Tajikistan conference discusses transformation of national health services delivery


From L to R: Dr Igor Pokanevych, WR –Tajikistan; Dr Hans Kluge, Director, Division of Health Systems and Public Health, WHO/Europe; Hairinisso Yusufi, Vice Speaker of the Assembly of Representatives of the Supreme Assembly; Saida Umarzoda, First Deputy Minister of Health and Social Protection of Population, Guldjahon Abdufatohzoda, Chief of the Department of Social Services under the Executive Office of the President, Republic of Tajikistan.

A national conference, convened by the Ministry of Health and Social Protection of Population in Dushanbe, Tajikistan on 27 September 2016, discussed the status and future of family medicine in the country.

The conference generated and adopted a resolution to prioritize key actions to further advance family medicine development, including:

  • the revision of a comprehensive basic package of services and legislative norms for facilities at all levels;
  • empowering communities and engaging patients;
  • organizing family medicine practice with other providers and settings of care;
  • strengthening of undergraduate and postgraduate medical education for family medicine specialists;
  • further reform of primary health care financing; and
  • introducing a system of incentives in primary health care services payment.

Over 200 participants at the event deliberated on the recently approved 2016-2020 national strategic plan for the development of family medicine-based primary health care, and defined actions in four strategic domains - care, delivery, system and policy. The plan is based on the European Framework for Action on Integrated Health Services Delivery, which was adopted at the 66th session of the WHO Regional Committee for Europe in September 2016.

In his keynote speech at the conference, Dr Hans Kluge, Director of the Division of Health Systems and Public Health, WHO/Europe, presented the vision of people-centred health systems in Europe, and highlighted key high-leverage areas for transforming health services delivery.

Participants also reviewed challenges and lessons learned from the implementation of the 2011-2015 family medicine programme.

The national conference was convened by the Ministry of Health and Social Protection of Population, and brought together members of the Assembly of Representatives – the lower house of the bicameral parliament – the Supreme Assembly of Tajikistan, representatives of the Executive Office of the President and development agencies based in Dushanbe.

WHO, the Swiss Agency for Development and Cooperation, Swiss Tropical and Public Health Institute, European Commission, World Bank, UNICEF, UNFPA, and Aga Khan Foundation provided support for the event.