Saving a Generation: Maternal, Newborn & Child

Health in TajikistanOctober 2013

Tajikistan and its Neighbours

Tajik-Uzbek Border1000km

Tajik-Afghan Border1200km

Tajik-Chinese Border400km

Tajik-Kyrgyz Border900km

942,600

220,000

182,000

Khatlon

400,600

Afghan Badakhshan TotalRasht ValleyGBAO

140,000

AKF Health Program works in 3 regions/17 districts and covers 10% of Tajikistan’s population, plus programs in Afghanistan

To improve the health status of the target population, particularly

women of reproductive age and children under five

Goal of AKF –TJK Health Programme

• Mountainous and remote, landlocked• High unemployment rate • Little access to family medicine health services• High dependency on remittances from labour

migrants, largely working in Russia

Gorno-Badakhshan Autonomous Oblast

• Mountainous and remote, landlocked• High unemployment rate • Little access to family medicine health services• High dependency on remittances from labour

migrants, largely working in Russia

Gorno-Badakhshan Autonomous Oblast

• Mountainous and remote, landlocked• High unemployment rate • Little access to family medicine health services• High dependency on remittances from labour

migrants, largely working in Russia

Gorno-Badakhshan Autonomous Oblast

• Mountainous and remote, landlocked• High unemployment rate • Little access to family medicine health services• High dependency on remittances from labour

migrants, largely working in Russia

Gorno-Badakhshan Autonomous Oblast

2

135

350

57

68

65

63

11

6

99

82

12

6

Health expenditure (as % of GDP)

Health expenditure per capita ($)4,500

Prevalence of Tuberculosis (per 100K)

Rural population with access to clean water (%)

Life expectancy (years)

Maternal mortality (per 100K live births)

<5 mortality (per 1000 live births) Canada

Tajikistan

Health indicators comparing Canada and Tajikistan - 2011

Tajikistan continues to operate health care similar to the Soviet era, but there are opportunities for positive growth

Current challengesTop-down, hospital-based

Limited focus on primary

Very few GPs

Unequal distribution of funds between hospitals (49%) and out-patient, primary care (14%)

OpportunitiesSupport the Government in implementing Health Reform according to the National Health Strategy (2010-2020)

Increase the knowledge and ability of communities to protect and promote health by applying gender-based behavior-change interventions.

While Canada’s population is aging, Tajikistan’s is largely <35

AKDN enhances Mother, Neonatal and Child Health through community interventions:

• Immunization campaigns

• Nutrition education and access for mothers and their newborns

• Antenatal, Delivery and Postnatal Care

• Family Planning

9

12

13

46

361993

2012

2011

2010

2003

Infant and child mortality rates are steadily declining

13

18

18

54

45

Infant mortality rate(1000 live births)

< 5 mortality rate(1000 live births)

Photo Gallery

Left: Family Medicine Nurses

Right: Emergency Medical Care

Photo Gallery

Above: Family Medicine Doctor Home visit

Right: Child Growth Monitoring

THANK YOU

PLEASE RAISE YOUR QUESTIONS

Rudoba RakhmatovaSenior Health Programme Officer , AKF-TJ

THANK YOU

Dr. Rudoba Rakhmatova Senior Programme OfficerHealth AKF, Tjk