Tajikistan Maternal and Child Health Project
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.
Activity Description
- Improve the health and nutrition status of women and children under five and engages local communities, especially pregnant women, mothers of children under five, and their mother-in-laws and husbands in health and nutrition discussions and links them with maternal and child services;
- Train the Health Department to improve delivery of quality maternal and child health services;
- Help plan and evaluate activities; and teaches schoolchildren health, hygiene and nutrition skills.
Expected Outcomes
- Increased quality of Essential Nutrition Actions for maternal nutrition at health services and through community-based support
- Increased knowledge and use of family planning methods within communities to promote birth spacing
- Protective hygiene and sanitation practices adopted by families through community-based communication
- Improved infant and young child feeding practices adopted by families through nutrition preventive services and community-based counseling
Actual Outcomes
- An average of 37,716 community members have received health education on nutrition each month.
- The MCH program now completed training on ENA for all 1000 CHEs in MCH target districts
- MCH program provided training on Essential Hygiene Action (ENA) for 38 Regional and field coordinators.
