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Community and Basic Health Project ( WB )

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 )

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  1. 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

  2. Secretariat TechnicalCoordinator for Working Groups , . TechnicalCoordinator Assistant for Working Groups Assistant to Health Coordination Meetings

  3. Interaction Chart MOH Departments Donors Secretariat HPAU PIU Working Groups

  4. 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

  5. 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

  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 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

  8. 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)

  9. 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

  10. 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”.

  11. 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 )

  12. 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

  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 MaternityandChildhood 3 Public Health 11 5 57 11

  14. 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)

  15. 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

  16. 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.

  17. 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.

  18. 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)

  19. International Finance Institutions Investment in Health Sector (breakdownUSD 134 401 446,00)

  20. 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%

  21. International Finance InstitutionsInvestment inHealth Sector Priorities

  22. International Finance InstitutionsInvestment inHealth Sector Priorities

  23. Activity Trendsof International Organizations and Donors

  24. ActivityTrends of International Organizations and Donors (continuation) – totalinvestment-$ 11 738 950,46

  25. 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

  26. 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)

  27. ActivityTrends of International Organizations and Donors (continuation)

  28. ActivityTrends of International Organizations and Donors (continuation)

  29. ActivityTrends of International Organizations and Donors (continuation)

  30. GeographicCoverage of Organizational and Financial Reforms

  31. Geographic Coverage of ProjectsforMaternity 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. PreparedandRegularly Updated 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

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