Medical Education Reform in Tajikistan


Switzerland has been supporting Medical Education Reforms in Tajikistan since 2009 with the aim to ensure availability of appropriately trained, well-deployed and motivated workers in the health sector. With support of the project the standards of undergraduate education have been revised and learning environment along with the teaching process at medical schools have been significantly improved. The current phase of the project will target quality of postgraduate éducation and unite all levels of medical education in one global continuum.

Country/region Topic Period Budget
Tajikistan
Health
Education
Primary health care
Health systems strengthening
Tertiary education
01.10.2015 - 30.09.2019
CHF 5'440'000
Background

Over 35% of the eight million population live below the poverty line, and national health expenditures are an extremely low 24USD per capita. Health indicators are among the poorest in Central Asia, with the health care System suffering from poor quality of health care services(poor infrastructure, weak management, lack of qualified staff), uneven distribution of resources between urban and rural areas, slow pace of implementation of reforms. The Government initiated health care reforms in 2000, to adapt health services inherited from the soviet time to the changed social and economic background. The availability of appropriately trained, well-deployed and motivated workers is critical for improving health outcomes. Despite some progress in the last years, financing, resouree mobilisation, management, participation, steering and governance remain key challenges of the medical education sector.

Objectives

The overall goal of the project is that the population of Tajikistan benefits from improved quality of health care services, especially at primary health care level, through reforming medical education.

Target groups

MoHSP and its staff, the national medical training institutions, and decentralised clinical training centres in 8 districts.

Main beneficiaries will be under/postgraduate medical students (900 medical students/year, several hundred nurses, over 100 post-graduate residents); family doctors and nurses working at primary health care level.

Medium-term outcomes
  • Policy framework: Human resource for health policies that take into account needs and realities of the health sector in an effective and sustainable way are updated; thereby the governance of the medical education system is improved
  • Undergraduate medical education: Doctors and nurses are adequately prepared to meet health needs of the population through curriculum and teaching reforms
  • Post-qraduate and continuous medical education: Primary health care workers offer services of better quality due to effectively functioning family medicine specialisation and CME programs
Results

Results from previous phases:  

SDC has been the only donor consistently contributing to the significant progress of the medical education reform in Tajikistan, with focus on all levels of the medical education System.

Key results:

  • Undergraduate curricula of years 1-5 (out of 6) of the Tajik State Medical University (TSMU) were revised and are being used; an innovative 2 years post university specialty training (PUST) for family doctors was developed and is being tested
  • Regulations on re-certification procedures for doctors were developed and endorsed by the Ministry of Health and Social Protection (MoHSP)
  • Quality assurance procedures for medical teaching were introduced. Furthermore, a mentoring system for family doctors set-up jointly with the Swiss Association of Family doctors is operating to improve the quality of care given to patients

The project facilitated inter-institutional policy dialogue and played a crucial role in ensuring ownership of Tajik partners.


Directorate/federal office responsible SDC
Credit area Swiss cooperation with Eastern Europe
Project partners Contract partner
Private sector
Swiss Academic and Research Institution
  • Foreign private sector North
  • Swiss Tropical and Public Health Institute


Budget Current phase Swiss budget CHF   5'440'000 Swiss disbursement to date CHF   4'926'796
Project phases Phase 3 01.10.2015 - 30.09.2019   (Current phase) Phase 2 01.09.2012 - 30.09.2015   (Completed)