Strengthening National Capacities in Tajikistan
Experiences in Enhancing National Systems to Improve the Sustainability of Global Fund Grant Implementation
Following the collapse of the Soviet Union in 1991, Tajikistan experienced a decade of turmoil and unrest throughout the 1990s, until a peace agreement was signed in 1997. It remains one of the poorest former Soviet republics and limited resources have hindered the strengthening of the health infrastructure, which suffers from limited human resources and a low health budget.
This country study examines achievements recorded for the HIV, Tuberculosis and Malaria responses in Tajikistan since UNDP was selected as the Principal Recipient for the country’s first Global Fund grant in 2003.
A key focus of UNDP’s support included working with national institutions and civil society organizations to deliver prevention, treatment and care activities for the three diseases, support changes to the policy environment, while simultaneously strengthening national capacities to manage and implement Global Fund grants. The study describes the approach used to further strengthen national systems in preparation for the transfer of the Principal Recipient role from UNDP to the relevant national entities, and identifies lessons learned in the process.