By Ghafur Khodjamurodov • Bernd Rechel
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Extra info for Tajikistan: Health System Review
An oblast health department has limited staff, mainly responsible for inspecting. Rayon health facilities are administered by central rayon hospitals and, in some rayons of republican subordination and some oblast cities, by central city hospitals. The head physicians of central rayon hospitals and central city hospitals act as heads of rayon/city health departments and administer all health services in their respective rayon or city. They are assisted by deputies responsible for rural clinics, polyclinics, disease prevention and mother and child health services.
6% Sources: Republic of Tajikistan, 2000; State Committee on Statistics, 2006; WHO Regional Office for Europe, 2010. 21 22 Health systems in transition Tajikistan Following on f rom the Multiple Indicator Cluster Survey in 2000, a second dose of the vaccine against measles for children of 6 years of age was introduced into the extended programme of immunization in 2001, but coverage remains low, as there is a lack of funds and a lack of awareness among health care workers and parents; continuing problems in maintaining the cold chain mean that the vaccines reaching children in certain regions are ineffective.
The Ministry of Health only plays a subordinate role in budgetary decisions. Budgetary funds to the health sector from the central government are distributed by the Ministry of Finance to the oblast administrations (khukumats) and managed by the oblast and rayon finance departments. 3 Oblast and rayon administrations Local authorities are responsible for most social services, including health and education. Within each local administration (khukumat), activities are divided between supervisory departments (such as finance) and line departments (such as health).