Tajikistan moves forward in finding the most effective ways to improve maternal health


Tajikistan is one of the focus countries of the UN Global Strategy on Women’s and Children’s Health.  The Ministry of Health of Tajikistan, health professionals and development partners are joining forces in accelerating the progress in decreasing maternal mortality and improving maternal and child health care.

During the last five years WHO has assisted Tajikistan in introducing “Beyond the numbers” approaches that go beyond counting maternal deaths or severe morbidity cases to developing an understanding of why they happened and how they can be prevented. According to the WHO Health for All database, thematernal mortality ratio has decreased by half when compared to 1990, however, the estimated average annual decrease of maternal mortality is 1.8% instead of  the 5.1% which is needed  in order to reach the Millennium Development Goal 5 A.

A three day meeting was organized by WHO  in collaboration with the Ministry of Health of Tajikistan to discuss the progress, achievements and barriers as well as next steps in implementing Confidential Enquiry of Maternal Deaths and Near-miss Case Review in Tajikistan. Besides update on the progress in the region, WHO experts from Moldova and Kazakhstan shared their experience in analysing maternal mortality and morbidity as well as improvement of maternal health care that has happened as a result of implementation of recommendations.

In her closing remarks S. Djabirova, Deputy Minister of Health of Tajikistan thanked WHO for assistance in improving maternal and child health and in the implementation of news ways to analyse the work and define clear actions. She confirmed full support of the Ministry of Health in accelerating progress in achieving health related Millennium Development Goals.

The meeting is followed by a training of trainers workshop in Near-miss Case Review methodology to ensure high standards of introduction of this approach in 16 new maternities in Tajikistan.

WHO implemented this activity within the framework of the European Union funded "Technical Assistance in Support of Health Care Reform in Tajikistan" project.