Tajikistan's Health Services Improvement Project focuses on improving the service delivery and effectiveness of quality in primary healthcare facilities, including those in remote areas. By providing training to medical personnel, renovating and equipping healthcare facilities and, most importantly, by providing hands-on guidance and incentive payments to health workers for better results through an approach called “performance-based financing”, the project aims to increase both the coverage and the quality of basic primary health care services.
A grant from the Japan Social Development Fund is helping to improve health and nutrition among children under five years of age, as well as pregnant and breastfeeding mothers, in 14 food insecure districts of the southern Khatlon Province of Tajikistan. The project tackles issues at the community level, providing quality seeds and fertilizers to help families grow nutritious food, delivering critical micronutrient supplements to pregnant mothers and children, and raising awareness among women and volunteers about how to detect and prevent childhood illnesses.
Performance-based financing is designed to reward primary health care workers and facilities for their good performance – but only after they have been found to have successfully met targets that were agreed upon beforehand. The results reported by health care facilities are checked and verified rigorously every quarter, before they can receive incentive payments.