MSF final report on psychiatric institutions: conclusion (2003)

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MSF final report on psychiatric institutions
conclusion (2003)

• MSF believes that the international donor
  community, and international and national
  non-governmental partner agencies working with
  the Ministry of Health on policy development and
  reform strategies within the health care sector
  must take into consideration the forgotten and
  neglected sector of Mental Health.
• The international community has a responsibility
  to encourage the Tajik authorities to include
  Mental Health within the broader agenda of health
  care reform in the Republic of Tajikistan. And
  MSF believes that the Ministry of Health has a
  duty to encourage the international community to
  support the Tajik authorities in facing this
  challenge.

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European Commission

• Humanitarian aid (ECHO) until 2007
• Lobbying and technical support to Ministry of
  Finance and Ministry of Health (Food Security
  Programme, ECHO)
• Result 1 an additional 1 mln somoni allocated by
  the Tajik Government to the MoH for republican
  level psychiatric institutions in 2005.
• Result 2 Commitment of Ministry of Health and
  Ministry of Finance to rationalise system of
  psychiatric (and TB) institutions by 2007.

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Other needs

• Full-fledge reform of the psychiatric system
  (des-institutionalisation).
• Support to the Government (all institutions
  across relevant Ministries).
• Any in-kind donation should be coordinated with
  the MoH and actors involved in institutions, with
  priority given to the worse institutions and
  bearing in mind the needed rationalisation of
  number and quality of institutions.

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Acknowledgements
The Ministry of Health The Ministry of
Finance Medecins Sans Frontieres The Union of
Mental Health Support The Geneva Initiative on
Psychiatry Pharmaciens Sans Frontieres-Comite
International EC ECHO, FSP Swiss Cooperation
Office World Food Programme Project Hope Misereor
/ Global Initiative for Psychiatry Other in-kind
donations Harris Coussidis http//www.hariscoussi
dis.com/