Context
The Tajik government cannot adequately ensure the quality of primary health care. Facilities in this area are therefore insufficiently equipped. Furthermore, large parts of the population do not accept or use them.
The Tajik health system has a hospital-centred structure. In addition, the infrastructure of health facilities and centres in rural areas and in urban polyclinics is generally inadequate and outdated. In remote areas, in particular, there is a shortage of skilled family doctors to provide prenatal care, for example. Women with high-risk pregnancies are therefore not diagnosed and referred to the appropriate hospitals in time. This results in the preventable death of women due to pregnancy and birth and a comparatively high infant mortality rate.
Objective
The Tajik government is successfully implementing its national health strategy to improve medical care, especially for pregnant women, mothers and newborns.