Health Systems Development
The Somoni Health Reform Plan provides a broad
framework for implementation of health reform
and health systems development throughout
Tajikistan. To support this plan, major ZdravPlus
activities will include:
• Building local capacity and disseminating
information about broad health finance reforms
to all levels of the health system. ZdravPlus
will support and provide technical assistance to
the World Bank and Somoni Health Reform
Teams to develop products and training
materials to provide training to oblast and rayon
level health staff, who will then extend the
training to health providers. Training will be
provided on health reform and health financing,
health information systems, and
pharmaceuticals and drug policies.
• Developing a broad health financing strategy,
establishing geographic resource allocation
mechanisms, developing additional sources of
health sector funding, introducing new provider
payment systems, formalizing population costsharing,
and financial planning and determination
of the guaranteed benefits package.
• Providing technical assistance to the Ministries of
Health and Finance in implementing funds flow
mechanisms and new provider payment systems
for hospitals and primary health care in pilot sites.