Tajikistan Human Development Issues: social protection, health and education

Tajikistan Human Development Issues: social protection, health and education Ms. Khairinisso Mavlonova Deputy Prime Minister Republic of Tajikistan ...
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Tajikistan Human Development Issues: social protection, health and education

Ms. Khairinisso Mavlonova Deputy Prime Minister Republic of Tajikistan

Development Forum, Tajikistan, 2 June 2007

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Tajikistan Human Development Issues: social protection, health and education

Fair and adequate human development is the basis for economic achievements and important factor of poverty reduction President of Republic of Tajikistan EMOMALI RAHMON

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Tajikistan Human Development Issues: social protection, health and education 8000 7000

тыс. чел.

6000 5000

Численность населения

4000 3000

Трудовые ресурсы

2000

Занятые

1000 0 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

годы

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Tajikistan Human Development Issues: social protection, health and education Achievements

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A number of laws, legal regulatory acts and strategic programmes adopted and being implemented; Important international documents ratified; Growth of public budget financing and external aid volumes ensured; Significant results on improving quality of social services achieved; 4

Tajikistan Human Development Issues: social protection, health and education Achievements

Динамика государстве нного ф инансирования 250

200

150 Социальная защ ита Здравоохранение 100

50

0 2000

2001

2002

2003

2004

2005

5

Tajikistan Human Development Issues: social protection, health and education Achievements

Динамика показате л е й не которых инф е кционных забол е ваний 7000 6000 5000 Б рюш ной тиф

4000

Сибирс кая язва 3000

Малярия

2000 1000 0

157 2001

163 2002

126 2003

113 2004

50 2005

33 2006

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Tajikistan Human Development Issues: social protection, health and education. Achievements

Г осуд арстве нны е расход ы на образование 400,0 350,0 300,0 В с его (млн с мн)

250,0

Доля от В В П (% )

200,0

На од ного у чащ их с я (с мн)

150,0 100,0 50,0 0,0

2,3 2000

2,4

2001

2,6

2002

2,4

2003

3,2

2004

3,5

2005

5,3

2006

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Tajikistan Human Development Issues: social protection, health and education Achievements

Динамика изменения количества учащихся и ученических мест 1800 1600 1400 1200 1000 800 600 400 200 0 1992

1993

1994

1995

1996

1997

1998

1999

Количество ученических мест

2000 20001 20002 20003 20004 20005 Количество учащ ихся

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Tajikistan Human Development Issues: social protection, health and education Challenges

180 147.03 160 116.81 140

Среднемесячная заработная плата

120 85.99

100

Минимальная заработная плата

80

60.79 44.61

60 32.55 23.5

20

02 /0 1/ 20

20 06

20 04

20 05

7

5

4

20 03

19 99

3

1

1

20 02

1

20 01

0.32

20

12

20 00

0.32

19 98

2.95 0.14

15.57

5.1

19 97

0.92 0.14

19 96

0.35 0.08

19 95

19 92

0

0.16

0.01

19 94

0.02

19 93

20

11.61

9.17

07

40

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Tajikistan Human Development Issues: social protection, health and education Challenges

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Low qualification level of personnel, including managerial staff; Limited planning and resource management capacity; Deterioration of material and technical basis, causing the decline in quality of delivered services; Slow pace of reform; Limited participation of private sector; Lack of full-fledged multisectoral approach in the process of reforms implementation. 10

Tajikistan Human Development Issues: social protection, health and education Challenges

Динамика некоторых инф екционных заболеваний 6000 5000 4000 Туберкулёз 3000

Бруцеллёз ВИЧ/СПИД

2000 1000 0 2000

2001

2002

2003

2004

2005

2006

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Tajikistan Human Development Issues: social protection, health and education Challenges

Maternal and infant mortality 120

100 Данные МИКИ

80

100

Данные МИКИ

80

60

60

40

Данные официальной отраслевой статистики

20 0 2002г.

2005г.

Данные официальной отраслевой статистики

40 20 0 2002г.

2005г.

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Tajikistan Human Development Issues: social protection, health and education Challenges

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More than 600,000 school seats lacking; 87% of general schools without adequate sanitation conditions; 26% of schools without heating systems; 24% of schools without water supply; 35% of schools without toilets.

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Tajikistan Human Development Issues: social protection, health and education Challenges

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The rate of creating new job seats lags behind the growth rate of labour force; Low quality of labour force (more than 2/3 of unemployed do not have vocational training or lost vocational skills); Lack of adequate mechanism for vocational training of adults; Mass labour migration outside the country; Low quality of provided social services; The coordination of provision of social services to children and mothers is not streamlined 14

Tajikistan Human Development Issues: social protection, health and education Priorities

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Strengthen personnel capacity, including managerial staff; Improve planning and resource management capacity; Upgrade material and technical basis; Accelerate reforms; Expand participation of private sector; Ensure full fledged multisectoral approach in the process of reforms implementation. 15

Tajikistan Human Development Issues: social protection, health and education Priorities

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Reforming health care system, stipulating expansion of private sector and attraction of investments; Improving child and mother health; Reducing the spread of HIV/AIDS, infectious diseases, and elimination of vaccine controlled infections; Improving quality, efficiency and access of population to the health services.

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Tajikistan Human Development Issues: social protection, health and education Next Steps

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Rational allocation of financial resources, including use of per-capita financing methods at the primary health care level and payment categories at hospital level; Implementation of the basic benefit package state programme in health sector; Development of legal regulatory basis for introducing health insurance; Introduction and consistent development of new forms of primary health care services, based on family medicine concept;

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Tajikistan Human Development Issues: social protection, health and education Next Steps

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Monitor the existing and improve the programme documents, which are being developed; Develop management information systems; Facilitate development of public, as well as private pharmaceutical industry; Implement measures to develop private sector and create equal conditions for public and nonpublic providers of health services; Implement measure to protect rights of users of health services. 18

Tajikistan Human Development Issues: social protection, health and education Priorities

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Institutional and economic reforming of the system of education; Improve quality of the system of education; Develop private educational sector. Create favorable learning environment, safe for child health

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Tajikistan Human Development Issues: social protection, health and education Next Steps

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Take measures to increase capacity of the personnel, responsible for designing, implementing and regulating activities on efficient use of available resources; Establish financially reasonable minimum guaranteed educational standard and update the relevant legislation according to it; Carry out the inventory and monitor the conditions of school infrastructure in all educational establishments.

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Tajikistan Human Development Issues: social protection, health and education Next Steps

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Take integrated measures to optimize the content of education, teaching plans, curricula, and in-services training courses for teachers; Take actions to create favorable learning environment, safe for child health; Develop actions and ensure state support to the gifted youth, in particular, providing studies in the universities abroad and preparing model for extending credits to the gifted youth. 21

Tajikistan Human Development Issues: social protection, health and education Priorities

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Reform the social protection system of population, taking into account the current social and economic condition in the country; Adapt the vocational training and retraining system to the needs of labour market; Ensure efficient employment of population and achieve policy goals in the field of external labour migration; Ensure prevailing role of contract relations, improve labour conditions and labour safety. 22

Tajikistan Human Development Issues: social protection, health and education Next Steps

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Intensive use of labour force through creating new job seats and upgrading their quality in accordance with the needs in the labour market; Expansion of vocational training for adults, including business – incubators, aimed at efficient accommodation of unemployed and labour migrants to the needs of domestic and external labour markets and promoting selfemployment of population, especially women; 23

Tajikistan Human Development Issues: social protection, health and education Next Steps

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Design and implement the method of identification of the poverty and employment levels of population; Take actions to update the development concept and improve legislation on social protection of population; Adopt and implement the law on minimum state social standards; Gradually develop financially viable multilevel pension system, based on pension insurance principles; Complete the introduction of personified account system of insured persons.

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Tajikistan Human Development Issues: social protection, health and education

Thank you for your attention

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