Tajikistan is transforming its health system to speed up progress toward Common Overall health Protection (UHC). For the last two many years, the region has been enterprise considerable reforms to shift in the direction of a Most important Wellness Treatment (PHC) technique with a strong loved ones medication focus conducive to strengthening the well being system to attain its goals of ‘health for all’.
Family members nurse in a PHC facility in Bokthar, Tajikistan. © Firuza Alieva
Placing PHC at the centre
Tajikistan’s changeover from a really centralized health care method to PHC commenced with authorized reforms to set up new financing mechanisms to enhance well being investing and improve financial protection for the populace. The Tajikistan govt has, as a consequence, progressively enhanced funding for principal treatment products and services, resulting in larger govt wellbeing shelling out and an all round increase in public well being shelling out as a percentage of GDP.1Well being funding reforms are underway to deliver a additional extensive and unified strategy to health care financing, fostering a shift from input-dependent resource allocations to strategic buying of major health care companies. Progressively expanding community assets available for PHC is pivotal to bettering communities’ obtain to important health care expert services.
Improving the desire for and accessibility to key treatment companies is a further critical element of Tajikistan’s transition. The region is shifting from a method seriously reliant on clinic-based mostly secondary and tertiary care in direction of primary treatment and public health, escalating the portion of their community health and fitness funds allocated to PHC, increasing from 34.6% in 2010 to 40.7% in 2022.1 As a outcome, the amount of PHC visits per man or woman has been mounting steadily from 4.8 in 2010 to 7.6 in 2022.2 To further enhance obtain to vital well being companies, particularly to the poorest and most vulnerable homes, Tajikistan is also revising the Essential Gain Package deal (BBP), working with a phased implementation setting up with priority teams alongside additional co-payment arrangements. As of 2021, the BBP handles 33.1% of the Tajikistan populace,2 with ongoing endeavours to grow protection and harmonise distinctive co-payment and charge-for-support arrangements to lessen economical limitations to health care.
Tajikistan has also built strategic investments to increase the organisation and fortify the good quality of principal care expert services. These investments are aimed at decreasing the fragmentation of expert services by incorporating founded vertical health and fitness providers underneath a unified PHC structure inside of the framework set by the Countrywide PHC Progress Grasp Strategy. Medical and nursing education and learning adjustments have been carried out to bridge human resource gaps in relatives drugs health professionals (FMDs) and nurses (FMNs) to give critical key care providers. The proportion of main health care institutions practising spouse and children medicine principles has elevated from 56% in 2010 to 88% in 2022. Concerning 2010 and 2022, the number of medical professionals who have had family members drugs schooling greater from 271 (4.4%)