Tajikistan: Activities wind down as needs change

With security improving, the needs of the population changing and development agencies beginning activities in the country, MSF is preparing to end its medical intervention by the end of 2003. MSF continues to support primary health care in the isolated Rasht/Karategin Valley by distributing essential medicines, training health staff and assisting responses to disease outbreaks - a program begun in 1998. It also runs a reproductive health program to improve maternal care through collaboration with local midwives, doctors and nurses. MSF has been working to improve conditions for psychiatric patients in Tajikistan since 1997. By the end of 2001, more than 1,000 patients were directly benefiting from this program, which will be phased out in late 2002. In the capital Dushanbe, MSF has been implementing community-based mental health care for people suffering from post-war trauma and related stress (for more information on MSF and mental health, see page 75). MSF will hand this program over to the city health authorities by 2003. Dushanbe was an important base for emergency planning and operational support when MSF teams were forced to leave Afghanistan in September 2001 (see page 67). MSF programs in Khorog were closed down due to the events in Afghanistan. MSF began working in Tajikistan in 1991. International staff: 10 National staff: 93