World Bank2012-03-192012-03-192011-06-01https://hdl.handle.net/10986/2793The Government of Tajikistan has identified Primary Heath Care (PHC), and Maternal and Child Health (MCH) as top priorities in its first Comprehensive National Health Sector Strategy (2010-2020). The study findings which closely mirror those of the 2009 World Health Organization (WHO)/United Nation children's Fund (UNICEF) Integrated Management of Childhood Illness (IMCI) survey will be of great concern to the Ministry of Health and should provide the impetus to take immediate remedial actions. Much remains to be done to improve the overall quality of primary health care services for under-five children. Two main issues are highlighted by this study. Firstly, the quality of primary health care services provided to children is lacking in many areas, irrespective of the PHC provider's type of training. Second, is that the family medicine and IMCI training programs and methods require further enhancement to ensure that the service quality for children improves. The study also finds that supervision of PHC workers is irregular, and training does not seem to be performed systematically to improve children's health outcomes.CC BY 3.0 IGOADOLESCENT HEALTHAGEDANEMIAANTENATAL CAREARIASPHYXIABABIESBCGBOTH SEXESBREASTFEEDINGBREASTFEEDING DURATIONBULLETINCARDIOLOGYCAREGIVERSCHILD CARECHILD DEATHSCHILD GROWTHCHILD GROWTH MONITORINGCHILD HEALTHCHILD HEALTH CARECHILD HEALTH OUTCOMESCHILD HEALTH SERVICESCHILD MORBIDITYCHILD MORTALITYCHILD MORTALITY RATESCHILDHOOD DISEASESCLINICAL GUIDELINESCLINICAL PRACTICECLINICAL PROTOCOLSCOMMUNITY HEALTH CARECOMPLEMENTARY FEEDINGCOMPLICATIONSCONGENITAL MALFORMATIONSCONTRACEPTIVE USECONVULSIONSCOUNSELINGDEATHSDEHYDRATIONDIAGNOSISDIARRHEADIARRHEAL DISEASESDIARRHOEADIPHTHERIADISEASE BURDENDISEASE OUTBREAKSDOCTORSDURATION OF TREATMENTDYSENTERYEARLY IDENTIFICATIONESSENTIAL DRUGSESSENTIAL MEDICINESFAMILY MEDICINEFERTILITYFERTILITY RATEFEVERFOOD SHORTAGESHEALTH CARE CENTERSHEALTH CARE PROVIDERSHEALTH CARE QUALITYHEALTH CARE SERVICESHEALTH CARE SYSTEMHEALTH CARE WORKERSHEALTH CENTERSHEALTH CONDITIONSHEALTH CONSEQUENCESHEALTH FACILITIESHEALTH OUTCOMESHEALTH POLICYHEALTH PROBLEMSHEALTH PROVIDERSHEALTH SECTORHEALTH SERVICEHEALTH SERVICE PROVISIONHEALTH SPECIALISTHEALTH STRATEGYHEALTH SYSTEMHEALTH WORKERSHEPATITISHEPATITIS BHIVHOME CAREHOME VISITSHOUSEHOLD POVERTYHUMAN DEVELOPMENTHUMAN RESOURCESICE PACKSILLNESSESIMCIIMCI GUIDELINESIMMUNIZATIONIMPROVING HEALTH CAREINFANTINFANT MORTALITYINFANT MORTALITY RATEINFANTSINFECTIONSINJECTABLE DRUGSINTEGRATED ASSESSMENTINTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSESIRONIRON SUPPLEMENTSJOB TRAININGLEADING CAUSESLIFE EXPECTANCYLIVE BIRTHSLIVING STANDARDSLOCAL HEALTH AUTHORITIESLOW BIRTH WEIGHTMAJORITY OF CHILDRENMALARIAMALNUTRITIONMARRIED WOMENMATERNAL AND CHILD HEALTHMATERNAL NUTRITIONMCHMEASLESMEDICAL ASSISTANCEMEDICAL CAREMEDICAL PERSONNELMEDICAL SPECIALTIESMEDICAL STAFFMEDICAL STATISTICSMEDICAL SUPPLIESMEDICINESMICRONUTRIENT DEFICIENCIESMILLENNIUM DEVELOPMENT GOALSMINISTRY OF HEALTHMORBIDITYMORTALITYMOTHERNATIONAL STRATEGYNEEDS ASSESSMENTNEONATAL MORTALITYNURSESNURSINGNUTRITIONNUTRITIONAL STATUSOBSTETRICSORAL REHYDRATIONORAL REHYDRATION SALTSORAL REHYDRATION THERAPYORTOUTPATIENT CAREPAEDIATRICSPATIENTPATIENTSPEDIATRIC CAREPEDIATRIC SURGERYPEDIATRICSPHARYNGITISPHYSICIANSPNEUMONIAPOLICY MAKERSPOLIOPOLIO VACCINEPOPULATION GROWTHPOPULATION GROWTH RATEPRACTITIONERSPREMATURE BIRTHPREVALENCEPREVENTABLE DISEASEPRIMARY CAREPRIMARY HEALTH CAREPRIMARY HEALTH CARE FACILITIESPRIMARY HEALTH CARE SERVICESPROGRESSPURE WATERQUALITY ASSURANCEQUALITY ASSURANCE PROJECTQUALITY CAREQUALITY CONTROLQUALITY OF CAREQUALITY OF HEALTHQUALITY OF SERVICESQUALITY SERVICESRESOURCE ALLOCATIONRESPIRATORY ILLNESSRURAL AREASRURAL DISTRICTRURAL RESIDENCESCREENINGSERVICE PROVISIONSERVICE QUALITYSERVICES FOR CHILDRENSEXSINGLE CHILDSKILL DEVELOPMENTSOCIAL SCIENCESTUNTINGSURGERYSUSTAINABLE DEVELOPMENTSYMPTOMSSYRINGESTETANUSTRAINING CENTERSTREATMENTTUBERCULOSISUNDER FIVE MORTALITYUNDER-FIVE MORTALITYUNDERNUTRITIONVACCINATIONVACCINE COVERAGEVACCINESVOMITINGWORKERSWORLD HEALTH ORGANIZATIONWorld Bank10.1596/2793