USAID’s program focused on birth preparedness and maternity services, newborn care and treatment, treatment of child illnesses, health systems strengthening, and household water, sanitation, and hygiene improvement. As new programs are currently being designed and procured, population coverage is still being determined. Nutrition has been addressed in the past through Title 2 programs, which are now ending.
The programs will work to scale up, improve, and institutionalize technical interventions proven to be successful in Tajikistan, while building systems to support their continuing implementation for quality MCH services. Activities will be oriented toward scaling up certain packages of services. The birth package includes SBAs, emergency obstetric care, institutional delivery, postpartum hemorrhage control, AMTSL, oxytotics, basic essential neonatal care, and resuscitation. The postpartum/newborn package includes postpartum visits, basic essential neonatal care, exclusive breastfeeding, detecting/managing infection, low-birth-weight special care, and family planning. The community child health package includes breastfeeding and infant-child feeding promotion, community case management, ORT (with zinc), pneumonia, community management of acute malnutrition, POU water, and sanitation.