Investment Case for Two-Year PUST in Family Medicine in Tajikistan

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The Spring Symposium of the Swiss Tropical and Public Health Institute in 2019.

Presentation of Dr Jari Kempers at the at the Spring Symposium of Swiss Tropical and Public Health Institute in May 2019. An Investment Case for Two-Year Post University Speciality Training in Family Medicine in Tajikistan.

The two-year post-university speciality training (PUST) family doctors are better: How to transition from international support to sustainable national funding?

According to the Ministry of Health and Social Protection of the Population (MoHSPP), 38% of the 5,333 family doctor positions in Tajikistan were not filled in 2018. Postgraduate education of adequately trained family doctors needs to be scaled up.

The two-year Post University Specialty Training (PUST) in Family Medicine has demonstrated to train significantly better-skilled family doctors, than the conventional one-year work experience in family medicine.

However, the ending of support from the Swiss Agency for Development and Cooperation (SDC) poses challenges to the sustainability and scale-up of PUST.

This investment case assesses the funding needed for a controlled and sustainable transition to national funding in the next five years. It proposes a combination of increasing national funding and gradually decreasing donor support. Moreover, the case predicts the funding needed for scaling up the PUST during the same period. It also provides the rationale for the investment.

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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