Improving quality of paediatric care in Tajikistan

WHO/Halima Boboeva

Four capacity building workshops for 100 health care providers from pilot hospitals were conducted in Kurgan-Tube from 17 June to 4 July, 2013. The focus of the workshops was the use of the nationally adapted WHO pocket book on hospital care for children, which has been adapted, updated and translated by the WHO Country Office for Tajikistan and the Ministry of Health.

During the trainings each provider received a personal copy of the pocket book, and sets of 14 charts for triage and emergency care were distributed to each hospital. In addition, there were capacity building workshops on the use of the WHO pocket book to address key problems in clinical management. The workshops focussed on:

  • strengthening skills in triage and emergency conditions;
  • growth assessment;
  • management of sick children with anaemia;
  • supportive care and monitoring.

The trainings were facilitated by the team of WHO Consultants, experts from the Russian Academy of Medical Science’s Scientific Centre of Child Health care and national experts. This intervention followed a quality assessment of paediatric hospital care conducted in 2012 in the project’s 10 pilot hospitals. The assessment revealed, among other problems, the need to develop clinical care protocols and strengthen capacity of providers in evidence-based clinical management of paediatric patients.

The assessment was funded by a grant provided by the government of the Russian Federation through WHO to support improvement of paediatric care quality in four selected countries in central Asia and Africa, including Tajikistan, Kyrgyzstan, Angola and Ethiopia.

Cooperating to overcome shared challenges

Tajikistan shares with other central Asian countries the challenge of improving the quality of paediatric care services. Overcoming this challenge will play a key role in progress towards achieving the Millennium Development Goals (MDGs).

The WHO Country Office continues to support the Tajik Ministry of Health in improving maternal and child health by developing strategic approaches, guidelines, and training tools on strengthening child health services in first-level referral hospitals. These strategies and tools laid the foundation for the development of national policies and capacity-building of the health workforce both at the national and regional level.

As part of this project, WHO will collaborate with the Russian Academy of Medical Science’s Scientific Centre of Child Health care to provide technical assistance to Tajikistan in order to reduce child mortality. This will be achieved by strengthening national health system capacity and improving paediatric care quality for common childhood illnesses in first-level referral hospitals.

“Improving and strengthening the quality of paediatric services in Tajikistan is one of the critical areas for reducing child mortality and improving sustainability of the health system. WHO, in partnership with the Ministry of Health and other development partners, will continue to work in this area within the health systems framework” – said Dr Pavel Ursu, WHO Representative/Head of WHO Country Office in Tajikistan.