through donor input rather than through the implementing agencies. Three reasons supported this approach. First, it was our aim to provide a tool to facilitate the decision making process at donor level where a general overview of the Health Sector is essential. Second, donors tend to have longer planning periods and maintain a more consistent record of financial information. And finally, the varied nature of the implementing agencies would have produced high discrepancies in the way the information would have been provided (e.g. administrative cost and co- funding sources).
A list of donors working in the Tajik Health sector was compiled using three main sources: 1. The “ Foreign Aid Report ” and the “ Development Partner Profiles ” of the State Committee on Investment and State Property Management of the Republic of Tajikistan, supported by Asian Development Bank (Dushanbe, 2007); 2. Previous assessments done by the Ministry of Health of the Republic of Tajikistan in collaboration with the Health Policy Analysis Unit 3 (HPAU) and the World Bank’s PIU 4 in the Ministry of Health, Swiss Agency for Development and Cooperation (SDC) and Swedish International Development Cooperation Agency (SIDA). Both units were created in the frame of the Community and Basic Health Project ; 3. The “ Principals’ Group in Tajikistan ”5.
3 The HPAU of the Ministry of Health is an advisory body created in the frame of the Community and Basic Health Project, Grant # H 195 TJ, and currently funded by SDC, SIDA, World Bank (see page 9, Operational Manual, PIU-Health ). 4 The World Bank’s PIU of the Community and Basic Health Project, Grant # H 195 TJ, is funded by EU, SDC, SIDA, World Bank (see page 5, Operational Manual, PIU-Health ). 5 The Principals' Group in Tajikistan is a coordination body of Ambassadors and representatives of donors and International Financial Institutions which participate in regular coordination meetings with a rotating chairperson. The Principals share information with one another on development assistance programs and seek to draw further attention to important issues confronting Tajikistan (http://www.untj.org/principals/index.php ).
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Agencies like the International Monetary Fund were also consulted. Furthermore, when information received from the original list was not coherent or complete, the implementing agency was also contacted.
A complete list of agencies contacted and/or interviewed can be found in Annex I. Meetings were held vis-à-vis between September and November 2007 where the aim of research as well as the questionnaire were presented.
Questionnaire
The WHO Country Office in Tajikistan prepared a questionnaire to collect necessary information on each of the projects selected in the health sector in Tajikistan. The collated information summarizes the needs of national and international implementing agencies.
The questionnaire can be divided in three parts .
The first part of the questionnaire is intended to delineate each implemented project, in part or full during 2006. It gives a quick overview of the donor, the implementing partner and/or counterparts, and the main area(s) of intervention. This type of information will prompt potential donors on the expertise already in the field and will thus encourage aid coordination.
The second part of the questionnaire provides a description of the ideas, approaches, purposes and activities of the project. These summaries were included to help donors better understand their field of concern and the techniques used to address those issues. The gathering of this information in this way should help support transparency among international and national agencies, including the storing and sharing of cumulative knowledge.
The third part of the questionnaire compiles information on the “components” and “areas of work” of each project. A “component” is the project input, an “area of work,” the major domain to which a project is committed. This information also documents, under commonly defined categories, the activities of agencies that collaborate with WHO Country Office Tajikistan. This data gathering system helps to avoid confusion as well as the duplication of information collected and reported from other sources. The data should provide a tool for decision-makers to mainstream future aid where need is still underestimated 6.
The detailed questionnaire, with explanation, is listed in Annex II. The information regarding each project reflects the data as it was provided by the agencies contacted, without addings or modifications.
6 See the analysis and the focuses
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Analysis and timeframe
An inventory regarding all projects in the Tajik Health Sector during 2006 was compiled and a database was created. The database provided information on the number of project and donors in the country, number of projects per donor, type of funds, nature and length of the projects, area of work and tools utilized by the agencies to carry out their objectives, and the outcomes on the respective districts and regions.
The duration of projects surveyed in 2006 varied considerably, with the oldest project beginning in 1999, and the most recent ending in 2010. Together, all projects span more than 10 years. There are other projects running concurrently in the Health Sector during this time period (1999-2010). However, the analysis is focused only on those that were either approved, started, or completed in 2006 or, if they overrun that year . The research was based on a calendar year rather than a fiscal year, due to the fact that there are significant differences between fiscal years among donors.
Data were analyzed through various interpretative keys : financial nature of the support, beneficiary areas of work, type of components chosen to realize the objectives, classification of the project, funds for development aid or funds for humanitarian aid, time range of the projects, and geographical coverage. Subgroups of projects were then compared among themselves to better determine project balance, displacement, and trends.
As the financial information was provided for the total duration of the project, an estimation of funds allocated yearly was calculated assuming a constant disbursement along the duration of the project. Similarly, it was assumed that there was an equal distribution of funds in all geographic areas. Finally, the same method was employed to calculate the disbursement for the project components in each area.
The source of our data on population is from the Centre of Medical Statistic and Information-Ministry of Health, in their publication titled “Health of Population and Health Care in Tajikistan” 7.
Geographic coverage and maps
The maps of the oblast level and of the district level (with relative borders) have been developed through a Geographic Information System.
7 Supported by UNFPA (Dushanbe, 2006)
Page -13- The area of the national territory is enforced at the official district level and consists of 58 districts which have a different administrative position, and are considered as a part of the surrounding districts either in terms of territory or in terms of population. The following adaptations had to be made: • Vaksh district includes Qurghan- Teppa city • Kulob district includes Kulob city • Shugnon district includes Khorog city • Gafurov district includes cities of Khudjand, Tavashar, Kairakum, and Chkalovsk .
The only exception is the capital, Dushanbe, which for reasons of clarity has been elevated from the city level to the district level and considered the 59th district. In the adapted cases, the borders between the city and the countryside are minimal, while the capital (from an internal political perspective and from the donors’ one) is considered an absolute entity. The alternative would be to consider Dushanbe as part of Rudaki or Varzob districts which would have given a distorted perception of the real aid provided to those districts.
The amount per district has therefore been calculated as the sum of the average quotas of the total amounts of each project involving the district in analysis. We considered both grants and loans.
Alignment of strategies
Finally, the alignments of strategies for the health sector in Tajikistan were analyzed for their respective years. The strategies considered were: the National Strategy for Health Sector for the year 2000-2010, the first Poverty Reduction Strategy for years 2002-2005, the National Development Strategy (NDS) for 2006 -2015, and the second Poverty Reduction Strategy for years 2007-2009. These strategies were also compared with the Millennium Development Goals.
The first Poverty Reduction Strategies (2002-2005) were included as it directly influenced many of the projects executed in 2006. Although the second Poverty Reduction Strategy (2007-2009) was not published until 2007, most of the agencies were contributing towards it since 2005. These agencies anticipated NDS and PRSP II in the new aligned approach, harmonizing their own work-plans to the MDGs.
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Results
97 externally funded projects were identified for inclusion in this report. These projects in total (in the time rage shown in figure 3) bring a financial contribution to the Tajik Health Sector of 136 002 353 US dollars for the entire period of analysis.
According to the type of funds , 95 projects were grants, meaning 87% of the financial contributions. Two other projects were loans amounting to 13% of the contribution.
Fig. 1
Grants: 117 997 353 USD (87%)
Loans: 18 005 000 USD (13%)
According to the project’s aim , 97% of the funds were allocated in 89 projects for development, while 8 projects with Humanitarian Aid accounted for 3% of the total funds.
Fig. 2
Development 131 506 712 USD 97%
Humanitarian 4 495 641 USD 3%
Page -15- Time range of projects
The time range of the 97 projects analyzed is illustrated in Fig 3. The criteria for inclusion of a project was that at least some of the activities should have taken place during 2006. The projects could have started before or during 2006; and/or ended during or after 2006. This table summarizes all projects taking place in the Tajik Health Sector in the year 2006, including some projects implemented some years before or will continue for some years afterwards.
Fig. 3: Time range of 97 projects analyzed Average budget per year Number of projects
35,000,000 120
30,000,000 100
25,000,000 80
20,000,000
60
15,000,000
40 10,000,000
20 5,000,000
0 0 2002 2003 2004 2005 2006 2007 2008 2009 2010
Anual budget Number of projects
Projects by areas of work and components
All projects were assigned to one or more of the five areas of work : Primary Health Care, Hospitals and Secondary Health Care, Community Health, Public Health and Institution Building.
Similarly, each project could have one or more of the following components : Technical Assistance, Training, Civil Work, Equipment, Drugs & Supplies, or Other.
Table 1 shows a summary of the number of projects and budget allocated for each component in each area or work.
Figure 4 shows the percentage spent in each area of work out of the total amount of 136 002 353 USD.
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Fig. 4: Budget of the 2006 Projects by Areas of Work Public Health 16%
Community Health 20%
Institution Building 21%
Secondary & Hospitals 26%
Primary Health Care 17%
Figure 5 shows the percentage spent in each component out of the total amount of 136 002 353 USD.
Fig 5: Budget of 2006 projects by Components
Civil Work 7%
Equipment 14% Training 37%
Drugs & Supplies 12%
Other 3%
Technical Assistance 27%
Page -17- Table 1: Budget and number of projects by areas of work and components
Technical Drugs & Training Civil Work Equipment Other Assistance Supplies Total
Projects 20 39 9 15 29 3 Primary Health Care Budget 3 854 788 7 153 603 3 502 593 2 845 533 4 743 524 616 667 22 716 708 Projects 18 32 4 10 19 1 Secondary and Hospitals Budget 4 712 280 11 512 947 5 206 476 9 893 013 3 375 572 554 810 35 255 098 Projects 16 60 10 12 13 3 Community Health Budget 3 381 820 18 157 878 657 614 1 006 927 3 056 339 1 151 198 27 411 775 Projects 30 33 2 12 14 3 Public Health Budget 9 215 233 6 702 769 318 750 2 196 053 3 140 980 574 966 22 148 750 Projects 40 32 1 12 5 5 Institution Building Budget 15 292 747 7 241 807 300 000 2 629 128 1 335 472 1 670 867 28 470 022 Total Budget 36 456 869 50 769 004 9 985 433 18 570 653 15 651 887 4 568 507 136 002 353
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Figures 6, 7, 8, 9, and 10 show the percentage spent in each component for every area of work.
Fig. 6: Budget of projects on primary Fig. 7: Budget of projects on secondary healthcare by components healthcare & hospitals by components Capital Drugs & Equipment Supplies 28% 21% Other 3% Equipment Drugs & 13% Supplies Civil 10% Technical work assistance 15% Other 17% 2% Civil work Technical 15% assistance 13%
Training Training 31% 32%
Fig. 8: Budget of projects on community Fig. 9: Budget of projects on public health by components health by components
Civil Civil work Training 30% work 1% 2% Capital Equipment 4%
Drugs & Supplies Equipment 10% 11% Training 67% Other Drugs & 4% Supplies 14%
Technical Technical assistance assistance 42% Other 3% 12%
Fig. 10: Budget of projects on institutional building by components
Training 25%
Civil work 1%
Equipment 9%
Technical assistance 54% Drugs & Supplies 5%
Other 6%
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Comparison by areas and components of development and humanitarian aid projects
A comparison of the number of projects and budget between humanitarian and development aid in the different areas of work is presented in Table 2 and figures 11 and 12.
Table 2 Secondary Areas of Primary & Community Public Institution Work Health Care Hospitals Health Health Building
Projects for 43 37 59 41 49 Development Projects for 5 4 6 2 5 Humanitarian Aid
Budget for Development 21 015 158 34 789 132 26 691 935 21 948 743 27 061 744 projects Budget for Humanitarian 1 701 550 465 965 719 840 200 007 1 408 278 Aid Projects
Fig. 11: Budget of development projects Fig. 12: Budget of Humanitarian Aid by areas of work projects by areas of work
Secondary & Community Hospitals Health 20% Secondary & Primary 10% Hospitals 26% Health Care 39%
Public Health Community Primary 17% Institution Health 16% Health Care Building 16% 31% Public Institution Health 4% Building 21%
Similarly, a comparison of number of projects and budget for the humanitarian and development aid according to the different components involved is presented below.
Table 3 Technical Civil Drugs & Components Assistance Training Work Equipment Supplies Other
Projects for 54 77 20 37 39 12 Developments Projects for 3 8 0 3 6 0 Humanitarian aid
Budget for Development 35 410 587 48 527 066 9 985 433 18 352 127 14 662 991 4 568 507 Projects Budget for Humanitarian 1 046 282 2 241 938 0 218 526 988 896 0 Projects
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Fig 13: Budget of Development Fig 14: Budget of Humanitarian Aid projects by components projects by components
Tra ining 37% Civil Training Civil Work Work 8% 50% 0%
Equipment Equipment 14% 5%
Drugs & Drugs & Supplies Supplies 22% Technical 11% Technical Other 3% Assistance Assistance Other 0% 27% 23%
District level analysis
Out of the 97 projects, 49 projects were implemented at the national level, while 58 were focused at the district level. Ten projects were executed at both the national and district level.
Out of the 58 district projects, information on oblasts affected was obtained for 52 projects, and about rayon involve-ment on 41 projects.
Maps with allocation of funds for each oblast and rayon are presented below. A color scale reflects the amount of funds allocated to the geographical area. The color scale changes from one map to the other to better underline the differences between the districts.
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Page -31- Analysis of strategies for the health sector
The National Development Strategy and the second Poverty Reduction Strategy are aligned with the Millennium Development Goals. The National Strategy for the Health Sector, as well as the first Poverty Reduction Strategy, were conceived before Tajikistan was chosen as a Millennium Project pilot country and do not refer explicitly to MDGs.
The base of the current strategy for the Health Sector was present seven years before the National Strategy on Health Care was developed. An improvement in the strategies along the years can also be noticed.
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Table 4: Analysis of strategies for the health sector
MDG 2000 NDS 2006 PRS 2007 NSHC 2000 PRS 2002 Reduce child Improve medical services for mortality. Improvement of maternal and mothers and children and reduce Healthy start of life. Improve maternal child health. maternal and child mortality health. rates. A significant slowdown in the Reduction of infectious diseases spread (TB and Combat the spread of HIV/AIDS, spread of HIV/AIDS, a reduction Malaria). Combat HIV/AIDS, reduce the rates of infectious Strengthening in infectious diseases (TB and malaria and other diseases (TB and Malaria) and of public health Malaria) and the eradication of diseases. certain vaccine-controlled Reduction of non-infectious diseases spread. services. certain infections that can be diseases. controlled by vaccination. Improve the human capacity of Improvement of medical staff, and provide better the quality of care Improved availability, quality and materials and equipment for as a means to Development of personnel resources for health care. effectiveness of medical services. medical institutions; ensure the provide greater availability of sufficient amounts access for the of quality medicines. poor. Resources of health care services. Implement health care system Integrated health care sector. reforms emphasizing Issues of management and quality ensuring in primary Reform of the health care improvements in funding and health care. Development system, including development of administration mechanisms, Equity and equality in health care issues. primary health the private sector and attraction increased performance of the Scientific research and information in sphere of health care system of investment primary health care system, and and health care. promoting private sector Mobilizing partners for health care. participation Management and implementation of “Health For All” policy. Improvement of mental health care. Improving medical
statistics. Health of youth and adults, protection of elderly people health. Prevention and reduction of traumatism. Social policy, inter-sectoral commitments on health promotion and environmental health. Healthier life style. Reduction of harm and dependence from tobacco, alcohol, narcotic and psychotropic substances. Healthy and safe physical environment.
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Millennium Development Goals
The crucial value of the health sector is underlined by the Millennium Development Goals (MDGs) approved in the UN Millennium Summit on September 2000. Although health was not considered a defined outcome in the MDGs, health itself was the target for three out of eight goals (MDG4, MDG5 and MDG6). Hence, health represents the biggest beneficiary of these efforts’ relapses, been seen as a prerequisite or a key factor for achieving other outputs. MDG1, MDG2, MDG7 are millennium goals based on indispensable health achievements/backings or having health related relapses.
Goal 1: Eradicate extreme poverty and hunger Goal 2: Achieve universal primary education Goal 3: Promote gender equality and empower women Goal 4: Reduce child mortality Goal 5: Improve maternal health Goal 6: Combat HIV/AIDS, malaria and other diseases Goal 7: Ensure environmental sustainability Goal 8: Develop a Global Partnership for Development
National Strategy for Health Sector
The National Strategy for Health Sector 8 aimed to draw goals and priorities at national level, providing an action plan for the next 10 years, that is, until 2010. The paper was written by the Ministry of Health in collaboration with WHO in the year 2000. A previous version was published in 1997 but was not included for this analysis. This document was based on the renewed policy for WHO-Europe “Health for All in 21st Century”, accepted by World Health Assembly in May 1998.
The strategy groups priority tasks in four chapters: Chapter 1 - Achievement of better health 1. Equity and equality in health care issues 2. Healthy start of life 3. Health of youth and adults, protection of elderly people health 4. Reduction of non-infectious diseases spread 5. Reduction of infectious diseases spread 6. Improvement of mental health 7. Prevention and reduction of traumatism Chapter 2 - Healthier life style and healthy environment 8. Social policy, inter-sectoral commitments on health promotion and environmental health
8 “Strategy of the Republic of Tajikistan on health care by 2010” of the Ministry of Health of the Republic of Tajikistan (Dushanbe-2000)
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9. Healthier life style 10. Reduction of harm and dependence from tobacco, alcohol, narcotic and psychotropic substances 11. Healthy and safe physical environment Chapter 3 - Appropriate medico-sanitary care 12. Resources of health care services 13. Integrated health care sector 14. Issues of management and quality ensuring in primary health care 15. Development of personnel resources for health care Chapter 4 - Strategy of development for “Health For All” achievement 16. Scientific research and information in sphere of health and health care 17. Mobilizing partners for health care 18. Management and implementation of Health For All policy
This strategy has a horizontal approach with some vertical spotlights or objectives like infectious diseases, non-infectious diseases and mental health. This approach is revealed by the large attention devoted to the environment, the life style and the welfare expected outcomes.
As outlined, the fight against infectious and non-infectious disease is a worldwide concern and following NDS and PRS would also be addressed in Tajikistan. There is no matching currently for the mental health issue.
Poverty Reduction Strategy I (2002-2005)
The first Poverty Reduction Strategy Paper of the Government of the Republic of Tajikistan (Dushanbe, June 2002) was designed to cover the period 2002-2005. Health care is considered in this document as one of the national priorities to support the poverty reduction. Although the content is narrative and the priorities are not literally pointed out, the expected outputs are: 1. Development of a Primary Health Care system 2. Improvement of the quality of care as a means to provide greater access for the poor 3. Strengthening Public Health services 4. Improving medical statistics
What is evident from this chart is that a large portion is dedicated to the decentralization of the medical system and its financial sustainability. There are no matches on the maternal care as reported in the National Strategy for the Health Sector, and no vertical programmes are outlined.
National Development Strategy
The “ National Development Strategy for the Republic of Tajikistan for the Period to 2015 ” of the Government of Tajikistan (Dushanbe, August 2006) was recently edited with the purpose of balancing the national development plans to global
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matters of concern as detailed in the MDG. The four long term priorities defined by NDS in the health sector are:
1. “Reform of the health care system, including development of the private sector and attraction of investment; 2. Improvement of maternal and child health 3. A significant slowdown in the spread of HIV/AIDS, a reduction in infectious diseases and the eradication of certain infections that can be controlled by vaccination; 4. Improved availability, quality and effectiveness of medical services.” 9
The second priority reflects MDG4 and MDG5 and the third priority covers MDG6. The first and the fourth priorities address structural and endemic problems tidily linked to internal problems of Tajikistan, thus having no correspondence with UN- MDG.
Poverty Reduction Strategy II (2007-2009)
Based of the long term priorities of the NDS, the Government of Tajikistan proposed a new medium term strategy, the Poverty Reduction Strategy Paper for 2007-2009 (Dushanbe, September 2006). This strategy defines four medium-term priorities for the health sector: 1. Implement health care system reforms emphasizing improvements in funding and administration mechanisms, increased performance of the primary health care system, and promoting private sector participation; 2. Improve medical services for mothers and children and reduce maternal and child mortality rates; 3. Combat the spread of HIV/AIDS, reduce the rates of infectious diseases and of certain vaccine-controlled diseases; 4. Improve the human capacity of medical staff, and provide better materials and equipment for medical institutions; ensure the availability of sufficient amounts of quality medicines.
These medium term priorities of PRS follow the long term ones of the National Development Strategy adding some monitoring indicators and some coherent objectives in the way of achieving those outputs.
9 National development Strategy for the republic of Tajikistan for the period to 2015 of the Government of Tajikistan (Dushanbe, August 2006) pg. 42
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Conclusions
The current inventory, in line with the purposes of Joint Country Support Strategy,10 in theory, aims to help donor agencies plan future programmes and to better coordinate their interventions. This information is the first attempt to have a general overview of the foreign financed projects in the Tajik Health Sector.
The SWAp system outlines a unique strategy for the sector, engaging both donors and government. This can help the international community to prioritize the goals and avoid overlapping and incoherence, and the government to receive important input from donor agencies. The SWAp also encourages a joint system (and procedures) for financing the sector, and a joint structure to monitor the flow of funds. This harmonization will provide more strength and authority to the national authorities committed to such duties, and finally, it will facilitate external support by creating, for the donor agencies, a more transparent method of aid contribution.
SWAp experiences throughout the world range from complete failure to absolute success. Therefore the WHO positions the SWAp as an “approach”, not a programme or an ultimate goal of all sectoral activities. The SWAp approach does, however, present itself as one of the logical ways to align national and international support in order to strengthen the healthcare system and develop a long- term strategy to maintain successful results.
Tajikistan would have to make a concerted effort to create appropriate conditions to introduce SWAp (such as develop a Comprehensive Health Sector Strategy), improve planning and budgeting processes, and strengthen institutional structures and systems. Common monitoring and review processes should be in place and the Health Management Information System strengthened. Government oversight on how the majority of these resources are distributed across the sector is also essential.
The current publication could be used as a starting point for future analysis of the externally funded aid in the health sector in Tajikistan.
10 Latest draft of Joint Country Support Strategy, DFID, 2007.
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List of externally financed projects
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For an explanation of the questionnaire, see Annex II.
The information regarding each project reflects the data as it was provided by the agencies contacted, without addings or modifications.
WHO Country Office in Tajikistan would appreciate that any wrong or incomplete information is reported to the following email address: [email protected]
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ACT- Central Asia
Name of the Project: Support of NGO partners on HIV/AIDS prevention, Public Health, Hygiene and Water Sanitation
Donor Agency: ACT-Central Asia Governmental counterpart department/Agency: Implemented by: ACT Tajikistan Other implementing partners: DINA, Ghamkhori, Guli Surkh, Mehrangez, Najoti Kudakon, National Volunteer Centre, Physicians for Humanity, RAN, Ruhafzo, SPIN Plus, Sudmand
Type of fund Grant Development Approval Date of Approval: 12.2005 Approved amount (total US$): 150 000 Duration Starting Date: 01.2006 End Date: 12.2006 Objectives: - To raise awareness of local rural communities on Hygiene and support them in improvement of Water and Sanitation systems. - To raise rural community people’s awareness of different infectious diseases as well as address message of Reproductive Health and Sexual Rights - To support prevention of HIV with special focus on labour migrants and their families, vulnerable and risky groups of population, youth and health workers. - To support and get active involvement of people living with HIV and AIDS to ensure effective prevention of HIV. To advocate for rights and interests of people living with HIV and AIDS through advocacy and lobbying campaigns. - To reduce stigma and discrimination towards people infected and affected by HIV. - To strengthen and build partners’ capacity to implement and develop effective HIV programmes through trainings exchanges and exposures. - To support research actions on getting up-to-date information on HIV in the Region in order to build timely and updated response toward HIV.
Short description of project activities: Trainings and seminars; conduction of different thematic round-tables and forums; surveys and researches; resource centre establishment; work with Media; information awareness campaigns; competitions and quizzes amongst youth population in schools and communities; mobilization of volunteers out of teachers and students; pre and post counselling support; legal advise to vulnerable groups; advocacy and lobbying of People Living with HIV/AIDS rights and interests as well as other affected people; involvement of religious leaders at community level towards hygiene and family planning education programmes; etcTo support internal HIV mainstreaming amongst ACT-Central Asia partners’ organisations.
Components TA Training Civil Works Equipment D&S OPC PHC X Sec. & Hosp. Areas of Community Health work X X Public Health X X Institution Building X
Geographic Coverage: both at district and national level Status as of 31 December 2006: ongoing
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Asian Development Bank
Name of the Project: Community Participation and Public Information Campaign for Health Improvement (JFPR 9043- TAJ)
Donor Agency: ADB Governmental counterpart department/Agency: The President’s Office (the Executing Agency) Implemented by: WB PIU/Japan Fund for Poverty Reduction (JFPR) Other partners: AKF, SDC, SINO, UNDP, UNICEF, WB, WHO
Type of fund Grant Development Approval Date of Approval: 22.01.2004 Approved amount (total US$): 1 000 000 Duration Starting Date: 08.04.2004 End Date: 31.12.2007 Objectives: The goal of the JFPR Project is to improve access to and use of innovative health care procedures promoted under the Health Sector Project (HSRP) by the poor, particularly the poorest: women of reproductive age, mothers, and children. The project aims to strengthen public information and community and family participation in determining, implementing, and monitoring health needs, practices, and services.
Short description of project activities: The JFPR Project and HSRP will be implemented in five rural districts (Roshkala in Gorno-Badakhshan Autonomous Region (GBAO), Aini and K-Mastchoh in Sugd Region, Rasht in Region of Republican Subordination (RRS), and Kulob in Kathlon Region). The areas have been selected for their level and severity of poverty and level of infant and maternal mortality. The selected districts are poorer areas. The JFPR Project and HSRP will invest in areas that will have the greatest impact on the poor, women, and children.
Components TA Training Civil Works Equipment D&S OPC PHC X X X Sec. & Hosp. X X Areas of Community Health work X X Public Health X X Institution Building X X X
Geographic Coverage: at district level, in the following rayons of GBAO: Roshtkala; Sugd: Aini, K. Mastchoh Kathlon: Kulob; of RRS: Rasht Status as of 31 December 2006: ongoing
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Name of the Project: Health Sector Reform Project (HSRP) (Loan2054- TAJ)
Donor Agency: ADB Governmental counterpart department/Agency: The President’s Office (the Executing Agency); the Ministry of Health (the Implementing Agency) Implemented by: Project Management Unit /HSRP under the Ministry of Health Other partners: AKF, DFID, ECHO, JICA, PSF, Republican Medicines and Medical Commodities Procurement Center (MOH), SDC, SINO, UNICEF, USAID, WB, WHO
Type of fund Loan Development Approval Date of Approval: 17.12.2003 Approved amount (total US$): 7 500 000 Duration Starting Date: 15.07.2004 End Date: 31.12.2008 (Loan closing) Objectives: The goal of HSRP is to improve people's health, in particular for women, children and the poor in Tajikistan. HSRP has three objectives: • improve system efficiency and management capacity of the health sector; • increase equitable access to and utilization of quality basic health services by women, children and the poor; and • support informed policy dialogue to pursue reform. The Project will help improve people's health, especially the health of the poor, women, and children by providing a pro- poor health service package, and by reforming the health service delivery and Funding mechanism mechanisms.
Short description of project activities: HSRP has three components: • institutional development of the health sector; • drug supply and quality control; and • efficient and sustainable delivery of a pro-poor health service package. HSRP will have national and pilot district components. Health service improvement will be implemented in five rural districts (Roshtqala in GBAO, Aini and Matcho Kyhi in Sugd Region, Rasht in the Region of Republican Subordination and Kulob in Khatlon Region) selected for their severity of poverty and level of infant and maternal mortality. HSRP will focus investment in areas that will have the greatest impact on the poor and vulnerable.
Components TA Training Civil Works Equipment D&S OPC PHC X X X X X Sec. & Hosp. X X X X X Areas of Community Health work X X X X X Public Health X X X X X Institution Building X X X X X
Geographic Coverage: at district level, in the following rayons of GBAO: Roshtkala; Sugd: Aini, K. Mastchoh Kathlon: Kulob; of RRS: Rasht Status as of 31 December 2006: ongoing
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Name of the Project: Sustainable Food Fortification for Central Asian and Mongolia
Donor Agency: ADB Governmental counterpart department/Agency: Ministry of Health Implemented by: Ministry of Health Other implementing partners: UNICEF
Type of fund Grant Development Approval Date of Approval: 01.2005 Approved amount (total US$): 2 000 000 Duration Starting Date: 03.2005 End Date: 12. 2007 Objectives: To mitigate micro nutrient deficiencies (IDD and IDA) through food fortification
Short description of project activities: Support Private-public partnership on food fortification, advocacy for legal and regulatory frameworks and incentives for the private sector, information campaigns and social mobilization, capacity building for MOH and laboratories, technical assistance for sustainable procurement of necessary ingredients and monitoring and evaluation.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosp. Areas of Community Health work X X Public Health X X X Institution Building X X X X
Geographic Coverage: at national level Status as of 31 December 2006: ongoing
Comments, if any: Project implemented in different countries
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Aga Khan Development Network
Name of the Project: Health Professionals Training Unit (HPTU)
Donor Agency: AKDN Governmental counterpart department/Agency: DoH, GBAO Implemented by: Aga Khan Health Service in Tajikistan Other partners: USDA, SDC, HOAP Pakistan
Type of fund Grant Development Approval Date of Approval: Approved amount (total US$): 412 864 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: • Help DoH in building capacity of health professionals to provide better health care • Train doctors and nurses in evidence based health care and provide general training in English and information technology • Raise the status of nursing as an independent profession • Promote general awareness among the communities about important health issues
Short description of project activities: • Workshops conducted for the doctors and nurses as continuing education; sponsored training in PGMI; imparted English and Computer skills to doctors and nurses • Continued the support in implementation of revised nursing education; provided teaching materials; supported Regional Nursing Centre in establishment of a nurses registration system • Provided health education to the population through TV programmes, newsletter, etc.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosp. X Areas of Community Health work X Public Health Institution Building X
Geographic Coverage: at district level, in the following rayons of GBAO: Ishkoshim, Rushon, Darvoz, Vanch, Murghob; of RRS: Rasht Status as of 31 December 2006: completed
Comments, if any: This is a project co-funded yearly by different partners since 2001 and is going to end probably in 2008
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Name of the Project: Rationalization of Pharmaceuticals and Policy Management (RPPM).
Donor Agency: AKDN Governmental counterpart department/Agency: DoH, GBAO Implemented by: Aga Khan Health Service in Tajikistan Other partners: USDA, SDC
Type of fund Grant Development Approval Date of Approval: Approved amount (total US$): 329 374 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: • Provide high quality, essential, low cost pharmaceuticals. • Improve the procurement and management of pharmaceuticals. • Introduce the principles of rational use and improve prescribing among health professionals. • Involve health care users in the management of health resource.
Short description of project activities: • Workshops conducted for the government health professionals, this year with emphasis on training of those from Khorog General Hospital and new recruits at the PHC level on rational use of drugs. Training also given to pharmacists from agencies like Agency for Control Narcotic and Psychotropic drugs, State Centre for Expertise of Drugs, Oblast Finance Department, chief doctors form districts and Khorog General Hospital, different dispensers, Oblast Therapeutical Committee. • Uninterrupted provision of high quality, essential, affordable drugs to GBAO. Striving for the long term goal of self sufficiency, subsidy was decreased from 75% to 100% from direct cost if medicines. • Close collaboration with partners from the national level (Department of Pharmacy under MoH, ADB, PSF and Project Sino) to create a National Drug Procurement Centre. • Publications of quarterly bulletins and leaflets on common diseases and their prevention and treatment for the community
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosp. X X Areas of Community Health work X Public Health Institution Building X
Geographic Coverage: at district level, in the following rayons of GBAO: Ishkoshim, Rushon, Darvoz, Vanch, Shugnon, Roshtkala, Murghob Status as of 31 December 2006: completed
Comments, if any: Success of RPPM in provision of quality drugs at affordable prices to communities has been possible to a great extent as the importation was free of customs duty and drug registration fee. These exemptions are expected to be continuously available for the project to run, lest the project may have to be discontinued as it would not be feasible to provide drugs at affordable prices.This is a project co-funded yearly by different partners since 1997.
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Aga Khan Foundation
Name of the Project: Community Health (Khatlon)
Donor Agency: AKF Governmental counterpart department/Agency: DoH Khatlon Implemented by: Aga Khan Health Service in Tajikistan Other partners: ECHO, SIDA
Type of fund Grant Development Approval Date of Approval: Approved amount (total US$): 237 428 Duration Starting Date: 01.09.06 End Date: 31.12.06 Objectives: Improvement of the health and nutrition of women of reproductive age and children under 5 in Khatlon
Short description of project activities: • Primary Health Care workers (doctors, medical assistants, midwifes and nurses) were trained on the Childhood Diseases, Safe Motherhood, Immunization, Sexually transmitted diseases and HIV/AIDS • New Community Health Projects were recruited and trained. • Educational programs concerning health, such as festivals, radio and TV spots, distribution of information-educational leaflets, etc.
Components TA Training Civil Works Equipment D&S OPC PHC X Sec. & Hosp. X Areas of Community Health work X Public Health Institution Building X
Geographic Coverage: at district level, in the following rayons of Kathlon: Shurobod, Hovaling, Muminobod, Norak. Status as of 31 December 2006: completed.
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Name of the Project: Reproductive Health and Child Survival (RHCS)
Donor Agency: AKF Governmental counterpart department/Agency: DoH, GBAO Implemented by: Aga Khan Health Service in Tajikistan Other partners: ACT-Central Asia, USDA, SDC
Type of fund Grant Development Approval Date of Approval: Approved amount (total US$): 309 582 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: Improvement of the health and nutrition of women of reproductive age and children under 5 in GBAO.
Short description of project activities: • Primary Health Care workers (doctors, medical assistants, midwifes and nurses) were trained on the Childhood Diseases, Safe Motherhood, Immunization, Sexually transmitted diseases and HIV/AIDS; the level of knowledge improved from 26 % - 29 % on pre-test to 85 %-96 % on post-test. • New 117 community health workers were chosen, it makes total of 417. All community health workers were trained on all topics concerning health of a society, including HIV/AIDS, Safe motherhood, Childhood diseases, Family planning, Immunization, breast feeding, supplementary feeding, growth and development of the child, first aid, Hygiene and Sanitary. • During anti-helmintic campaigns the majority of people had received tablets of Mebendasol (36,000). • Educational programs concerning health, such as festivals, radio and TV spots, distribution of information-educational leaflets, etc. • Together with Regional Health Authorities and other NGOs participated in vaccine delivery, dissemination of information material, condoms, adults and children's weights, iodine tests, etc. for medical institutions and households in GBAO.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosp. Areas of Community Health work X X Public Health Institution Building
Geographic Coverage: at district level, in the following rayons of GBAO: Ishkoshim, Rushon, Darvoz, Vanch, Shugnon, Roshtqala, Murghob. Status as of 31 December 2006: completed
Comments, if any: This is a project co-funded yearly by different partners since 1999 and is going to end probably in 2009
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Canadian International Development Agency
Name of the Project: Community Development through Integrated Water Resources Management
Donor Agency: CIDA Governmental counterpart department/Agency: Local Jamoats and Social Community Councils Implemented by: ACTED Other partners: OSCE
Type of fund Grant Development Approval Date of Approval: 10.02.2005 Approved amount (total US$): 834 109 Duration Starting Date: 05.2005 End Date: 05.2007 Objectives: The main objectives of the project is to assist selected communities in developing and strengthening their own community- based structures to ensure their long-term health, environmental and economic security and improve their quality of life. The project will focus on: empowering communities to enable them to identify issues relating to their overall health and economic well being, providing a model for infrastructure rehabilitation which they can replicate and training to enable them to manage resources and develop sustainable practices relating to their use, development and practical implementation of the methods of environmental education in the secondary schools.
Short description of project activities: • To empower and build the community’s capacity to manage its water resources. • Environmental Protection Networks. • Health Promotion Networks and Health Promotion Management Boards. • Rehabilitation of water related infrastructure. • Increase incomes and economic activity in order to sustain access to water. • Increase knowledge and changes in behavior relating to water, environment and health. • Creation of Tajikistan Centre on development and support of environmental education and education for sustainable development. • Health education.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X Public Health Institution Building X
Geographic Coverage: at district level, in the following oblasts: Kathlon, Sugd, RRS. Status as of 31 December 2006: ongoing
Comments, if any: In addition to the health issues already referred to, Kathlon and Sugd regions register the highest levels of malnutrition and chronic malnutrition in the country. Investment in health care has dropped from 6.4% of the Gross Domestic Product (GDP) in 1994 to 1.5% of the GDP in 1999 matched by a decline life expectancy. Health services have deteriorated as a consequence. Women and child’s health have been most affected, reflected in high maternal and infant mortality rates. Access to services is limited and 82.3% of the women surveyed within the framework of Medecins Sans Frontiers ’s Mother’s Health Survey in the Rasht Valley were found to deliver at home Labour migration, the rise in drug prevalence, a growing sex industry, a lack of knowledge and promotion of safe sex practices, inadequate health services and a general lack of awareness is putting young people increasingly at risk. The number of registered abortions among adolescents has increased and abortions are now considered to be the leading cause of death among women.
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Department for International Development -UK
Name of the Project: Central Asian regional HIV\AIDS Programme (CARHAP)
Donor Agency: DFID Governmental counterpart department/Agency: Ministry of Health, Ministry of Justice, and National Coordination Committee on AIDS, TB and malaria. Implemented by: OSI/Soros Foundation in Tajikistan/GRM International based in Bishkek Other partners:
Type of fund Grant Development Approval Date of Approval: 19.01.2004 Approved amount (total US$): 2 590 785 Duration Starting Date: 1.08.2004 End Date: 31.08. 2009 Objectives: The goal of the DFID funded CARHAP project is to avert a generalized HIV/AIDS epidemic in the Central Asian region, with the purpose to ensure effective implementation of comprehensive, national HIV/AIDS programme.
Short description of project activities: • To increase coverage and comprehensive of Harm Reduction services. • To increase capacity for providing quality Harm Reduction services. • To develop framework for national monitoring and evaluation system of Harm Reduction interventions. • To incorporate Harm Reduction services into national and sectorial HIV and AIDS strategies and programmes.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of work Community Health Public Health X X X Institution Building X X
Geographic Coverage: at national level. Status as of 31 December 2006: ongoing
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European Bank for Reconstruction and Development
Name of the Project: Khujand Water Supply Improvement Project
Donor Agency: EBRD Governmental counterpart department/Agency: City Administration of Khujand Implemented by: State Unitary Enterprise “Khujand Vodokanal” Other partners: Swiss State Secretariat for Economic Affairs (SECO), Government of Norway
Type of fund Loan Development Approved amount (total US$): 1 200 000 (5% on Approval Date of Approval: 07.2004 hygiene campaigns = 60 000) Duration Starting Date: 07.2004 End Date: 12.2007 Objectives: Improvement of drinking water supply facilities and distribution network in the City of Khujand (30% area).
Short description of project activities: Improvement of the production facilities of the State Unitary Enterprise “Khudjand Vodocanal” by rehabilitation of the pumping stations, rehabilitation of the main and distribution drinking water supply network (about 30%), installation of bulk and individual bulk meters (about 14,000 units). In addition – creation of the water Users Committees in the rehabilitated areas and improvement of financial and operational performance of the water company. Hygiene campaign were a component within the Stakeholders Participation Program (SPP).
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X Public Health Institution Building X
Geographic Coverage: at district level in the following rayons of Sugd: Gafurov (this district includes Khujand ) Status as of 31 December 2006: ongoing
Comments, if any: The project is the joint initiative financed by the EBRD (loan), SECO (grant) and the Government of Norway (grant). Information on grant co-Funding mechanism from SECO and the Norwegian Government can be obtained directly from the concerned partners.
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European Commission
Name of the Project: Creation of the favourable environment for improvement of sexual and reproductive health of youth.
Donor Agency: EC Governmental counterpart department/Agency: Implemented by: CARE International Other partners:
Type of fund Grant Development Approval Date of Approval: 04.07.2006 Approved amount (total US$): 1 920 510 Duration Starting Date: 05.07.2006 End Date: 05.07.2009 Objectives: The basic objective of the project is improvement of sexual and reproductive health of youth in Tajikistan by improvement of access to services of sexual and reproductive health. Specific goal of the project is improvement of sexual and reproductive health of 350,000 youngsters from 10 till 24 years in Dushanbe, Yovon and Vahdat rayon by 2009.
Short description of project activities: • Increased access to clinics and advisory services friendly to youth; • Increase of individual knowledge, strengthening of positive models of behavior of youth in the field of sexual and reproductive health; • Improvement of legislation/regulations and social conditions in the field of sexual and reproductive health of youth.
Components TA Training Civil Works Equipment D&S OPC PHC X Sec. & Hosps Areas of Community Health work X Public Health Institution Building X
Geographic Coverage: at district level in the following rayons of Dushanbe; RRS: Vahdat; Kathlon :Yovon. Status as of 31 December 2006: ongoing
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Name of the Project: Enhancing individual incomes and improving living standard in the Kathlon region of Tajikistan.
Donor Agency: EC Governmental counterpart department/Agency: Implemented by: ACTED Other partners:
Type of fund Grant Development Approved amount (total US$): 1 145 718 (2,56% on Approval Date of Approval: 10.06.2005 health component= 29 444 ) Duration Starting Date: 11.06.2005 End Date: 11.12.2006 Objectives: • Increase of existence in a countryside will be achieved by granting agricultural production, assistance to favorable enterprise conditions by Business of Incubators, support of stability of a network on distribution and creation of steady microfinancial projects • Improvement of a social welfare will be achieved by creation of a network of health promotion together with community awareness, granting and supporting veterinary services, construction, rehabilitation and the subsequent maintenance of an infrastructure on potable water and sanitary
Short description of project activities: Categories of the basic achievements: There were 42 ССА in Muminobod and Hovalin; 42 villages in two target areas were selected for water sanitary and spring systems; 42 СОС were created or strengthened; 43 independent projects have been implemented; 8 trainings for members of СОС had been organized; SANITARY EDUCATION: implementation of activities on sanitary education went according to plans, without difficulties; in Muminobod were organized drawing competitions; In the newspaper "Kathlon" 8 articles had been published; in Muminobod and Hovaling at the end of the project there were 4 spring systems; at the beginning of educational 2006 finalization of construction of 4 toilets on 50 spots is expected; 14,000 Visual Information Materials were printed and distributed.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X Public Health Institution Building
Geographic Coverage: at district level in the following rayons of Kathlon: Munminod, Hovaling. Status as of 31 December 2006: completed
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Name of the Project: Enhancing Individual Incomes and improving living standards in East Khatlon.
Donor Agency: EC Governmental counterpart department/Agency: Implemented by: Oxfam GB Other partners:
Type of fund Grant Development Approved amount (total US$): 1 400 436 (3% hyg Approval Date of Approval: 31.03.2005 campaigns= 42013) Duration Starting Date: 01.04.2005 End Date: 31.12.2007 Objectives: The overall objective is to contribute to reducing poverty of the rural population in the Eastern Kathlon region of Tajikistan. Specifically this project will improve living standards in 35 poor rural communities of Eastern Kathlon by providing affordable access to clean drinking and irrigation water and establishing a sustainable community-based water management system.
Short description of project activities: • Construction, maintenance and rehabilitation of small-scale water and sanitation infrastructure coupled with health promotion at village level in close cooperation with communities, local government and NGOs; • Developing replicable and sustainable management model(s) for the operation and maintenance of water facilities through skill enhancement, community organization and management linkages; • Advocacy initiatives that will influence water policy to be pro-poor, and to promote efficient management.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X X X Public Health Institution Building
Geographic Coverage: at district level, in the following oblast: Kathlon. Status as of 31 December 2006: ongoing
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Name of the Project: Improving living standard in Kathlon region through control of brucellosis
Donor Agency: EC Governmental counterpart department/Agency: Implemented by: UNFAO and Merlin Other partners:
Type of fund Grant Development Approval Date of Approval: 03.10.2005 Approved amount (total US$): 1 072 620 Duration Starting Date: 04.10.2005 End Date: 31.12.2006 Objectives: Support the economic and social development of vulnerable population in Kathlon by consolidating livestock based livelihoods whilst strengthening the Government’s capacity to respond to health concerns. This overall objective will be addressed through reducing the prevalence and impact of brucellosis disease on human and livestock.
Short description of project activities: Reduce brucellosis in animal and human progressively through improving delivery of preventive veterinary and human health services. Identify and train a Brucellosis programme coordinator (livestock) and brucellosis coordinator (human)in each of the seven target rayons in Kathlon. Training to laboratory workers in brucellosis serodiagnosis. Provide the laboratories (human and veterinary) with equipment for diagnosis. Train the veterinarians for biannual vaccination and physicians for diagnosis and management of brucellosis in human. Carry out biannual vaccination campaigns for human and train clinicians for treatment in the Central Rayon Hospitals. Monitor the vaccination campaign effectiveness. Train epidemiologist in data management, surveillance and outbreak response. Raise the public awareness and understanding about the cause and prevention of brucellosis through media, local veterinary and human health services and education.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps X X X Areas of Community Health work X Public Health X X X X Institution Building X
Geographic Coverage: at district level in the following rayons of Kathlon: (all). Status as of 31 December 2006: completed
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Name of the Project: Integrative program for strengthening social services in Tajikistan by civil society support in cooperation with local authorities.
Donor Agency: EC Governmental counterpart department/Agency: Implemented by: Hilfswerk Austria Other partners:
Type of fund Grant Development Approval Date of Approval: 18.12.2006 Approved amount (total US$): 152 814 Duration Starting Date: 19.12.2006 End Date: 19.08.2008 Objectives: The objectives of the project are: To strengthen capacity of social workers; to establish and support the functioning of a network of social NGOs; to promote social and civic reintegration of children with disabilities through a creation of a Day Care Centre
Short description of project activities: The purpose of upgrade the professional skills of the country’s social workers will be addressed through the foundation of a social training academy that can help the quality and the quantity of the social services provided with particular attention to women pensioners, families with pathologies, street children and children with disabilities. For the last ones some Day Care Centers will be open.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X X Public Health Institution Building X X
Geographic Coverage: at national level. Status as of 31 December 2006: ongoing
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Name of the Project: Kathlon social mobilization project
Donor Agency: EC Governmental counterpart department/Agency: Implemented by: Christian Aid, Ghamkhori Other partners:
Type of fund Grant Development Approval Date of Approval: 12.01.2004 Approved amount (total US$): 231 032 Duration Starting Date: 13.01.2004 End Date: 31.03.2006 Objectives: To mobilize and empower community as a hole, and women in particular, to improve their own lives. Increase the level of self governance, local initiative, and people representation and improve linkages with local authorities. Improve the health of rural communities through improved medical service delivery and hygiene campaigns. Reduce the acceptability and the occurrence of domestic violence against woman. Improve inter ethnic relation within the targeted communities.
Short description of project activities: Establishing and building the capacity of Mahalla committee; organize district and regional mahalla committee fora; select and train volunteers for monitoring health and hygiene status and for advocate it at the local authorities level. Create focus group for educate local community in health, human rights and gender issues. Train local medical staff; provision of reproductive health services: gynecological examinations, distribution of contraceptives. Support women victims of violence. Improve inter ethnic relation within the targeted communities through assessment of the presence and supporting equality in the representation.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X Public Health Institution Building
Geographic Coverage: at district level, in the following oblast: Kathlon. Status as of 31 December 2006: completed
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Name of the Project: Prevention of HIV\AIDS, protection and advocacy of the convicts
Donor Agency: EC Governmental counterpart department/Agency: Implemented by: Peshgiri Other partners:
Type of fund Grant Development Approval Date of Approval: 16.12.2005 Approved amount (total US$): 22 722.7 Duration Starting Date: 01.01.2006 End Date: 01.01.2007 Objectives: Facilitate observation of the fundamental human rights, to establish a communicative channel between the civil society and the prison, to provide to the prisoner the access to the first hand reliable information on HIV/AIDS’ prevention and treatment, to protect not only the prisoner but also their families from the risk of becoming infected, to address discrimination of HIV/positives in prisons and in the civil society.
Short description of project activities: Trainings, informational material, newsletter and establishment of information center for increase the prisoners’ attainments to clinical practice and medical treatment. Distribution of condoms and informational material for attainments of a responsible sexual behavior. Offering a voluntary anonymous test for HIV to 300 prisoners. Psychological support to the families.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X Public Health Institution Building
Geographic Coverage: at district level in the following rayons: Dushanbe. Status as of 31 December 2006: completed
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Name of the Project: Support to the creation of a model day care center for disabled children
Donor Agency: EC Governmental counterpart department/Agency: Implemented by: ARCADIS Other partners:
Type of fund Grant Development Approval Date of Approval: 22.12.2004 Approved amount (total US$): 259 195 Duration Starting Date: 15.02.2005 End Date: 15.02.2006 Objectives: The global objective of the project is to assist the beneficiary country in the development of alternative solution to traditional institutional care for disabled children through: Supporting and facilitating on the basis of a good practice and pilot projects developed with other organizations, the creation of a model day-care center in Dushanbe. Enhancing technical capacities of parents, local NGOs and current professional of the health system on modern methods of therapy for disabled children. Increasing awareness among government officials, parents’ associations and local NGOs inclusive education and alternative solutions to traditional institutional care for disabled children.
Short description of project activities: Develop an organizational framework as well as financial and institutional capacity for the establishment of a day care centre, organize and sustain a working group with parents. Deliver technical training to parents’ association, local NGO and student of the Pedagogical Institute and current professionals of the health system involved with disabled children on modern methods of therapy and rehabilitation. To develop an advocacy strategy for disabled children.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X Public Health Institution Building X
Geographic Coverage: at district level in the following rayons: Dushanbe. Status as of 31 December 2006: completed.
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ECHO
Name of the Project: Community based disaster prevention and mitigation
Donor Agency: ECHO (Humanitarian Aid aid of the European Commission). Governmental counterpart department/Agency: Implemented by: ACTED Other partners:
Type of fund Grant Development Approved amount (total US$): 106 957 (22.26% on Approval Date of Approval: hygiene campaigns= 23819) Duration Starting Date: End Date: Objectives: The general objective: is to reduce the consequences of natural disasters of vulnerable inhabitants of rural communities in Kathlon province and to improve their capacity to take adequate preventive and response measures.
Short description of project activities: ACTED has accomplished its site identification (data on each site should be inserted into the Geographical Information System) to order to • Strengthen Riverbed and prevent mudslides. • Preserve the soil trough environmentally sustainable means, including reforestation Training sessions on early warning signs, feedback mechanisms, health education and communication with key persons at the village level have being conducted at the regular basis.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X Public Health Institution Building
Geographic Coverage: at district level in the following rayons of Kathlon: Huroson, Yovon, Shaartuz, Muminobod Kulob, Kabodien, Vaksh N.Hisrav, Jomi, Bohtar, Norak. Status as of 31 December 2006: completed.
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Name of the Project: Health services improvement through the essential drugs supply to the PHC health facilities and training of health staff and preventive health through Community Based First Aid (CBFA) Training
Donor Agency: ECHO Governmental counterpart department/Agency: Implemented by: Netherlands Red Cross Other partners:
Type of fund Grant Humanitarian Aid Approval Date of Approval: 01.06.2006 Approved amount (total US$): 460 112 Duration Starting Date: 01.06.2006 End Date: 30.07.2007 Objectives: The general objective is to improve the health status of the population in the targeted communities. Improve the operational capacity of the targeted health facilities at primary level in Khatlon and RRS in delivering effective and quality health services by supplying essential medicines and medical supplies as well as training of health staff. Inform the targeted communities on disease prevention and enable them to tackle basic health problems and first aid issues at household level thank to the Community Based First Aid training.
Short description of project activities: • Distribution of Feldsher-Midwife Point and Rural Medical Ambulatory (SVA) kits. • Procure and distribute FA kits and Hygiene Kits (trained in). • Distribution of working material for monitoring groups on PHC facilities • Distribute additional drugs and essential medicines among targeted health facilities • Procurement of Equipment (such as computer, printing machine etc.) for the RCST regional medical departments in Kurgan Tube, Sugd, Kulob and GBAO. • Workshops, training and campaigns: • on-the-job training and coaching of RCST region/district staff by RCST headquarters medical staff. • on health care reform of the MoH to health staff in targeted Rural Medical Ambulatories (SVAs). • on disease prevention in all targeted PHC facilities to the patients applying for medical services • on prevention of HIV/AIDS and TB, clean water, sanitation, personal hygiene, ARI, Diarrhoea, Children’s infectious diseases and prevention of diseases, Healthy life style, Typhoid to volunteers and to target population. • on Training of Trainers for RCST branch medical instructors.
Components TA Training Civil Works Equipment D&S OPC PHC X X X Sec. & Hosps Areas of Community Health work X X Public Health Institution Building
Geographic Coverage: at district level, in the following oblast Kathlon; RRS; Sugd; GBAO. Dushanbe. Status as of 31 December 2006: ongoing
Comments, if any: It’s an yearly project run by IFRC since 1998 and by Netherlands Red Cross from 2004 on.
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Name of the Project: Infectious disease prevention and control
Donor Agency: ECHO Governmental counterpart department/Agency: Implemented by: Merlin . Other partners:
Type of fund Grant Humanitarian Aid Approval Date of Approval: 01.04.2006 Approved amount (total US$): 500 036 Duration Starting Date: 01.04.2006 End Date: 31.03.2007 Objectives: The general objective is to reduce morbidity and mortality in the target population through efforts to strengthen the health system and community capacity in the control of Infectious Diseases. The intended results are: to increase access to appropriate diagnosis and treatment for specific infectious diseases through strengthened MoH healthcare facilities in Kathlon and RRS. to improve infectious disease surveillance capacity at Rayon, Oblast, and Republican levels. to improve Public awareness in prevention of infectious diseases with increased community capacity for self-management of perceived health needs.
Short description of project activities: Together with the Public Health School of the Tajik Medical University, provide new round of training for public health and health care administrators from Khatlon and the Rasht Valley Conduct high level seminars for senior Khukumat, Department of Public Health, and Committee of Emergencies officials in transparent public health and outbreak control management Assist the MoH with enforcing its new protocol for Drug Stock Management by conducting trainings for 60 hospital head pharmacists Continue drug and laboratory distribution and monitoring at the same level as in the previous programme in both Khatlon (laboratory and drug supplies) and the Rasht Valley (only laboratory supplies). Train 50 laboratory technicians (and minor repair of laboratory equipment) Epidemiological supervision Health education
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps X X X X Areas of Community Health work X Public Health X X Institution Building X
Geographic Coverage: at district level in the following rayons of Kathlon: (all); RRS: Rasht, Nurobod, Tavildara, Rogun, Jirgatal, Tojikobad. Status as of 31 December 2006: ongoing.
Comments, if any: It’s an yearly project running since 1996.
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Name of the Project: Providing constant access of population to qualitative health services.
Donor Agency: ECHO Governmental counterpart department/Agency: Implemented by: PSF Other partners:
Type of fund Grant Humanitarian Aid Approval Date of Approval: 01.05.2006 Approved amount (total US$): 2 211 072 Duration Starting Date: 01.05.2006 End Date: 30.04.2007 Objectives: Improved access of the population to qualitative health services and steady access to essential medicines Short description of project activities: Capacity development on Republican Medical Procurement Center management for MoH staff on procurement process: suppliers and medicine selection, tender management, establishment of working protocol; distribution management: stock management and distribution plan, training on stock management and software, rationalization process in MoH warehouses. Procurement of equipment for Republican Medical Procurement Center warehouse in GBAO. Humanitarian Aid medicine order Elaboration of additional standard treatment guidelines on children disease by the working group Collection and destruction of expired medicines
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps X X X Areas of Community Health work Public Health Institution Building X X
Geographic Coverage: at district level in the following rayons of RRS: Fayzobod, Tursunzoda, Rudaki, Rasht, Nurobod, Tavildara, Rogun, Jirgatal, Tojikobad. Kathlon: Vaksh (this district includes Qurghan-Teppa), Kulob, Norak, Yovon; Sugd : Aini, Asht, Gonchi, K. Mastchoh, Isfara, Gafurov (this district includes Khujand), Konibodiem, Istaravshan, Zafarobod, Panjakent; GBAO: Ishkoshim, Rushon, Darvoz, Vanch, Shugnon; Dushanbe. Status as of 31 December 2006: ongoing
Comments, if any: It’s an yearly project running since 1995 with some changes in the geographical areas covered and in the facilities provided.
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Name of the Project: The program of treatment of malnutrition to reduce morbidity and mortality caused by severe malnutrition among children under 5 in Khatlon oblast.
Donor Agency: ECHO Governmental counterpart department/Agency: MoH Implemented by: Action Against Hunger Other partners:
Type of fund Grant Humanitarian Aid Approval Date of Approval: 01.05.2006 Approved amount (total US$): 789 669 Duration Starting Date: 01.05.2006 End Date: 30.04.2007 Objectives: Reduction of mortality and morbidity caused by severe malnutrition in children under 5 in Khatlon oblast.
Short description of project activities: 385 children stayed in the Therapeutic Feeding Center and 235 received treatment; 9 864 children with medium form of malnutrition received treatment in the Supplementary Feeding Center. To all children have been provided medicines food and seeds. 92 121 children were screened and 30 000 mothers had some form of training on nutrition; 19 Breast Feeding Support Groups were established/continued working, 8,131 women got support from the Groups; 249 mothers underwent a full course of training on how to grow fruits and vegetables and received some seeds. Medical staff from therapeutic feeding centres received training.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps X X Areas of Community Health work X Public Health Institution Building
Geographic Coverage: At district level in Kathlon: Vaksh(this district includes Qurghan-Teppa) Sarband, Bokhtar, Jomi', Kolkhozobod, Shaartuz, N.Hisrav, Jilikul, Kumsangir, Panj, Kabodien, Shurobod, Farkhor, Kulob, Hamadoni, Muminobod, Temurmalik, Vose'. Status as of 31 December 2006: Completed.
Comments, if any: It’s a project running annually since 1998.
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Name of the Project: Strengthening disaster preparedness plan for health services.
Donor Agency: ECHO Governmental counterpart department/Agency: Implemented by: WHO Other partners:
Type of fund Grant Development Aid Approval Date of Approval: 04.2006 Approved amount (total US$): 200 000 Duration Starting Date: 04.2006 End Date: 04.2007 Objectives: Health coordination mechanism dealing with health in crisis established at the country, inter-country ®ional level.
Short description of project activities: Ensure a focal point presence; Appoint and ensure presence of a public health coordinator for Humanitarian Aid health programs; create a Disaster Preparedness and Response Council (Rapid emergency assessment and coordinator team operating within the MoH and organize workshop on coordination.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health X X Institution Building X X
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing.
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Global Alliance for Vaccines and Immunization
Name of the Project: Immunization Services Support
Donor Agency: GAVI Governmental counterpart department/Agency: Republican Center for Imunoprophylaxis, MoH Implemented by: Republican Center for Imunoprophylaxis, MoH Other partners:
Type of fund Grant Development Aid Approval Date of Approval: 10.2004 Approved amount (total US$): 100 000 Duration Starting Date: 10.2004 End Date: 10.2006 Objectives: Immunization services support is financial support provided to national governments for the development of immunization services.
Short description of project activities: The support aims to stimulate increases in routine immunization coverage. It provides an incentive to increase coverage: the amount of funding the country receives annually depends on performance levels - measured by the number of additional children vaccinated with DTP3 compared to the previous year. All GAVI-eligible countries can receive ISS. ISS is no longer limited to countries with DTP3 coverage below 80%. GAVI support will last the duration of the updated comprehensive Multi-Year Plan for Immunisation (cMYP) which should be synchronised with the national planning cycle of the Ministry of Health. Countries can re-apply for ISS support in phase 2 and as often as a new cMYP is developed. The cMYP should be submitted with every application for ISS support.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health X X Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Completed. Comments, if any: Info from WHO.
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Name of the Project: Injection Safety Support.
Donor Agency: GAVI Governmental counterpart department/Agency: Republican Center for Imunoprophylaxis, MoH. Implemented by: Republican Center for Immunoprophylaxis, MoH. Other partners:
Type of fund Grant Development Aid Approval Date of Approval: 10.2004 Approved amount (total US$): 268 000 Duration Starting Date: 10.2004 End Date: 06.2006 Objectives: Injection safety support is available for a three year period to all successful applications from GAVI-eligible countries regardless of their DTP3 coverage.
Short description of project activities: The support is provided in the form of injection safety materials: Autodisable syringes and safety boxes for BCG and other vaccines containing either measles or DTP or polio or TT, according to the standard EPI schedule for infants. Countries can also apply to receive the equivalent cash grant in lieu of supplies.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health X Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Completed. Comments, if any: Info from WHO.
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Global Fund
Name of the Project: Malaria Control in Tajikistan.
Donor Agency: GFATM Governmental counterpart department/Agency: Republican Tropical Diseases Centre. Implemented by: UNDP Other partners:
Type of fund Grant Development Aid Approval Date of Approval: 20.03.2006 Approved amount (total US$): 2 772 000 Duration Starting Date: 01.04.2006 End Date: 31.03.2008 Objectives: The program proposes to strengthen institutional capacities of the national malaria control program and general health services; to improve access to early diagnosis and adequate treatment of malaria; to promote cost-effective and sustainable vector control; to improve the capacitty for timely response to and prevention of malaria outbreaks and epidemics; to reinforce country surveillance mechanisms; and to increase community awareness and participation in malaria prevention.
Short description of project activities: Planned activities include: developing skills and competencies by providing training to health authorities and health staff, including the laboratory personnel; establishing and maintaining a system for reliable and early diagnosis and effective and prompt treatment; upgrading the diagnostic laboratory facilities in the peripheral health settings; identifying all epidemic- prone areas (particularly affected by P. falciparum malaria), forecasting the potential situations and conducting operational research to address the effectiveness of interventions (vector bionomics, malaria stratification, methods of integrated vector control, drug efficacy monitoring etc.) and cultural, social and economic factors (knowledge, attitude and practice and other malaria-related behavior studies).
Components TA Training Civil Works Equipment D&S OPC PHC X Sec. & Hosps X Areas of Community Health work X Public Health X X X X Institution Building
Geographic Coverage: At National and District level. In RRS: Hissor, Vahdat, Rudaki, Tursunzoda; In Kathlon: Norak, Sarband, Bohtar, Vaksh(Qurghan-Teppa included), Yovon, N.Hisrav, Kumsangir, Shurobod, Vose', Kabodien, Dangara, Jomi', Muminobod, Kulob, Kolkhozobod, Hamadoni, Shaartuz, Farkhor, Panj, Temurmalik, Jilikul, Hovaling, Baljuvon. Status as of 31 December 2006: Ongoing.
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Name of the Project: Reducing the Burden of HIV/AIDS in Tajikistan.
Donor Agency: GFATM Governmental counterpart department/Agency: National AIDS Center, National Center for STD, Ministry of Labor, Ministry of Justice. Implemented by: UNDP Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 04.11.2004 Approved amount (total US$): 0 Duration Starting Date: 01.01.2005 End Date: 31.12.2009 Objectives: The objective of this HIV/AIDS component focus on expanding the activities on prevention of HIV among three vulnerable populations – migrants and their families, prisoners and street children. The main goals are: - to reduce HIV and syphilis prevalence among adults and young people to less than 0.1 %, - to increase percentage of young people using condoms during sexual intercourses with non-regular partners up to 50% , - to reach 90% per cent of prisoners adopted safe sexual and injecting behavior, and - to ensure that all PLWHA WHO need it have access to Highly Active Anti Retroviral Therapy.
Short description of project activities: The program supported with this Global Fund grant directly benefits migrants (and their families), prisoners and street children, as well as people living with HIV. The program provides these vulnerable populations with better access to voluntary counseling and testing services and scales up awareness-raising activities among them. It provides these target groups with improved access to health facilities providing services for the prevention and treatment of HIV and other sexually transmitted infections. In addition, the program provides prisoners with the means to prevent HIV, including education, condoms and a pilot needle exchange project in one prison. This grant also funds antiretroviral therapy, treatment for opportunistic infections, improved HIV diagnostics and monitoring, and strengthened national capacity in the provision of treatment, care and support for people living with HIV.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X Public Health X X X X Institution Building X X X X
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: Support to the National Program to Fight Tuberculosis (Round 3)
Donor Agency: GFATM Governmental counterpart department/Agency: . Implemented by: Project HOPE (Principal Recipient). Other partners: Centers for Healthy Life Style, National Tuberculosis Program, PSF.
Type of fund Grant Development Aid Approval Date of Approval: 24.09.2004 Approved amount (total US$): 2 269 178 Duration Starting Date: 01.11.2004 End Date: 31.10.2008 Objectives: The goal of the program is to stop further aggravation of epidemiologic situation, decrease incidence, disablement, and mortality rate by means of detection and treatment of infection source among the population, and prevention of TB drug resistance development, in accordance with WHO recommendations. The main objectives in fighting tuberculosis are: - detecting 70% of cases of bacillary forms of pulmonary tuberculosis. - curing 85% of newly detected cases of tuberculosis with positive smear.
Short description of project activities: This objective will be achieved by increasing public awareness of TB by funding TB prevention and treatment education for the general public, including targeted programs for high-risk groups and areas; strengthening laboratory capacity by training lab technicians and equipping laboratories; ensuring an uninterrupted supply of TB treatment is available; training physicians, nurses and other health care workers; increasing the diagnosis rates of individuals exposed to TB by funding contact tracing, especially among children; supporting the standardization of reporting and recording systems; and training staff in monitoring and quality control.
Components TA Training Civil Works Equipment D&S OPC PHC X Sec. & Hosps X X Areas of Community Health work X Public Health X X X X Institution Building X
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: Support to the Strategic Plan of the National Response to the HIV/AIDS epidemics in prevention activities among Intravenous Drug User, commercial sex workers and youth and envisaging blood safety in Tajikistan
Donor Agency: GFATM Governmental counterpart department/Agency: National AIDS Center Implemented by: UNDP Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 30.03.2003 Approved amount (total US$): 2 425 245 Duration Starting Date: 01.05.2003 End Date: 30.04.2006 Objectives: There are two main objectives: • to decrease vulnerability and behavioral risk of Intravenous Drug User s, Commercial Sex Workers and youth in order to reduce HIV/AIDS transmission, and • to improve capacities for HIV surveillance and blood safety control through development of national laboratory facilities
Short description of project activities: The program focused on HIV prevention by providing access to information, education and communication materials, voluntary counselling and testing services, treatment for sexually transmitted infections and the promotion of individual means of protection; distribution of condoms to commercial sex workers; and harm reduction for injecting drug users. In addition, the program improved laboratory facilities and monitoring and evaluation activities to increase blood safety practices during blood transfusions and during voluntary HIV testing.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X X Public Health X X X X Institution Building X X X X
Geographic Coverage: National level. Status as of 31 December 2006: Completed.
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Name of the Project: Technical assistance on TB.
Donor Agency: GFATM Governmental counterpart department/Agency: . Implemented by: WHO Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 12.2005 Approved amount (total US$): 20 000 Duration Starting Date: 01.01.2006 End Date: 31.12.2007 Objectives: Assistance to Tajikistan for accessing and implementing GFATM funds for TB control.
Short description of project activities: Assistance for GFATM on TB.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health X Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing. Comments, if any: Info from WHO.
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Government of Germany
Name of the Project: Tuberculoses Control Programme.
Donor Agency: KfW Development Bank (KfW Entwicklungsbank) Governmental counterpart department/Agency: Ministry of Economics and Trade, and Ministry of Health. Implemented by: Ministry of Health of the Republic of Tajikistan. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 3 328 858 Duration Starting Date: 30.08.2006 End Date: 30.08.2009 Objectives: TB control in Tajikistan within the national program of TB control.
Short description of project activities: Following program activities are Funding mechanism: - rehabilitation of the Republican Clinical Tuberculosis Hospital "Macheton" - equipping of the Republican Central Tuberculosis Center "Macheton" - procurement with medical and non-medical equipment for the Children Tuberculosis Hospital and for Republican Centre DOTS in Dushanbe - consulting services to support the Performer of the Program in implementation of coordinated actions of the Financial cooperation and in monitoring and drawing up of accounts.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps X X X Areas of Community Health work Public Health Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing. Comments, if any: During the consultancy under the request of MOH it was decided to integrate both KfW TB control program and to direct them to Machiton hospital. After the price estimation it became clear that both buildings of Machiton has to be rehabilitated and re-organized. Under hospital rationalization plan the total amount of beds from 700 has to be reduced to 420. It is designed that in both Machiton building all necessary services will be concentrated such as: kitchen, laundry, sterilization, department for pulmonary and extra-pulmonary TB, multi-drug resistant plus dpt., National reference laboratory, all diagnostic services and hospital administration. All other surrounding buildings outside of that 2 rehabilitated buildings will be eliminated.
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Government of Great Britain, Embassy
Name of the Project: The project “Preventive measures against drug addiction, HIV/AIDS and sexually transmitted diseases”.
Donor Agency: Government of Great Britain Governmental counterpart department/Agency: . Implemented by: Operation Mercy. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 4 119 Duration Starting Date: 01.01.2006 End Date: 31.05.2006 Objectives: Reduction of drug addiction and improvement of knowledge about drug harm in countryside of Tajikistan. Improvement of knowledge on STD and HIV/AIDS, carrying out of preventive measures for these diseases.
Short description of project activities: The program was implemented within population of villages Dehmalik, Esabnoy, Takob, Tuda, Hachachildipr. - Debates were conducted 3 times per week from January till May. Expectations were: Emerging of well educated group of young people with knowledge on fatal consequences of drug consumption; reduction of drug addiction - Reduction and caution of STD. After each session, brochures with information on risky sexual behavior and drug consumption were distributed.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X Public Health Institution Building
Geographic Coverage: At district level. RRS: Hissor, and Varzob. Status as of 31 December 2006: Completed.
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Government of Italy
Name of the Project: Mother and Child.
Donor Agency: Government of Italy Governmental counterpart department/Agency: . Implemented by: WHO. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 12.2005 Approved amount (total US$): 130 000 Duration Starting Date: 01.01.2006 End Date: 31.12.2007 Objectives: Making pregnancy safer to achieve MDG for maternal and child health.
Short description of project activities: Capacity building for developing clinical guidelines and improving maternal and prenatal care. Essential obstetric and essential newborn care training based on updated clinical guidelines. Maternal mortality and morbidity case reviews introduction to improve quality of care. Technical support for national mother and newborn health strategy component . Hospital care assessment. Adaptation of hospital care guidelines. Follow up of Integrated Management Childhood Illnesses (IMCI) interventions and environmental issues. Training on capacity building training in paediatric hospital care. Policies and strategies for neonatal and maternal health improvement.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps X X Areas of Community Health work Public Health Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing. Comments, if any: Info from WHO.
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Name of the Project: Enhancement of the hydro and socio-sanitary conditions in Jomi’, Gozimalik and Vose’ district – Kathlon Oblast- Tajikistan.
Donor Agency: Government of Italy Governmental counterpart department/Agency: Ministry of melioration and Water resourses Implemented by: COOPI (Cooperazione Internazionale) Other partners: .
Type of fund Grant Development Aid Approved amount (total US$): 952 787 ( 8.9% in Approval Date of Approval: 21.01.2003 hygienic campaigns =104.309) Duration Starting Date: 04.2004 End Date: 09.2007 Objectives: The general objective of the project is the water supply and participative development.
Short description of project activities: Water and Hygienic services supplies. In particular, to strengthen the water supply system (rehabilitation of hydropower pump station, building water distribution post, distribution of drinking water in the chosen districts). Capacity building of local institutions and community participation (direct attention to gender issues) health education campaigns.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X Public Health Institution Building X
Geographic Coverage: At district level in Kathlon: Jomi, Hurson, Vose. Status as of 31 December 2006: Ongoing. Comments, if any: Info from Italian MFA&COOPI.
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Government of Japan
Name of the Project: Assurance of Food Safety and Quality Control (training in Japan).
Donor Agency: Government of Japan Governmental counterpart department/Agency: . Implemented by: JICA. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 28 350 Duration Starting Date: 15.08.2006 End Date: 02.12.2006 Objectives: The Course is designed:(1)to acquire inspection techniques,(2)to acquire techniques of quality control on International Standards Organization and Hazard Analysis and Critical Control Point systems and monitoring in food manufacturing factories,(3)to understand the International Law(WHO) on food hygiene from farm to table.
Short description of project activities: One(1) participant out of 6 is invited from Tajikistan.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health X Institution Building X
Geographic Coverage: National level. Status as of 31 December 2006: Completed.
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Name of the Project: Equipment Supply Program for the Expanded Programme on Immunization (EPI).
Donor Agency: Government of Japan Governmental counterpart department/Agency: . Implemented by: JICA. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 253 000 Duration Starting Date: 2004 End Date: 2009 Objectives: Assisting in mother and child health care, reduction of morbidity and mortality of target group (children from 0 till 5 years).
Short description of project activities: Delivery of vaccines (4 basic vaccines such as BCG, measles, polio and DTP).
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health X Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: Equipment Supply Program for Maternal and Child Health.
Donor Agency: Government of Japan Governmental counterpart department/Agency: . Implemented by: JICA. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 127 000 Duration Starting Date: 2004 End Date: 2008 Objectives: Assisting in mother and child health care, reduction of morbidity and mortality of target group (children from 0 till 5 years).
Short description of project activities: Supply 6 basic medicine and equipment to the area where IMCI Program has been introduced.
Components TA Training Civil Works Equipment D&S OPC PHC X Sec. & Hosps X X Areas of Community Health work Public Health Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing. Comments, if any: .
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Name of the Project: Maternal and Child Health Support Project (training course held in Japan).
Donor Agency: Government of Japan Governmental counterpart department/Agency: . Implemented by: JICA. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 121 000 Duration Starting Date: 2005 End Date: 2010 Objectives: Assisting in mother and child health care, reduction of morbidity and mortality of target group (children from 0 till 5 years) through training program, and introduce PHC concept in the targeted communities.
Short description of project activities: Training courses for medical personnel (6 persons/every year ) in the field of maternal and child care in Kathlon Oblast.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps X Areas of Community Health work X Public Health Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: Project for the Improvement of Medical Equipment in Diakov Hospital.
Donor Agency: Government of Japan Governmental counterpart department/Agency: . Implemented by: JICA. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 4 400 000 Duration Starting Date: 01.04.2005 End Date: 22.04.2006 Objectives: Assist in strengthening mother and child care, reduction of infection rate and child mortality.
Short description of project activities: Medical equipment (for intensive care, operation, diagnostic, including tomograph).
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps X Areas of Community Health work Public Health Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Completed.
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Name of the Project: Project for the Capacity Building of the Federations of Disabled Peoples in Tajikobad District and Jirgatol District.
Donor Agency: Government of Japan Governmental counterpart department/Agency: Executive Branch of State Power in Tajikobad and Jirgatol Districts. Implemented by: Association for Aid and Relief, Japan (AAR). Other partners: Federation of Disabled Peoples in Jirgatol District, Federation of Disabled People in Tajikobad District
Type of fund Grant Development Aid Approval Date of Approval: 17.01.2006 Approved amount (total US$): 55 618 End Date: 19.09.2006 (End of Implementation) Duration Starting Date: 20.02.2006 09.11.2006 (Complete of Final Reporting Objectives: To procure and provide agricultural equipments to the disabled peoples’ federations which are self-help organizations for disabled peoples, aiming at achieving food security for disabled people and their families with sustainable manners and non- temporary measures like food provision.
Short description of project activities: 1. AAR procured 2 Tractors (MTZ-82), 2 potato planting machines (L-201), 2 plows (PLN-3.35) for the Federations. But, it was delay due to train trouble and increase of transportation cost. 2. Although the Dushanbe headquarters of the Federation promised to provide seed potato for the projects, the headquarters broke the promise. So, AAR procured seed potato, 9.3 ton for the Federation in Jirgatal and 7.7 ton for the Federation in Tajikabad, providing chemical fertilizer (N 2.2 ton, P 1.2 ton, K 0.65 ton), pesticide 2 liters, and tractor fuel 690 liters for each Federation. Due to low quality of seed potato and delay of planting, there was little land to plant, so AAR bought “planted potato” in farmlands. 3. Each Federation harvested potato and provide 50 disabled people with potato, after reserving for workers.
Components TA Training Civil Works Equipment D&S OPC PHC X X X Sec. & Hosps Areas of Community Health work X Public Health Institution Building X X X
Geographic Coverage: At District level. In RRS: Tajikobad, Jirgatol. Status as of 31 December 2006: Completed. Comments, if any: This unique project targets at providing disabled people with income-generating assets like tractors, based on the “Capability Approach” conceptual framework developed by Amartya Sen WHO was awarded the Nobel Prize for Economics. During the follow-up and evaluation process, in the meantime attention should be paid on distribution of income, agricultural management & practice skills and management style of the Federations. At the result of 1st year, the harvest was bad, so the Federations could not distribute potatoes, but keep potatoes for next year.
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Name of the Project: Provision of Medical Equipment to the Health Center of Nurobod District.
Donor Agency: Government of Japan Governmental counterpart department/Agency: Executive Branch of State Power in Nurobod District. Implemented by: Association for Aid and Relief, Japan (AAR). Other partners: Health Center of Nurobod District.
Type of fund Grant Development Aid Approval Date of Approval: 17.02.2006 Approved amount (total US$): 41 535 End Date: 19.09.2006 (End of Implementation) Duration Starting Date: 07.03.2006 09.11.2006 (Complete of Final Reporting) Objectives: To provide medical equipment and to do campaign for healthcare, in order to improve healthcare environment for local people.
Short description of project activities: 1) To procure Ultra Sound Machine, Ultra High Frequency apparatus, Ultra Violet Lamp, Amplipuls Apparatus, Electrophoresis Apparatus, Paraffin-Boiler, Dentist Machine MG1136, Slit Lamp. 2) To implement “traveling clinic” for one month, to awake recognition about “Physical Therapy” among local people. 3) To support a doctor to take a training course to become “Physical Therapist”. 4) To organize workshops to explain the activities of the Health Center. 5) To prepare and spread tract to explain about the activities of the Health Center.
Components TA Training Civil Works Equipment D&S OPC PHC X X X X Sec. & Hosps Areas of Community Health work X X Public Health X X Institution Building
Geographic Coverage: At District level. In RRS: Nurobod. Status as of 31 December 2006: Completed. Comments, if any: In 2003, through the AAR, Government of Japan supported to reconstruct the building of the Health Center in Nurobod District. It seems to take time to understand the effectiveness of the project. But, physical therapy apparatus seem to be the most effective because they can work without any medicine and mitigate physical pain.
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Name of the Project: Seminar on Emergency/Disaster Medicine (training in Japan).
Donor Agency: Government of Japan Governmental counterpart department/Agency: . Implemented by: JICA. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 12 370 Duration Starting Date: 05.11.2006 End Date: 06.12.2006 Objectives: This seminar is designed for senior physicians and /or administrators WHO are in charge of emergency and disaster medicine in emergency medical facilities and medical administrations in participating countries.
Short description of project activities: One(1) participant out of 9 is invited from Tajikistan.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health X Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Completed.
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Name of the Project: Training Course for Health Futurist-Development of Global health Officer (training in Japan).
Donor Agency: Government of Japan Governmental counterpart department/Agency: . Implemented by: JICA. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 26 810 Duration Starting Date: 01.09.2006 End Date: 10.10.2006 Objectives: Prevalence of Severe Acute Respiratory Syndrome (SARS) and HIV/AIDS makes world becomes closer, to meet this situation, all the participants invited to this training are requested to establish more effective and close network in order to share the relevant information to cope with the issues.
Short description of project activities: Two (2) participants out of 12 are invited from Tajikistan.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health X Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Completed.
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Government of Netherlands
Name of the Project: AFEW 2006-2009.
Donor Agency: Government of Netherlands (Oxfam NOVIB). Governmental counterpart department/Agency: . Implemented by: AIDS Foundation East West (AFEW). Other partners: local GBAO partner “Volunteer”.
Type of fund Grant Development Aid Approval Date of Approval: 11.05.06 Approved amount (total US$): 638 910 Duration Starting Date: 01.07.06 End Date: 30.06.09 Objectives: It is expected that this intervention will both decrease the rate at which HIV/AIDS shifts from a concentrated to generalized epidemic in Tajikistan, improve the quality of care and prevention for the target groups of people living with HIV/AIDS, injecting drug users, and sex workers, and change the mentality of service providers in GBAO to both cooperate with each other and prioritize clients' well being.
Short description of project activities: In this project, the local NGO Volunteer will be the primary focal point as they chair the local Coordination Committee of HIV/AIDS organizations in GBAO. A mini-grant component will provide the opportunity for the most qualified local service providers to secure funding to increase capacity of their organizations through organizational development as well as intensive professional training in client management by AFEW staff. AFEW will oversee, document and monitor the progress of service providers and the establishment of the client referral network.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X Public Health X X Institution Building
Geographic Coverage: At District level. In GBAO: Shugnon (this district includes Khorog). Status as of 31 December 2006: Ongoing.
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Name of the Project: “Service to people”: Safe motherhood and promoting sexual and reproductive health and rights in rural areas of Kazakhstan, Kyrgyzstan and Tajikistan.
Donor Agency: Government of Netherlands (Netherlands School of Public and Occupational Health -NSPOH). Governmental counterpart department/Agency: . Implemented by: Tajik Family Planning Alliance. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 01.12.2005 Approved amount (total US$): 43 000 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: The aim of the project is to contribute to the reduction of maternal and newborn mortality in the CA-countries.
Short description of project activities: 1. To increase over trainings professional competence of medical workers of primary perinatal level on service providing. 2. To increase information and knowledge of community in safe motherhood area via of preparing to birth courses. 3. To work up the linkage between community and health system and to strengthen potential for introduction of safe motherhood through to creation and work of Public Board or Found 4. To improve the referral system between primary perinatal level and district / region level to providing service through training of medical staff in the field of providing Emergency Obstetric Care and to complete an agreement about cooperation with the Public Boards assistance. 5. Improvement of the providing services quality by improving the technical base (equipments/ expenditure for materials).
Components TA Training Civil Works Equipment D&S OPC PHC X X X Sec. & Hosps X X X Areas of Community Health work X X X Public Health X X Institution Building X X
Geographic Coverage: At District level. In RRS: Shahrinav. Status as of 31 December 2006: Ongoing. Comments, if any: The project started on 2005. The project duration is 5 years.
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Global Partners
Name of the Project: Family Medicine trainings of trainers program.
Donor Agency: Global Partners Governmental counterpart department/Agency: MoH Implemented by: Global Partners Other partners: .
Type of fund Grant Development Aid Approved amount (total US$): 10.000 + yearly Approval Date of Approval: 05.2005 salaries of 2 GP physicians Duration Starting Date: 05.2005 End Date: 06.2008 Objectives: Train family doctors to train other national doctors.
Short description of project activities: On job trainings of 8 national family doctors selected by the Ministry , workshops and conferences.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps Areas of Community Health work Public Health Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing.
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Government of the Islamic Republic of Iran
Name of the Project: Health Care Unit.
Donor Agency: Government of the Islamic Republic of Iran. Governmental counterpart department/Agency: . Implemented by: Imam Khomeini Relief Foundation. Other partners: .
Type of fund Grant Humanitarian Aid Approval Date of Approval: . Approved amount (total US$): 100 000 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: The mission of the Imam Khomeini Relief Foundation, according to the statements of Muslim religion is to provide help to everybody WHO needs, despite differences in personal faiths and religious affiliations or language and nationality.
Short description of project activities: The Imam Khomeini Relief Foundation assists an average of 400 households every month. People have free access to the private ambulatories of the organization and to free drugs. For specific cases, the organization offers the treatment in the national Tajik hospitals or they bring the patients to Iran to provide them treatment they can not get in Tajikistan.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps X Areas of Community Health work X Public Health Institution Building
Geographic Coverage: At District level. In Kathlon: Kulob, Vaksh(this district includes Qurghan-Teppa). Status as of 31 December 2006: Completed. Comments, if any: It’s an yearly project.
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GlaxoSmithKline plc
Name of the Project: Personal Hygiene and Sanitation Education (PHASE).
Donor Agency: GlaxoSmithKline plc (grant payments sent to us through third party: Charities Aid Foundation). Governmental counterpart department/Agency: . Implemented by: Save the Children US. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 19.12.2005 Approved amount (total US$): 500 000 Duration Starting Date: 03.2006 End Date: 02.2008 Objectives: Objective 1: Improved use of school health and nutrition services by enrolled primary school children (indicators include: decreased rate of anemia, decreased parasite prevalence). Objective 2: Improved health and nutrition behavior of enrolled primary school children. Special emphasis will be placed upon “doing this at home,” identifying key factors which enable children and families to successfully take up and maintain essential health and hygiene behaviors in the household and community. (indicators include: improved health knowledge on hand washing, sanitation and hygiene and reported practice of hand washing, sanitation and hygienic behaviors). Objective 3: Develop internal capacity of SC and partners on PHASE programming working with village health committees and other community based organizations to plan and implement community projects and behavior change interventions to improve health and hygiene (indicators include: trainings held, cross sharing opportunities pursued and PHASE methodology disseminated to other SC School Health and Nutrition country programs).
Short description of project activities: There are four main program strategies: 1. Strengthening the behavioral component of School Health and Nutrition: Activities include development of health promotion materials for schools and training of teachers to use the materials (using Child to Child approach). 2. Increasing access to safe water and sanitation facilities. Activities include improvements to existing water and sanitation facilities at school,construction of new ones in a limited number of schools, setting up handwashing facilities in all schools. 3. Improving community support systems and School Health and Nutrition related policies. E.g training of Village and school committees to support Child to Child activities and improvements to water and sanitation facilities at school.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X X Public Health X X X Institution Building X X X
Geographic Coverage: At District level. Status as of 31 December 2006: Ongoing.
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International Committee of Red Cross
Name of the Project: Orthopedic Centre
Donor Agency: ICRC Governmental counterpart department/Agency: Ministry of Labour and Social Protection (MLSP). Implemented by: Tajik Red Crescent Society (TjRCS). Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 27.03.1998 Approved amount (total US$): 0 Duration Starting Date: 03.1999 End Date: . Objectives: Provide help to disabled person victims of mines explosion in Tajikistan.
Short description of project activities: 1. Centre was opened in September 1999. 2. The Centre started with the production of lower limb prostheses. 3. In 2000 a new physiotherapy room was built. 4. In 2000 in compliance with Plan of Action, MLSP managed to set up kitchen facilities in the Centre.. 5. In 2001 started to product elbow crutches. 6. In 2002 started to manufacture orthotic appliances for patients. 7. In 2005 fabrication of upper limb (hand prostheses). 8. Production of prostheses and orthotic devices from the very beginning is 3920 and 339 out of them has been provided to mine victims.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps X X X Areas of Community Health work Public Health Institution Building X
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing.
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Islamic Development Bank
Name of the Project: Construction and Equipping of Dangara General Hospital.
Donor Agency: Islamic Development Bank. Governmental counterpart department/Agency: Republic of Tajikistan. Implemented by: OPEC Fund. Other partners: .
Type of fund Loan Development Aid Approval Date of Approval: 20.06.2005 Approved amount (total US$): 10 505 000 Duration Starting Date: 31.05.2006 End Date: 31.12.2009 Objectives: To provide adequate health services to the population of Khatlon Region (oblast) and other neighboring regions.
Short description of project activities: Construction of a new hospital and provision of modern medical equipment for the necessary medical services. The project will enhance the development efforts of the Government of Tajikistan in maintaining appropriate health standards for the population and will support the development at the district level.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps X X X Areas of Community Health work Public Health Institution Building
Geographic Coverage: At District level. In Kathlon: Danghara. Status as of 31 December 2006: Ongoing.
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International Federation of Red Cross and Red Crescent Societies
Name of the Project: Polyclinic.
Donor Agency: Iranian Red Crescent Governmental counterpart department/Agency: . Implemented by: Iranian Red Crescent Society in Tajikistan and RCST. Other partners: .
Type of fund Grant Humanitarian Aid Approval Date of Approval: 05.2004 Approved amount (total US$): 100.000 Duration Starting Date: 01.2006 End Date: 12.2006 Objectives: The objective of this polyclinic is to provide treatment and drugs free of charge to people WHO need it in Tajikistan. This project started in 2004 and will run until 2014 when will be donated to the RCST.
Short description of project activities: Services provided by different wards as the pediatric and the gynecology ones. Laboratories and drug supply.
Components TA Training Civil Works Equipment D&S OPC PHC X X X Sec. & Hosps Areas of Community Health work Public Health Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: Community Based First Aid.
Donor Agency: Swedish Red Cross, Norwegian Red Cross, DFID. Governmental counterpart department/Agency: Ministry of Health, Healthy life-style centers, local authorities. Implemented by: RCST Other partners: Finnish Red Cross and Netherlands Red Cross.
Type of fund Grant Development Aid Approval Date of Approval: 27.11.2005 Approved amount (total US$): 28 565 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: By the end of 2007, a strengthened NS contributed to prevention of TB, HIV/AIDS/STD, drug abuse and communicable diseases among targeted communities of Tajikistan.
Short description of project activities: Knowledge and skills of 600 RCST volunteers and 54,000 people from five districts of Rasht valley on first aid, health promotion and response to local emergencies have been improved through Community Based First Aid trainings.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X Public Health X Institution Building
Geographic Coverage: At District level. In RRS. Status as of 31 December 2006: Completed.
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Name of the Project: HIV/AIDS.
Donor Agency: Swedish Red Cross, Norwegian Red Cross. Governmental counterpart department/Agency: Ministry of Health, local authorities, Drug control Agency, Healthy lifestyle centers. Implemented by: RCST Other partners: CAPACITY, Global Fund, UNAIDS.
Type of fund Grant Development Aid Approval Date of Approval: 27.11.2005 Approved amount (total US$): 45 850 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: By the end of 2007, a strengthened NS contributed to prevention of TB, HIV/AIDS/STD, drug abuse and communicable diseases among targeted communities of Tajikistan.
Short description of project activities: The RCST effectively contributed to HIV/AIDS/STD, TB and drug abuse prevention among the risk and marginalized groups and general population of 30 border districts in five regions of Tajikistan, as well as to promotion of tolerance towards PLWHA.
Components TA Training Civil Works Equipment D&S OPC PHC X Sec. & Hosps Areas of Community Health work X Public Health Institution Building
Geographic Coverage: At District level. In Sugd: Gafurov (this district includes Kairakum, Chikalvsk), Istaravshan, Isfara, Kathlon: Kulob, Hamadoni, Baljuvon, Farkhor; In GBAO: Shugnon. Status as of 31 December 2006: Completed. Comments, if any: Yearly project.
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Name of the Project: Water and Sanitation.
Donor Agency: Swedish Red Cross, Norwegian Red Cross. Governmental counterpart department/Agency: Ministry of Health, SES, local authorities. Implemented by: RCST Other partners: Spanish Red Cross on a bilateral basis.
Type of fund Grant Development Aid Approval Date of Approval: 27.11.2005 Approved amount (total US$): 85 676 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: By the end of 2007, the RCST has strengthened its capacity to improve the health status of targeted vulnerable population in Tajikistan through improved water & sanitation.
Short description of project activities: • 30,000 inhabitants from rural villages of Sughd oblast and RRS have got access to potable water through the construction of spring water supply systems using sustainable low-cost techniques and through community mobilization. • Sanitary conditions in the project area have been improved through the construction of latrines in 40 schools, 60 health institutions and 60 households in RRS, Khatlon and Sughd oblast. • Education level of communities involved in the construction of water and sanitation facilities has increased and hygienic behaviour has changed on a household level.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X X Public Health X Institution Building
Geographic Coverage: At District level. In RRS: Varzob, HissorSugd: Aini, Asht, Gonchi, Matschoh, J.RasulovKathlon: Kulob. Status as of 31 December 2006: Completed. Comments, if any: Yearly project.
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International Planned Parenthood Federation
Name of the Project: Abortion.
Donor Agency: International Planned Parenthood Federation European Network. Governmental counterpart department/Agency: . Implemented by: Tajik Family Planning Alliance. Other partners: CARE International, UNFPA, WHO.
Type of fund Grant Development Aid Approval Date of Approval: 01.12.2005 Approved amount (total US$): 20 000 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: To strengthen capacity of the partners’ clinics in Kulob, N.Hisrav, and Farkhor regions of Khatlon area, to promote access and provide high-quality abortion services including pre and post abortion counselling and contraception to low-income women, especially young women.
Short description of project activities: 1. To conduct two-day training for the 5 assessment team members. This training will prepare and familiarize the assessment team members with the tools and methodologies of rapid assessment as developed and agreed upon during the IPPF EN Regional Workshop in Bishkek (November 2005). 2. Pilot rapid-assessment of quality of abortion services in the partner clinic of Beshkent. Following the regional training, the trained assessment team members will conduct a pilot rapid assessment to test of the assessment tools and methodology. 3. To organize and conduct 2 rapid assessments of abortion services in the partner clinics of Kulyab and Farhor regions. Following the second regional workshop, which will be organized in Armenia in March 2006, TFPA will conduct 2 additional rapid assessments of 2 partner clinics. The tools and methodology used will have been finalized and agreed upon during the second regional workshop. 4. To develop an action plan. On the basis of assessments results the assessment team members will develop an action plan of for clinic. It will be organized three meeting on which working group will develop plan of actions by rapid assessment realization.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps X Areas of Community Health work X Public Health Institution Building
Geographic Coverage: At District level. In Kathlon: N.Hisrav, Farkhor, Kulyob. Status as of 31 December 2006: Completed. Comments, if any: In accordance to IPPF program annually we have 5 projects. Since 2005 we develop 5As projects and enter them to IPPF electronic Integrated Management System and the project officer annually approves the projects on December 1st and the termination of each projects is the end of the year exactly December 31 st .
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Name of the Project: Access.
Donor Agency: International Planned Parenthood Federation European Network. Governmental counterpart department/Agency: . Implemented by: Tajik Family Planning Alliance. Other partners: CARE International, UNFPA, WHO.
Type of fund Grant Development Aid Approval Date of Approval: 01.12.2005 Approved amount (total US$): 20 000 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: 1. To improve knowledge and skills of existing service providers in 2 project clinics (primary health care) in selected project regions, Shaartuz and Kabodien by the end of 2007. 2. To improve the knowledge of rural women and young people on modern methods of contraception, STD/HIV/AIDS prevention, safe motherhood and increase use of SRHR services in Shartuz region by the end of 2007. Short description of project activities: Activities for objective 1: 1. To conduct two 2-day monitoring visits to each of the project clinics in the selected regions. Two TFPA head office staff will conduct these visits to the selected regions to monitor the quality of the services provided by the providers trained in TFPA 2005 activities. 2. To organise and conduct a 2-day refresher training for the service providers of the project clinics in the two selected regions. Based on the results of the monitoring visits 2-day refresher training will be organised in each project clinic. Activities for objective 2: 1. To organize a meeting with community leaders in Shartuz region TFPA project coordinator and a representative (trainer) of the National Reproductive Health Centre will have an individual meeting with the community leaders in two target communities of the Shartuz region to identify the most active women in the communities. 2. To organise and conduct an extended meeting with community women in Shartuz and Kabadiyan to select outreach workers. Using the contacts provided by the community leaders the project coordinator will visit these women and request them to identify and bring other active women WHO might be interested to participate in the project to a joint meeting. 3. To prepare/review Information Education and Communication (IEC) materials, report cards, monitoring forms, manual on household visits, baseline. To prepare the necessary documents and materials required for a successful implementation of the community based activities. This will include amongst others the translation and reprinting of existing IEC materials into Tajik, development of report card and monitoring forms, to develop a questionnaire for the baseline study and to prepare copies of the existing guidelines for the household visits conducted by the outreach workers. 4. To organise and conduct initial five day training and a 3-day refresher raining for selected 25 identified outreach workers. Initial training The focus of the training will be on communication skills, SRHR issues, available SRHR services, guidelines to conduct the baseline survey, report/monitoring forms, work planning and to agree on the timeline for collection of the feedback 5. The 3-day refresher training will refresh the information disseminated during the initial training and will address any other issue raised by outreach workers following their experiences during the household visits or issues that were identified by TFPA staff during the monitoring visits. 6. Monitoring of the outreach workers by TFPA staff. Following the initial training for the outreach workers TFPA staff will monitor the activities (household visits) of the outreach workers. To this purpose two TFPA staff will undertake two 3-days monitoring visits to the Shaartuz region. Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps X X Areas of Community Health work X Public Health Institution Building Geographic Coverage: At District level. In Kathlon: Shaartuz, Kabodion. Status as of 31 December 2006: Completed. Comments, if any: In accordance to IPPF program annually we have 5 projects. Since 2005 we develop 5As projects and enter them to IPPF electronic Integrated Management System and the project officer annually approves the projects on December 1st and the termination of each projects is the end of the year exactly December 31 st .
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Name of the Project: Adolescents.
Donor Agency: International Planned Parenthood Federation European Network. Governmental counterpart department/Agency: . Implemented by: Tajik Family Planning Alliance. Other partners: CARE International, UNFPA, WHO.
Type of fund Grant Development Aid Approval Date of Approval: 01.12.2005 Approved amount (total US$): 20 000 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: 1. To improve skills and knowledge of young people on SRHR issues, with a special focus on religious groups in three regions of Khatlon Oblast by the end of 2006. 2. To reduce legal and cultural barriers jeopardizing adolescents SRHR in Tajikistan by the end of the project. Short description of project activities: Activities for objective 1: 1. To organize 3 roundtable meetings on youth SRHR issues with experts from different partner organizations in each project location. On the basis of outcomes of Knowledge, Attitude and Practice analysis provided by Peer education project in 2002 three round tables (one in each project region in rural areas of Khatlon Oblast) will be organized. In each meeting will be invited 25 participants from National Women and family affairs Committees, Youth Committee representatives, expert from Tajik Islamic Institute, TFPA staff and volunteers. The purpose of these meetings is to exchange and achieve a common idea on problems and barriers of providing SRHR information and youth education. 2. To conduct 2 focus groups (by force of active branch volunteers) on discussion attitude of parents and religious youth on SRHR of young people issues in three selected project regions. TFPA active volunteers will hold the given activity in target regions with the aim of assessing the level of knowledge and parents attitude to youth SRHR issues. 3. Information and educational activities for young people will be organized next project (2007) year, if parents and religious leaders will support project success. 4. To develop youth Website. Creation of website focus on building information and educational resource on SRHR issues of teenagers and youth including on line counseling. 5. Round table on creation youth website resource. The aim of conducting round table is establishing cooperation with Governmental and International Organizations on creation youth website resources. Is such organizations includes: Ministry of Health RT, Ministry of Education RT, National Reproductive Health Center, UNFPA, Republic Youth Committee, National Women and family affairs Committees (NWFAC), National Aids Center (NAC), International Organization of Migration (IOM), Ministry of social security. 6. Youth camp from active young people participated in TFPA activities by projects. The decision of conducting youth camp consisting of 20 people, suggested on idea how to interest youth and how to attract their attention to SRHR programmes. The idea of conducting summer camp for young people satisfies in all appeared questions. In what way? It will be formed 10 days programme by volunteer and active youth committee members’ participation in summer camp. Activities for objective 2: 1. To conduct an analysis of the current SRHR legislation on SRHR of adolescents. Using UNFPA developed methodology; UNFPA expert in close collaboration with TFPA staff will conduct an analysis of existing SRHR legislation situation. 2. To conduct film screening on adolescent’s SRH issues in three selected project areas. The given activity is pilot and bases on ways of the information assimilation by human sense and memory. It is scientific evidenced that human being assimilate information easily and keeps in its mind for a long time a visual memory. Components TA Training Civil Works Equipment D&S OPC PHC X Sec. & Hosps Areas of Community Health work X Public Health Institution Building Geographic Coverage: At District level. In Kathlon. Status as of 31 December 2006: Completed. Comments, if any: In accordance to IPPF program annually we have 5 projects. Since 2005 we develop 5As projects and enter them to IPPF electronic Integrated Management System and the project officer annually approves the projects on December 1st and the termination of each projects is the end of the year exactly December 31 st .
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Name of the Project: HIV/AIDS.
Donor Agency: International Planned Parenthood Federation European Network. Governmental counterpart department/Agency: . Implemented by: Tajik Family Planning Alliance. Other partners: UNFPA, WHO.
Type of fund Grant Development Aid Approval Date of Approval: 01.12.2005 Approved amount (total US$): 20 000 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: To improve access of labour migrants to high-quality information and counseling on STD/HIV/AIDS by the end of the project in the pilot region.
Short description of project activities: 1. Monitoring of the existing counseling services and on-job refresher training for the 2 centers in the project region. In 2006, the TFPA project coordinator and executive director will conduct 4 monitoring visits to each of the counseling centers. In addition to the monitoring activity; a short on-job refresher training will be provided to the service providers. The first refresher training will focus on counseling skills. The following topics of the trainings will be identified through a short questionnaire to assess the service providers' needs during the first visit in March 2006. 2. To organize and conduct 2 focus group discussions with labour migrants in the Kuylab area. TFPA staff will conduct 2 focus group discussion with labour migrants from the project region Kulyob to identify barriers to access STD/HIV/AIDS and SRHR information as well as their preferences on receiving the information (how, where,.). 3. To organize and conduct 2 focus group discussions with migrant workers on existing Information Education and Communication (IEC) materials on STD/HIV/AIDS. TFPA staff will organize and conduct two focus group discussions with labour migrants in the project region to test and discuss existing IEC materials on STD/HIV/AIDS. 4. To develop a plan of action to improve access to STD/HIV/AIDS information. Based on the outputs of the 2006 activities in this project, TFPA will develop a plan of action to address the barriers to access information on STD/HIV/AIDS and SRHR for labour migrants. 5. Condom distribution in the project counseling centers in Kulyab area. The national HIV/AIDS Center will provide the project with free condoms to be distributed at the project pilot counseling centers in the departure areas of the Kulyab airport and railway station. In order to receive the condoms TFPA will make an agreement with the national AIDS Center.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps Areas of Community Health work X X Public Health Institution Building
Geographic Coverage: At District level. In Kathlon: Kulob. Status as of 31 December 2006: Ongoing. Comments, if any: In accordance to IPPF program annually we have 5 projects. Since 2005 we develop 5As projects and enter them to IPPF electronic Integrated Management System and the project officer annually approves the projects on December 1st and the termination of each projects is the end of the year exactly December 31 st .
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Name of the Project: HIV/AIDS.
Donor Agency: International Planned Parenthood Federation European Network. Governmental counterpart department/Agency: . Implemented by: Tajik Family Planning Alliance. Other partners: UNFPA.
Type of fund Grant Development Aid Approval Date of Approval: 01.12.2005 Approved amount (total US$): 20 000 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: Increase support for SRHR among policy and decision-makers, religious leaders and parents in the selected project areas by the end of 2007.
Short description of project activities: 1. National Advocacy meeting on youth SRHR for decision and policy makers, religious leaders. National Advocacy meeting will last for one day in Dushanbe. Appropriate facility will be rented to conduct the meeting. The purpose of the meeting is to present the results of the report on youth SRHR and discuss recommendations, to review national strategic plan on reproductive health and the national reproductive rights law in relation to youth SRHR and to discuss the reproductive law implementation in the light of youth reproductive rights. 2. Preparation of analytical report on youth SRHR in the country. The Association will prepare the report. The Association will collect information from following agencies: National Center on Medical Statistics, National Reproductive Health Center, Institute of Ob/Gyn and Pediatrics, Ministry of Health and Ministry of Education. The MA staff will make analysis. 3. Round table meeting on youth SRHR at the regional level. The round table meetings will be conducted in each of three selected regions by the Association staff. The purpose of the meeting is to improve understanding on youth SRHR among local juridicial, health, education, religion and security representatives and to establish a mechanism on ensuring reproductive rights for youth in the region. The report on youth SRHR, results of the National Advocacy Meeting and National SP on Reproductive Health and RR Law will be presented during the meeting.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X Public Health Institution Building X
Geographic Coverage: At District level. In Kathlon: Kulob. Status as of 31 December 2006: Completed. Comments, if any: In accordance to IPPF program annually we have 5 projects. Since 2005 we develop 5As projects and enter them to IPPF electronic Integrated Management System and the project officer annually approves the projects on December 1st and the termination of each projects is the end of the year exactly December 31 st .
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OSCE
Name of the Project: Supporting and strengthening the Women Resource Centres-2006.
Donor Agency: OSCE Governmental counterpart department/Agency: . Implemented by: NGO “Bonuvoni Khatlon” (Qurghan Teppa), NGO “Darmonbaksh” (Jillikul), NGO “Garm Development Centre” (Garm), NGO “Marifat” (Khuroson), NGO “Mehrubon” (Kabodion), NGO “Mohi Munir” (Kumsangir), NGO “Najoti kudakon” (Kulob),NGO ‘Oksana” (Kolkhozobod), NGO “Women against violence” (Istaravshan). Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 01.02.2006 Approved amount (total US$): 67 661 Duration Starting Date: 01.02.2006 End Date: 30.11.2006 Objectives: The project aims to create a favorable environment for women rights promotion\protection and gender equality via the creation of sustainable structures that play a key advocacy role within the local communities. These will be achieved via strengthening and supporting the Women Resource Centers created in the following areas:Qurghan-Teppa, Kolkhozobod, Kumsangir, Khuroson, Kabodion, Jillikul, Garm, and Istaravshan.
Short description of project activities: The Women Resource Centers will: • provide free legal and psychological consultation to women and girls, victims of domestic and gender –based violence, • enable women to receive legal redress when appropriate, • raise the awareness of the local population on women’s rights via provision of tailored seminars and the involvement of community leaders and local authorities in roundtables and meetings, • support women empowerment via vocational courses and highlight the importance of women’s role for the development of the society The target groups of the project are girls and women of different age in social and economic distress, with limited access to information, health care and transport.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X Public Health Institution Building X
Geographic Coverage: National level. Status as of 31 December 2006: Completed. Comments, if any: It’s a yearly project.
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OSI
Name of the Project: Public Health Program.
Donor Agency: OSI Governmental counterpart department/Agency: Ministry of Health of the Republic of Tajikistan, Ministry of Education of RT, Drug Control Agency under the President of the Republic of Tajikistan, the Ministry of Justice of RT, AIDS Center. Implemented by: Tajik Institution Subsidiary "Open Society"- Cooperation Fund. Other partners: NGO "Most", NGO "Dina", "Guli Surh", Tajik Harm Reduction Association, NPO SPIN + NGO RAN, NGO "Volunteer".
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 560 000 Duration Starting Date: 01.01.2006 End Date: 01.12.2008 Objectives: Impact on health reforms through qualification upgrade of public health experts by learning and study of foreign and local experience. Support to the Tajik Harm Reduction Association in prevention and provision of first aid when overdose of drugs. Implementation of the Memorandum of Understanding with the MoH for experts training on ARV therapy for HIV.
Short description of project activities: Number of trained experts. Development of guidelines and manuals. Health Care with ARV therapy. Client participation. Adherence to therapy.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health X X X Institution Building
Geographic Coverage: At District level. In Dushanbe; In Kathlon: Kulob; In GBAO: Shugnon (this district includes Khorog), Rushon; and in Sugd: Gafurov (this district includes Khujand). Status as of 31 December 2006: Ongoing.
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OXFAM Netherlands
Name of the Project: Community Based Health- Ferghana Valley
Donor Agency: Oxfam NOVIB Governmental counterpart department/Agency: Implemented by: Tajik Family Planning Alliance
Type of fund Grant Development Aid Approval Date of Approval: 01.12.2005 Approved amount (total US$): 20 000 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: 1. To improve knowledge and skills of existing service providers in 2 project clinics (primary health care) in selected project regions, Shaartuz and Kabodien by the end of 2007. 2. To improve the knowledge of rural women and young people on modern methods of contraception, STD/HIV/AIDS prevention, safe motherhood and increase use of SRHR services in Shartuz region by the end of 2007. Short description of project activities: • A Health Promotion Network/HPN of 1200 skilled Community health Workers/CHWs has been established and covers 80 000 households and 200 schools on a monthly basis.(600 in TAJ& 600 in UZB). • ACTED successfully developed a curriculum for health education includes 2 components: • Core topics: Reproductive health, child care, STDs, Hygiene and sanitation. These core topics will be the basis for creation of community based initiatives and organizations. • Monthly topics: waterborne diseases, family planning, brucellosis, first aid • Creation of 300 community based initiative groups which carry out the health promotion activities in 150 villages. • Increased Cross border links. better (recreated) links between cross border authorities on the understanding and co- operation on the regional health issues. This is highly needed in a context in which health can become a source of inter- govt tension. • Increase in Knowledge of rural populations on the symptoms, transmission and prophylaxis of the most relevant diseases, verified through monthly Knowledge, Attitude and Practice surveys • Increase link between authorities and health civil society structures in the target areas through exchange information and the creation of structures of dialogues in every jamoat of intervention. • As a result of one epidemiological (in 8 villages) and two parasitological (in 2 villages) studies recommendations have been submitted to the health authority and international organizations on optimum methods to fight against the mosquitoes in UZB cross border areas (Andijon and Farg'ona). • Three surveys on health awareness have been conducted; one before the CHWs begin health education activities and the others are yearly to assess the impact of ACTED health activities. • Monthly Knowledge, Attitudes and Practice surveys have been conducted to monitor the progress of those receiving health education. • 140000 students from 200 rural schools have been educated in health and hygiene issues including HIV/Aids, Reproductive and Child Helath, first aid and infection and waterborne diseases. • Enhance the health education of 80000 households and 200 schools people in at least 250 villages and mobilise them around health promotion that will lead to change practices and attitudes towards health and hygiene issues. • 20% reduction in incidence of major infections and viral disease. • Health promotion made a mandatory activity in schools and medical points of Sughd, Ferghona and Andijon regions. • At least 95% of the CHW are already employed in medical points or schools. • Prevention of malaria in Uzbek border areas through distribution of 6000 ITNs and establishment of Gambusia fish in rice field of 8 cross boarder villages of Uzbekistan. Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps X X Areas of Community Health work X Public Health Institution Building
Geographic Coverage: At district level, in the following rayons of Sugd: Spitamen, J.Rasulov, Gafurov, Isfara, Shahriston, Asht, Gonchi, Konibodom, Istaravshan. Status as of 31 December 2006: Ongoing.
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SDC
Name of the Project: Community Health Project.
Donor Agency: SDC Governmental counterpart department/Agency: Gorno Badakhshan Autonomous Oblast, Oblast Health Department. Implemented by: Aga Khan Health Services. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 17.08.2006 Approved amount (total US$): 896 000 Duration Starting Date: 01.09.2006 End Date: 30.06.2009 Objectives: To improve the health status of the community in general but especially the health of children under five years and women of reproductive age.
Short description of project activities: Inform and involve new communities in measures to promote their well being; build the capacities of health professionals, local health institutions and community-based volunteers to deliver healthy lifestyle messages and to implement the family medicine strategy; ensure sustainable and uninterrupted supply of essential drugs through a model that is financially and institutionally sustainable; ensure that the communities’ health needs are being communicated back to the Department of Health (DoH); increase collaboration with partner NGOs working to achieve similar objectives in health care in Tajikistan.
Components TA Training Civil Works Equipment D&S OPC PHC X X X X Sec. & Hosps Areas of Community Health work X X Public Health Institution Building X
Geographic Coverage: At district level, in GBAO. Status as of 31 December 2006: Ongoing.
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Name of the Project: Health Component of the Project "Social Development in Eastern and South Eastern Tajikistan" phase 3.
Donor Agency: SDC Governmental counterpart department/Agency: Oblast Health Department, Gorno Badakhshan Autonomous Oblast. Implemented by: Aga Khan Health Services. Other partners: AKF
Type of fund Grant Development Aid Approval Date of Approval: 28.10.2004 Approved amount (total US$): 632 000 Duration Starting Date: 01.05.2004 End Date: 31.12.2006 Objectives: To improve quality, accessibility and affordability of essential health services in GBAO for the WHOle population, with a special attention given to the health status of the most vulnerable groups.
Short description of project activities: Expected results: 1. A structure of accessible PHC facilities is in place which implies rationalizing the network of medpoints and ambulatories. 2. National workshops and seminars have been conducted on a regular basis in GBAO, Dushanbe and in Garm. 3. A proper referral system for oblast is developed. 4. Number of oblast medical staff has received re-training. 5. Community is involved in health services provision through Village Health Committees in all villages in GBAO. 6. Health education knowledge, proper practices among communities increased. 7. The number of infectious diseases among the vulnerable groups has decreased by 25%.
Components TA Training Civil Works Equipment D&S OPC PHC X X X Sec. & Hosps X Areas of Community Health work X X Public Health Institution Building X X
Geographic Coverage: At district level, in GBAO. Status as of 31 December 2006: Completed.
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Name of the Project: Health Policy Dialogue Project to Support the Ministry of Health.
Donor Agency: SDC Governmental counterpart department/Agency: Ministry of Health. Implemented by: International unit of the Ministry of Health. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 13 600 Duration Starting Date: 01.04.2003 End Date: 31.12.2006 Objectives: To contribute to an improved health status of the Tajik population by improved exchanges between donors on one side and the MoH on the other.
Short description of project activities: Improve the effectiveness of the ongoing Health Sector Reform through supporting the Ministry of Health with the establishment of a "Health Reform Sector - Secretariat” ; enabling the MoH to coordinate the diverse donors' interventions by organizing quarter-yearly meetings and sharing information about activities.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health Institution Building X
Geographic Coverage: National level. Status as of 31 December 2006: Completed.
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Name of the Project: Strengthening Health Research Capacities in Support of Health Sector Reform.
Donor Agency: SDC Governmental counterpart department/Agency: Ministry of Health: – Human Resources and Science Unit. Implemented by: Council on Health Research for Development (COHRED). Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 08.2003 Approved amount (total US$): 128 000 Duration Starting Date: 01.09.2003 End Date: 31.12.2006 Objectives: To strengthen the national health research system in Tajikistan by raising awareness of the need for information and evidence and by contributing to capacity development of the young generation of Tajik researchers and health professionals.
Short description of project activities: Expected results: A report describing the institutions involved in health research and health policy & planning, available.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health Institution Building X
Geographic Coverage: National level. Status as of 31 December 2006: Completed.
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Name of the Project: Support the Library of the Tajik State Medical University.
Donor Agency: SDC Governmental counterpart department/Agency: Tajik State Medical University named after Avicenna. Implemented by: . Other partners: .
Type of fund Grant Development Aid Date of Approval: 05.12.2006 Approval Agreement between the SCO and TSMU had Approved amount (total US$): 154 000 been signed. on 18.01.07 Duration Starting Date: 01.12.2006 End Date: 31.05.2007 Objectives: To ensure better quality medical education by providing the library of the TSMU with basic stocks of up-to-date learning materials to be put at the disposal of students for their core medical education.
Short description of project activities: To provide the TSMU library with stocks of basic medical educational books.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health Institution Building X X
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing. Comments, if any: 5.043 books have been purchased and delivered to TSMU.
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Name of the Project: Tajik-Swiss Health Reform and Family Medicine Support Project (Project SINO) - 1st phase.
Donor Agency: SDC Governmental counterpart department/Agency: Planning, coordination and health care reform department of Ministry of Health. Implemented by: The Swiss Center for International Health (SCIH) of the Swiss Tropical Institute (STI). Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 18.03.2003 Approved amount (total US$): 3 280 000 Duration Starting Date: 01.04.2003 End Date: 31.03.2006 Objectives: To contribute to improvement of health status and access to health services of the population Tajikistan in particular the poorest.
Short description of project activities: Expected outcomes: access to high quality primary health care services is improved and tested models for health promotion are available; Tuberculosis control using DOTS strategy is designed and implemented in selected pilot areas; Skills to plan, manage, monitor and evaluate health services are improved.
Components TA Training Civil Works Equipment D&S OPC PHC X X X X Sec. & Hosps X X Areas of Community Health work X X Public Health Institution Building X
Geographic Coverage: At District level. In RRS: Varzob, Tursunzoda, Shahrinav; In Kathlon: Dangara. Status as of 31 December 2006: Completed.
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Name of the Project: Tajik-Swiss Health Reform and Family Medicine Support Project (Project SINO) - 2nd phase.
Donor Agency: SDC Governmental counterpart department/Agency: Planning, coordination and health care reform department of Ministry of Health. Implemented by: The Swiss Centre for International Health (SCIH) of the Swiss Tropical Institute (STI). Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 13.10.2006 Approved amount (total US$): 3 200 000 Duration Starting Date: 01.04.2006 End Date: 31.03.2009 Objectives: To contribute to the improvement of health status and access to health services of the population of Tajikistan, in particular of the most vulnerable.
Short description of project activities: 1) Involvement of community groups has increased thereby family medicine services in pilot rayons are further strengthened; 2) Access to high quality PHC services is improved and tested models for family medicine are available; 3) Relevant experiences to health policy planning and decision-making have been transferred and disseminated and activities with health sector partners are better harmonized.
Components TA Training Civil Works Equipment D&S OPC PHC X X X Sec. & Hosps X X Areas of Community Health work X X Public Health Institution Building X
Geographic Coverage: At District level. In RRS: Varzob, Tursunzoda, Shahrinav; In Kathlon: Dangara. Status as of 31 December 2006: Ongoing.
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Name of the Project: World Bank Community and Basic Health Project (co-Funding mechanism).
Donor Agency: SDC Governmental counterpart department/Agency: Planning, coordination and health care reform department of Ministry of Health. Implemented by: World Bank Health Project Implementation Unit. Other partners: SIDA; World Bank.
Type of fund Grant Development Aid Approval Date of Approval: 07.07.2006 Approved amount (total US$): 1 300 000 Duration Starting Date: 01.07.2006 End Date: 31.12.2009 Objectives: To increase access to, utilization of, and patient satisfaction with health services in project-supported areas, and to build capacity and efficiency at national oblast and rayon levels in administering the Basic Benefits Package and per capita Funding mechanism for primary health care.
Short description of project activities: Strengthening Policy, Planning and Donor Coordination in the Ministry of Health; Implementing Organizational and Funding mechanism Reforms in the Health Sector; Strengthening Primary Health Care in Selected Rayons (retrain primary health care workers in project rayons under approved family medicine training scheme).
Components TA Training Civil Works Equipment D&S OPC PHC X X X X Sec. & Hosps X X Areas of Community Health work Public Health Institution Building X
Geographic Coverage: Both at National and District level. In Sugd: Asht, Spitamen; In Kathlon: Norak, Sarband, Kabodien, Shurobod. Status as of 31 December 2006: Ongoing.
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SIDA
Name of the Project: Community and Basic Health Project.
Donor Agency: SIDA Governmental counterpart department/Agency: Ministry of Health. Implemented by: USAID; SDC; Project Sino; WHO; UNICEF; ADB; Mercy corps; AKF; ACTED. Other partners: SDC, SIDA.
Type of fund Grant Development Aid Approved amount (total US$): 6 860 000 (out of a Approval Date of Approval: 19.12.2005 global amount of 17,2 million) Duration Starting Date: 01.06.2006 End Date: 30.04.2010 Objectives: To increase the access to health services and patients’ satisfaction. To build capacity and efficiency in administering the Basic Benefits Package and per-capita Funding mechanism for PHC, in both levels, national and oblast\ rayon wide.
Short description of project activities: a) Create the Health Policy Analysis Unit, build MoH capacity through Funding mechanism TA (on sector strategy and communication) organize conference to improve MoH-donors coordination. b) Reorganization of management of the PHC system, operational the Basic Benefits Package in hospitals, strengthening the Economic and financial Planning Unit of the MoH trough applying output-based budget formulation. c) Finance civil works, medical equipment, furniture etc. to PHC infrastructure, promote dialogue between PHC providers and communities,, training of PHC doctors and nurses.
Components TA Training Civil Works Equipment D&S OPC PHC X X X X X Sec. & Hosps X X Areas of Community Health work X Public Health X X Institution Building X X
Geographic Coverage: At District level. In Sugd and Khatlon. Status as of 31 December 2006: Ongoing.
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Name of the Project: Strengthening Primary Health Care services and Outreach (Component C2 of Community and Basic Health project).
Donor Agency: SIDA Governmental counterpart department/Agency: Ministry of Health Implemented by: ACTED, AKF, Mercy Corps; Other partners: SDC, WB
Type of fund Grant Development Aid Approved amount (total US$): 4 290 000 (out of a Approval Date of Approval: 10.11.2006 total contribution of 6.86 million in a global project of 17.2 million) Duration Starting Date: 01.11. 2006 End Date: 30.04.2010 Objectives: Strengthen engaged dialogue between Primary Health Care system and the communities they serve. Initiate a process of technically-guided dialogue, prioritization and micro planning between health workers and communities, including small grants program to back it up.
Short description of project activities: Establish an institutional structure for consultation and action on health issues at the village level. Using local consultant in conjunction with front-line health staff (e.g. community nurses) to: • carry out a planned program of health education; • prioritize health issues and the means required to solve them; • design a program of targeted interventions for vulnerable groups and priority health issues; • develop a proposal for remedial actions that can be financed with small grants (<1000$).
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps Areas of Community Health work X Public Health Institution Building
Geographic Coverage: At District level. In Sugd and Khatlon. Status as of 31 December 2006: Ongoing.
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UNAIDS
Name of the Project: UN joint advocacy project on HIV/AIDS in Tajikistan.
Donor Agency: UNAIDS Governmental counterpart department/Agency: National Coordination Committee on HIV, tuberculosis and malaria, MoH. Implemented by: UN Agencies, Tajik Red Crescent, national partners from Government sector, NGOs. Other partners: UNDP, UNFPA, UNICEF.
Type of fund Grant Development Aid Approval Date of Approval: 12.2005 Approved amount (total US$): 410 294 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: The purpose of the Joint United Nation advocacy project in Tajikistan 2006 is to strengthen the enabling environment and supporting capacity for prevention and care of HIV/AIDS and increase HIV/AIDS awareness among targeted groups. This will be done in support of the National HIV/AIDS Strategic Plan 2002-2005. Increase the knowledge and the attitudes regarding HIV/AIDS among general population particularly young people. Strengthen the essential element of the enabling environment for en effective expanded national response.
Short description of project activities: Increase the knowledge and attitudes of the general population particularly youth and other specific target groups about the modes of transmission and means of preventing HIV, expanded access to VCT, perception of personal risk and improve attitude regarding HIV/AIDS and towards those living with or affected by HIV/AIDS. Strengthen the partnership between donors and the National Coordination Committee Secretariat to function on regular base. Develop a detailed budget for the National Program on HIV/AIDS and mobilize resources. Advocacy and support to reduce stigma and discrimination of PLWH among medical workers and general population. Public sector media campaigns trough local newspaper, radio seminars.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health X X X Institution Building X
Geographic Coverage: At District level. In Kathlon: Kumsangir, Panj, Jomi', Sarband, Kulob, Jilikul, Hamadoni, Yovon, Shaartuz, Norak, Hovaling, Baljuvon, Vaksh(this district includes Qurghan-Teppa) Kabodien, Dangara, Vose', Kolkhozobod, Bokhtar; In Sogd:Gafurov (this district includes Kairakum, Chikalvsk), Isfara, Istaravshan, J.Rasulov, Spitamen, Asht, Aini, Penjakent; In GBAO: Shugnon (this district includes Khorog), Rushon; In RRS: Tursunzoda, Hissor, Rasht. Status as of 31 December 2006: Completed.
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UNFPA
Name of the Project: Enhanced availability of quality and gender sensitive reproductive health services – Maternal Health.
Donor Agency: UNFPA Governmental counterpart department/Agency: Implemented by: UNFPA. Other partners: MoH, Tajik Institute of Post graduate education of Health staff, WHO.
Type of fund Grant Development Aid Approval Date of Approval: 24.05.2006 Approved amount (total US$): 410 963 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: Increase of the use of the primary level reproductive health services with a focus on family planning, preventing complications from unsafe abortions, safe delivery and HIV/AIDS prevention, particularly by the population in the greatest need. Improve the availability of high-quality, gender-sensitive reproductive health information, counseling and services, including family planning and HIV/AIDS prevention, through enhanced institutional and technical capacities of the government and NGOs.
Short description of project activities: Assessment on abortion and post-abortion complications management and training of Reproductive Health personnel in Soghd and Kathlon on complications and infections. Establishment of an Emergency Medical Obstetrics Care monitoring group. Workshop on CP and on Contraceptive Logistics Management Information System (CLMIS). Coordination meetings on CLMIS. Contraceptive promotion campaigns and publications. Gender campaigns, initiatives and conferences. Provision of reproductive health equipment.
Components TA Training Civil Works Equipment D&S OPC PHC X X X Sec. & Hosps X X Areas of Community Health work X Public Health Institution Building X X
Geographic Coverage: At District level. In Soghd and Kathlon. Status as of 31 December 2006: Completed. Comments, if any: It’s an yearly project running from 2005 to 2009.
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Name of the Project: Enhanced awareness and understanding of adolescents of their sexual and reproductive health needs and rights.
Donor Agency: UNFPA Governmental counterpart department/Agency: MoH. Implemented by: UNFPA. Other partners: Local NGOs, Youth clubs/centres, mass media, University and secondary schools.
Type of fund Grant Development Aid Approval Date of Approval: 20.06.2006 Approved amount (total US$): 136 520 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: Increase of the use of primary level reproductive health services, with a focus on family planning, preventing complications from unsafe abortions, safe delivery and HIV/AIDS prevention, particularly by the population in greatest need.
Short description of project activities: Training for trainers (NGOs and teachers), seminars on ICDP, Training of Trainers for volunteers, publications, purchase of equipment for Youth clubs/centers, mass media campaigns on HIV prevention, Knowledge, Attitude, Practice and Behavior survey.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X X Public Health X Institution Building
Geographic Coverage: National level. Status as of 31 December 2006: Completed. Comments, if any: It’s an yearly project running from 2005 to 2009.
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Name of the Project: Establishment of monitoring and evaluation system to ensure more effective reproductive healthcare for all persons particularly the poor.
Donor Agency: UNFPA Governmental counterpart department/Agency: . Implemented by: UNFPA. Other partners: Government commission on population and development, State statistic agency, Civil registration offices, Institute of demography under the Academy of Sciences.
Type of fund Grant Development Aid Approval Date of Approval: 15.06.2006 Approved amount (total US$): 40 120 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: Improve the utilization of population data, disaggregated by age and sex. Establishment of a monitoring and evaluation system to ensure more effective reproductive health care for all persons, particularly the poor.
Short description of project activities: Upgrade capacity of national institutions in coordinating health information system; establish a database system for effective date access, dissemination and utilization for monitoring progress in poverty reduction strategy and another development framework; trainings on measuring poverty; training for mid level reproductive health personnel on medical statistic data collection, communication, coordination meetings.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps X Areas of Community Health work Public Health Institution Building X X
Geographic Coverage: National level. Status as of 31 December 2006: Completed. Comments, if any: It’s an yearly project running from 2005 to 2009.
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Name of the Project: Increased availability of reliable, sex and age disaggregated reproductive health data.
Donor Agency: UNFPA Governmental counterpart department/Agency: . Implemented by: UNFPA. Other partners: Center of Demography of the Tajik National University, The State Statistic committee.
Type of fund Grant Development Aid Approval Date of Approval: 24.05.2006 Approved amount (total US$): 61 777 Duration Starting Date: 01.01.2006 End Date: 31.12.2006 Objectives: Improve the utilization of population data, disaggregated by age and sex.
Short description of project activities: Strengthening the capacity of national demographic and statistic institutions for better data collection, analysis and dissemination through trainings, fellowship for demographic studies and workshops.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health Institution Building X X
Geographic Coverage: National level. Status as of 31 December 2006: Completed. Comments, if any: It’s an yearly project running from 2005 to 2009.
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UNICEF
Name of the Project: Early Childhood Development/Nutrition.
Donor Agency: UNICEF Governmental counterpart department/Agency: Ministry of Health, Republican IMCI center; Nutrition Center, MCH Institute. Implemented by: Ministry of Health and Oblast/Rayon Health Departments. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 30.11.2005 Approved amount (total US$): 2 156 500 Duration Starting Date: 01.01.2005 End Date: 31.12.2009 Objectives: • Health officials of MoH and priority oblasts have political commitments and capacity to develop Integrated Early Childhood Development (IECD) and MCH policy. • Team of master trainers are able to adopt IECD modules at district and community level in priority districts. • Frontline PHC staff/ community volunteers are able to deliver IECD knowledge and communicating the same to families and communities. • PHC and other frontline health workers able to implement quality monitoring of distribution of micronutrient supplements and children's growth monitoring. • Families in all regions of the country understand and practice IDA/IDD/VAD prevention.
Short description of project activities: • Enhance capacity of MoH on development of MCH policy and strategies based on situation analysis and assessment. • Support Training of Trainers sessions on C-IMCI at national and district levels. • Support Training of Trainers sessions on neonatal resuscitation and essential newborn care at regional levels (Khatlon and Khujand regions). • Support training sessions on nutrition, BF and growth monitoring. • Support NGOs/Gov’t in conducting parenting courses for families and caregivers in selected districts
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps Areas of Community Health work X X X Public Health X X X Institution Building
Geographic Coverage: Both at National and District level. In Sugd: Isfara, Gafurov; In RRS: Rudaki; In Kathlon: Hamadoni, Bokhtar, Vaksh. Status as of 31 December 2006: Ongoing. Comments, if any: ECD/C-IMCI activities focused at district level. Nutrition related activities (BF, IDD, Vit A supplementation) are targeted at national level.
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Name of the Project: Expanded Programme of Immunization (EPI)– PLUS.
Donor Agency: UNICEF Governmental counterpart department/Agency: Ministry of Health, Republican Immunoprophylxis Center. Implemented by: Ministry of Health and Oblast/Rayon Immunoprophylaxis centers . health institutions. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 30.11.2005 Approved amount (total US$): 924 800 Duration Starting Date: 01.01.2005 End Date: 31.12.2009 Objectives: • Health workers are able to deliver immunization services. • Families and caregivers aware of immunization.
Short description of project activities: • Facilitate the financial sustainability of routine immunization services. • Procurement and delivery of vaccines and vaccine related items. • Capacity building of health workers on Reach Every District and Save Immunization Practices. • Capacity building of EPI mangers on vaccine forecasting, utilization, monitoring and management of cold chain equipment.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps Areas of Community Health work Public Health Institution Building X X X
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing. Comments, if any: UNICEF will support supplementary immunization activities as well, planned by the Government of Tajikistan, in close cooperation with WHO. UNICEF will continue to advocate for financial sustainability of routine immunization services.
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Name of the Project: Young people’s healthy development and HIV\AIDS & young people ‘s participation.
Donor Agency: UNICEF Governmental counterpart department/Agency: Ministry of Health, Ministry of Education, Youth Committee HIV centre, NGOs. Implemented by: MoEd, MoH, NGOs (Zukhra), Youth Committee. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 30.11.2005 Approved amount (total US$): 1 177 370 Duration Starting Date: 01.01.2006 End Date: 31.12.2009 Objectives: • Increased opportunities for children and young people to affect decisions in institutions and express their views in matters that concern them; • In 15 selected districts, 90 percent of school-going young people age12-16 have acquired better knowledge and skills to protect themselves from HIV/AIDS, STDs and drug use; • Access to Knowledge, Attitude, Practice and Behavior data among school children age 12-18 on HIV/AIDS is improved; • Lifestyle based health education strategy is developed to introduce it in schools; • In 15 districts, 40 percent of young people have access to quality youth-friendly services, with a focus on the especially vulnerable.
Short description of project activities: Prevention of Mother to Child Transmission and its integration into antenatal care services. Establishment of Youth Friendly Services; School based training sessions on HIV prevention. Establishment of youth friendly network (HIV/AIDS). TA on development of Prevention of Mother to Child Transmission, Youth Friendly Services policy and strategies Assessment and evaluation capacity through engagement to surveys.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps X Areas of Community Health work X X Public Health X X Institution Building X X
Geographic Coverage: National level. Status as of 31 December 2006: Ongoing. Comments, if any: The program component has a strong focus on youth participation, and at the same time respond to the global and national priority of prevention of HIV/AIDS. The program providing young people with opportunities to participate actively in civil society and develop skills to make an appropriate decision affecting their lives. The program component is directly contributing in United Nations Development Assistance Framework outcome of strengthened capacity to prevent and reduce infectious diseases, especially HIV/AIDS.
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UNWFP
Name of the Project: Supplementary Feeding of Malnourished Children.
Donor Agency: UNWFP Governmental counterpart department/Agency: Ministry of Health, National (Republican) Nutrition Centre. Implemented by: Action Against Hunger. Other partners: .
Type of fund Grant Humanitarian Aid Approval Date of Approval: . Approved amount (total US$): 396 455 Duration Starting Date: 01.12.2006 End Date: 31.12.2007 Objectives: Save lives of moderately malnourished children through provision of supplementary feeding rations (SF) Help moderately malnourished children regain normal nutritional status and contribute to their normal physical and psychological development.
Short description of project activities: Supplementary feeding take home rations of high energy and micronutrient fortified food are provided to malnourished children (below 80% of median weight for height) through primary health outlets in order to save their lives, help them regain their normal weight and nutritional status and contribute to their normal physical and psychological development , normally over a period of three months.
Components TA Training Civil Works Equipment D&S OPC PHC X Sec. & Hosps X Areas of Community Health work X Public Health Institution Building X
Geographic Coverage: At District level. In Kathlon: Vaksh(this district includes Qurghan-Teppa included), Kulob, Panj, Vose, Sarband, Kabodion, Shaartuz, Bokhtar, Kolkhozobod, Jilikul, Kumsangir, Huroson, Kojamaston, N.Hisrav, Muminabod, Shurobod,Hamadoni. Status as of 31 December 2006: Ongoing. Comments, if any: Data is provided for the WHOle years of 2006 and 2007, but the implementation of the project has been suspended in April 2007 because of the lack of an implementing partner. The project would be restarted if a suitable implementing partner is found and could continue until June 2009, funding allowing.
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Name of the Project: Support to Tuberculosis patients undergoing DOTS treatment and families.
Donor Agency: UNWFP Governmental counterpart department/Agency: Ministry of Health, National (Republican) Tuberculosis Centre. Implemented by: National (Republican) Tuberculosis Center, Project Sino, Project Hope. Other partners: Global fund to Combat AIDS, Tuberculosis and Malaria, UNDP.
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 2 657 471 Duration Starting Date: 01.01.2006 End Date: 31.12.2007 Objectives: To promote full completion of the DOTS treatment and adequate cure of TB among the affected population. To contribute to the food security of the households WHOse members are undergoing TB treatment.
Short description of project activities: Food Support to people affected by tuberculosis undergoing treatment under DOTS program and for their family members, over a period of 6 months. Meals are prepared for hospital patients and take home food rations for those undergoing treatment from home (after completing the hospital treatment) and for the family members.
Components TA Training Civil Works Equipment D&S OPC PHC X Sec. & Hosps X Areas of Community Health work X Public Health X Institution Building X
Geographic Coverage: At District level. In Sugd: Panjakent, Spitamen, Zafarobod, J.Rasulov, Gafurov (this district includes Khujand), Konibodiem, Maschoh; In RRS: Rasht, Hissor, Nurobod Tojikobad, Shahrinav, Varzob, Tursunzoda, Rudaki; In Kathlon: Temurmalik, Baljuvon, Hamadoni, Kumsangir, Panj, Jilikul, Dangara,Shaartuz, Farkhor, Vose', Kulob; In GBAO: Rushon, Vanch; and in Dushanbe. Status as of 31 December 2006: Ongoing. Comments, if any: Data is provided for 2006 and 2007, but the project is expected to continue until June 2009, funding allowing.
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Name of the Project: Therapeutic Feeding of Malnourished Children and their Mothers in Centers.
Donor Agency: UNWFP Governmental counterpart department/Agency: Ministry of Health, National (Republican) Nutrition Centre. Implemented by: National (Republican) Nutrition Center and Action Against Hunger. Other partners: .
Type of fund Grant Humanitarian Aid Approval Date of Approval: . Approved amount (total US$): 14 485 Duration Starting Date: 01.01.2006 End Date: 31.12.2007 Objectives: Save lives of severely malnourished children through their therapeutic feeding (TF) . Help severely malnourished children regain normal nutritional status. Facilitate feeding of mothers of malnourished children while children are undergoing the TF.
Short description of project activities: Special therapeutic feeding through cooked meals of high energy food is provided to malnourished children (below 70% of median weight for height) in TF centres in order to save their lives and help them regain their normal weight and nutritional status, normally over a period of 35 days. Meals are also cooked for their mothers to feed them while the children are undergoing this health and nutritional treatment. Two second-hand vehicles were also donated to the National and Regional Khatlon Nutrition Authorities to facilitate implementation of field missions and detection of malnutrition.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps X Areas of Community Health work X Public Health Institution Building X X
Geographic Coverage: At District level. In Kathlon: Kulob, Sarband, Panj, Shaartuz. Status as of 31 December 2006: Ongoing. Comments, if any: Data is provided for 2006 and 2007, but the project is expected to continue until June 2009, funding allowing. Value of therapeutic feeding is USD 3,985 and of the vehicles USD 10,500.
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USAID
Name of the Project: Drug Demand Reduction Programme (DDRP).
Donor Agency: USAID Governmental counterpart department/Agency: Ministries of Health, Education, Labor and Social Welfare, and Justice, as well as Drug Control and Migration Committees. Implemented by: Alliance for Open Society Institute. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 5 438 616 Duration Starting Date: 30.09.2002 End Date: 29.09.2008 Objectives: To prevent drug use and change attitudes toward drugs among vulnerable sectors of the population with a special emphasis on at-risk youth.
Short description of project activities: The project supports training of health care and other professionals WHO come in close contact with vulnerable groups, including teachers, psychologists, and parents in pilot communities, law enforcement officials and journalists. This program also provides training on drug prevention strategies for professionals in national and local government agencies, including officials in the ministries of Health, Education, Labor and Social Welfare, and Justice, as well as Drug Control and Migration Committees.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work X Public Health X Institution Building X
Geographic Coverage: At National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: E&E Regional Family Planning Program.
Donor Agency: USAID Governmental counterpart department/Agency: . Implemented by: John Snow International. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 30 000 Duration Starting Date: 01.10.2006 End Date: 30.09.2009 Objectives: To supply health care providers and policy makers in Tajikistan with the information and skills they need to deliver quality family planning services to their communities.
Short description of project activities: USAID’s assistance is focused on expanding the safe, informed, and voluntary use of the full range of modern contraceptive methods. Knowledge and skills will be increased through training, conferences, study tours, and direct professional technical assistance by international experts in family planning methods. The project includes two components: (1) informing providers and policymakers on new evidence of modern contraceptive methods, and (2) creating a favorable environment for the expansion of voluntary surgical contraceptive methods.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps X X Areas of Community Health work Public Health Institution Building
Geographic Coverage: At National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: Healthy Family.
Donor Agency: USAID Governmental counterpart department/Agency: . Implemented by: Project HOPE. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 8 367 586 Duration Starting Date: 30.09.2002 End Date: 30.06.2008 Objectives: To improve the maternal, child and reproductive health of the populations.
Short description of project activities: USAID’s activities promote safe motherhood interventions, including normal delivery, complications management and life saving skills training; child health activities, including community- and hospital-based integrated management of childhood illnesses (IMCI); development of infection prevention guidelines for facilities and health care workers in limited resource settings; and a village pharmacy program. The Project places particular emphasis on health promotion activities aimed at increasing people’s knowledge of quality reproductive and maternal and child health care.
Components TA Training Civil Works Equipment D&S OPC PHC X X X Sec. & Hosps X Areas of Community Health work X Public Health Institution Building X
Geographic Coverage: At National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: Quality Public Health & Primary Health Care (Zdrav Plus)
Donor Agency: USAID Governmental counterpart department/Agency: Ministries of health and finance and local governments. Implemented by: . Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 4 074 555 Duration Starting Date: 07.01.2005 End Date: 31.01.2010 Objectives: To ensure the provision of quality public health and primary health care (PHC) by improving both health systems and services.
Short description of project activities: USAID’s efforts include working at the policy level to promote health reform (finance reform and the promotion of evidence- based medicine), as well as building capacity for quality improvement and evidence-based medicine at the facility level. “Evidence-based medicine” is the term used to describe medical practices which have been developed upon the basis of scientific research and proven through rigorous testing. While this project began in 2005, the activity builds upon nine years of USAID health reform activities in Central Asia, implemented by the same prime partner under two previous projects: Zdrav Reform and Zdrav Plus. As a result, our partners have worked closely with ministries of health and finance and have good working relationships with local governments, other donors, and related partners.
Components TA Training Civil Works Equipment D&S OPC PHC X X X X Sec. & Hosps X X Areas of Community Health work X Public Health X Institution Building X X
Geographic Coverage: At National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: The CAPACITY Project.
Donor Agency: USAID Governmental counterpart department/Agency: Ministry of Health Implemented by: The CAPACITY consortium consists of John Snow International Research & Training Institute, Inc. (JSI) serving as prime, Abt Associates, Inc., International HIV/AIDS Alliance, Population Services International (PSI), Boston University, and Howard University. Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 1 955 532 Duration Starting Date: 30.09.2004 End Date: 29.09.2009 Objectives: To develop indigenous institutions and networks to manage comprehensive HIV/AIDS control programs.
Short description of project activities: USAID’s assistance is focused on improving stewardship of national HIV/AIDS programs, educating and empowering vulnerable populations to protect their health, improving the quality of HIV/AIDS services, and improving resource use through integration of HIV/AIDS services into countries’ overall health systems. The project works to increase the capacity of local and other USAID partners to leverage the resources available through the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), the World Bank, the British Department for International Development (DFID), and other donors.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps X X Areas of Community Health work X X Public Health X X Institution Building X X
Geographic Coverage: At National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: Public Health Program, Central Asian Republics.
Donor Agency: USAID Governmental counterpart department/Agency: . Implemented by: U.S. Centers for Disease Control and Prevention Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 1 200 000 Duration Starting Date: 30.09.2006 End Date: 29.09.2009 Objectives: To strengthen health care systems, including laboratory systems, in the area of HIV surveillance, tuberculosis (TB) control and prevention, and mother and child health through development and revision of the legislative, regulatory and policy framework for infant health care, HIV/AIDS, and TB.
Short description of project activities: The program is focused on strengthening quality of health care through development of evidence-based clinical guidelines that encompass infectious disease control and infant health care. The activity provides assistance in the areas of HIV surveillance, blood safety, tuberculosis laboratory diagnosis and electronic surveillance case management, revision of definition of live birth and infant mortality, and the Field Epidemiology Training Program.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps Areas of Community Health work Public Health X X X Institution Building X
Geographic Coverage: At National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: TB Control Program for the Central Asia Region.
Donor Agency: USAID Governmental counterpart department/Agency: . Implemented by: Project HOPE Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 2 863 014 Duration Starting Date: 01.04.2004 End Date: 31.03.2009 Objectives: To decrease tuberculosis (TB) morbidity and mortality.
Short description of project activities: The project assists the Government of Tajikistan in implementation of the World Health Organization (WHO) –endorsed DOTS. This includes, but is not limited to, building political support for TB Control, building human and system capacity for TB control through integration of TB control within a reformed health system, strengthening the TB laboratory network, strengthening human resource capacity, creating rational drug management systems, improving program management, supervision, and surveillance; and building community advocacy and mobilization.
Components TA Training Civil Works Equipment D&S OPC PHC X X X Sec. & Hosps Areas of Community Health work X Public Health X X X Institution Building X
Geographic Coverage: Both at National and District level. Status as of 31 December 2006: Ongoing.
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Name of the Project: Stop Avian Influenza Program.
Donor Agency: USAID Governmental counterpart department/Agency: . Implemented by: Development Associates International (DAI). Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 99 989 Duration Starting Date: 01.10.2006 End Date: 15.11.2007 Objectives: To prevent the spread of Avian Influenza (AI) amongst the animal population and to prepare for a possible human pandemic
Short description of project activities: USAID’s Farmer to Farmer AI activities focus on the veterinary aspects of combating AI. The program will use volunteer technical assistance to review national preparedness plans in each country and disseminate information on the veterinary aspects of AI prevention. In all five countries of Central Asia, the project’s volunteer technical experts assist in the development of government public awareness campaigns.
Components TA Training Civil Works Equipment D&S OPC PHC Sec. & Hosps Areas of Community Health work Public Health X X Institution Building
Geographic Coverage: At District level. Status as of 31 December 2006: . Comments, if any: .
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World Bank
Name of the Project: AIDS control project in Central Asia. Donor Agency: World Bank International Development Association. Governmental counterpart department/Agency: Ministry of Health, AIDS Control Center, Center for Healthy Lifestyle, National Coordination Committee on HIV/AIDS, TB and Malaria. Implemented by: Regional Project Management Unit on behalf of Central Asian Cooperation Organization. Other partners: NGO: Actors and sportsmen association in Tajikistan fighting for human rights; Buzurgmehr, Capacity, Disease Control and Prevention Center (CDC), Doctors, Fenix, Guli Niso, Hayoti Solim, IOM, Samar, Shifobakhsh, United Nations Development Fund for Women (UNIFEM), ОC: Nekroy, Youth's Rights Support Center,
Type of fund Grant Development Aid Approval Date of Approval: . Approved amount (total US$): 2 125 000 Duration Starting Date: 05.2006 End Date: 30.06.2010 Objectives: Contribution to the HIV/AIDS spread control in Central Asia through strengthening the potential and collaboration between public, governmental and private sectors at regional level and national level by setting up the Central Asia AIDS Fund, as a sustainable Funding mechanism mechanism for HIV control actions within the project period and upon its completion. Short description of project activities: Testing and consulting on HIV: Development of strategies/policies; guidelines/instructions for counseling and testing; Trainings; Test/reagents supply; Laboratory equipment/furniture supply; Quality control and lab.procedures/drafting manuals Prevention HIV transition from Mother to Child: Development of strategy/policy; guidelines/manuals; Training;drug supply; care and support to infected mothers and infants Prevention of reproductive spread: Development of strategy/policy; guidelines/manuals; Training; condom supply; lab.equipment/reagents supply; drug supply Harm reduction for Injection Drug Users: Development of strategy/policy; guidelines/manuals; training; sterile syringe and needle supply in prisons, in places of syringe and needle exchange; replacing therapy Prevention of transition in health care facilities: development of strategy/policy; guidelines/manuals for blood safety, universal safeguard measures and post-contact prevention; training on blood safety; lab.equipment/reagent supply in blood safety institutions; training on universal safeguard measures; post-contact prevention; training of health workers; PEP kit supply Prevention services for people living with HIV/AIDS: development of strategies/policy; guidelines/manuals according to antiretroviral therapy; Antiretroviral therapy training; drug supply; managing opportunistic infections; development of strategy/policy; guidelines/manuals for managing co- infections TB/HIV; training on managing co-infections TB/HIV; palliative care; nutrition support HIV/AIDS prevention among migrants: Development of strategy/policy; guidelines/manuals;training. Harm reduction activities, information and education activities among: population/youth, drug users, commercial sex workers, migrants. Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps X X X Areas of Community Health work X X Public Health X X X X Institution Building X X Geographic Coverage: At National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: Community and Basic Health Project.
Donor Agency: World Bank International Development Association. Governmental counterpart department/Agency: Ministry of Health Implemented by: WB PIU at the MoH. Other partners: SDC, SIDA
Type of fund Grant Development Aid Approval Date of Approval: 12.15.2005 Approved amount (total US$): 17 000 000 Duration Starting Date: 18.4.2006 End Date: 31.03.2010 Objectives: The Community and Basic Health Project for Tajikistan aims to increase access to, utilization of, and patient satisfaction with health services in project-supported areas, and to build capacity and efficiency at national, oblast and rayon levels in administering a basic package of health benefits and introducing Funding mechanism reforms in primary health care.
Short description of project activities: The project has the following components: Component a) will finance training, local and international technical assistance, workshops/seminars, study tours and minor civil works to help strengthen coherence and coordination in policymaking, policy analysis and the management of donor support by Ministry of Health (MOH). Component b) will finance training, local and international technical assistance, workshops/seminars and study tours to help support the implementation of per capita Funding mechanism for primary health care and implementation of the Basic Program of Medical Care Services. Component c) will finance local technical assistance, training, medical equipment and civil works to help renew the primary health care (PHC) infrastructure in two to four rayons in Sughd and Khatlon oblasts and support complementary measures to improve service delivery and outreach. Component d) will finance equipment, operating costs and local technical assistance for a PIU.
Components TA Training Civil Works Equipment D&S OPC PHC X X X X X X Sec. & Hosps X X X X Areas of Community Health work X X X Public Health X X Institution Building X X X X
Geographic Coverage: Both at National and District level. In Sogd :Asht, Spitamen; In Khatlon: Kabodien, Norak, Sarband, Shurobod. Status as of 31 December 2006: Ongoing.
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WHO
Name of the Project: Biennium Collaboration Agreement between the Ministry of Health of the Republic of Tajikistan and the World Health Organization for 2006- 2007.
Donor Agency: WHO Governmental counterpart department/Agency: Ministry of Health Implemented by: WHO Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 14.09.2005 Approved amount (total US$): 727 000 Duration Starting Date: 01.01.2006 End Date: 31.12.2007 Objectives: Strengthening of health system through human recourse preparation, expert assistance and support of national programs stipulated in the agreement.
Short description of project activities: Following the outcomes of 2006 63% of planned actions have been implemented for 2006-2007. There are no gaps in activities. Activity outcomes: - 56 experts from Tajikistan are prepared abroad, - 48 WHO experts provided technical expert assistance in different health related issues; 2 coordination meetings and 3 regional topical conferences have been held, 5 workshops on national and oblast level.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps X X Areas of Community Health work X X Public Health X X Institution Building X X
Geographic Coverage: At National level. Status as of 31 December 2006: Ongoing.
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Name of the Project: Stop TB / GDF Global Fund Facilities.
Donor Agency: WHO Governmental counterpart department/ Agency: Ministry of Health Implemented by: Ministry of Health Other partners: .
Type of fund Grant Development Aid Approval Date of Approval: 04.2003 Approved amount (total US$): 955 000 Duration Starting Date: 01.09.2003 End Date: 31.12.2009 Objectives: Support DOTS expansion and sustainability of nationwide coverage.
Short description of project activities: Drug supply; training of TB professional; training of PHC staff; monitoring of DOTS implementation quality.
Components TA Training Civil Works Equipment D&S OPC PHC X X Sec. & Hosps X X Areas of Community Health work Public Health Institution Building
Geographic Coverage: At National level. Status as of 31 December 2006: Ongoing.
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Annexes
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Annex I – Organizations contacted
List of actors contacted and/or interviewed with relative output:
ACT-CA (ECCA) project detected ACTED double check ADB projects detected AKDN projects detected AKF projects detected CIDA no answer, info from OSCE COOPI double check DFID project detected EBRD project detected EC projects detected ECHO projects detected FAO no projects GLOBAL FUND projects detected GLOBAL PARTNERS project detected Government of China-Embassy no projects Government of France-Embassy no projects Government of Germany-Embassy see KFW Government of Great Britain-Embassy project detected Government of Japan-Embassy projects detected Government of India-Embassy no projects Government of the Islamic Republic of Iran-Embassy project detected Government of Italy- MFA project detected Government of Netherlands –MFA projects detected Government of Russia-Embassy no projects ICRC project detected IDB project detected IFRC projects detected IMF double check IPPF projects detected ISDR no projects KFW projects detected Merlin double check Mission East double check Operation Mercy no answer OPEC Fund no answer Ora International double check OSI no answer, info from WHO OSCE project detected OXFAM project detected NOVIB projects detected Saudi Fund for Development no answer Save the Children double check SDC projects detected
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SIDA projects detected TICA no answer UNAIDS project detected UNDP no projects UNESCO no projects UNFPA projects detected UNICEF projects detected UNWFP projects detected USAID projects detected WB projects detected
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Annex II - Questionnaire
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The information presented with each project reflects the data as it was provided by the agencies contacted, without addings or modifications.
1.- Project identification data Name of the project: Donor agency : Agency funding the whole project or just a part of it Government Counterpart Ministry of Health Department or Republican Institutions Department/Agency : representing the government counterpart for the project Implementing partner : agency/ies contracted by the donor agency to implement the project Other partners: agency co-funding the project Other implementing partners : agency subcontracted by the major implementing partner Type of fund Grant or Loan Humanitarian Aid or Definition of the nature of the project as the donor agency Development aid consider it Date of approval of the project day\month\year US$ amount initially approved For the projects signed in a value different from US Dollar for the project the exchange rate utilized is the one of the starting date
Starting date and end date of as intended at initial approval. the project :
2.- Descriptive/narrative information Project objective(s)
A short description of project activities
The geographic coverage of the This question wishes to clarify if the project project : deals with the whole nation (national level) or with one or more districts (district level). We consider like national level projects all project: -Comprehending some intervention on the national structure of the health system and\or -Projects implemented in the whole nation Status as of 31 December 2006 Standing position of the project according with the starting date and the end date in the end of 2006
3.- Features of the project Rows: Areas of work PHC Primary health care. Institutional strengthening and/or operational support of health services delivery at the primary level. Sec & Hosp. Secondary and hospitals. Institutional strengthening and/or operational support of health services delivery at the secondary level and above.
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Community health Project activities that address the ‘demand side’ of health care utilization by educating the public on taking responsibility for their health protection, financial risk sharing and appropriate utilization of health care. activities for local-level resource mobilization and promotion of local-level accountability of health facilities are also included. Public health Different from personal health care, public health interventions are directed at health protection or health improvements of population groups or the community as a whole. Examples: Water and food safety; occupational health, health promotion. Institution building Project activities aim at the institutional strengthening and capacity development of the administration of health sector activities and\or support health sector reform with regard to policy formulation, new bodies establishment\ enforcements, restructuring, financing, regulatory activities etc.
Columns: Components
TA Technical assistance. Project inputs that aim primarily at knowledge transfer and development of skills, competencies and state-of-the art techniques through the deployment of short-term or long-term consultant services. Training Project inputs that support training activities, be it through curriculum development, training-of-trainers, or financing of the operational costs of in-country or international training. Civil works Construction, rehabilitation and major renovations of building and other physical facilities Equipment Medical equipment is every tool available to aid in the diagnosis, monitoring or treatment of medical conditions. D&S Drugs and supplies: Medicines, including vaccines and other medical consumables. OPC Other operational costs: A residual category for other incremental costs, e.g., non-medical supplies such as printed materials, running costs of vehicles, minor maintenance.
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