Tajikistan

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On 5 September 2013, the Republic of Tajikistan joined the SUN Movement with a letter of commitment from HE Nusratullo Salimov, the Minister of Health. At the time, Tajikistan had developed a number of laws and adopted strategic documents to improve on health, nutrition and food security since the time of its independence. Tajikistan had also established the Food Security Council of the Republic of Tajikistan (FSCT) to coordinate strategic decision making concerning food security for the country.

Progress

Bringing people together
58% 2017

Bringing people together

Coherent policy and legal framework
58% 2017

Coherent policy and legal framework

Aligning programs around a Common Results Framework
32% 2017

Aligning programs around a Common Results Framework

Financial tracking and resource mobilization
16% 2017

Financial tracking and resource mobilization

TOTAL
41% 2017

TOTAL

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Nutrition situation

26.8%

Under Five Stunting

10%

Low Birth Weight

34.4%

0-5 Months Exclusive Breastfeeding

9.9%

Under Five Wasting

6.6%

Under Five Overweight

24.6%

Woman Anaemia 15-49 years

12.1%

Adult Blood Glucose (Diabetes)

44.9%

Adult Overweight

13.6%

Adult Obesity

Strategic objectives

In 2016-2017, the Government of Tajikistan amended the terms of reference and membership of it multi-sectoral platform (MSP) and technical working groups. These changes include the addition of important sectors and new stakeholders, as well as a separation between the SUN multi-sectoral platform functions and the school-feeding programme. The 2nd National Nutrition Forum took place in July 2017, which brought together more than one hundred national and international partners and practitioners, representing stakeholders from the Government, research institutions, donors, UN agencies and civil society.

Last updated: November 2017

2016
The Ministry of Health and Social Protection has continued to bring together multi-sectoral stakeholders in 2015-16. Increased engagement was seen by other Ministries such as the Ministries of Finance, Economic Development and Trade and Education. UNICEF and USAID assisted the Government in making the Platform operational. The Donor Coordination Council played a catalytic role in advocating for the inclusion of food security and nutrition in the National Development and Midterm Development Strategies. GAIN is supporting the formation of the Business Network.

Last updated: December 2016

2015
In Tajikistan, the Ministry of Health and Social Protection of Population (MoHSP) convenes a Multi-Sectoral Coordination Council (MSCC) to work at the policy level for nutrition. It was established in 2014 and is supported by a Technical Working Group. The MSCC and its working group include representatives from the Ministry of Agriculture; Economy, Trade and Development; Finance; and Industry and New Technology and the Institution of Nutrition. The United Nations Children’s Fund and the United States Agency for International Development act as Donor Conveners and ensure the active participation of development partners. Engagement of other actors including civil society and business is also underway. A successful one-day Scaling Up Nutrition meeting was organised in August 2014 in order to bring all the relevant stakeholders together, representatives from Nepal and Kyrgyzstan also attended the meeting and exchanged ideas and best practices.

Last updated: October 2015

Effective implementation of laws and policies still remains a challenge. For the enforcement of the universal salt iodisation initiative, a situation analysis was conducted in 2016 and included a review of legal barriers that prevents inspection agencies from regularly monitoring and controlling small businesses in this regard. Policy-makers have shown increasing interest in addressing food fortification issues including flour fortification and salt iodisation. In 2017, a new working group on micronutrient deficiencies was created under the Council of Food Safety (chaired by the Deputy Prime Minister). This working group is mandated to review and amend the existing fortification law, which did not pass in 2016, into a law on the prevention of micronutrient deficiencies, through food fortification approaches.

Last updated: November 2017

2016
In 2015-16, some key nutrition achievements have been seen. For instance, food security and nutrition has been included as a separate goal in the new National Development and Mid-term Development Strategies. Policymakers have shown increased focus on flour fortification and salt iodisation. Furthermore, for the first time, parliamentarians have been brought onboard to promote nutritionrelated policies and programming. Many policies and strategies have been revised and consolidated through a nutrition lens.

Last updated: December 2016

2015
Food security and nutrition have been included as a priority goal in the new National Development Strategy for 2016-2030. This was the result of stakeholders sharing a Food Security and Nutrition Concept Note to high-level government officials to advocate for the placement of nutrition as a national development priority. In addition, participation of Tajikistan`s Vice Speaker of the Parliament at the Second International Conference on Nutrition and at the 2014 SUN Movement Global Gathering in Rome has been instrumental in drawing policy makers’ attention towards nutrition.

A Nutrition and Physical Activity Strategy was also approved in 2014.

Last updated: October 2015

The first draft of Tajikistan’s multi-sectoral common results framework (CRF) was presented in July 2017, at the National Nutrition Forum. The next step is to elaborate the CRF, once finalised, into a detailed multi-sectoral plan of action which will outline sectoral targets, national and sub-national implementation plans, governance, accountability and coordination mechanisms, and financing mechanisms for tracking and reporting on on-budget and off-budget funds for nutrition, in addition to capacity strengthening components.

Last updated: November 2017

2016
Tajikistan mobilised technical assistance from the Maximising Quality of Scaling Up Nutrition (MQSUN) Consortium to develop a Common Results Framework (CRF) and costed Multi-Sectoral Action Plan for nutrition. In August 2015 a programming gap analysis was undertaken, followed by a high-level workshop to agree on common goals (such as alignment with 2025 World Health Assembly targets) for the CRF and to start discussing sectoral priorities. A study tour to Nepal took place in May 2016 for a 15-member Tajik delegation.

Last updated: December 2016

2015
Tajikistan engaged with MQSUN, through the SUN Movement Secretariat, to review the alignment of nutrition policies and plans and development of initial stakeholder mapping of nutrition activities in 2014. This was their first step toward the development of a Common Results Framework (CRF) to act as the multi-sectoral plan of action for improved nutrition. This was a comprehensive stock taking exercise to ensure the effective implementation of nutrition-specific programs based on a continual analysis of the program bottlenecks.

The first phase of preparatory work was completed in December 2014, which involved a desk review of all key documents and consultations with stakeholders. This resulted in clear recommendations with conceptual clarity and a road map toward the development of CRF.

MQSUN Phase II support for Tajikistan was confirmed after a delay due to contractual issues. This support includes the finalisation of a CRF and a review of the supporting multisectoral plans in line with existing policy frameworks.

A monitoring mechanism is in place with different degrees of intensity depending on the programs, particularly within the health sector. Progress of nutrition specific programs are reported quarterly whilst the mechanism to track and report on the implementation nutrition-sensitive interventions remains a challenge.

Last updated: October 2015

Tajikistan has taken part in the SUN Movement Budget Analysis Exercise, using the 3-step approach, with results available for the 2014, 2015 and 2016 budget. Future analysis will include donor contributions. The Ministry of Health and Social Protection and the Ministry of Finance have stepped up collaboration on the budget allocation process. In 2016, the Ministry of Health and Social Protection embarked on an exercise to define and cost essential reproductive, maternal, neonatal, child and adolescent health and nutrition services package, which will contribute to an improved better understanding of costed estimations of nutrition-related actions (mostly nutrition-specific interventions).

Last updated: November 2017

2016
Tajikistan took part in a financial tracking exercise during the reporting period and the final outcomes are available for both 2014 and 2015 budgets. The plan is to include off-budget allocations in future analysis. The exercise led to improved collaboration between the Ministries of Health and Social Protection and Finance. In 2016, the Ministry of Health and Social Protection has embarked on and exercise to define and cost the essential maternal, neonatal, child and adolescent health and nutrition service package offered.

Last updated: December 2016

2015
Tajikistan participated in the SUN Movement Budget Analysis Exercise to begin tracking nutrition relevant budget allocations in the national budget, this included participation from the Ministry of Finance. Tajikistan are now in the process of reporting on nutrition related financing to further engage with members of the MSCC to raise the profile of nutrition. This insight in addition to the CRF, when completed, will provide a strong basis to mobilise additional resources for nutrition.

Last updated: October 2015

SUN Government Focal Point

Dr. Saida Gairat Umarzoda
First Deputy Minister of Health and Social Protection of Population

Donor Convenor

  • UNICEF
  • USAID