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Saving a Generation: Maternal, Newborn & Child
Health in TajikistanOctober 2013
Tajikistan and its Neighbours
Tajik-Uzbek Border1000km
Tajik-Afghan Border1200km
Tajik-Chinese Border400km
Tajik-Kyrgyz Border900km
942,600
220,000
182,000
Khatlon
400,600
Afghan Badakhshan TotalRasht ValleyGBAO
140,000
AKF Health Program works in 3 regions/17 districts and covers 10% of Tajikistan’s population, plus programs in Afghanistan
To improve the health status of the target population, particularly
women of reproductive age and children under five
Goal of AKF –TJK Health Programme
• Mountainous and remote, landlocked• High unemployment rate • Little access to family medicine health services• High dependency on remittances from labour
migrants, largely working in Russia
Gorno-Badakhshan Autonomous Oblast
• Mountainous and remote, landlocked• High unemployment rate • Little access to family medicine health services• High dependency on remittances from labour
migrants, largely working in Russia
Gorno-Badakhshan Autonomous Oblast
• Mountainous and remote, landlocked• High unemployment rate • Little access to family medicine health services• High dependency on remittances from labour
migrants, largely working in Russia
Gorno-Badakhshan Autonomous Oblast
• Mountainous and remote, landlocked• High unemployment rate • Little access to family medicine health services• High dependency on remittances from labour
migrants, largely working in Russia
Gorno-Badakhshan Autonomous Oblast
2
135
350
57
68
65
63
11
6
99
82
12
6
Health expenditure (as % of GDP)
Health expenditure per capita ($)4,500
Prevalence of Tuberculosis (per 100K)
Rural population with access to clean water (%)
Life expectancy (years)
Maternal mortality (per 100K live births)
<5 mortality (per 1000 live births) Canada
Tajikistan
Health indicators comparing Canada and Tajikistan - 2011
Tajikistan continues to operate health care similar to the Soviet era, but there are opportunities for positive growth
Current challengesTop-down, hospital-based
Limited focus on primary
Very few GPs
Unequal distribution of funds between hospitals (49%) and out-patient, primary care (14%)
OpportunitiesSupport the Government in implementing Health Reform according to the National Health Strategy (2010-2020)
Increase the knowledge and ability of communities to protect and promote health by applying gender-based behavior-change interventions.
While Canada’s population is aging, Tajikistan’s is largely <35
AKDN enhances Mother, Neonatal and Child Health through community interventions:
• Immunization campaigns
• Nutrition education and access for mothers and their newborns
• Antenatal, Delivery and Postnatal Care
• Family Planning
9
12
13
46
361993
2012
2011
2010
2003
Infant and child mortality rates are steadily declining
13
18
18
54
45
Infant mortality rate(1000 live births)
< 5 mortality rate(1000 live births)
Photo Gallery
Left: Family Medicine Nurses
Right: Emergency Medical Care
Photo Gallery
Above: Family Medicine Doctor Home visit
Right: Child Growth Monitoring
THANK YOU
PLEASE RAISE YOUR QUESTIONS
Rudoba RakhmatovaSenior Health Programme Officer , AKF-TJ
THANK YOU
Dr. Rudoba Rakhmatova Senior Programme OfficerHealth AKF, Tjk
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