In Tajikistan, the management capacity of primary healthcare (PHC) systems needs to be improved, especially at the oblast and district levels. Since 2015, the PHC management course (PHCMC) has been implemented by the Post Graduate Medical Institute (PGMI), with the support of the Enhancing PHC Services Project (Project Sino) and since 2018 the Aga Khan Health Services Project. The experience gained to-date from 13 pilot rayons is encouraging. Project Sino, however, and its funding from the Swiss Agency for Development and Cooperation (SDC) will end in March 2021, which poses challenges to the continuation and the needed national scale-up of this essential training. It is important to secure finances for the continuation of the course before this occurs.
This investment case; i) highlights the benefits of the course, ii) analyses costs, and iii) assesses the funding needed for the continuation and scaling up at the national level. The purpose 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 the course.