Community and Basic Health Project WB

1
Community and Basic Health Project (WB)
Component ?
Strengthening Policy, Planning and Donor
Coordination in the Ministry of Health
Component will support four trends of activity
A1. Policy Formulation and Analysis
A2. Strategic and Operational Planning
A3. Donor Coordination
A4. Public Relations and Communication
2
Secretariat
Technical Coordinator for Working Groups
Technical Coordinator Assistant for Working Groups
Assistant to Health Coordination Meetings

• ,
• .

3
Interaction Chart
MOH Departments
Secretariat
Donors
HPAU
PIU
Working Groups
4
Organizational Framework
5
Component ?2 Strategic and Operational
Planning
Goals-
MOH capacity building for strategic planning
and ensuring coherence between sub-sectors

Objectives
meeting schedule coordination
ensuring transparent background of activities
through drafting and release of minutes for these
meetings
provision of required logistic support

regulation of timeliness for working meetings
6
MOH External Health Aid Coordination Unit
Technical Support
Swiss Office for Development and Cooperation
World Health Organization
World Bank

7

MOH Working Groups
There are currently 17 working groups functioning
in the Ministry of Health
Among them
5 Coordination Councils or Committees
1 Interdepartmental Working Groups
9 Current Working Groups
Technical assistance on the part of international
organizations is provided to 10 working groups

• .

8
Functioning Coordination Councils

• 1.Coordination Council for nursing. MOH Order
  384 dated 5.11.2004

Goal-
within the framework of Health Reform Concept
Implementation
2.Coordination Council for healthy lifestyle
issues. MOH Order 42 dated 28.01.2005
Goal -
strengthening activities in healthy lifestyle
formation, development and strengthening
activities of National, Oblast, urban and rayon
centers for HLF
3.Committee for Health Sector Reform Project
(ADB) implementation. MOH Order 98 dated
01.03.2005
Goal-
for well-timed and efficient Health Sector Reform
Project (ADB)
9
Functioning Coordination Councils (continuation)

• 4.Coordination Council for family medicine
  under the Ministry of Health of the Republic of
  Tajikistan.
• MOH 122 dated 06.04.2006

family medicine development and coordination
of international organizations activities in this
sphere
Goal-
5.Regular Coordination Council for Youth Health
Development in Tajikistan for 2006-2010 years
Program (Care International). MOH Order 568
dated 10.10.2006
Goal-
implementation of Youth Health Development in
Tajikistan for 2006-2010 years Program approved
by the Government of RT 107 dated 03. 03.2006
10
Interdepartmental Working Groups
Inter-sectoral working group for JFPR Project
Public Information and Community Participation
for Health Sector Improvement. MOH Order 121
dated 06.04.2006
Goal -
For well-timed and efficient implementation of
JFPR Project Public Information and Community
Participation for Health Sector Improvement.

11
Ministry of Health Working Groups
1.For development of legal acts in the field of
Population sanitary and epidemiologic security
provision (to be updated) MOH Order 251 dated
17.06.2003
2.For coordination and implementation of
activities at the proper level in Survival,
Development and Protection of Mother and Child
Program of UN Childrens Fund (UNICEF) MOH Order
114 dated 03.0.3 2004
3.For development of legal documents for
enrichment of food Products aimed at provision
of food product fortification in the Republic of
Tajikistan MOH Order 402 dated 21.07.2005 (JFPR)
4.For extension of working group composition for
interaction with UN MDG Project to develop
National Development Strategy and Poverty
Reduction StrategyMOH Order 428 dated
08.08.2005 (WHO, UNICEF, WB, ADB,
ZdravPlus/USAID, GF, UNPF, UNDP )



12
CONTINUATION
5.For development of Law On Family
Medicine, MOH Order 319 dated 26.06.06
6.For primary reanimation of newborns and basic
diseases of postnatal period, MOH Order 276
dated 27.06.2006 (JFPR )
7.For development of Strategy for Continuous
Education of Family Medicine Specialists
Project, MOH Order 622 dated 14.12.2006
8.For development of BBP and PHC Per-Capita
Financing (updated) MOH Order 42 dated
06.02.07

• 9.For interim review report in country
  program implementation between Government of RT
  and UNICEF
• in terms of maternity and childhood for
  2005-2009. MOH Order 84 dated 02.03.07

13
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
Maternity and Childhood
3
Public Health
11
5
57
11
14
Documents Developed by Working Groups and Approved
Developed and Approved

1.Section of health system development National
Development Strategy for 2007-2015

2. Hospital Health Service Rationalization
Strategy of RT for 2006-2010
3. National Strategic Plan for Hospital Service
Rationalization
4. Methodology of financial allocation and
implementation of capitation financing mechanism
in PHC Facilities
5. Family Medicine Model (Order 13 dated
12.01.06 )


6. MOH Plan for training of specialists in
family medicine for 2006-2010 (MOH Order 226
dated 23.05.06)

15
Continuation
7. Legal documents governing procedures for
phased transition to PHC. (MOH Order 584 dated
31.10.05)


8. Plan of human resources development in health
sector of RT for the period of 2006-2010
(interim), MOH Oder 208 dated 15.05.06
9. Tajikistan Strategy for procurement and
distribution of pharmaceuticals (MOH Order 638
dated 02.12.05)
10.Instructive and Methodological Guidelines
Epidemiology, Clinical picture, Diagnostics,
Treatment, Prevention and Typhoid and Paratyphoid
11. Instructive and Methodological
Guidelines for Safety Measures during
microscopic investigation of sputum for
identification of TB in clinical and
diagnostic laboratories of primary health care
facilities

16
Continuation
12. 5 clinical guidelines for hospital-based
health care and 7 for emergency care in PHC (MOH
Order 548 dated 15.09.06)
Developments

1. Draft Poverty Reduction Strategy for 2007-2009


2. Draft Public Information and Community
Outreach for Health Sector Improvement
3 Draft Program of State Guarantees for Provision
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 in Republic
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 (Dangara and Kulyab Rayons in Khatlon
Oblast, Asht and Spitamen Rayons in Sughd
Rayons, Varzob and Rasht Rayons of National
Subordination) in 2007.
17
Component ?3 Donor Coordination and Policy
Goals
management of investments and bringing together
MOH and donor efforts for a review of strategies,
priorities and modes 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.
18
International Organizations Working 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)

19
International Finance Institutions Investment in
Health Sector
(breakdown USD 134 401 446,00)
20
(breakdown USD 134 401 446,00)
International Finance Institutions Investment in
Health Sector
WHO 0,5
DFID 0,1
AKF 1
UNDP 0,1
???? 1
UNFPA 2
UNICEF 0,1
UNWFP 3
GG 3
USAID
SDC 3
17
GJ 3
SFD 4
?C
WB
5
17
SIDA
8
ADB
IDB
GF
9
13
10
21
International Finance Institutions Investment in
Health Sector Priorities
22
International Finance Institutions Investment in
Health Sector Priorities
23
Activity Trends of International Organizations
and Donors

24
Activity Trends of International Organizations
and Donors (continuation)
total investment- 11 738 950,46
25
Activity Trends of International Organizations
and Donors (continuation)
HIV/AIDS ( 23 120 057,74)

• UNAIDS,
• UNDP,
• UNFPA,
• UNICEF
• USAID
• (CAPACITY Project, JSI,PSI,AIDS, East-West
  Fund)
• Global
• Fund
• (UNDP)
• World Health Organization (WHO)
• DFID
• (OKPT)
• Soros Foundation

26
Activity Trends of International Organizations
and Donors (continuation)
TB ( 23 515 124, 49 )

• USAID,
• US Department of State (Project Hope)
• Global
• Fund (Project Hope)
• WFP (Sino Project, Project Hope)
• Global
• Fund (PSF)
• World Health Organization (WHO)
• DFID (OKPT)

27
Activity Trends of International Organizations
and Donors (continuation)
28
Activity Trends of International Organizations
and Donors (continuation)
29
Activity Trends of International Organizations
and Donors (continuation)
30
Geographic Coverage of Organizational and
Financial Reforms
31
Geographic Coverage of Projects for Maternity and
Infant Health Protection Support
32
Partners for Development
33
Partners for Development
34
Partners for Development
35
Partners for Development
36
Partners for Development
37
Partners for Development
38
Partners for Development
39
Partners for Development
40
Partners for Development
41
Partners for Development
42
Partners for Development
43
Partners for Development
44
Prepared and Regularly Updated
List of all international finance institutions
and organizations involved in health sector
General data for activities of MOH WG
General information on all international
finance institutions and implementing
organizations working in health sector
Project cost tables involved in health sector
Information on rayon coverage by implanted
projects
Table of investment distribution in sections