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ООН Надежный партнер Часть 1 

WHO and development partners conducted assessment of the quality of antenatal and postnatal care in Tajikistan

WHO Regional Office for Europe is involved in a continuous process of improving the quality of health care for mothers and babies at all levels of care. To assess the quality of care provided to mothers and newborns at primary care level, WHO has developed special tools based on international standards. These tools, covering the main clinical aspects that help countries identify strengths and achievements, and also areas for improvement. The process of quality assessment involves the active participation of those decision-makers, health professionals and consumers.

Currently, WHO Country Office in Tajikistan is implementing a project to provide technical assistance in support of health care reform and strengthening primary health care, funded by the European Union.  One of the specific objectives is to provide technical support to strengthen national capacity to assess and monitor the quality of care in primary health care.

In the framework of the project, WHO agreed with UNFPA, UNICEF, USAID QHCP and GIZ to work jointly to support Ministry of health in conducting the assessment of the quality of antenatal and postpartum care provided to women and children at PHC level in Tajikistan.  Assessment was conducted by the multidisciplinary team including obstetrician –gynecologists, family doctors, pediatricians/neonatologists and midwifes. During the assessment, in addition to evaluation of various aspects of practice, interviews with providers and women were conducted to hear their opinion on the issue. WHO international experts supported national experts in conducting the assessments to ensure that the local capacity is built to conduct assessments in the future and monitor improvement.

During the assessment on 15-25 April, WHO methodology and assessment tool was used in 6 primary health care facilities in Dushanbe, Sugd Oblast, Khatlon Oblast and RRS to identify quality gaps and opportunities for improvement. The assessment was concluded by the national workshop on 26 April to discuss the assessment findings, recommendations of the expert group and next steps in reduction of maternal and neonatal morbidity and mortality in Tajikistan.

This assessment will help building Ministry of Health capacity to carry out assessment of care provided at PHC level, and contribute to identification of key areas of pregnancy, postpartum and newborn care that need improvement. The assessment results will help to identify key policy areas that need to be improved and to prioritize relevant actions to address health needs of mothers and children.

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