projects-in-tajikistan
In Tajikistan, irrigation of agriculture is not only vital for food security, but also for economic development. With agriculture contributing to almost 20% of the country’s gross domestic product (GDP) and the livelihood of half of the workforce, water resource management is important in maintaining food security, employment and economic development. However, more than half the country lives on $3.10 per day, and the value of output produced per cubic meter of irrigation remains very low, leading to stressed water resources and food insecurity. Assitance for agriculture projects in Tajikistan is critical to strengthen the economy and livelihoods of its citizens.

The World Bank PAMP II Project

The World Bank has implemented agriculture projects in Tajikistan, such as the Second Public Employment for Sustainable Agriculture and Water Resources Management Project (PAMP II), working closely with the Tajikistan government to support water resource management and increase crop yields.

The objectives of PAMP II are the following:

  • Give people experiencing food insecurity employment through the building of drainage and irrigation infrastructure.
  • Scale up the production of crops as a result of improved drainage and irrigation systems.
  • Provide support for the creation of better institutions and policies for water resource management.
  • Improve the availability of food and accessibility for people in rural areas with low incomes.

The project’s components include public works and rehabilitation of irrigation and drainage infrastructure, assistance in water resource management and project management.

Daler Abdurazoqzoda with the Ministry of Energy and Water Resources stated that “The World Bank’s support allowed us to advance all aspects of water sector reform – infrastructure, institutions and legislation.”

Additionally, in 2020, the Tajikistan government implemented a new law for Water Users Associations, establishing community-based organizations as part of irrigation governance and empowering them to provide better service to farmers. With this, more than 130 Water Users Associations strengthened to improve the management of on-farm irrigation and drainage infrastructure.

USAID Support

Additionally, the United States Agency for International Development (USAID) has also recently implemented agriculture projects in Tajikistan. In Khatlon, nearly 83% of the population works in agriculture. However, households remain poor, food-insecure and malnourished. Over the last four years, the USAID’s Feed the Future Tajikistan Agriculture and Water Activity has provided support to more than 140,000 households. According to the USAID, the program has provided “short-term agricultural sector productivity and food security training, support with improved technologies and management practices for 127,250 women across the Khatlon Province.”

Other benefits of this support include the introduction of new crops, installation of irrigation water measuring devices and enhanced livestock genetics. For smallholder farmers, gross margins increased by 194% and sales reached $3 million. By implementing projects in Tajikistan, the USAID largely contributed to poverty reduction and increased education and nutrition in the country.

Other Support Projects in Tajikistan

In addition, the World Bank continues to provide support for other projects in Tajikistan as well, such as the CASA1000 Project, Social Safety Net Strengthening Project and 14 other projects with commitments of $625 million. These projects provide other services and infrastructure that are also critical to the country. The CASA1000 project in Tajikistan, for example, will invest in improving local infrastructure and public services by financing the rehabilitation and upgrade of village-level electricity infrastructure and equipment to increase the reliability and quality of electricity services.

As projects like these continue throughout Tajikistan, they will contribute to the livelihood of citizens across the entire country, reducing poverty levels and providing necessary knowledge and support for long-term infrastructure.

– Tiffany Hill
Photo: Flickr

Improving Roads in TajikistanAlthough officially established in 1924, Tajikistan is host to one of the richest and most diverse cultures in the world given its unique geographic location and history. Trade and travel were historically central to Tajikistan’s culture and development, but many roads have been neglected.

Located in Central Asia, the country is neighbored by China to the east, Afghanistan to the south, Uzbekistan to the west and Kyrgyzstan to the north. Tajikistan has evolved immensely from ancient times when nomadic tribes roamed the country, becoming a major center of commerce and trade in the Central Asian region.

The Silk Road was an abstract trade route traveled frequently by merchants from Europe, Northern Africa, the Middle East, India and the Far East throughout the Middle Ages and the European Renaissance. It passed directly through many Central Asian countries. Tajikistan was no exception. One of the Silk Road’s most northern routes passed through the Pamir Mountains in what is now modern-day Tajikistan, offering travelers the safest possible route through the “Roof of the World.”

Neglect, Gangs and Corruption

But decades of neglect have led to dilapidated and very dangerous roads in Tajikistan, while governmental abuses and gangs add additional strain on these important transportation routes. In rural areas, hazardous dirt or gravel roads stretch on for many miles before connecting with the nearest paved highways. Rural mountain passes – of which there are many due to the country’s rugged terrain – are also closed for roughly six months during the winter and early spring due to a number of dangerous conditions, including frequent avalanches, mudslides and large rocks falling on the road. Gangs are also known to lie in wait to prey on travelers while corrupt traffic police also inhibit efficient and unimpeded travel along highways and rural roads. The so-called traffic police regularly allow government vehicles by yet pull over others arbitrarily under the pretense of inspecting registration. They often wrongfully deem these cars unfit to drive or claim they are unregistered, forcing travelers to pay a bribe in order to continue on their route.

The Pamir Highway

The Pamir Highway is one example of a Tajikistan highway that has been consistently neglected. While much of the road is paved, most of the mountainous passes it stretches through are unpaved and untended. The passes are closed in the winter months because of the avalanches and other prohibitive driving conditions, and the minimal oversight allows the gangs to inhabit these areas.

The highway becomes especially dangerous as it approaches the Afghanistan-Tajikistan border, where the road elevates to as much as 2,800 feet above sea level. Due to a lack of oxygen at these altitudes, many travelers report altitude sickness and lightheadedness, a particularly precarious situation given that there are no guardrails along cliff-drops. Road maintenance teams are also slow to respond to any widespread damages, which are often left in disrepair for indefinite periods of time.

Effects on Rural Populations

As of 2016, 73 percent of Tajikistan’s population lived in rural areas. These people depend on the dilapidated rural roads to access education, health care, food and other tools/supplies, meaning that their lives are put at risk on a regular basis. More broadly, this stifles Tajikistan’s economic development and discourages investment in the country. Economic issues hurt the poorest people most of all, and Tajikistan’s continued infrastructure underdevelopment makes it extremely difficult for rural populations to earn a living and access the necessities of life – as is the case in many developing countries.

Efforts to Improve Roads and Infrastructure

However, outside influencers are trying to improve the poor condition of roads in Tajikistan. Neighboring China has begun investing in updating the country’s poor infrastructure to improve trade inter-connectivity across Central Asia. Within the past decade, the China Road and Bridge Corporation (CRBC) financed and constructed the Dushanbe-Chanak Highway.

The highway spans the length of the country from north-to-south and has given many rural areas the means to access other parts of the country in a safe manner. The road is entirely paved and stretches from Dushanbe, Tajikistan’s capital, to Uzbekistan’s southern border. It has provided the country with stable bridges that span previously dangerous crossings and cuts through mountains, meaning that travelers no longer need to risk their lives driving around them on dangerous dirt roads.

The project is part of China’s Belt and Road Initiative to better connect Asia and spur further development and growth of Central Asia. As of June 2017, China has invested $2 billion into Tajikistan, according to the China Global Television Network.

The Future

Foreign investment initiatives such as China’s are part of the solution to improve infrastructure and roads in Tajikistan, which will spur additional economic development and provide more opportunities for rural populations. Newly paved highways that now connect the outer reaches of the country to urban centers will increase commerce both within the country and with neighboring nations. Safer infrastructure will also spur foreign investment from multinational corporations that can bring jobs and technological advances. With further improvement to infrastructure and roads in Tajikistan, the country may well see itself become a center of commerce once again.

Graham Gordon
Photo: Wikimedia

Food Shortages in Tajikistan

Tajikistan is a landlocked country in Central Asia that is home to 9 million people, many of whom have grappled with instability and poverty since its independence in 1992. In fact, half of Tajikistan‘s population lives in poverty today. Furthermore, the country is currently experiencing a food shortage crisis that is exacerbated by a number of factors including a heavy dependence on imported food products as well as inadequate agricultural practices.

Aid from US Initiatives

At least 30 percent of children under the age of five have stunted development. Increasing production in the local agriculture sector is a boost for Tajikistan’s economy, nutrition and general food supply. With equipment and training also provided by USAID, around 16,000 farmers were able to produce higher quality products that increased food security and nutrition. Improving agricultural production is a major step in alleviating the shortages that have plagued the population that currently live below the poverty line as well as helping the local farmers who struggled to make ends meet.

WFP Assistance

The World Food Programme has provided assistance to Tajikistan since 1993 and developed programs that aided people in need. The WFP helped with drafting policies and providing food to over 2,000 schools in rural Tajikistan, allowing over 370,000 students access to regular daily meals. Additional programs alongside the WFP have helped an estimated 119,500 infants under the age of 5 with their nutrition. Assistance is also provided to build new or improve infrastructure to provide security for supplies to rural areas, including additional agriculture production, disaster relief efforts and enrolling children into feeding programs to combat malnutrition. With aid from this program, Tajik children, alongside their parents, gained access to accessible food and medical facilities.

Domestic Poultry Market

Tajikistan’s domestic poultry market has been a major focus on increasing the country’s food security. An investment of expanding domestic poultry farming production in 2015, building new farms and increasing the number of eggs and meat produced for local markets. The poultry industry also got an additional boost in 2018 when the government lowered taxes on imported machinery and tools in 2017 to bolster internal production, though importing poultry still remains as one of the main drivers to meet domestic demand. There are currently 93 farms poultry farms with over 5 million birds currently in the poultry industry. The importance of poultry has on both the economy and the role it plays into combating hunger paves the way to alleviate the food shortages in Tajikistan.

Tajikistan’s effort, normally criticized for being lacking, has expanded upon its agriculture sector with significant investments. Much of Tajikistan’s battle against its internal food shortages have been from foreign aid programs, with various UN members providing the arid country with supplies and equipment to expand internal agriculture and food security alongside Tajikistan’s own national investment to expand them. The efforts have been slowly paying dividends in the Central Asian country, but it still remains a difficult road in alleviating the food shortages in Tajikistan.

Henry Elliott
Photo: Flickr

 

 

10 Facts About Life Expectancy in Tajikistan
Tajikistan is located in central Asia, with Kyrgyzstan, China, Afghanistan and Uzbekistan bordering. Though the smallest in land size, Tajikistan does have a higher elevation average with a more mountainous landscape which should place it at a disadvantage with the spread of health care. Here are 10 facts about life expectancy in Tajikistan.

10 Facts About Life Expectancy in Tajikistan

  1. According to data from the United Nations, Tajikistan ranks 134th in life expectancy for both sexes and second in relation to its neighboring countries. Life expectancy in Tajikistan follows the global trend of rising and currently has a male life expectancy of 68.6 placing it at rank 126 for male life expectancy. Tajikistan has a female life expectancy of 73.1 years placing it at 134th for female life expectancy.

  2. During the past 60 years, the only time life expectancy in Tajikistan has dropped was during its five-year civil war through May 1992 and June 1997. The civil war resulted in between 65,000 and 150,000 deaths, which accounted for about 1 percent of Tajikistan’s population at the time. Additionally, severe food shortages, as well as refugees and internally displaced people negatively affected Tajikistan’s standard of living.

  3. Since 2005, Tajikistan’s maternal mortality rate decreased from 95/100,000 to 32/100,000 in 2008. Afterward, the rate decreased to 25.2/100,000 in 2016. Throughout this time USAID and the United Nation Population Fund (UNFP) were working with Tajikistan’s Ministry of Health to strengthen its health care programs through improved health care education and financial support. This support came through the USAID’s Maternal and Child Health Project which focused on improving health, nutrition and hygiene for the women and children at the community level, as well as the UNFP training of doctors and midwives on effective perinatal care.

  4. Tajikistan has 170 physicians and 444 nurses per 100,000, which is comparatively less than the EU average of 347 and 850, respectively. The Swiss Agency for Development and Cooperation (SADC) is currently working to help improve the condition of health care education by promoting medical education. Currently its efforts are supporting roughly 900 undergraduate medical students, several hundred nurses and over 100 postgraduate residents per year.

  5. Since 2009, USAID has helped to create or fix 76 water systems allowing 242,000 or more people to access safe drinking water. Tajikistan also has an estimated 354,000 cubic meters per year, which is four times the average water flow than the entire region of Central Asia. This is important as roughly 3.7 percent of deaths are related to water-borne diseases such as bacterial diarrhea, hepatitis A and typhoid.

  6. Non-governmental organizations are working to fill the gaps in their health care systems relating to the prevention of human immunodeficiency virus (HIV) and the acquired immunodeficiency syndrome (AIDS). These gaps exist due to Tajikistan’s limited manpower and financial resources.

  7. At 99.8 percent Tajikistan has a high literacy rate compared to countries of similar economic standing. The high literacy rate should help facilitate the spread of health care information.

  8. Since 1994, Tajikistan has had legislation to protect patient rights and give patient choice, complaint and reimbursement procedures. Tajikistan’s constitution even includes this legislation in Article 38 which promises that each person has the right to basic health care and any other sort that future laws deem necessary.

  9.  According to the World Health Organization (WHO), Tajikistan ties for the 76th rank in road fatalities at 18.8 deaths per 100,000 people. For comparison, the U.K. has 3.1 deaths for every 100,000 people related to road fatalities. Though road safety contributes to a large number of deaths in Tajikistan, the road affects access to health care as well. As mentioned previously, the mountainous landscape proves to be a major obstacle in improving access to health care.

  10. The 10th fact about life expectancy in Tajikistan is that even though these problems and solutions are occurring, 45 percent of women from the ages 15 to 49 agree that the largest issue is getting the necessary money to afford health care treatment.

Life expectancy in Tajikistan is steadily improving with help from NGOs and further promoted health care education. While proper laws are in place to allow the population to seek out proper/adequate health care, financial limits burden those in poorer parts of the country and force them to seek the cheapest alternative.

With data being collected on Tajikistan’s health care system, an interest in increasing clean water access and an ample desire to better its system, Tajikistan is on the road to progress. There are several ways to contribute to helping improve the life expectancy in Tajikistan through supporting NGO’s efforts to provide children and families with clothes, food and shelter and to improve education standards and accessibility.

– Richard Zamora
Photo: World Bank

development in Tajikistan

Tajikistan is a country located on the frontiers between Europe and Asia. This largely unheard of, mountainous country has a population of more than 8.6 million with an average GDP per capita of around $3,200, placing it near the bottom of the global ranking. However, over the past few years, the GDP of Tajikistan has grown between 6 and 7 percent. This article will address five facts about development in Tajikistan, including the challenging areas and opportunities that the country faces.

Five Facts About Development in Tajikistan

  1. Geography: Tajikistan’s geography is impugning its development since more than 90 percent of the country is mountainous. If fact, much of the land lies above 3,000 meters in altitude. Subsequently, the population is largely rural and widely dispersed, complicating infrastructural developments. However, as a result of this landscape, the majority of Tajikistan’s electricity production comes from hydroelectric power. The system is still largely inefficient though, especially in winter months. Users reporting shortages up to 70 percent of the time in winter months. Recent efforts have sought to address the gaps in provisions. In March 2019, the World Bank agreed to finance the rehabilitation of the Nurek Hydropower Plant, which generates 70 percent of the country’s energy demand. The rehabilitation should increase the plant’s winter generation by 33 million kWh, allowing it to meet winter energy demands and become a net exporter of energy in summer periods.
  2.  Government Policy: According to the U.S. State Department, Tajikistan is a country of ‘high risk’ but ‘high reward’ investment. Despite its consistent low ranking on the Freedom House Index, which measures civil and political rights, continual economic reforms have increased its Economic Freedom and promoted more investment. These reforms helped Tajikistan officially join the WTO at the end of 2013 after the changes made in property and investor rights. The 2019 ‘Doing Business’ World Bank report stated that Tajikistan had increased its rank overall by taking steps to participate more in the regional economy. Through the Simplified Customs Corridor agreement, Tajikistan has improved customs clearance with Uzbekistan. Based on the international classification, the poverty rate is projected to fall to 12.5 percent by 2020.
  3. Labor Migration: Due to the lack of employment opportunities, Tajikistan has a negative net migration rate, meaning that there are more people leaving the country than entering it. Most of the migrants are working-age men going to work in Russia. In 2015, worker’s remittances accounted for around 29 percent of Tajikistan’s GDP. But, this dependency means that Tajikistan’s fiscal health dropped from 95.8 percent to 60.3 percent in the period from 2016 to 2017 as a result of Russia’s economic downturn. To increase the opportunities for the workforce, the International Labour Organization has launched a pilot project aimed at strengthening National Skills Development systems as part of the ‘G20 Training Strategy’. Although it only has 1,460 participants so far, the updated frameworks could help increase Tajikistan’s current low productivity.
  4. Gender Disparities: In Tajikistan, women face a number of barriers to succeed economically, gain access to education, find employment or receive healthcare. They receive fewer years of schooling than their male counterparts and earn approximately 60 percent of what men do. However, with a migrating male workforce, female participation in the economy could be beneficial for economic development in Tajikistan. With help from funding from U.N. Women, the Tajikistan National Business Association for Women runs a number of training programs to improve employment opportunities for women. From 2015 to 2018, 3,200 women received training in business and 2,200 women received training in vocational areas. The organization also runs a bi-annual women-only entrepreneurship competition, which received more than 700 applications in both 2016 and 2018.
  5. Border Problems: Tajikistan shares a 750-mile long border with Afghanistan, one of the world’s largest opium producers. Consequently, illegal drug trafficking in Tajikistan is estimated to be worth around 30 percent of the GDP. However, the Project for Livelihood Improvement in Tajik-Afghan Cross-border Areas (LITACA) is one of a number of projects seeking to enhance cross-border cooperation between Tajikistan and Afghanistan, especially for women entrepreneurs. The Government of Japan finances this initiative, and the UNDP Tajikistan implements it in order to add stability and security to the region and ease border tensions. This program introduced around 25 socio-economic projects between 2014 and 2017, boosting economic growth to 45,000 people on both sides of the border. The project improved direct access to “schools, hospitals, irrigation, drinking water, energy supply, roads and bridges” for more than 388,000 people.

Tajikistan faces a number of barriers to its economic development. However, these five facts about development in Tajikistan show that important work is being done. There are many opportunities for growth. Economic reforms and continued investment could change the lives of the hundreds of thousands affected by poverty.

Holly Barsham
Photo: Unsplash

corruption in tajikistan
Tajikistan is a small country in Central Asia with a population of 8.92 million people. Corruption in Tajikistan is widespread and infiltrates all levels of society. Emomali Rahmon, President of Tajikistan, has been in power since the collapse of the Soviet Union in 1991. There is almost no political renewal and a small number of the elite class control political and economic relations.

The Organization for Economic Cooperation and Development (OECD) made a report on corruption in Tajikistan which found that anti-corruption legislation and institutions lack funding and support in the country. The report also found that there have been no major improvements introduced to Tajik legislation to combat corruption as international standards require.

Daily Corruption

Corruption in Tajikistan affects people on a day to day basis, whether dealing with police, traffic guards or even public services. A public opinion survey that UNDP and the Centre for Strategic Studies conducted in 2010 found that 70 percent of the respondents had either paid a bribe or wanted to despite an inability to afford it. The survey showed that farmers and entrepreneurs are the two segments of society that are most vulnerable to petty, day to day corruption.

Citizens suffer daily police corruption that the large networks of organized crime and drug trafficking in the region only heighten. Some view the police and traffic guards as some of the most corrupt state institutions in the country. The same public opinion survey found that 90 percent of the respondents recognized that they experienced corruption when stopped by traffic guards and that these confrontations happen regularly. Traffic corruption can include an authority pulling someone over for speeding, asking them to pay a bribe to avoid a ticket and threatening jail time if the individual does not pay the bribe. Traffic guards will stop people for speeding even if they were at the speed limit, simply to pocket bribed money.

Political Corruption

Political corruption in Tajikistan is also widespread. All of its elections since gaining independence from the Soviet Union do not qualify as democratic electoral processes as international organizations such as the United Nations observed. The Tajik government functions heavily on patronage networks and family ties. Many of the President’s family members and allies hold political positions. For example, his son, Rustam Emomali, is the mayor of Dushanbe and is among the top 10 most influential individuals in Tajikistan.

Solutions

The Tajik government has taken some steps to combat domestic corruption that infiltrates all levels of society. For example, it adopted the United Nations Convention Against Corruption and anti-corruption legislation. The country still lacks many important factors that are essential to cracking down on corruption such as widespread access to information and an independent audit agency, however, international pressures could greatly improve political corruption in the country.

The OECD is an international organization with a mission to work with governments to construct policies that improve the lives of individuals. It is currently working with the Tajik government to come up with corruption fighting legislation. Amnesty International has also called out the Tajik government for its human rights abuses such as the persecution of LGBTQ members and the censoring of human rights activists. Amnesty does not currently have an office in Tajikistan, however, its media campaigns garnered support from activists and foreign governments such as Norway and Denmark.

Further Measures

Further pressures such as sanctions, naming and shaming techniques and advocacy have the potential to greatly reduce corruption in Tajikistan. If economically advantaged countries such as the U.S. placed pressure on Tajikistan to increase anti-corruption legislation and measures, it could vastly increase the quality of life for the citizens of Tajikistan. Naming and shaming is a method that nonprofit and international organizations use to call out a country or organization for unethical practices, which can pressure the Tajik government to crackdown on debasement. Lastly, advocacy and educational campaigns can increase awareness of the issue and also increase the supply of information about corruption in Tajikistan both to its citizens and the international community.

– Laura Phillips-Alvarez
Photo: Flickr

Eight Facts About Education in Tajikistan

Tajikistan, a country of 9 million people in Central Asia, recently created a new educational approach that will help address its ongoing struggles. The number of females enrolled in primary and secondary schools is significantly lower than males, and keeping children in school during economic or political crises is difficult for many families who rely on them for immediate financial returns. Despite gender and financial inequalities that still exist in educational institutions, however, many projects and investments are underway that will undoubtedly help reduce these discrepancies.

8 Facts About Education in Tajikistan

  1. Children are required to attend school between the ages of 7 to 15. Nonetheless, the number of out-of-school children in 2017 was 11,435, with girls accounting for more than 70 percent of this figure.
  2. Armed conflict during the 1990s meant that females in the region were 7.3 percent less likely to complete their education than females in non-affected areas. In the long-term, they also returned to school at a lower rate than males.
  3. The Global Partnership for Education, a funding platform that helps increase the attendance in schools in developing countries, works in conjunction with the Tajikistan government to increase access and quality of early childhood education. In fact, more than 18,000 children have benefitted from improved schooling conditions in 400-500 education centers.
  4. As of 2017, 5,400 primary teachers were trained and two million new learning materials were distributed to schools.
  5. Along with the addition of new materials, an enhanced curriculum that teaches practical applications and an interactive atmosphere are being used by 160,000 primary students.
  6. Location, gender and finances are the main obstacles to completing higher education. The proportion of students who complete higher education from the most well-off households is eight times higher than from the poorest families.
  7. Girls make up less than 30 percent of the overall number of students enrolled in universities. In fact, one in three women stops their education before completing secondary school.
  8. According to 19 percent of parents and out-of-school youth, the main reason for high dropout levels in females is marriage and avoiding “a bad reputation.”

As of 2017, the poverty rate in Tajikistan is 29 percent down from 37 percent in 2012 and education is one of the main factors that helped to reduce these levels. As described in these eight facts about education in Tajikistan, many new educational reforms are underway in Tajikistan that seek to alleviate the gender gap and create a system that benefits the community directly. Access to education will allow individuals to help lift themselves from poverty and contribute to the economy, which in turn will positively affect the global economy by reducing trade barriers and creating a more competitive global market. Investments in education have long-term payoffs that can make a tangible difference in the lives of people who live below the poverty line and create a more accessible and powerful global trade market.

– Tera Hofmann
Photo: Pixabay

tuberculosis in TajikistanIn conjunction with the United States Agency for International Development and global nonprofits, Tajikistan has made remarkable steps in countering its tuberculosis epidemic – by way of spreading awareness and the help of external nations. Reducing the burden of tuberculosis in Tajikistan is truly a global effort with many working factors and components, all of which have combined to have a substantial effect on spreading awareness and countering the disease.

Like many of its Central Asian neighbors, the landlocked mountain nation of Tajikistan struggles in its fight against poverty. As of 2016, just over 30 percent of Tajiks lived below the international poverty line, just scraping by with mass imports of food and resources from Russia, Kazakhstan, China and Iran. There are many contributing factors of this widespread poverty, including rampant corruption, substantial drug trafficking and thousands of displaced persons. Despite this sweeping poverty, however, efforts have been made to improve one substantial area of Tajik life: health and wellness.

Tuberculosis in Tajikistan

According to the World Health Organization (WHO), tuberculosis is one of the top 10 causes of death worldwide, with nearly 1.6 million people dying from the preventable disease in 2017. In the same year, there were 6,279 reported cases of tuberculosis in Tajikistan, though this value does not represent all cases of tuberculosis due to the sheer spread of disease. However, the total incidence of tuberculosis in Tajikistan has also been steadily declining since 2000.

If the proper resources are available, tuberculosis can be easily treated. According to the WHO’s report of tuberculosis in Tajikistan, out of a cohort of 5,324 members, 89 percent were successfully treated for their tuberculosis. The success of treatment drops significantly, however, when concerning those who are HIV-positive and those with multi-drug resistant tuberculosis.

U.S. Involvement in Tajikistan

While a significant portion of this decline in incidence and rise in success of treatment can be attributed to the Tajik people, much of the funding and interventions have been spearheaded by the United States. USAID, a U.S. government agency focused on the development of foreign nations, has been the primary arm of U.S. funding and involvement in reducing the burden of tuberculosis in Tajikistan through increased resources and general awareness. Specifically, the USAID TB Control Program helped support the local Tajik governments with financial resources and infrastructure, creating a five-year National TB Program that includes training for health workers, informing at-risk populations and providing more widespread and affordable diagnosis and treatment options. This National TB Program is supported by $13.2 million in aid.

In addition to providing funding, USAID is also focused on streamlining the processes related to reducing the burden of tuberculosis in Tajikistan. In this landlocked, former-Soviet nation, USAID helped reduce the treatment time for tuberculosis from 24 months to nine months. While this is still a significant amount of time, this improved treatment theoretically allows for those who have been properly diagnosed with tuberculosis to return to work, happy, healthy and hopefully ready to contribute to Tajikistan’s dwindling economy.

Next Steps

While Tajikistan has taken the first, crucial and often most difficult steps in tuberculosis prevention and treatment, the country still has a long road ahead. Continuing to educate populations and streamline treatment and diagnoses must spread to other populations, including migrants (of which, Tajikistan has a significant population), prisoners and children, in order for Tajikistan to have a far brighter future.

– Colin Petersdorf
Photo: Wikimedia Commons

Credit Access in TajikistanTajikistan, located in Central Asia, has a population of over 8 million people. Tajikistan has borders to Afghanistan, Uzbekistan, Kyrgyzstan and China. Although Tajikistan’s financial sector has made significant progress since 2000, many new advancements such as credit access are still in need of improvement. In 2017, almost 30 percent of Tajiks were living below the poverty line. Finding a solution to increase credit access in Tajikistan has become an important task for the government of Tajikistan.

Tajikistan’s Reliance on Remittances

Due to Tajikistan’s limited employment opportunities, about 90 percent of Tajiks travel out of the country for work. They often travel to the Russian Federation in search of employment. Many migrant workers send remittances back to their friends and family in Tajikistan. More than 60 percent of Tajik households reported that half of their income comes from remittances with 30 percent of Tajik households reporting that 100 percent of their income comes from remittances.

A 2010 Labor Organization study reported on how Tajik households save their income and remittances. The study found that only 23 percent of people were able to save their remittances with only 9 percent able to save at a partial amount of 21 to 40 percent of the money. When the money can be saved, it is not often for long. In fact, only 11 percent of the people were able to save their remittances for more than six months.

Income savings did slightly better. At least 63 percent reported being able to save part of their income. For example, 51 percent saved about 20 percent of their income. However, only 3 percent could save between 41-60 percent of their income. Since remittances are the main source of income in many Tajik households, money is spent on immediate needs, which results in low percentages in income saving.

Credit Access in Tajikistan

According to a 2010 International Labor Organization study, 95 percent of Tajik households do not keep their savings in financial institutions. Due to Tajikistan’s remote and unique mountainous terrain, 95 percent of Tajik households are not aware of the savings products available to them or know where financial institutions are located. Credit access in Tajikistan isn’t seen as a necessity in many Tajik households because it is very common and traditional for Tajiks to keep their savings at home. There also seems to be “a general distrust” of financial institutions.

In April 2010, the World Bank Group, with the help of the Government of Switzerland, launched the IFC Azerbaijan-Central Asia Financial Markets Infrastructure Advisory Services Project. This three-phase project is aimed at improving the financial infrastructure of Tajikistan and expanding credit for people and small businesses. This would allow for the creation of more jobs.

The project also provided financial literacy training to more than 100,000 Tajiks, which allowed Tajiks to become knowledgable about where their savings go. As a result of the IFC Azerbaijan-Central Asia Financial Markets Infrastructure Advisory Services Project, Tajikistan’s financial sector was able to establish the first private Credit Information Bureau with the help of IFC and the National Bank of Tajikistan.

These crucial advancements have led Tajikistan’s financial sector in the right direction toward improving credit access in Tajikistan as well as addressing the needs of the people of Tajikistan. With impoved credit access comes financial security, an increase in small businesses and a better economic standing.

Jocelyn Aguilar
Photo: Flickr

maternal mortality rates tajThe Republic of Tajikistan is a country located in Central Asia. In 1991, when Tajikistan became independent it was the most poverty-stricken country of the Central Asia republics. A civil war hurt Tajikistan’s economic and social growth, which led to a decline in overall health in the region. One of these health issues is that Tajikistan has had a very high maternal mortality rate. However, in the last decade progress has been made and maternal mortality rates for women in Tajikistan are dropping.

Tajikistan currently has a rate of 32 maternal deaths for every 100,000 live births. This number has significantly decreased since 1990 when the rate was 107. There are multiple factors that are responsible for the decline in maternal mortality rates. One of the dangers had been the fact that many women have their babies at home. In fact, at least 15 percent of women still give birth without a doctor or midwife present.

Hospitals and Healthcare Facilities

A project by the name of Feed the Future Tajikistan Health and Nutrition Activity (THNA) is spreading information about the dangers of giving birth at home. They also teach women in the country about the benefits of delivering in a hospital or other health care setting. Funded by USAID, THNA is working alongside hospitals and healthcare centers in different locations throughout the country to talk about the three main factors that lead to increased chances of maternal mortality, also known as the three delays:

  1. Seeking maternity care
  2. Reaching a healthcare facility
  3. Receiving high-quality care once at a healthcare facility

In 2016, THNA partnered with the Ministry of Health and Social Protection of the Population to further understand the problem. The duo conducted 14 in-depth assessments of hospitals in the region. They found out that many healthcare facilities did not have proper medical supplies, lacked adequate equipment and were understaffed. The duo worked together and provided the healthcare centers with new equipment and supplies.

The partnership also taught more than 1,400 people in the community to be health educators. The health educators, in turn, taught women about prenatal care and when they should go to a hospital. These changes are a major reason why maternal mortality rates in Tajikistan are declining.

Midwifery Services

Families in Tajikistan who cannot afford healthcare facilities often turn to alternatives such as midwifery. It is challenging to find a good midwifery service in the country. However, the United Nations Population Fund (UNFPA) is working with the Ministry of Health to increase the quality of midwives in the region. They supply midwives with education, capacity building and medical equipment. Furthermore, the UNFPA trains midwives on effective perinatal care.

UNFPA also provides technical help in improving training curriculums at schools throughout the country. Nargis Rakhimova, the UNFPA National Program Analyst on Reproductive Health in Tajikistan said, “This initiative is considered a breakthrough as it raises educational programmes to the level of internationally agreed standards.” Improved midwifery services are another factor why maternal mortality rates for women in Tajikistan are dropping.

Even though it is easy to recruit young women into midwife training programmes, it is not easy to keep them in the profession. Midwives do not make a lot of money and there is no official certification for midwifery, which may lower the standards of services in the region. Rakhimova said, “Though the midwifery situation in Tajikistan is improving, midwifery needs to be developed as a separate profession complementary to medicine.” Improving compensation for midwives will help continue to lower maternal mortality rates in Tajikistan.

Continuing to Improve

The poverty Tajikistan faced when it gained its independence led to a number of health crises in the region. Maternal mortality rates are one of these issues. Even though the country still faces problems with maternal mortality, the conditions are improving. The combination of advancements in healthcare facilities and midwifery services are a big reason for the improvements. These are the two main contributors as to why maternal mortality rates for women in Tajikistan are dropping.

Nicolas Bartlett
Photo: Flickr