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Health for all in Tajikistan: strengthening health governance and financing

The World Health Organization (WHO) provides technical expertise and brings together key partners in Tajikistan to improve the governance and financing of health, therefore strengthening the overall health system. This important work is carried out as part of the EU funded Health Development Programme, which aims to ensure healthcare is available and affordable to everyone in the poorest country in Central Asia.  

EU Health Devleopment Progarmme in Tajikistan


In Tajikistan, two-thirds of all health costs are paid out-of-pocket. These expenses are often catastrophic, especially for poor and vulnerable populations. As a result, many people abstain or delay a visit to the doctor, which aggravates their health problems.

However, the government of Tajikistan aims to implement a new health strategy which will make healthcare more accessible and affordable, even in remote areas of the mountainous country. The new national health strategy includes plans to cover the costs of basic health care for the poorest segments of the population. Many households should also gain access to co-payment schemes, to reduce the financial burden of healthcare. Furthermore, there is a need to strengthen Primary Health Care, ensuring first-line health care services and essential medicines are available to anyone at any time.

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To successfully implement this new national health strategy, a strong public system is essential. Strong institutions and efficient financing mechanisms provide the foundation for a well-functioning health system. In addition, it is essential health data is captured and used effectively to plan and budget for health services, ensuring the most efficient use of limited resources.

As the leading Organization in health, WHO strengthens the governance and financing of health care in Tajikistan. This includes supporting the government to better manage health emergencies such as COVID-19; increase and make better use of resources for health; and to ensure health services are organized more efficiently. Moreover, WHO supports Tajikistan in the nation-wide role out of a basic health insurance scheme to significantly reduce the financial burden of health care, especially for the poorest households.

WHO is able to carry out this important work as a result of a programme funded by the European Union. WHO is one of the three implementing partners of the Health Development Programme, together with UNICEF and GIZ. This strategic partnership brings together a wealth of expertise and experience. This EU programme therefore plays an important role in Tajikistan’s efforts to achieve Universal Health Coverage. The Health Development Programme has a budget of 3,25 million Euro, and will be implemented over the course of 2021 to 2015.