Promoting mother and child health in Tajikistan
Title: Mother, Neonatal and Child Health Project
Commissioned by: German Federal Ministry for Economic Cooperation and Development (BMZ)
Lead executing agency: Ministry of Health and Social Protection of the Population (MoHSPP) of the Republic of Tajikistan
Overall term: 2019 to 2022
The maternal mortality rate in Tajikistan is 32 per 100,000 births, while the mortality rate for children up to the age of five is 33 per 1,000 births. Both of these indicators are very high compared to Europe, with a maternal mortality rate of 13 per 100,000 births and a child mortality rate of 9 per 1,000 births. In the project region of Khatlon, in particular, the indicators are far above the national average. For example, the neonatal mortality rate here is twice as high as in the capital city of Dushanbe.
Only 21 per cent of women aged between 15 and 49 use modern methods of contraception. Given the widespread practice of early and forced marriage, there are therefore a very large number of young mothers. Among women aged 19, 25.7 per cent already have a child. These early pregnancies involve substantial health risks for both mother and child.
In addition, the state has problems ensuring a sufficient quality of medical care. In Tajikistan the human right to the maximum achievable level of health care is not guaranteed for a large part of the population.
Medical care for pregnant women, mothers and newborns has improved in the Khatlon Region.
The project advises selected health care facilities in the project region on improving management, medical procedures and support processes in the area of mother-and-child health care services. The project enables experts and managers to improve their specialist skills so that they can provide health care services in accordance with national standards.
The health care personnel at health care facilities are receiving training to enable them to offer improved advisory services in the areas of prenatal care, postnatal care and family planning on the basis of the revised mother-and-child health record. At the same time, the project is adapting the referral system for mothers, pregnant women and newborns in an integrated patientncentred system in the pilot regions. Thanks to the improved advisory services, it is now possible to prevent unwanted pregnancies, detect high-risk pregnancies more quickly and refer pregnant women and newborns in good time.
The project advises the Tajik Ministry of Health on developing national maintenance guidelines, expanding a national workshop for servicing medical technology, and training technical staff. This enhances the capabilities of the health service providers.
Together, these measures are playing a decisive role in improving the quality of medical care for patients and newborns.
- Seven treatment standards are being developed and integrated into the curricula for doctors and nursing staff.
- 16 new standards for neonatology have been revised and are being integrated into the curricula.
- 35,000 women and children benefit from the introduction of a new mother-and-child health record.
- 12 medical facilities have been successfully accredited. Four further institutions are currently being prepared for accreditation.
- Staff at 10 district hospitals have received training on the topic of patient safety and infection prevention. Supervision to support the staff has been introduced.
- The service provided by health care facilities has improved in 10 regions, benefiting around 1.3 million people.
- 48 midwives have received training as multipliers on the topic of managing physiological births.
- 300 new members have joined the midwives’ association.
- In 200 villages, the project informs women, village elders and religious leaders about family planning and the various options for contraception.
Last updated: February 2021