The Global Financing Facility for Women, Children, and Adolescents (GFF) is a multi-stakeholder global partnership housed at the World Bank. The GFF supports 36 low and lower-middle-income countries with catalytic financing and technical assistance to develop and implement prioritized national health plans to scale up access to affordable, quality care for women, children, and adolescents.
In September 2021, the Government of the Republic of Tajikistan adopted the Strategy on Healthcare of Population of the Republic of Tajikistan up to 2030 (SHPRT) to determine the reform process in the healthcare sector and future policy directions for the sector. The SHPRT is an ambitious, strategic, and broad document. To guide its short- and medium-term implementation, the Government has set out to develop a prioritized Investment Plan. The Investment Plan was required to be developed through a priority-setting process to select the highest impact included in the SHPRT for addressing the most important health system needs, considering resource constraints. The Investment Plan was also expected to serve as a key tool for aligning domestic and external resources in the health sector with the government’s strategic priorities.
The country identified four priority thematic areas for the Investment Plan in October 2021:
- Strengthening of Primary Healthcare Services (aka PHC)
- Improvements to Health Management Information Systems and Digital Health (aka HMIS)
- Implementation of health financing reforms (aka “Financing”)
- Investments in a sustainable workforce for the healthcare system (aka HR)
The GGF commissioned the CGC to develop the Prioritized Investment Plan (PIP) through the following steps:
- Transform a validated list of activities (aka “medium-list”) into an investment plan budget
- Discuss the preliminary budget with the key in-country stakeholders and agree on the level of investment, the final list of activities, results to be achieved, and other criteria (as agreed in advance with the stakeholders).
- Compile the approved final list of activities and budgets accompanied by the theory of change, result framework, and monitoring strategy.
- Presentation of the PIP to the stakeholders