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Community and Basic Health Project ( WB ). Component А . Strengthening Policy, Planning and Donor Coordination in the Ministry of Health. Component will support four trends of activity. A 1. Policy Formulation and Analysis. A 2. Strategic and Operational Planning.

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Community and Basic Health Project (WB)

Component А

Strengthening Policy, Planning and Donor Coordination in the Ministry of Health

Componentwillsupportfour trends of activity

A1. Policy Formulation and Analysis

A2. Strategic and Operational Planning

A3. Donor Coordination

A4. Public Relations and Communication


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Secretariat

TechnicalCoordinator for Working Groups

,

.

TechnicalCoordinator Assistant for Working Groups

Assistant to Health Coordination Meetings


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Interaction Chart

MOH

Departments

Donors

Secretariat

HPAU

PIU

Working Groups


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Minister of Health

PIU

HPAU International Consultant

Head of

Reformand International Relations Department

Chief Specialist

Headof International Relations Sector

Secretariat

(WG Technical Coordinator)

Chief Specialist

Assistant to Health Coordination Meetings

Lead Specialist

WG Technical Assistant Coordinator

Lead Specialist

Specialist

Organizational Framework


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Component А2Strategic and Operational Planning

Goals-

MOHcapacity building forstrategic planningand

ensuringcoherencebetween sub-sectors

Objectives:

meeting schedule coordination

ensuringtransparentbackground of activitiesthroughdraftingandrelease of minutesfor these meetings

provisionof required logistic support

regulationof timeliness forworking meetings


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MOH External Health Aid Coordination Unit

Technical Support

Swiss Office for Development and Cooperation

World Health Organization

World Bank


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MOH Working Groups

.

There are currently 17working groups functioning in

the Ministry of Health

Among them:

5 CoordinationCouncilsorCommittees

1Interdepartmental Working Groups

9 CurrentWorking Groups

Technicalassistance on the part of international organizations is

providedto 10 working groups


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FunctioningCoordination Councils

1.Coordination Councilfornursing. MOHOrder #384 dated 5.11.2004

Goal-

withinthe framework of Health Reform Concept Implementation

2.CoordinationCouncilforhealthylifestyleissues. MOHOrder #42 dated 28.01.2005

Goal -

strengtheningactivitiesinhealthy lifestyle formation, developmentandstrengtheningactivitiesof National, Oblast, urbanandrayoncentersforHLF

3.CommitteeforHealth Sector Reform Project (ADB) implementation.MOHOrder #98 dated 01.03.2005

Goal-

forwell-timedandefficientHealth SectorReformProject (ADB)


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FunctioningCoordinationCouncils (continuation)

4.CoordinationCouncilforfamilymedicineunder the Ministry of Healthof the Republic of Tajikistan.

MOH#122 dated 06.04.2006

familymedicine development andcoordination of

international organizations activities in this sphere

Goal-

5.RegularCoordination Councilfor “YouthHealth Development inTajikistanfor 2006-2010 years”Program (Care International).MOHOrder #568 dated 10.10.2006

Goal-

implementationof “YouthHealth Development inTajikistanfor 2006-2010 years”Program approved by the Governmentof RT#107 dated 03. 03.2006


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InterdepartmentalWorking Groups

Inter-sectoralworkinggroupforJFPRProject “PublicInformation andCommunity ParticipationforHealth Sector Improvement”.MOH Order #121 dated 06.04.2006

Goal -

Forwell-timedandefficientimplementation of JFPR Project “PublicInformation

andCommunityParticipation forHealth Sector Improvement”.


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Ministry of Health Working Groups

1.“Fordevelopmentof legalacts inthe field of Population

sanitary and epidemiologic security provision” (to be updated)

MOH Order #251 dated 17.06.2003

2.”Forcoordinationandimplementationof activities atthe proper level in “Survival, Development and Protection of Mother and Child”Programof UNChildren’s Fund (UNICEF)MOHOrder # 114 dated 03.0.3 2004

3.”Fordevelopmentof legaldocuments forenrichment of food

Productsaimedat provisionof food product fortification in the

Republic of Tajikistan”MOH Order #402 dated 21.07.2005 (JFPR)

4.”For extensionof working group compositionforinteractionwithUN MDG Project todevelop NationalDevelopmentStrategyandPoverty Reduction Strategy”MOHOrder #428 dated 08.08.2005 (WHO, UNICEF, WB, ADB, ZdravPlus/USAID,

GF, UNPF, UNDP )


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CONTINUATION

5.Fordevelopmentof Law “On Family Medicine”,

MOHOrder # 319 dated 26.06.06

9.Forinterimreview report incountry program implementation between Government of RT and UNICEF

in terms of maternity and childhoodfor 2005-2009. MOHOrder #84 dated 02.03.07

6.”Forprimaryreanimationof newbornsandbasicdiseases of

postnatal period, MOHOrder #276 dated 27.06.2006 (JFPR )

7.Fordevelopment of “Strategy for Continuous Education of Family Medicine Specialists” Project, MOHOrder #622 dated 14.12.2006

8.”Fordevelopmentof“BBPandPHC Per-Capita Financing»

(updated) MOH Order # 42 dated 06.02.07


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WG Trends of Activities

Number of WG

Number of Participants

Number of

developed

documents,

methodologies

Among them

approved by

MOH,

Government

Trends

Organizational and Financial Reforms

2

45

1

5

6

66

12

10

PHC

Human Capacity

Building

2

1

14

4

41

12

1

MaternityandChildhood

3

Public Health

11

5

57

11


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Documents Developed by Working Groups and Approved

DevelopedandApproved

1.Sectionof health system development“National Development Strategy

for 2007-2015”

2. “Hospital Health Service Rationalization Strategyof RT for 2006-2010”

3. “National Strategic Plan forHospital Service Rationalization”

4. “Methodologyof financial allocation andimplementationof

capitation financing mechanism in PHC Facilities

5. Family MedicineModel” (Order#13 dated 12.01.06 )

6.“MOHPlan for trainingof specialists in family medicinefor 2006-2010 “

(MOHOrder #226 dated 23.05.06)


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Continuation

7.Legal documentsgoverningprocedures for

phasedtransition to PHC. (MOHOrder #584 dated 31.10.05)

8.”Planof human resources development inhealth sector ofRTforthe

period of 2006-2010“ (interim), MOHOder #208 dated 15.05.06

9.”TajikistanStrategy forprocurementand distributionof pharmaceuticals” (MOH Order#638 dated 02.12.05)

10.Instructive and Methodological Guidelines “Epidemiology, Clinical picture,

Diagnostics, Treatment, PreventionandTyphoid and Paratyphoid

11.Instructive and Methodological GuidelinesforSafety Measuresduring

microscopic investigationof sputumforidentificationof TBin

clinical anddiagnostic laboratoriesof primary health care facilities


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Continuation

12. 5 clinicalguidelines forhospital-based health careand 7 foremergencycare in PHC (MOH Order# 548 dated 15.09.06)

Developments

1.DraftPoverty Reduction Strategy for 2007-2009

2. DraftPublic Information and Community Outreach forHealth Sector Improvement

3 DraftProgramofState Guarantees forProvision of Population in Pilot Rayons with

Primary Health Care in Republic of Tajikistan for 2007

4. Regulations on Special Funds of PHC Public Health Organizations of Pilot Rayons inRepublic of Tajikistan for 2007

5. Regulations on co-financing (co-payment) of expenditures from population

for health services provided by public health facilities of pilot rayons

(DangaraandKulyabRayonsin Khatlon Oblast, Ashtand Spitamen Rayons in

Sughd Rayons, Varzob and Rasht Rayons of National Subordination) in 2007.


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Component А3 – Donor Coordination and Policy

Goals –

managementof investmentsand

bringingtogetherMOHand donor efforts fora review of strategies,

priorities andmodes of support and a review of progress in the health

sector

Objectives:

-biannual summits,

- review of progress in preceding six months,

- report on new developments in the sector,

- opportunity for joint planning for the six months ahead.


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International OrganizationsWorking in Health Sector

There are currently 19 donor

organizations and 29 agencies

which implement more than

80 projects in health sector

Allocated amount is:

USD 134 401 446

(credits – USD 31 976 000,

grants – USD 102 425 446)


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International Finance Institutions

Investment in Health Sector

(breakdownUSD 134 401 446,00)


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International Finance Institutions Investment in

Health Sector

(breakdownUSD 134 401 446,00)

AKF1%

WHO0,5%

DFID 0,1%

UNDP0,1%

ЕСНО1%

UNFPA2%

UNICEF 0,1%

UNWFP3%

GG3%

USAID

SDC3%

17%

GJ3%

SFD 4%

ЕC

5%

WB

17%

SIDA

8%

ADB

IDB

GF

9%

13%

10%


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International Finance InstitutionsInvestment inHealth Sector Priorities


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International Finance InstitutionsInvestment inHealth Sector Priorities


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Activity Trendsof International Organizations and Donors


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ActivityTrends of International Organizations and Donors

(continuation)

– totalinvestment-$ 11 738 950,46


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ActivityTrends of International Organizations and Donors (continuation)

HIV/AIDS($ 23120 057,74)

  • UNAIDS,

  • UNDP,

  • UNFPA,

  • UNICEF

  • USAID

    (CAPACITYProject, JSI,PSI,AIDS,East-West Fund)

  • Global

  • Fund

    (UNDP)

  • WorldHealth Organization (WHO)

  • DFID

    (OKPT)

  • Soros Foundation


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ActivityTrends of International Organizations and Donors (continuation)

TB($ 23 515 124, 49 )

  • USAID,

  • USDepartmentof State (Project Hope)

  • Global

  • Fund (Project Hope)

  • WFP (Sino Project, Project Hope)

  • Global

  • Fund (PSF)

  • World Health Organization (WHO)

  • DFID (OKPT)


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ActivityTrends of International Organizations and Donors (continuation)


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ActivityTrends of International Organizations and Donors (continuation)


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ActivityTrends of International Organizations and Donors (continuation)


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GeographicCoverage of Organizational and Financial Reforms


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Geographic Coverage of ProjectsforMaternity and Infant Health Protection Support














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Listofallinternational financeinstitutionsandorganizationsinvolved in health sector

Generaldata foractivitiesof MOH WG

Generalinformation onallinternationalfinanceinstitutions andimplementing organizations working in health sector

Project cost tables involved in health sector

Informationonrayoncoverage by implanted projects

Tableof investment distribution in sections