Tajikistan Health Services Improvement Project (HSIP)

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The objective of the Health Services Improvement Project for Tajikistan is to contribute to the improvement of the coverage and quality of basic primary health care (PHC) services in rural health facilities in selected districts. The project has three components. The first component is performance-based financing (PBF). This component will support a PBF pilot at the PHC level in eight rayons (or districts) in Khatlon and Sogd oblasts (regions). Under the PBF pilot, Rural Health Centers (RHCs) and their subsidiary Health Houses (HHs) will be eligible to receive a performance-based payment each quarter based on the quality and quantity of Maternal and Child Health (MCH) and Non-communicable Diseases (NCD) services delivered. The development and testing of the PBF scheme is currently being financed by a separate preparation grant from the Health Results Innovation Trust Fund (HRITF). The second component is primary health care strengthening. This component will aim to improve the capacity of PHC providers to deliver quality services. It has following two sub-components: (i) quality improvement to finance the training of PHC doctors and nurses from the project districts and selected comparison districts in a six months family medicine training program; and (ii) physical infrastructure improvements to support the improvement of PHC facility infrastructure in the project districts. The third component is project management, coordination, and monitoring and evaluation. This component will finance the expenses associated with the implementation and management of the project at the central, regional, and district levels.