Investment Case for Business Planning in Primary Healthcare in Tajikistan

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The implementation of business planning (BP) started as a donor-supported pilot to strengthen the performance of primary health care (PHC) facilities in 2005. Since then, the BP department of the Republican Clinical Center of Family Medicine (RCCFM) has been supported by the Enhancing PHC Services Project (Project Sino). National adaptation of BP practices is currently ongoing, but still to be completed. At the end of 2019, 33 of Tajikistan’s 58 rayons (districts) were implementing the BP1. The implementation in the current rayons still relies heavily on technical support from oblast trainers, and external financial support from Project Sino, the Aga Khan Health Services, and the WHO Country Office. In addition, Project Sino and its funding from the Swiss Agency for Development and Cooperation (SDC) will end in March 2021. This poses challenges to the continuation and national adaptation of this effective planning practice. It is, therefore, important to secure financing for the continuation of BP before this occurs.

This investment case i) highlights the benefits of the BP process, ii) analyses costs in a well-performing Konibodom rayon, and iii) assesses the funding needed for the continuation of BP in the rayons supported by Project Sino. The purpose of the case is to attract financial support from interested international donors and to advocate for the Ministry of Health and Social Protection for the Population (MoHSPP) to increase national funding for BP.

Health economist (PhD), Dr Jari Kempers

About the author

Dr Jari Kempers is a senior health economist (PhD) and consultant. He founded Qalys Health Economics in 2007. He helps healthcare policymakers and programme managers to make better plans and decisions by providing technical assistance and strategic advice on health economics and health financing topics.


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