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PublicationMainstreaming Governance in Tajikistan through its Energy, Extractives, and Public Procurement Sectors(World Bank, Washington, DC, 2014-07) Mikulova, Kristina; Johns, Kimberly; Kunicova, JanaThe governance partnership facility (GPF) supported program mainstreaming governance in Tajikistan portfolio (FY2010-14) was a landmark achievement in applying governance analysis and looking for entry points to improve transparency and accountability in key sectors in Tajikistan. This brief provides recommendations from its energy-efficiency audit, the extractive industries sector, and public procurement authority pilot program. In the long run, the government's goal is to use procurement performance measurement framework (PPMF) generated procurement performance assessments and annual procurement performance reports (APPRs) as feedback that inform policy design. If the reform momentum can be sustained, Tajikistan has a potential to gradually converge to good practices in public procurement and improve its good governance ratings over time. PublicationTajikistan : Reinvigorating Growth in Khatlon Oblast(World Bank, Washington, DC, 2014-06) Carneiro, FranciscoThis report supports a joint World Bank-IFC initiative to review and evaluate economic growth prospects for Khatlon oblast in order to develop a private sector-driven strategy for accelerating the region's growth over the medium term. PublicationTajikistan - Economic and Distributional Impact of Climate Change(World Bank, Washington, DC, 2012-04) Heltberg, Rasmus; Zaidi, SalmanTajikistan is highly vulnerable to the adverse impacts of global climate change, as it already suffers from low agricultural productivity, water stress, and high losses from disasters. Public awareness of the multiple consequences of climate change is high, with possible impacts on health, natural disasters, and agriculture of greatest public concern. Climate change can potentially deepen poverty by lowering agricultural yields, raising food prices, and increasing the spread of water-borne diseases as well as the frequency and severity of disasters. Regions with greater dependence on agriculture and lower socioeconomic indicators, particularly the east mountain area of the Region of Republican Subordination (RRS), the Southern Sughd hills, and Khatlon hills and lowlands, are most vulnerable to climate change, with rural areas more at risk than urban locations. Faster socioeconomic development is the best tool for adaptation, since greater income diversification, improved health and education, and better access to services and infrastructure enhance the capacity of households, particularly the poor, for autonomous adaptation. PublicationTajik Child Health : All Hands on Deck(World Bank, Washington, DC, 2009-12) Bakilana, Anne; Msisha, WeziPromoting and protecting the health of their families is a high priority of households in Tajikistan-half of all households identify health as the aspect of life that is of greatest concern to them. Thirty five percent, or 2.5 million of the total estimated population of 7.2 million people in the country, are under 15 years of age. The median age of the population is just 21.6 years (UN, 2008). Although fertility has fallen in recent years, the total fertility rate remains above three. Thus, policies to improve maternal and child health (MCH) outcomes are central to improving the health of the nation. Tajikistan faces considerable challenges in its quest to achieving the Millennium Development Goals (MDGs) for MCH over the next six years. The fourth MDG target of a two-thirds reduction in child mortality calls for Tajikistan to decrease its current under-five mortality rate (U5MR) of 79 deaths per 1000 live births to less than 30 per 1000, and the current Infant Mortality Rate (IMR) of 65 deaths per 1000 to under 25 per 1000. Countries with GDP levels similar to Tajikistan have made significantly better progress towards reaching their MDG targets. For instance, IMRs in the Lao People's Democratic Republic and Cambodia stand at 52 and 59 deaths per 1000 live births, respectively, compared to 65 per 1000 in Tajikistan. IMRs in neighboring Uzbekistan and the Kyrgyz Republic are 38 and 36 per 1000 live births, respectively. Similarly, with child mortality rates of 69 and 41 per 1000 live births respectively, Lao and the Kyrgyz Republic are in a better position than Tajikistan.