Addressing gaps in medical curricula to improve paediatric care in Tajikistan


The WHO Country Office in Tajikistan and the Ministry of Health organized a training for faculty of academic institutions on 25–29 November 2013 as part of efforts to improve hospital care for children in Tajikistan. The training was conducted by local experts with technical support from WHO and focused on updating academic curricula in line with the nationally adapted WHO "Pocket book of hospital care for children: guidelines for the management of common illnesses with limited resources". 


The Russian Federation has provided funding to be administered by WHO to support improved quality of paediatric care in Angola, Ethiopia, Kyrgyzstan and Tajikistan. Within the framework of this project, WHO, in collaboration with the Scientific Centre for Child Health of the Russian Academy of Medical Science and other technical experts, is providing technical assistance to strengthen these countries' national health systems' capacity to improve the quality of paediatric care in first-level referral hospitals. 

The project is being implemented in 10 pilot hospitals of the Khatlon Oblast of Tajikistan. An initial assessment of the quality of hospital care in the hospitals revealed among other points the need to strengthen clinical management of paediatric patients.

Following the assessment recommendations, the WHO Country Office in Tajikistan is providing capacity building workshops in collaboration with the Ministry of Health using the nationally adapted "Pocket book on hospital care for children" to address key problems in clinical management. Focal areas include:

  • strengthening skills on triage and emergency conditions;
  • management of sick children with anaemia;
  • growth assessment; 
  • supportive care;
  • monitoring; and
  • implementation of new clinical recommendations.

Training outcomes

After completing the training, participants received course certificates and had the opportunity to exchange views, experience and ideas. In closing, Dr Pavel Ursu, Head of the WHO Country Office, stressed "the importance of reducing childhood mortality through strengthening national health systems' capacity to improve the quality of paediatric care for common childhood illnesses in first-level referral hospitals". He was pleased to see the participants' engagement in the course and their plans to put the skills and knowledge gained in the training into practice.