Tajikistan’s economic recovery has remained slow since the end of the civil unrest in 1997. The country’s health sector is held back by lack of funding and medical protocols, outdated technologies, insufficient supply of medicines, and insufficiently trained health care workers. These conditions make it especially difficult for the most vulnerable groups (such as children, the elderly and the disabled) to receive the health services they require. The drawing up of the State National Program on Rehabilitation of Persons with Disabilities in Tajikistan in 2015, is seen as a stepping stone in the enhancement of physical rehabilitation services in the country
MoveAbility focuses on improving the capacity of its main partner in Tajikistan, the State Enterprise Orthopaedic Prosthetic Plant (SEOP). Notably, we provide various training opportunities, including some courses abroad, to ensure that the centre is staffed with knowledgeable and well-trained professionals. We mobilize other actors/stakeholders to fund the rebuilding of the SEOP’s Khudjand branch to improve the accessibility of services for the population of the north of the country. By the end of 2016, the centre should become operational and able to provide quality services to disabled patients. We will further accompany MOHSP in the implementation of its decentralization of services policy by supporting costs associated to the equipment of the second satellite of SEOP in Kulob (Khatlon Province).
To help the Tajikistani physical rehabilitation sector become more functional and work towards sustainability, we encourage the authorities’ in the adoption and implementation of the State Programme on social protection of persons with disabilities. This programme helps enhance physical rehabilitation services available, improve the wages and working conditions of the sector’s service providers, and recognize appropriately the professions of ortho-prosthetists and physiotherapists in the country.
Through improved and more accessible centres staffed with skilled service providers, persons with disabilities in Tajikistan receive appropriate and good-quality treatment. We also work with other partners to raise awareness of available services for the disabled. When no other financial coverage exists, the SFD shoulders the costs for treatment and transportation / accommodation of the economically vulnerable persons with disabilities. To help ameliorate their social reintegration, we facilitate disabled persons’ access to sports activities, including international competitions.
RESOURCES USED (As at September 2016)
- CHF 587’822 Budget 2016
- CHF 342’533 Expenditure as at September 2016
- 346 working days of P&O / PT expert
MAIN ACTIVITIES AND ACHIEVEMENTS (Jul-Sep 2016)
- The SFD coached the local team and supervised the renovation of the Khujand branch of State Enterprise Prosthetic-Orthopedic Plant (SEOP). The overall renovation of the site, including the installation of machinery, and the provision of equipment and materials, was completed in June 2016. The Khujand centre will serve a large population that, in the past, used to endure a long journey to reach the SEOP rehabilitation centre in Dushanbe. An outside gait-training field is planned to be constructed in the back yard of the Khudjand centre, and we are hoping it will be officially open by the end of 2016.
- The SFD Director and Head of Regional SFD office in Vietnam visited Tajikistan between the 19th and 24th of September. The overall goal of the mission was to review the collaboration between SFD partners, SEOP and the Ministry of Health and Social Protection (MOHSP). This was also the occasion to meet with the Minister of health and to discuss what role SFD will play in providing support to the MOHSP for the implementation of the National Program on Rehabilitation of Persons with Disabilities. In the coming months MOHSP and SFD will draw a common Plan of Action.
- According to the Minister of health, the National Program on Rehabilitation of Persons with Disabilities is in the last phase of validation by the Presidential administration and should be signed in the coming weeks.
- The second phase of the Spinal orthotic seminar, conducted by the same team of IRCS orthopedic technicians were held at the SEOP from 16th to 29th of May. On the end of the training an examination/test was organized to identify potential candidates for the possible third phase, to be held at IRCS in Iran.
- Two disabled candidates successfully passed the test and were selected for the 18 months Orthopaedic Shoe technology training in VIETCOT and already started the training there.
- A donation of P&O components and materials was made end of September to the SEOP, worth of 27’134 CHF.
Read more about Parvina Mansurova, the first female Tajik Prosthetist who got a training in Viet Nam.
INDICATORS (As at September 2016)
Physical Rehabilitation National Entity
- Existence of National plan: Under development
- Budget for physical rehabilitation: n/a
- Number of professionals employed by the entity: 0
Qualified professionals employed by our partners’ rehabilitation centers
- 4 P&O (2 P&O are for the time being away from SEOP)
- 2 Physiotherapists
- 12 other Therapists
Quality of services delivered by our partners
- Technical assessment: n/a
- Beneficiary satisfaction survey: n/a
Beneficiaries’ statistics – Trainings (jan-sep 2016)
- 5 persons received a professional physiotherapist training
- 9 persons received clinical and practical training (Spinal Orthotics)
Beneficiaries’ statistics – Services (jan-sep 2016)
- 2’465 physical rehabilitation services provided by our partners
- 11 devices for mine incident survivors were manufactured and provided by our partners
CHALLENGES AND NEXT STEPS
- During the review mission and meetings, MOHSPP expressed willingness to pursue the collaboration with the SFD in the future. Requests to continue support the SEOP and its other branches in Kulyab and Khorog were expressed by MoHSPP officials. MOHSPP also emphasis on training for non-qualified workers at the SEOP. Moreover, the SEOP director expressed its willingness for a more active support from the SFD to the non-qualified employees.
- The challenging and worsening financial situation remains the main obstacle for the proper functioning of the SEOP, risking to jeopardize the smooth continuation of the project.