Promotion of Mother-Child Health in Tajikistan - Quality Improvement

Area of competence: 
Health Policy and Financing
Donor organization: 
GIZ (German Agency for International Cooperation)
Start of Project: 
End of Project: 
Value of service: 
€ 820,000
Partner Organisations: 
Description of Project: 

The MCH Programme is one element of support to the Tajik Ministry of Health and Social Protection's (MoHSP) endeavours in implementing the National Health Strategy (NHS) 2010 - 2020. It is responding to all three priority areas of the NHS 2010 - 2020: i) health system reform, ii) improving the accessibility, quality and efficiency of health services, and iii) developing the resources for the health system, including improvement of human resources.

The consortium’s assignment will to contribute a) to strengthening the Tajik Medical Accreditation Centre (MAC) organisationally and in its efforts to develop and implement a national accreditation plan for all health facilities in Tajikistan, and b) to develop and implement an approach to improving the quality of health services for women and new-borns in general at selected facilities in the Khatlon region.

Description of Services: 

The consortium has organised its activities in the context of result area 2 of the GIZ Mother and Child Health Programme aiming at improving quality assurance of health care services for mother and child health in Khatlon, in three work packages (WP):

WP 1: Support to MAC in developing and implementing a national accreditation plan,

WP 2: Advice to MAC in developing and implementing a business plan, and

WP 3: Developing and implementing a quality improvement (QI) approach.

WP 1: The advice and support to MAC regarding the adaption of standards for multipurpose hospitals to the Tajik context, facilitating the standard approval process, and preparing and monitoring the implementation of the national accreditation plan will build on the following elements: strengthening already existing structures and experiences of MAC, making use of lessons learnt of MAC's involvement in the internal hospital assessments conducted in the context of the KfW MCH Project, and encouraging the continuation of the partnership with MAC Kyrgyzstan for information exchange and knowledge transfer.

WP 2: The Consortium's support to MAC is two-fold. First, it will define the financial needs for different scenarios of entrepreneurial development and then develop and explore options for revenue generation. Second, it will support MAC to critically assess the financial framework conditions. Business planning for MAC is understood in a broader context to include organisational development, and the Consortium will ensure that the business plan and work plans correspond with each other so that the planning process becomes iterative and fluid. It is important to take into account the difficult financial situation of both MAC that needs to generate its own income, and the health facilities that have to pay for accreditation.

WP 3: In the context of the KfW MCH Project the Consortium supports MoHSP in the development and implementation of hospital QI plans. The piloting of this QI approach in four hospitals in Khatlon will be critically assessed and the lessons learnt be incorporated into the proposed GAIN quality approach (Global Accreditation & Quality Initiative), that has a special focus on integrated capacity development activities for each element of QI. An important element will be to up-date the QI approach taking into account lessons learnt of other QI initiatives in Khatlon, so that the revised QI approach can be adopted by the Ministry of Health. Through comprehensive capacity development measures MAC and the eight target hospitals in the Kulyab region shall acquire and exchange systematic practical knowledge and skills to establish organisational systems that improve health outcomes, patient satisfaction, accessibility and efficiency of service delivery and job satisfaction.

Project Volume: 
€ 1,172,000