Accurate data needed to improve care for women and children in Tajikistan


Training on strengthening reproductive health care,14-27 November 2013 in Dushanbe.

As part of a framework for improving accountability for women's and children's health, based on the recommendations of the WHO Commission for Information Accountability, Ministry of Health experts provided a series of 3-day capacity building workshops on 14-27 November 2013 for 80 health information system specialists across the country.

The accountability framework developed in 2013 with WHO support focuses on:

  • civil registration and vital statistics (CRVS); 
  • monitoring of results;
  • maternal death surveillance and response (MDSR);
  • e-health and strengthening use of information and communication technology (ICT);
  • monitoring of resources;
  • national mechanisms for reviews and accountability, and
  • advocacy.

To address the issue with poor quality of hospital health data reporting, the Ministry of Health expert group, set up at the Republican Center for Statistics and Medical Information developed the nationally adapted version of ICD-10 (the International Statistical Classification of Diseases and Related Health Problems, tenth revision) as an essential component of the District Health Information Software (DHIS– 2), which is currently being implemented in the country.

Following that, WHO Country Office supported the Ministry of Health to organize and conduct four 3-day capacity building workshops for 80 health information system specialists across the country, including Dushanbe, GBAO oblast, RRS, Sogd oblast, Khatlon Oblast health facilities to introduce the nationally adapted version of ICD-10. 

The objective of the activity was to provide technical assistance to Ministry of Health in provision of capacity building workshops on improving quality of health data reporting through building capacity of health information system specialists on the nationally adapted version of ICD-10 and other hospital reporting forms (Form 14, form 66) in the framework of the implementation of the Comprehensive Strategic plan for development of health information system in the Republic of Tajikistan.

Other activities related to improving accountability for women's and children's health conducted by WHO in collaboration with the Ministry of Health over the past year include:

  • a CRVS assessment planning mission;
  • missions to further scale-up implementation of confidential enquires into maternal death and near–miss case reviews (NMCR) within the WHO "Beyond the Numbers" initiative;
  • capacity building activities to introduce the NMCR methodology;
  • monitoring of NMCR implementation;
  • facilitation of a new start-up of the National Committee for Confidential Enquires into Maternal Death (CEMD);
  • a capacity building workshop for 20 regional coordinators on CEMD principles and data collection procedure;
  • information workshops for 100 representatives of the national and regional level media to improve the quality of coverage of reproductive, maternal, newborn and children’s health issues in the mass media;
  • monitoring and evaluation trainings.