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International involvement and national health governance: The basic benefit package in Tajikistan

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  • Rechel, Bernd
  • Khodjamurodov, Ghafur

Abstract

Tajikistan, a Central Asian state of 7.4 million inhabitants, is facing particular health policy challenges: not only is the country the poorest of the former Soviet republics, but its capacity to deal with post-communist transition and economic crisis has been further undermined through civil war and large-scale migration. This paper, examining the introduction of the basic benefit package and formal co-payments, elucidates how international involvement in Tajikistan's health sector has impacted on national health governance. Based on documentary sources and information provided by key informants, we find that external agencies have both strengthened and weakened national health governance. Although they have played a major part in supporting Tajikistan's health sector, these efforts have often been fragmented, as donor coordination was at times less than optimal. A key challenge for national health governance is the limited technical and institutional capacity of the Ministry of Health and further efforts are needed to build national capacity.

Suggested Citation

  • Rechel, Bernd & Khodjamurodov, Ghafur, 2010. "International involvement and national health governance: The basic benefit package in Tajikistan," Social Science & Medicine, Elsevier, vol. 70(12), pages 1928-1932, June.
    • Handle: RePEc:eee:socmed:v:70:y:2010:i:12:p:1928-1932
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    References listed on IDEAS

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    1. Brinkerhoff, Derick W., 2000. "Democratic Governance and Sectoral Policy Reform: Tracing Linkages and Exploring Synergies," World Development, Elsevier, vol. 28(4), pages 601-615, April.
    2. Siddiqi, Sameen & Masud, Tayyeb I. & Nishtar, Sania & Peters, David H. & Sabri, Belgacem & Bile, Khalif M. & Jama, Mohamed A., 2009. "Framework for assessing governance of the health system in developing countries: Gateway to good governance," Health Policy, Elsevier, vol. 90(1), pages 13-25, April.
    3. Nazim Habibov, 2009. "What determines healthcare utilization and related out-of-pocket expenditures in Tajikistan? Lessons from a national survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(4), pages 260-266, August.
    4. Sabbat, Jolanta, 1997. "International assistance and health care reform in Poland: barriers to project development and implementation," Health Policy, Elsevier, vol. 41(3), pages 207-227, September.
    5. Buse, Kent & Walt, Gill, 1997. "An unruly mélange? Coordinating external resources to the health sector: A review," Social Science & Medicine, Elsevier, vol. 45(3), pages 449-463, August.
    6. Kickbusch, Ilona, 2000. "The development of international health policies -- accountability intact?," Social Science & Medicine, Elsevier, vol. 51(6), pages 979-989, September.
    7. Andrew Cassels, 1995. "Health sector reform: Key issues in less developed countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 7(3), pages 329-347, May.
    8. Godfrey, Martin & Sophal, Chan & Kato, Toshiyasu & Vou Piseth, Long & Dorina, Pon & Saravy, Tep & Savora, Tia & Sovannarith, So, 2002. "Technical Assistance and Capacity Development in an Aid-dependent Economy: The Experience of Cambodia," World Development, Elsevier, vol. 30(3), pages 355-373, March.
    9. Goran Hyden, 2008. "After the Paris Declaration: Taking on the Issue of Power," Development Policy Review, Overseas Development Institute, vol. 26(3), pages 259-274, May.
    10. World Bank, 2010. "World Development Indicators 2010," World Bank Publications - Books, The World Bank Group, number 4373, December.
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