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UN Tajikistan
               Bulletin
Special iSSUe for The iNTerNaTioNal childreN’S day, 1 JUNe
Dear Reader,

                                   I am pleased to share with you the special edition of UN
                                   bulletin dedicated to issues of children and young genera-
                                   tion of Tajikistan. This publication highlights joint and co-
                                   ordinated efforts of UN system in Tajikistan in addressing
                                   sometimes insurmountable problems facing the new genera-
                                   tion of Tajik children. Timeliness of this special publication
                                   should be stressed as we are still facing the growing number
                                   of children being denied their basic rights and needs. We at-
                                   tempted to highlight those areas where our activities have
had some modest but important success such as access to education, safeguarding children’s
health, improving school conditions and processes with supplementary programs, improving
children’s livelihoods and UN’s joint and quick response to polio outbreak last year. However,
we acknowledge that some of the burning issues related to Tajik street children who are forced
to do the most difficult and hardest jobs, as well as domestic violence remained outside the
content of this particular edition which we hope to cover in the next editions of UN bulletin.

 It should be mentioned that the Government of Tajikistan is very committed and forthcoming
in eradicating all obstacles in full realization of children’s rights and needs. The UN agencies
will wholeheartedly continue to support and complement government efforts with one voice.
Having spent considerable part of my entire career working on child programmes in many
countries as a UNICEF official, which included all Central Asian countries, and especially child
programmes in Tajikistan during 1992-2003, I will spare no effort as a UN Resident Coordi-
nator in Tajikistan to achieve all the goals we set for ourselves in ensuring a better life for all
children of Tajikistan.

                                                                                                      Alexander Zuev
                                                                                  United Nations Resident Coordinator




contents
Young People Teach Each Other How to Prevent Spread of HIV in Tajikistan ..................... 3
Cash Allowances Help Families with HIV Positive Children in Tajikistan Regain Hope .......... 4
Giving Children a Chance to Develop and Enjoy Life ........................................................ 5
Battling Polio Outbreak in Tajikistan .............................................................................. 6
Tajik Village Yearns to See First Girl in University ........................................................... 7
Tree Planting for Income Generation and Environmental Protection .................................. 8
Efforts in Eliminating the Polio Outbreak in the Republic of Tajikistan ................................ 9
Every Pregnancy Wanted, Every Birth Safe, Every Newborn Healthy .............................. 10
Rehabilitation Becomes a Focus of the Main Success in Tajikistan .................................. 11



2
UNFPA

yoUNg people Teach each oTher how To
preveNT Spread of hiv iN TaJikiSTaN




                                                                                                    Tajikistan youth in Y-PEER training
                                                                                                    to build the skills they will need to
                                                                                                    be effective peer educators

Although fewer than 3,500 HIV infections have been                       prevention of HIV and other
officially reported in the Republic of Tajikistan, which                 sexually transmitted infec-
has a population of almost 7.5 million, HIV preva-                       tions among rural youth.
lence has been steadily increasing in the country for                    Started in Eastern Europe
more than two decades.                                                   to deal with the dramatic
                                                                         increase in HIV prevalence
One of the major factors facilitating the spread of                      among youth in that region,
the virus in Tajikistan considered being in the early                    Y-PEER has become an in-
stages of an epidemic, is poor knowledge of how HIV                      ternational network that
is transmitted and a reluctance to discuss it. These is-                 connects over 7000 young
sues exist in the country in parallel with low level of                                                                Khairi Kamolova,
                                                                         peer educators with informa-
knowledge on HIV, high level of risk behaviour among                                                                     Peer educator
                                                                         tion, training, support and a
population and high level of stigma and discrimina-                      wide range of electronic resources.
tion of people living with HIV/AIDS (PLWHA). Mi-
gration patterns also have a role to play as large num-                  During her work she has faced a variety of challenges,
bers of men travel to Russia, which has a much higher                    from misunderstandings by her fellow villagers, to
HIV prevalence, for work. Eastern Europe and Cen-                        lack of financial resources to work with youth. But she
tral Asia is the only region where AIDS-related deaths                   is sustained by her belief that saving even one life is
have continued to rise, according to the latest global                   an important contribution.
report published by UNAIDS.
                                                                         Helping families cope
Rural youth are increasingly at risk
                                                                         Some stories have a happier ending. For instance,
With more than 30% of Tajikistan’s population un-                        V.T. migrated to Russia to earn money to start his
der the age of 25 and more than 70% living in the                        own business in Tajikistan upon return. While there,
countryside, rural youth are increasingly at risk. The                   he became infected with HIV. When he found out
dissemination of information through peer educa-                         about his status, he called home and asked his par-
tion has become an effective strategy to increase the                    ents to send his wife, A.Z., and two children back to
knowledge of young people about their sexual and re-                     her family, to protect her.
productive health and reproductive rights, as well as
the various forms of HIV prevention.                                     She, in turn, contacted the information centre, and
                                                                         through Khairi was introduced to Parvina Nuridino-
Khairi Kamolova is a 20-year-old girl who works                          va, the Y-PEER Focal Point in Tajikistan who offered
for the Youth Committee of Vakhsh District. She at-                      help and advice and liaised with V.T’s parents to im-
tended a National Y-PEER (Youth Peer Education                           prove the situation for everyone.
Network) Training of Trainers supported by UNFPA
in Tajikistan in 2008 and since that time has actively                   In Tajikstan, as in many other parts of the world, young
supported the network. She shares information on                         people are leading the HIV ‘prevention revolution.’

UNFPA, the United Nations Population Fund, is an international development agency that promotes the right of every
woman, man and child to enjoy a life of health and equal opportunity. UNFPA supports countries in using population
data for policies and programmes to reduce poverty and to ensure that every pregnancy is wanted, every birth is safe,
every young person is free of HIV/AIDS, and every girl and woman is treated with dignity and respect.


* Note: The real names of V.T. and A.Z. referred to in this article have not been used to protect their identities
                                                                                                                                        3
caSh allowaNceS help familieS wiTh hiv
poSiTive childreN iN TaJikiSTaN regaiN hope

                                                                       2011, all HIV-positive children in Tajikistan will
                                                                       be receiving a monthly allowance in the amount of
                                                                       about 50 US dollars. For the country where the aver-
                                                                       age monthly salary of a public servant is less than this
                                                                       amount and more than 40 per cent of the population
                                                                       still live below the poverty line, this allowance is de-
                                                                       signed to help parents provide and support for their
                                                                       HIV positive children.

                                                                       The adoption of a government resolution to provide
                                                                       social assistance to HIV positive children in Tajikistan
                                                                       is a result of continued advocacy and policy dialogue
                                                                       spearheaded by UNICEF. UNICEF also helped the
                                                                       country in costing the social protection scheme and
DUSHANBE, Tajikistan, March 2011 - Playing                             developing the regulation.
with her three-year-old son, Olim*, Marhabo tells me
a story of desperation and hope. Their tiny, dimly-                    “Family is the first line of protection and support for
lit apartment on the outskirts of Dushanbe tells just                  children,” says Hongwei Gao, UNICEF Representa-
how poor they are. The room is bare except for an old                  tive in Tajikistan. “Well targeted direct cash transfer
blackand-white TV. Marhabo and her son sit, eat and                    in an effective way of supporting poor families and, in
sleep on a pile of worn-out blankets. Plastic sheets                   this case, families with HIV positive children. It pro-
serve as a replacement for some missing glass in the                   vides a safety net for the child.”
apartment’s windows.
                                                                       Social assistance to HIV positive children is just one
“I was only 19 and newly married when Olim was                         element of UNICEF’s support for Tajikistan’s efforts
born,” Marhabo tells. “After six months, my husband                    in HIV/AIDS prevention and treatment. UNICEF
left for Russia in search of a job. Over the last two                  also works to prevent and reduce sexually transmit-
years, I have not heard from him.”                                     ted infections and HIV transmission, particularly to
                                                                       newborns, help the country’s healthcare providers
The husband’s departure was not the largest tragedy                    diagnose HIV at Regaining hope early stages, and
in the lives of Marhabo and Olim. Two years after her                  increase access of the most vulnerable young people
son’s birth, Marhabo learnt that they both have HIV.                   and pregnant women to quality voluntary counseling,
                                                                       testing and treatment.
“It was like a death sentence for me,” she recalls. “All I
thought about HIV at that time was that it is a disease
of drug addicts and commercial sex workers. I hated                    Regaining hope
myself for infecting Olim with the disease.”
                                                                       Marhabo is one of possibly hundreds of parents
Putting her arms around Olim, Marhabo confides                         who could soon start receiving the allowance. Ac-
that after finding out her diagnosis, she was desperate                cording to the Republican HIV/AIDS Prevention
and considered sending Olim to an orphanage. She                       Centre, there are currently 53 children registered
knew she could hardly earn enough to buy bread and                     as HIV positive, which makes them eligible to re-
potatoes – the major diet for her and her son. Most of                 ceive the cash allowance. In practice, the number of
all, she was afraid of asking her husband’s family for                 HIV positive children in the country may be several
help, fearing stigma and discrimination if they learnt                 times higher.
about her and Olim’s disease.
                                                                       “I have hope again,” Marhabo says. “I feel I can raise
Life-saving support                                                    Olim and help him become an educated and inde-
                                                                       pendent person.”
Desperation gave way to hope last month, when
Marhabo learnt from a local NGO that starting in                       “This is all I need in my life,” she adds.



Note: *Fictional names were used to protect the identity of people in the story.


4
giviNg childreN a chaNce To develop aNd eNJoy life

                                                           Behzod and Sitora are among more than 640 chil-
                                                           dren attending the out-of school curriculum centre
                                                           in Panjakent. Created in what used to be a “Dom
                                                           Pionera” (Pioneers’ House) in the Soviet period,
                                                           the centre now offers classes in drawing, sewing,
                                                           knitting, computer literacy, baking, dancing, sing-
                                                           ing and so on. Children attending the centre are
                                                           in some way luckier than thousands of their peers
                                                           across the district. With a population of about 240
                                                           thousand, Panjakent has only one such centre to of-
                                                           fer classes to children.

                                                           “When two years ago we decided to rehabilitate the
                                                           centre, UNICEF supported us by providing the equip-
                                                           ment and materials for all the various classes,” says
                                                           the director of the centre, Jurakul Ahrorov. “With
                                                           only minimal investment, we have turned the aban-
                                                           doned building into a place that many children now
                                                           call their second home.”

                                                           The centre focuses primarily on the most under-
                                                           privileged groups of children. It pioneers inclusive
                                                           education in the district, with 18 children with dis-
PANJAKENT, 7 May 2011 – Drawing an apple tree              abilities enrolled in different classes in the centre. It
on a piece of paper, Behzodi Khurshed, 15, uses only       also serves as a non-punitive correction facility, with
brightest colours. This was different only six months      16 children who are in conflict with the law currently
ago when Behzod just began attending the out-of-           attending the centre. More than 30 children in the
school curriculum centre in Panjakent, a predomi-          centre are orphans or have only one biological parent,
nantly rural town in northern Tajikistan.                  and about 50 children are from very poor families.
“We saw that Behzod was a very bright child from           When the centre began to operate in early 2010, it was
his first day in the centre,” says Nigina Eshonkulova,     difficult to convince parents to allow their children to
who works as a psychologist in the centre. “He liked       attend it. Some feared that children with disabilities
to draw and he certainly had the talent, but he was al-    would face stigma and discrimination. Others had
ways choosing the black colour for his drawings. This      reservations about inclusive education.
was most probably the impact of stress and discrimi-
nation he endured being deaf and mute since child-         “Only several months of the centre’s operation have
hood. After several months of attending the centre,        convinced the sceptics that we need this centre,” says
Behzod’s drawings were full of colour.”                    Ahrorov. ‘The centre already accommodates more
                                                           students than it is designed to do. But almost every
In another room in the centre, a group of girls have a     day, there are mothers and father approaching me
baking class. Sitorai Ulugbek, 13, helps her peers pre-    and asking to find a place for their children in the
pare the dough for pastries. She is visually impaired,     centre.”
but this has not prevented her from becoming one of
the best students in the class.                            After their classes end, Behzod and Sitora walk home
                                                           together. They laugh loudly, telling each other stories
“Sitora does not go to school because it is not designed   they have heard from their peers in the centre.
to accommodate children with very poor sight,” says
Mahbuba Kholova, baking instructor. “This class is         “I have never seen Sitora so happy,” says her mother,
probably the only place where she learns to be part        Zarina Khushvahtova, hiding tears in her eyes. “I can
of the group and do something with other children.         finally see that she is just like everyone else and that
From what I can see, Sitora is absolutely happy here.”     she can also enjoy life.”




                                                                                                                  5
BaTTliNg polio oUTBreak iN TaJikiSTaN

PANJAKENT DISTRICT, Tajikistan, 11 No-                     delivered almost 17.3 million doses of oral polio vac-
vember 2010 – Savrinisso Yusupova, 34, smiles              cine. UNICEF has also led a national communication
happily as she leaves hospital after her six-month-        and social mobilisation effort here to inform the gen-
old son, Parviz, received two drops of the oral polio      eral public about polio immunisation and mobilise
vaccine.                                                   communities to support the campaign.

“I do not know much about polio,” she says. “Howev-
                                                           Informing parents
er, I have recently learnt from a TV programme that
the disease is dangerous and it can cripple my child       “I was reminded many times about the vaccina-
for life. I am glad that my child is now protected from    tion dates,” says Savrinisso. “I first learnt about
polio by the vaccine.”                                     the need to vaccinate my child against polio from
                                                           TV. The village doctor then came and told me
A massive effort                                           more about vaccination. Finally, my husband also
                                                           brought the information about vaccination from
This is already the sixth time this year that Savrinisso   the local mosque.”
brought her child for vaccination in this remote Farob
village in northern Tajikistan. Savrinisso’s son is one    The effort to immunise children against polio was
of almost three million Tajik children under 15 years      matched by a nationwide campaign aiming at in-
of age who have been vaccinated in this last round         forming parents and caregivers about the need to
of the nationwide polio immunisation campaign in           vaccinate their children. In the run-up to all rounds
2010.                                                      of vaccination, national and regional TV and radio
                                                           stations across the country aired repeatedly the
The campaign was launched this spring after                announcements about the campaign. Millions of
Tajikistan witnessed its first reappearance of polio       leaflets and hundreds of thousands of posters and
cases since the country was certified as polio-free in     banners in Tajik, Uzbek, Russian and Dari were
2002. The campaign is coordinated by Tajikistan’s          produced and distributed through health centres,
Ministry of Health, with support from UNICEF,              schools, kindergartens, markets and mosques
WHO and other international partners. It is designed       across the country.
to protect Tajikistan’s children from the deadly dis-
ease and make the country polio-free again.                The social mobilisation campaign focused specifically
                                                           on remote, isolated and under-served populations,
With the support of partners from the Global Polio         including Central Asian Roma communities and Af-
Eradication Initiative (GPEI), UNICEF procured and         ghan refugee enclaves.




                                                                                         Six-month-old Parviz
                                                                                         receives two drops of the
                                                                                         life-saving polio vaccine
                                                                                         in a rural hospital in Farob
                                                                                         village, northern Tajikistan


6
TaJik village yearNS To See firST girl iN UNiverSiTy

The poor village of Kisht, on the Tajikistan-Afghani-      under which the organization will give 370,000 chil-
stan border, has never managed to send a girl to uni-      dren a daily coked. The food motivates the parents
versity. So community leaders are delighted about          to sed their children to school where they can ac-
WFP programme which should mean girls stay at              quire a larger arsenal of learning for their entry into
school longer. Now, they hope, maybe one will take         the adult world.
the next step.

In the village of Kisht, a stone’s throw from the Panj     First girl to university
River which marks the border with Afghanistan,
                                                           “In the history of this village, none of the girls has
school principal Murodali Odinaev is only too aware
                                                           gone to university,” Sharipov exclaimed. “Someone
of the very limited opportunities for young people.
                                                           must be the pioneer!”

Slow progress                                              The closest any woman has got to post-secondary
                                                           school is Khatichamo Saidalieva, who took a basic
“Last year, eight girls graduated from Grade 11. Out       computer course after her marriage and became
of the eight, seven are married. Of the 11 boys who        the school’s computer teacher. But with electricity
graduated, four went to university and three went to       rationing during the day, she is unable to turn the
technical college,” Odinaev told a group of visitors       computer on.
from WFP.
                                                           Parvina Fathulloeva, a member of the Kisht Parent-
“But even those eight girls are an advance over previ-     Teacher Association, tried several times to go to
ous years,” he added. “Before, almost all the girls left   university. She succeeded in graduating from Grade
after Grade 9, when their parents could legally take       11 and applied several times to medical school, but
them out of school and keep them at home.”                 with her parents refusing to give her financial back-
                                                           ing, she failed to maneuver her way in. With two
Odinaev’s school receives WFP food for the children        daughters in Grades 3 and 5, she is keeping her eye
in Grades 1 to 4 – when enrolment and attendance           now on their future.
are near perfect, he notes, thanks in large part to the
WFP commodities which are cooked into a hearty             “My daughters like school very much and eat every
split pea soup accompanied by freshly baked bread.         daily nicely cooked soup in schools,” said Parvina.
                                                           “I often ask the teachers about them, are they doing
Both Odinaev and the village head, Kurbon Sharipov,        well, are they behaving? Because it is my dream that
applaud WFP’s school feeding plan for Tajikistan,          they go on to university.”




                                                                                                                 7
Tree plaNTiNg for iNcome geNeraTioN
aNd eNviroNmeNTal proTecTioN




The Rasht Valley is an agricultural region consist-       tion as an effective defense against mudflows, land-
ing with the main income-generation activities being      slides and avalanches. WFP distributed 10,000 fruit
potato-growing, vegetable gardening, bee-keeping,         tree seedlings and 15,000 poplar seedlings among 50
and livestock breeding. The region is characterized       schools. Some 10,000 students have been “assigned”
by natural disasters and environmental erosion.           one tree apiece and are responsible for making it
UNICEF in 2009 started a campaign to raise aware-         grow. The actual Food for Work participants are 250
ness about disaster risk mitigation (DRM) in 500 sec-     school support staff. The fruit will be consumed by
ondary schools across the country, out of which 150       the students or sold so that the profits can be invested
are in the Rasht Valley. The course focuses on foresta-   in the schools.




8
efforTS iN elimiNaTiNg The polio oUTBreak
iN The repUBlic of TaJikiSTaN
The commitment of Republic of Tajikistan in eliminating the polio and the efforts from
international community will stamp out the polio!

                                                             detailed micro-planning workshop was conducted for
                                                             the EPI Managers at National level and Oblasts prior
                                                             to the campaign. Trainings were conducted for the
                                                             health workers before the first round. Social mobiliza-
                                                             tion activities like TV, radio, poster/banner, press con-
                                                             ference/press release, vehicle announcements, SMS by
                                                             mobile companies and community meetings were held
                                                             before the commencement of the campaign. Above all,
                                                             the health workers have visited every household before
                                                             the campaign dates in their respective catchment areas
                                                             to ensure high coverage. Several coordination meet-
                                                             ings were held between different departments of MoH.
                                                             Vaccine and other logistics were distributed to all the
The Republic of Tajikistan, which had been polio-free
                                                             facilities on time. As a result, the campaign was well
since 1996, experienced a massive polio outbreak in
                                                             organized. Different strategies were used to reach the
2010 following an importation of poliovirus from
                                                             targets which include fixed posts at facilities, mobile
northern India in 2010. In total, 458 laboratory con-
                                                             teams according to need, teams to reach kinder gar-
firmed polio cases were reported in 2010 from 35 out
                                                             dens and in some remote areas teams went on don-
of 61 administrative territories of Tajikistan. This has
                                                             keys. Transit teams were also deployed to target travel-
been the first outbreak in the EURO region since it
                                                             ling children during campaign days.
was certified polio free in 2002, and also the biggest
outbreak in the world since 2005.                            Government involvement in supervision and moni-
                                                             toring found remarkably high. In addition, WHO,
The Government of Tajikistan responded quickly
                                                             UNICEF and USAID along with the partner agencies
to the outbreak and alerted WHO and neighboring
                                                             Save the Children USA, Mercy Corps, Red Crescent
countries about the cases. Consultants and special
                                                             and AKHS jointly conducted in-process and end-
investigation teams were on ground within few days
                                                             process campaign monitoring. The analysis of the post
after the news of the outbreak.
                                                             campaign monitoring reveals that the overall coverage
In response, the Ministry of Health (MoH) with sup-          was 98%. All the Oblasts achieved more than 95% OPV
port from the WHO, UNICEF, USAID and other                   coverage. Awareness about the campaign also found
partners, had implemented six rounds of National             significantly high in all Oblasts except Dushanbe. The
Immunization Days (NIDs) and one round of SNIDs              main reason for children missed were due to absence
in 2010. As result of this well coordinated response         during the house visit by the health workers.
the outbreak was stopped within six months. The last
                                                             “The synchronized work of the Ministry of Health
laboratory confirmed polio case was in July 4th 2010.
                                                             with WHO, UNICEF and all partners working on the
However, despite the achievements made in stop-              polio eradication has played a key role in achieving
ping the outbreak, the country has to remain vigilant        good results in 2011, which proved that the joint ef-
as long as there is polio circulation in the neighboring     forts can bring to success and good results” – noted
countries near and far. Also it is essential for the coun-   Dr Rakhmatullaev Sh.R (Head of Family Planning
try to regain its polio free status by the international     and Child department of the Ministry of health) dur-
certification committee. For this purpose, the country       ing one of the coordination meetings held in the Min-
should maintain a high level of routine immunization,        istry of Health.
conduct high quality immunization campaigns against
polio and maintain a very sensitive surveillance.            The joint efforts, the preparation of the polio immu-
                                                             nisation rounds, the series of micro-planning work-
In 2011, as part of the synchronized campaigns con-          shops, trainings for the health care specialists and the
ducted in the Central Asian countries, Tajikistan had        coordinated work of all sectors of society are key ele-
successfully conducted the first round NIDs in 18-22         ments in achieving results and remaining polio free.
April. All efforts were made to reach every child in the     With no cure for polio, immunization with oral polio
target group in the country during the campaign. A           vaccine is the only protection against polio.

                           Let’s deliver on our promise to every child, a promise with
                               a pay-back for every future generation of children.
                                                                                                                    9
every pregNaNcy waNTed, every BirTh
 Safe, every NewBorN healThy

 Childbirth is mostly a positive experience, but in         Implementation of the WHO Making Pregnan-
 many parts of the world, unfortunately, mothers            cy Safer Programme has been contributing to a
 and babies still die due to preventable factors. Lack      progress seen in reduction of maternal mortality
 of access to essential services contributes to these       in Tajikistan. Thus, according to WHO/UNICEF/
 deaths, as does the lack of providers’ capacity to         UNFPA/WB estimates for the period from 1990 to
 identify and manage complications and provide rel-         2008 this indicator has decreased by 44%. So, an-
 evant support to women and their newborn babies.           nual maternal mortality in Tajikistan declined by
 Moreover, such factors, as education, income, place        3,3% and in 2008 this indicator was 64 per 100000
 of residency within the country, poverty, gender in-       live births. In general infant mortality rate is also
 equalities have also influence on the negative out-        declining in Tajikistan. Moreover, results of a latest
 comes of childbirths.                                      assessment showed that quality of care for mothers
                                                            and newborns has been significantly improved in
 Since 2001 the WHO Making Pregnancy Safer Pro-             recent years. Examples of good care were observed,
 gramme has been implementing in Tajikistan as per          showing that ensuring quality of medical care for
 Ministry of Health of Tajikistan request. The Pro-         women and children is possible in spite of deficien-
 gramme is focusing on capacity building, implemen-         cies in health systems, hospital infrastructure and
 tation of evidence-based norms and interventions,          availability of equipment and supplies.
 monitoring and evaluation, building partnerships,
 advocacy and resource mobilization. The imple-             Health of mothers and their children is a fundamen-
 menting activities address different factors, which        tal asset to society and a pillar of health systems per-
 are vital for the access to skilled medical care before,   formance and the WHO in partnership with national
 during and after pregnancy and childbirth. It targets      and international partners will continue support of
 not only health systems and medical staff, but also        activities in order to ensure the highest possible lev-
 communities and families.                                  el of health for mother and newborns in Tajikistan.




10
rehaBiliTaTioN BecomeS a focUS of
The maiN SUcceSS iN TaJikiSTaN
The core activity of rehabilitation illustrates the saying
that the unity all of us can have a great success!



                                                            ties and short training for doctors on polio manage-
                                                            ment with a focus on the recovery phase.

                                                            During the visit of Dr Chapal a half-day workshop
                                                            was conducted to train the doctors on management
                                                            of people with polio during recovery phase especially
                                                            on prevention of the deformities in polio. The doctors
                                                            noticed how the training was interesting and produc-
                                                            tive with the hands-on practice.

                                                            “I really liked the right way of management
                                                            of children with polio during the recovery
                                                            phase, and in addition I have got a lot of
                                                            skills, experience and knowledge out of this
                                                            training!”- says Dr Khakimov Izatullo, the
                                                            doctor from Gissar District Hospital.

                                                            In addition the visits were made by Dr Chapal to some
An outbreak of poliomyelitis due to wild poliovirus         of the families in the rural parts of districts and it was
type 1 (wP1) circulating in Uttar Pradesh, India in         provided a short training for parents how to decrease
mid-2009, occurred in Tajikistan beginning in early         harm on their child.
2010, eight years after the European Region has been
certified as free of poliomyelitis. According to the gov-    “I liked the way of treating me and my child,
ernment statistics 712 Acute Flaccid Paralysis cases        especially in the moment, when I needed
were notified and most of them are at recovery phase,       such kind of support. I think it is really good
but some have already started showing signs of resid-       idea to conduct such teaching ways for the
ual paralysis. All persons affected could benefit from      families and their children”- mentions Gul-
rehabilitation intervention such as; postural care,         ruhsor, the woman living in the rural part of
therapy and splints or orthosis.                            Rudaki district.

In the beginning of Polio outbreak by request from          Moreover besides the training there was stakehold-
the Ministry of Health the WHO Country office hired         ers meeting for all partners and disabled societies
a consultant on rehabilitation, Dr Chapal Khasnabis         in the country. Organizations like Psychological
to carry out a Rapid Assessment Survey and map out          Medical and Physical Conditions (PMPC), Handi-
a plan of action for building rehabilitation capac-         cap International, Association for Aid and Relief
ity, together with resources requirements for people        (AAR) – Japan, Disabled People’s Organization of
affected by polio in Dushanbe and adjoining areas           Tajikistan, NOIT and NOC took part in it. The meet-
of Tajikistan. Meantime during the mission of Dr            ing was successful due to the organizations, such as
Chapal Khasnabis, the Ministry of Health of Repub-          Operation Mercy and Handicap International were
lic of Tajikistan addressed the WHO Country office          very interested in extending these practices in the
with request to train the doctors in management             country and conduct the training on a regular basis,
during the recovery phase. The mission consisted            which is currently being organized in the Republic
from two aspects: the rapid assessment including            of Tajikistan for the medical personnel and parents
mapping and capacity assessment of existing facili-         using own financial support.




                                                                                                                   11
For more information please contact:

               Mr. Bokhtar Bakozade
      Chairman of UN Communications Group
        Email: bokhtar.bakozade@undp.org
            Mob.: (+992) 918 188 003

                      UNICEF:
              Mr. Alexander Sodiqov
              Communication Officer
           E-mail: asodiqov@unicef.org,
             Mob.: (+992) 918 310057

                      WHO:
           Ms. Tahmina Alimamedova
            Communication Assistant
          E-mail: tahmina.who@tajnet.tj
            Mob.: (+992) 907 780119

                       UNFPA:
                  Mr. Parviz Boboev
Project Associate on Advocacy/Communications/Youth
           E-mail: parviz.bobev@undp.org

                      UNWFP:
                Mr. Azam Bahorov
            Senior Programme Assistant
          E-mail: azam.bahorov@wfp.org
             Mob.: (+992) 919 04 41 76

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UN Tajikistan - Children's Day Special Issue

  • 1. UN Tajikistan Bulletin Special iSSUe for The iNTerNaTioNal childreN’S day, 1 JUNe
  • 2. Dear Reader, I am pleased to share with you the special edition of UN bulletin dedicated to issues of children and young genera- tion of Tajikistan. This publication highlights joint and co- ordinated efforts of UN system in Tajikistan in addressing sometimes insurmountable problems facing the new genera- tion of Tajik children. Timeliness of this special publication should be stressed as we are still facing the growing number of children being denied their basic rights and needs. We at- tempted to highlight those areas where our activities have had some modest but important success such as access to education, safeguarding children’s health, improving school conditions and processes with supplementary programs, improving children’s livelihoods and UN’s joint and quick response to polio outbreak last year. However, we acknowledge that some of the burning issues related to Tajik street children who are forced to do the most difficult and hardest jobs, as well as domestic violence remained outside the content of this particular edition which we hope to cover in the next editions of UN bulletin. It should be mentioned that the Government of Tajikistan is very committed and forthcoming in eradicating all obstacles in full realization of children’s rights and needs. The UN agencies will wholeheartedly continue to support and complement government efforts with one voice. Having spent considerable part of my entire career working on child programmes in many countries as a UNICEF official, which included all Central Asian countries, and especially child programmes in Tajikistan during 1992-2003, I will spare no effort as a UN Resident Coordi- nator in Tajikistan to achieve all the goals we set for ourselves in ensuring a better life for all children of Tajikistan. Alexander Zuev United Nations Resident Coordinator contents Young People Teach Each Other How to Prevent Spread of HIV in Tajikistan ..................... 3 Cash Allowances Help Families with HIV Positive Children in Tajikistan Regain Hope .......... 4 Giving Children a Chance to Develop and Enjoy Life ........................................................ 5 Battling Polio Outbreak in Tajikistan .............................................................................. 6 Tajik Village Yearns to See First Girl in University ........................................................... 7 Tree Planting for Income Generation and Environmental Protection .................................. 8 Efforts in Eliminating the Polio Outbreak in the Republic of Tajikistan ................................ 9 Every Pregnancy Wanted, Every Birth Safe, Every Newborn Healthy .............................. 10 Rehabilitation Becomes a Focus of the Main Success in Tajikistan .................................. 11 2
  • 3. UNFPA yoUNg people Teach each oTher how To preveNT Spread of hiv iN TaJikiSTaN Tajikistan youth in Y-PEER training to build the skills they will need to be effective peer educators Although fewer than 3,500 HIV infections have been prevention of HIV and other officially reported in the Republic of Tajikistan, which sexually transmitted infec- has a population of almost 7.5 million, HIV preva- tions among rural youth. lence has been steadily increasing in the country for Started in Eastern Europe more than two decades. to deal with the dramatic increase in HIV prevalence One of the major factors facilitating the spread of among youth in that region, the virus in Tajikistan considered being in the early Y-PEER has become an in- stages of an epidemic, is poor knowledge of how HIV ternational network that is transmitted and a reluctance to discuss it. These is- connects over 7000 young sues exist in the country in parallel with low level of Khairi Kamolova, peer educators with informa- knowledge on HIV, high level of risk behaviour among Peer educator tion, training, support and a population and high level of stigma and discrimina- wide range of electronic resources. tion of people living with HIV/AIDS (PLWHA). Mi- gration patterns also have a role to play as large num- During her work she has faced a variety of challenges, bers of men travel to Russia, which has a much higher from misunderstandings by her fellow villagers, to HIV prevalence, for work. Eastern Europe and Cen- lack of financial resources to work with youth. But she tral Asia is the only region where AIDS-related deaths is sustained by her belief that saving even one life is have continued to rise, according to the latest global an important contribution. report published by UNAIDS. Helping families cope Rural youth are increasingly at risk Some stories have a happier ending. For instance, With more than 30% of Tajikistan’s population un- V.T. migrated to Russia to earn money to start his der the age of 25 and more than 70% living in the own business in Tajikistan upon return. While there, countryside, rural youth are increasingly at risk. The he became infected with HIV. When he found out dissemination of information through peer educa- about his status, he called home and asked his par- tion has become an effective strategy to increase the ents to send his wife, A.Z., and two children back to knowledge of young people about their sexual and re- her family, to protect her. productive health and reproductive rights, as well as the various forms of HIV prevention. She, in turn, contacted the information centre, and through Khairi was introduced to Parvina Nuridino- Khairi Kamolova is a 20-year-old girl who works va, the Y-PEER Focal Point in Tajikistan who offered for the Youth Committee of Vakhsh District. She at- help and advice and liaised with V.T’s parents to im- tended a National Y-PEER (Youth Peer Education prove the situation for everyone. Network) Training of Trainers supported by UNFPA in Tajikistan in 2008 and since that time has actively In Tajikstan, as in many other parts of the world, young supported the network. She shares information on people are leading the HIV ‘prevention revolution.’ UNFPA, the United Nations Population Fund, is an international development agency that promotes the right of every woman, man and child to enjoy a life of health and equal opportunity. UNFPA supports countries in using population data for policies and programmes to reduce poverty and to ensure that every pregnancy is wanted, every birth is safe, every young person is free of HIV/AIDS, and every girl and woman is treated with dignity and respect. * Note: The real names of V.T. and A.Z. referred to in this article have not been used to protect their identities 3
  • 4. caSh allowaNceS help familieS wiTh hiv poSiTive childreN iN TaJikiSTaN regaiN hope 2011, all HIV-positive children in Tajikistan will be receiving a monthly allowance in the amount of about 50 US dollars. For the country where the aver- age monthly salary of a public servant is less than this amount and more than 40 per cent of the population still live below the poverty line, this allowance is de- signed to help parents provide and support for their HIV positive children. The adoption of a government resolution to provide social assistance to HIV positive children in Tajikistan is a result of continued advocacy and policy dialogue spearheaded by UNICEF. UNICEF also helped the country in costing the social protection scheme and DUSHANBE, Tajikistan, March 2011 - Playing developing the regulation. with her three-year-old son, Olim*, Marhabo tells me a story of desperation and hope. Their tiny, dimly- “Family is the first line of protection and support for lit apartment on the outskirts of Dushanbe tells just children,” says Hongwei Gao, UNICEF Representa- how poor they are. The room is bare except for an old tive in Tajikistan. “Well targeted direct cash transfer blackand-white TV. Marhabo and her son sit, eat and in an effective way of supporting poor families and, in sleep on a pile of worn-out blankets. Plastic sheets this case, families with HIV positive children. It pro- serve as a replacement for some missing glass in the vides a safety net for the child.” apartment’s windows. Social assistance to HIV positive children is just one “I was only 19 and newly married when Olim was element of UNICEF’s support for Tajikistan’s efforts born,” Marhabo tells. “After six months, my husband in HIV/AIDS prevention and treatment. UNICEF left for Russia in search of a job. Over the last two also works to prevent and reduce sexually transmit- years, I have not heard from him.” ted infections and HIV transmission, particularly to newborns, help the country’s healthcare providers The husband’s departure was not the largest tragedy diagnose HIV at Regaining hope early stages, and in the lives of Marhabo and Olim. Two years after her increase access of the most vulnerable young people son’s birth, Marhabo learnt that they both have HIV. and pregnant women to quality voluntary counseling, testing and treatment. “It was like a death sentence for me,” she recalls. “All I thought about HIV at that time was that it is a disease of drug addicts and commercial sex workers. I hated Regaining hope myself for infecting Olim with the disease.” Marhabo is one of possibly hundreds of parents Putting her arms around Olim, Marhabo confides who could soon start receiving the allowance. Ac- that after finding out her diagnosis, she was desperate cording to the Republican HIV/AIDS Prevention and considered sending Olim to an orphanage. She Centre, there are currently 53 children registered knew she could hardly earn enough to buy bread and as HIV positive, which makes them eligible to re- potatoes – the major diet for her and her son. Most of ceive the cash allowance. In practice, the number of all, she was afraid of asking her husband’s family for HIV positive children in the country may be several help, fearing stigma and discrimination if they learnt times higher. about her and Olim’s disease. “I have hope again,” Marhabo says. “I feel I can raise Life-saving support Olim and help him become an educated and inde- pendent person.” Desperation gave way to hope last month, when Marhabo learnt from a local NGO that starting in “This is all I need in my life,” she adds. Note: *Fictional names were used to protect the identity of people in the story. 4
  • 5. giviNg childreN a chaNce To develop aNd eNJoy life Behzod and Sitora are among more than 640 chil- dren attending the out-of school curriculum centre in Panjakent. Created in what used to be a “Dom Pionera” (Pioneers’ House) in the Soviet period, the centre now offers classes in drawing, sewing, knitting, computer literacy, baking, dancing, sing- ing and so on. Children attending the centre are in some way luckier than thousands of their peers across the district. With a population of about 240 thousand, Panjakent has only one such centre to of- fer classes to children. “When two years ago we decided to rehabilitate the centre, UNICEF supported us by providing the equip- ment and materials for all the various classes,” says the director of the centre, Jurakul Ahrorov. “With only minimal investment, we have turned the aban- doned building into a place that many children now call their second home.” The centre focuses primarily on the most under- privileged groups of children. It pioneers inclusive education in the district, with 18 children with dis- PANJAKENT, 7 May 2011 – Drawing an apple tree abilities enrolled in different classes in the centre. It on a piece of paper, Behzodi Khurshed, 15, uses only also serves as a non-punitive correction facility, with brightest colours. This was different only six months 16 children who are in conflict with the law currently ago when Behzod just began attending the out-of- attending the centre. More than 30 children in the school curriculum centre in Panjakent, a predomi- centre are orphans or have only one biological parent, nantly rural town in northern Tajikistan. and about 50 children are from very poor families. “We saw that Behzod was a very bright child from When the centre began to operate in early 2010, it was his first day in the centre,” says Nigina Eshonkulova, difficult to convince parents to allow their children to who works as a psychologist in the centre. “He liked attend it. Some feared that children with disabilities to draw and he certainly had the talent, but he was al- would face stigma and discrimination. Others had ways choosing the black colour for his drawings. This reservations about inclusive education. was most probably the impact of stress and discrimi- nation he endured being deaf and mute since child- “Only several months of the centre’s operation have hood. After several months of attending the centre, convinced the sceptics that we need this centre,” says Behzod’s drawings were full of colour.” Ahrorov. ‘The centre already accommodates more students than it is designed to do. But almost every In another room in the centre, a group of girls have a day, there are mothers and father approaching me baking class. Sitorai Ulugbek, 13, helps her peers pre- and asking to find a place for their children in the pare the dough for pastries. She is visually impaired, centre.” but this has not prevented her from becoming one of the best students in the class. After their classes end, Behzod and Sitora walk home together. They laugh loudly, telling each other stories “Sitora does not go to school because it is not designed they have heard from their peers in the centre. to accommodate children with very poor sight,” says Mahbuba Kholova, baking instructor. “This class is “I have never seen Sitora so happy,” says her mother, probably the only place where she learns to be part Zarina Khushvahtova, hiding tears in her eyes. “I can of the group and do something with other children. finally see that she is just like everyone else and that From what I can see, Sitora is absolutely happy here.” she can also enjoy life.” 5
  • 6. BaTTliNg polio oUTBreak iN TaJikiSTaN PANJAKENT DISTRICT, Tajikistan, 11 No- delivered almost 17.3 million doses of oral polio vac- vember 2010 – Savrinisso Yusupova, 34, smiles cine. UNICEF has also led a national communication happily as she leaves hospital after her six-month- and social mobilisation effort here to inform the gen- old son, Parviz, received two drops of the oral polio eral public about polio immunisation and mobilise vaccine. communities to support the campaign. “I do not know much about polio,” she says. “Howev- Informing parents er, I have recently learnt from a TV programme that the disease is dangerous and it can cripple my child “I was reminded many times about the vaccina- for life. I am glad that my child is now protected from tion dates,” says Savrinisso. “I first learnt about polio by the vaccine.” the need to vaccinate my child against polio from TV. The village doctor then came and told me A massive effort more about vaccination. Finally, my husband also brought the information about vaccination from This is already the sixth time this year that Savrinisso the local mosque.” brought her child for vaccination in this remote Farob village in northern Tajikistan. Savrinisso’s son is one The effort to immunise children against polio was of almost three million Tajik children under 15 years matched by a nationwide campaign aiming at in- of age who have been vaccinated in this last round forming parents and caregivers about the need to of the nationwide polio immunisation campaign in vaccinate their children. In the run-up to all rounds 2010. of vaccination, national and regional TV and radio stations across the country aired repeatedly the The campaign was launched this spring after announcements about the campaign. Millions of Tajikistan witnessed its first reappearance of polio leaflets and hundreds of thousands of posters and cases since the country was certified as polio-free in banners in Tajik, Uzbek, Russian and Dari were 2002. The campaign is coordinated by Tajikistan’s produced and distributed through health centres, Ministry of Health, with support from UNICEF, schools, kindergartens, markets and mosques WHO and other international partners. It is designed across the country. to protect Tajikistan’s children from the deadly dis- ease and make the country polio-free again. The social mobilisation campaign focused specifically on remote, isolated and under-served populations, With the support of partners from the Global Polio including Central Asian Roma communities and Af- Eradication Initiative (GPEI), UNICEF procured and ghan refugee enclaves. Six-month-old Parviz receives two drops of the life-saving polio vaccine in a rural hospital in Farob village, northern Tajikistan 6
  • 7. TaJik village yearNS To See firST girl iN UNiverSiTy The poor village of Kisht, on the Tajikistan-Afghani- under which the organization will give 370,000 chil- stan border, has never managed to send a girl to uni- dren a daily coked. The food motivates the parents versity. So community leaders are delighted about to sed their children to school where they can ac- WFP programme which should mean girls stay at quire a larger arsenal of learning for their entry into school longer. Now, they hope, maybe one will take the adult world. the next step. In the village of Kisht, a stone’s throw from the Panj First girl to university River which marks the border with Afghanistan, “In the history of this village, none of the girls has school principal Murodali Odinaev is only too aware gone to university,” Sharipov exclaimed. “Someone of the very limited opportunities for young people. must be the pioneer!” Slow progress The closest any woman has got to post-secondary school is Khatichamo Saidalieva, who took a basic “Last year, eight girls graduated from Grade 11. Out computer course after her marriage and became of the eight, seven are married. Of the 11 boys who the school’s computer teacher. But with electricity graduated, four went to university and three went to rationing during the day, she is unable to turn the technical college,” Odinaev told a group of visitors computer on. from WFP. Parvina Fathulloeva, a member of the Kisht Parent- “But even those eight girls are an advance over previ- Teacher Association, tried several times to go to ous years,” he added. “Before, almost all the girls left university. She succeeded in graduating from Grade after Grade 9, when their parents could legally take 11 and applied several times to medical school, but them out of school and keep them at home.” with her parents refusing to give her financial back- ing, she failed to maneuver her way in. With two Odinaev’s school receives WFP food for the children daughters in Grades 3 and 5, she is keeping her eye in Grades 1 to 4 – when enrolment and attendance now on their future. are near perfect, he notes, thanks in large part to the WFP commodities which are cooked into a hearty “My daughters like school very much and eat every split pea soup accompanied by freshly baked bread. daily nicely cooked soup in schools,” said Parvina. “I often ask the teachers about them, are they doing Both Odinaev and the village head, Kurbon Sharipov, well, are they behaving? Because it is my dream that applaud WFP’s school feeding plan for Tajikistan, they go on to university.” 7
  • 8. Tree plaNTiNg for iNcome geNeraTioN aNd eNviroNmeNTal proTecTioN The Rasht Valley is an agricultural region consist- tion as an effective defense against mudflows, land- ing with the main income-generation activities being slides and avalanches. WFP distributed 10,000 fruit potato-growing, vegetable gardening, bee-keeping, tree seedlings and 15,000 poplar seedlings among 50 and livestock breeding. The region is characterized schools. Some 10,000 students have been “assigned” by natural disasters and environmental erosion. one tree apiece and are responsible for making it UNICEF in 2009 started a campaign to raise aware- grow. The actual Food for Work participants are 250 ness about disaster risk mitigation (DRM) in 500 sec- school support staff. The fruit will be consumed by ondary schools across the country, out of which 150 the students or sold so that the profits can be invested are in the Rasht Valley. The course focuses on foresta- in the schools. 8
  • 9. efforTS iN elimiNaTiNg The polio oUTBreak iN The repUBlic of TaJikiSTaN The commitment of Republic of Tajikistan in eliminating the polio and the efforts from international community will stamp out the polio! detailed micro-planning workshop was conducted for the EPI Managers at National level and Oblasts prior to the campaign. Trainings were conducted for the health workers before the first round. Social mobiliza- tion activities like TV, radio, poster/banner, press con- ference/press release, vehicle announcements, SMS by mobile companies and community meetings were held before the commencement of the campaign. Above all, the health workers have visited every household before the campaign dates in their respective catchment areas to ensure high coverage. Several coordination meet- ings were held between different departments of MoH. Vaccine and other logistics were distributed to all the The Republic of Tajikistan, which had been polio-free facilities on time. As a result, the campaign was well since 1996, experienced a massive polio outbreak in organized. Different strategies were used to reach the 2010 following an importation of poliovirus from targets which include fixed posts at facilities, mobile northern India in 2010. In total, 458 laboratory con- teams according to need, teams to reach kinder gar- firmed polio cases were reported in 2010 from 35 out dens and in some remote areas teams went on don- of 61 administrative territories of Tajikistan. This has keys. Transit teams were also deployed to target travel- been the first outbreak in the EURO region since it ling children during campaign days. was certified polio free in 2002, and also the biggest outbreak in the world since 2005. Government involvement in supervision and moni- toring found remarkably high. In addition, WHO, The Government of Tajikistan responded quickly UNICEF and USAID along with the partner agencies to the outbreak and alerted WHO and neighboring Save the Children USA, Mercy Corps, Red Crescent countries about the cases. Consultants and special and AKHS jointly conducted in-process and end- investigation teams were on ground within few days process campaign monitoring. The analysis of the post after the news of the outbreak. campaign monitoring reveals that the overall coverage In response, the Ministry of Health (MoH) with sup- was 98%. All the Oblasts achieved more than 95% OPV port from the WHO, UNICEF, USAID and other coverage. Awareness about the campaign also found partners, had implemented six rounds of National significantly high in all Oblasts except Dushanbe. The Immunization Days (NIDs) and one round of SNIDs main reason for children missed were due to absence in 2010. As result of this well coordinated response during the house visit by the health workers. the outbreak was stopped within six months. The last “The synchronized work of the Ministry of Health laboratory confirmed polio case was in July 4th 2010. with WHO, UNICEF and all partners working on the However, despite the achievements made in stop- polio eradication has played a key role in achieving ping the outbreak, the country has to remain vigilant good results in 2011, which proved that the joint ef- as long as there is polio circulation in the neighboring forts can bring to success and good results” – noted countries near and far. Also it is essential for the coun- Dr Rakhmatullaev Sh.R (Head of Family Planning try to regain its polio free status by the international and Child department of the Ministry of health) dur- certification committee. For this purpose, the country ing one of the coordination meetings held in the Min- should maintain a high level of routine immunization, istry of Health. conduct high quality immunization campaigns against polio and maintain a very sensitive surveillance. The joint efforts, the preparation of the polio immu- nisation rounds, the series of micro-planning work- In 2011, as part of the synchronized campaigns con- shops, trainings for the health care specialists and the ducted in the Central Asian countries, Tajikistan had coordinated work of all sectors of society are key ele- successfully conducted the first round NIDs in 18-22 ments in achieving results and remaining polio free. April. All efforts were made to reach every child in the With no cure for polio, immunization with oral polio target group in the country during the campaign. A vaccine is the only protection against polio. Let’s deliver on our promise to every child, a promise with a pay-back for every future generation of children. 9
  • 10. every pregNaNcy waNTed, every BirTh Safe, every NewBorN healThy Childbirth is mostly a positive experience, but in Implementation of the WHO Making Pregnan- many parts of the world, unfortunately, mothers cy Safer Programme has been contributing to a and babies still die due to preventable factors. Lack progress seen in reduction of maternal mortality of access to essential services contributes to these in Tajikistan. Thus, according to WHO/UNICEF/ deaths, as does the lack of providers’ capacity to UNFPA/WB estimates for the period from 1990 to identify and manage complications and provide rel- 2008 this indicator has decreased by 44%. So, an- evant support to women and their newborn babies. nual maternal mortality in Tajikistan declined by Moreover, such factors, as education, income, place 3,3% and in 2008 this indicator was 64 per 100000 of residency within the country, poverty, gender in- live births. In general infant mortality rate is also equalities have also influence on the negative out- declining in Tajikistan. Moreover, results of a latest comes of childbirths. assessment showed that quality of care for mothers and newborns has been significantly improved in Since 2001 the WHO Making Pregnancy Safer Pro- recent years. Examples of good care were observed, gramme has been implementing in Tajikistan as per showing that ensuring quality of medical care for Ministry of Health of Tajikistan request. The Pro- women and children is possible in spite of deficien- gramme is focusing on capacity building, implemen- cies in health systems, hospital infrastructure and tation of evidence-based norms and interventions, availability of equipment and supplies. monitoring and evaluation, building partnerships, advocacy and resource mobilization. The imple- Health of mothers and their children is a fundamen- menting activities address different factors, which tal asset to society and a pillar of health systems per- are vital for the access to skilled medical care before, formance and the WHO in partnership with national during and after pregnancy and childbirth. It targets and international partners will continue support of not only health systems and medical staff, but also activities in order to ensure the highest possible lev- communities and families. el of health for mother and newborns in Tajikistan. 10
  • 11. rehaBiliTaTioN BecomeS a focUS of The maiN SUcceSS iN TaJikiSTaN The core activity of rehabilitation illustrates the saying that the unity all of us can have a great success! ties and short training for doctors on polio manage- ment with a focus on the recovery phase. During the visit of Dr Chapal a half-day workshop was conducted to train the doctors on management of people with polio during recovery phase especially on prevention of the deformities in polio. The doctors noticed how the training was interesting and produc- tive with the hands-on practice. “I really liked the right way of management of children with polio during the recovery phase, and in addition I have got a lot of skills, experience and knowledge out of this training!”- says Dr Khakimov Izatullo, the doctor from Gissar District Hospital. In addition the visits were made by Dr Chapal to some An outbreak of poliomyelitis due to wild poliovirus of the families in the rural parts of districts and it was type 1 (wP1) circulating in Uttar Pradesh, India in provided a short training for parents how to decrease mid-2009, occurred in Tajikistan beginning in early harm on their child. 2010, eight years after the European Region has been certified as free of poliomyelitis. According to the gov- “I liked the way of treating me and my child, ernment statistics 712 Acute Flaccid Paralysis cases especially in the moment, when I needed were notified and most of them are at recovery phase, such kind of support. I think it is really good but some have already started showing signs of resid- idea to conduct such teaching ways for the ual paralysis. All persons affected could benefit from families and their children”- mentions Gul- rehabilitation intervention such as; postural care, ruhsor, the woman living in the rural part of therapy and splints or orthosis. Rudaki district. In the beginning of Polio outbreak by request from Moreover besides the training there was stakehold- the Ministry of Health the WHO Country office hired ers meeting for all partners and disabled societies a consultant on rehabilitation, Dr Chapal Khasnabis in the country. Organizations like Psychological to carry out a Rapid Assessment Survey and map out Medical and Physical Conditions (PMPC), Handi- a plan of action for building rehabilitation capac- cap International, Association for Aid and Relief ity, together with resources requirements for people (AAR) – Japan, Disabled People’s Organization of affected by polio in Dushanbe and adjoining areas Tajikistan, NOIT and NOC took part in it. The meet- of Tajikistan. Meantime during the mission of Dr ing was successful due to the organizations, such as Chapal Khasnabis, the Ministry of Health of Repub- Operation Mercy and Handicap International were lic of Tajikistan addressed the WHO Country office very interested in extending these practices in the with request to train the doctors in management country and conduct the training on a regular basis, during the recovery phase. The mission consisted which is currently being organized in the Republic from two aspects: the rapid assessment including of Tajikistan for the medical personnel and parents mapping and capacity assessment of existing facili- using own financial support. 11
  • 12. For more information please contact: Mr. Bokhtar Bakozade Chairman of UN Communications Group Email: bokhtar.bakozade@undp.org Mob.: (+992) 918 188 003 UNICEF: Mr. Alexander Sodiqov Communication Officer E-mail: asodiqov@unicef.org, Mob.: (+992) 918 310057 WHO: Ms. Tahmina Alimamedova Communication Assistant E-mail: tahmina.who@tajnet.tj Mob.: (+992) 907 780119 UNFPA: Mr. Parviz Boboev Project Associate on Advocacy/Communications/Youth E-mail: parviz.bobev@undp.org UNWFP: Mr. Azam Bahorov Senior Programme Assistant E-mail: azam.bahorov@wfp.org Mob.: (+992) 919 04 41 76