The health care system of the Republic of Tajikistan, inherited from Soviet times, is hospital-based, with oversized, underequipped and insufficiently maintained facilities, and therefore delivers inadequate services to the population. The Ministry of Health and Social Protection of Population (MoHSPP) is in the process of restructuring the hospital sector; however this effort is still at an early stage and needs to be supported.
The contribution of the German Development cooperation through the German Development Bank (KfW) aims to strengthen the plan of the Government of the Republic of Tajikistan to modernize and rationalize hospital structures, in order to improve the health status of the population. This will be achieved, among other interventions, through the provision of improved mother and child health services in the Khatlon province.
The overall objective of the project is to contribute to the improvement of the health status of the population of Tajikistan, particularly of Khatlon Oblast. The programme objective is to increase utilisation of quality healthcare services by the population, as well as improvement of the efficiency and quality of medical care and emergency treatment in Khatlon Oblast. This is to be reached by rehabilitating and equipping selected hospitals as well as a set of Accompanying Measures to sustain the investments made.
EPOS supports the Programme Management Unit under the MoHSPP in the implementation of the Investment and Accompanying Measures.
The focus of the investment measures is on
Planning and supervision (including tendering support) towards partially rehabilitating or newly constructing and equipping 2 Oblast Hospitals (Kurgan Tube and Kulyab) and 4 Central District Hospitals (Rumi, Varksh, Vose and Temurmalik), elaborating and managing detailed maintenance agreements. In addition, the Tajik State National Research Institute on Obstetrics/Gynaecology and Perinatology will be partially equipped.
Specification, procurement and installation of medical and non-medical equipment for multidisciplinary operation theatres und intensive care units
The accompanying measures include all above-mentioned hospitals (7 in total) plus 4 Central District Hospitals (CDH) from the previous Project Phase, i.e. Yavan, Huroson, Hamadoni, Farkhor. The scope of the Accompanying Measures encompasses the following tasks:
Development of hospital master plans including conceptual planning;
Elaboration of national management guidelines for clinics – indication criteria for specialist referrals by using new technologies and equipment;
Development of new financial mechanisms for financing the programme supported hospitals in cooperation with the Ministry of Finance, local administrations and hospital management;
Elaboration of a concept and specifications for a system to interconnect the regional with the oblast level for telemedical communication;
Development of a strategy for the disposal of dangerous and infectious hospital waste and elaboration of a concept for implementation at regional level;
Via twinning arrangement and other means, provision of clinical training in SOPs in obstetrics, gynecology and emergency cases, and referral system; development and implementation of a building and equipment maintenance system, hospital management incl. preparation of hospital budgets, hospital waste management as well as training in quality improvement and management at the partner hospitals.