Mirzoev, TN, Green, AT and Newell, JN (2007) Progress towards health reform in Tajikistan. Journal of Health Organization and Management, 21 (6). pp. 495-505. ISSN 1477-7266
Abstract
Purpose: the purpose of this paper is to provide an up-to-date overview of Tajikistan’s health system, focusing on the main factors affecting health systems development. The wider contextual environment is to be explored, focusing on political, social and economic issues. Different elements of the health system including health policy, governance, service delivery, human resources and health financing are reviewed in the light of their development over the past decade. Design/methodology/approach: the paper shows that the Republic of Tajikistan is in transition. Formerly one of the most neglected republics within the USSR, the country became independent in 1990 and faced the civil conflict shortly thereafter. In the last few years there have been major public sector reforms with health reforms formally launched in the late 1990s. Little information about current Tajikistan is widely available. Findings: the paper finds that the progress of health reforms in Tajikistan has been relatively slow compared with neighbouring Kazakhstan and Kyrgyzstan. This is largely due to the effects of civil war in the mid-1990s and significant out-migration of qualified experts, but it can also be attributed to an inability of central government to adequately adapt to the requirements of transition. Originality/value: the paper shows that many problems are still to be overcome by the health system, ranging from operational issues related to service delivery to strategic issues such as formulating an explicit privatisation policy, reducing fragmentation of, and aligning, external aid. However, some recent developments, such as adoption of a country health reform conception, a health financing strategy, and willingness of central government to improve coordination, suggest that improvements are possible.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | Tajikistan; Health services; Transition management |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Nuffield Centre for International Health and Development (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 14 Jul 2016 10:47 |
Last Modified: | 31 Oct 2016 05:37 |
Published Version: | http://dx.doi.org/10.1108/14777260710834292 |
Status: | Published |
Publisher: | Emerald |
Identification Number: | 10.1108/14777260710834292 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:88474 |