of November 5, 2002 No. 436
About approval of Strategy of the Republic of Tajikistan on public health care during the period till 2010
For the purpose of implementation of the World declaration on health care adopted at the Fifty first session of the World Assembly of health care in May, 1998, the Government of the Republic of Tajikistan decides:
1. Approve the Strategy of the Republic of Tajikistan on public health care during the period till 2010 it (is applied). (tables and schemes are not provided)
2. To executive bodies on places (hukumata) to adapt tasks of this Strategy for specific local conditions, requirements, opportunities and to provide their realization.
3. To the Ministry of Health of the Republic of Tajikistan:
introduce the offers on creation, structure, powers and functions of National council on health care approved with the ministries and departments of the Republic of Tajikistan under the Government of the Republic of Tajikistan;
notify in accordance with the established procedure the European Regional Office of the World Health Organization on acceptance of Strategy of the Republic of Tajikistan on public health care during the period till 2010;
bring this Strategy to all interested ministries and departments, executive bodies on places (hukumat).
4. Consider the order of the Government of the Republic of Tajikistan of January 6, 1997 No. 27 "About the draft of the National program "The Strategy of the Republic of Tajikistan on Public Health Care till 2005." invalid.
Republic of Tajikistan E.Rakhmonov
Approved by the Order of the Government of the Republic of Tajikistan of November 5, 2002 No. 436
Determinants (factors) of health very extensive also include complex of the individual, social, economic and ecological factors determining the state of health of certain people or national groups.
Therefore, effective approach on management of determinants of health is in that all sectors of society felt responsibility for impact of the strategy performed by them on health of the population and realized the advantage connected with strengthening and health protection of people. Relevance of this problem especially increased in transition period when owing to the known political instability in the early nineties and undue economic hardships, the negative factors exerting impacts on health of the population of the country became noticeable. Today the main problems of health care are caused by the increase in gap in the state of health between population socio-economic groups which is in more safe and less safe provision, the sharp growth of separate infectious and noninfectious diseases, preserving high frequency of injury rate, imperfect information base about health of the population, preserving old and inadequate system of financing, and also disproportion between primary health care and hospital medical authorities, etc.
It is unambiguously clear that without consecutive implementation of the complex actions based on the principles of multisectoral approach it is impossible to expect successful management of all factors of health. However, leadership in timely detection and assessment of social, ecological and other risk factors for health, respectively in the organization of intervention or influence for their elimination by removal of questions at the agenda of appropriate authorities and management, shall remain behind health care sector.
Resources for public health care are present not only at health care sector, but also at all other sectors, and also among the population which are attracted insufficiently.
Thus, multisectoral actions or partnership in questions of public health care and health care, consolidation of their resources in the solution of specific problems at the national, regional and local levels are serious reserve of successful strategy implementation of the country on achievement of health for all.
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