ORIGINAL RESEARCH
Public Health
doi: 10.25005/2074-0581-2026-28-3-624-637
ANALYTICAL ASSESSMENT OF HEALTHCARE SERVICE DELIVERY INDICATORS IN THE REPUBLIC OF TAJIKISTAN

J.A. ABDULLOZODA1, S.J. YUSUFI1, G.M. MUHSINZODA1, SH.Z. SHARIPOV1, Y.Y. MIRZOALIEV2, D.A. OLIMZODA1, O.М. MANNONOV1, S.R. SAMIEV1, M.М. KHAKIMOVA3, S.N. MAVLONOVA4

1Ministry of Health and Social Protection of Population of Republic of Tajikistan, Dushanbe, Tajikistan
2Tajik Research Institute of Preventive Medicine, Dushanbe, Tajikistan
3Global Financing Facility for Women, Children and Adolescents (GFF), the World Bank, Dushanbe, Tajikistan
4City Health Center No. 13, Dushanbe, Tajikistan

Objective: To conduct a comprehensive analytical assessment of service delivery indicators (SDIs) in the primary health care (PHC) system of the Republic of Tajikistan based on an analysis of infrastructure, resources, health service delivery, and outcomes, to identify priority areas for improving the quality and accessibility of care

Methods: A national study of 490 PHC facilities was conducted using simple random sampling, including 36 urban health centers, 52 district health centers, 210 rural health centers, and 192 health houses. The study included 1,266 health care workers and 2,479 patients and was conducted from September 2024 to January 2025. Standardized assessment tools were used to evaluate the structure, processes, and outcomes of health care delivery.

Results: Laboratory services were available in 52.7% of facilities, while 99.5% had access to medicines. Only 10.1% of facilities had full emergency transportation capacity. The average physician density was 0.34 per 1,000 population. Limitations were identified in information and communication technologies (ICT), water supply, and electricity reliability. Management practices were generally well developed but require further strengthening at rural health facilities.

Conclusion: SDIs are an effective tool for assessing health system performance. The identified disparities require targeted managerial interventions to improve the accessibility, quality, and sustainability of PHC services.

Keywords: Primary health care, service delivery indicators, quality of health care, health system, Tajikistan.

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Authors' information:

Abdullozoda Jamoliddin Abdullo,
Doctor of Medical Sciences, Full Professor, Ministry of Health and Social Protection of Population of the Republic of Tajikistan
ORCID ID: 0000-0002-8509-4231
SPIN: 9268-0866
Author ID: 960954
E-mail: abdullozoda0jamoliddin@mail.ru

Yusufi Salomudin Jabbor,
Academician of the National Academy of Sciences of Tajikistan, Doctor of Medical Sciences, Full Professor, First Deputy Minister, Ministry of Health and Social Protection of Population of the Republic of Tajikistan
ORCID ID: 0000-0002-1442-9508
SPIN: 3689-5974
Author ID: 1018522
E-mail: salomudin@mail.ru

Muhsinzoda Gafur Muhsin,
Doctor of Medical Sciences, Adviser of the Health Analyses Group, Ministry of Health and Social Protection of Population of the Republic of Tajikistan
ORCID ID: 0000-0002-7095-792Х
SPIN: 1726-7169
E-mail: gafur@tojikiston.com

Mirzoaliev Yunusjon Yusufalievich,
Candidate of Medical Sciences, Junior Researcher, Tajik Research Institute of Preventive Medicine
ORCID ID: 0009-0000-7300-5513
SPIN: 6201-1885
Author ID: 1315193
E-mail: yunus.mirzoaliev@gmail.com

Sharipov Shaydullo Zaydulloevich,
Head of the Health Analyses Group, Ministry of Health and Social Protection of Population of the Republic of Tajikistan, Dushanbe, Tajikistan
ORCID ID: 0009-0003-5083-6498
E-mail: headofhau@gmail.com

Olimzoda Davlatmurod Abdulhalil,
Deputy Head of the State Supervision Service for Health and Social Protection of the Population, Ministry of Health and Social Protection of Population of the Republic of Tajikistan
ORCID ID: 0000-0002-1958-8655
SPIN: 2592-3012
Author ID: 1208608
E-mail: drdavlatmurod@gmail.com

Mannonov Olimjon Mirzoumedovich,
Head of the Unit of Reform and PHC Department of Reform, PHC and International Relations, Ministry of Health and Social Protection of Population of the Republic of Tajikistan
ORCID ID: 0009-0009-4466-4136
E-mail: olimjonmannonov@mail.ru

Samiev Suhrob Rustamovich,
Senior Monitoring and Evaluation Specialist, Health Programmes Analyst, Ministry of Health and Social Protection of Population of the Republic of Tajikistan
ORCID ID: 0009-0001-0699-6887
E-mail: meal.analyst.hau@gmail.com

Khakimova Malika Maksudzhonovna,
Master of Public Health, Country Coordinator, Global Financing Facility for Women, Children and Adolescents (GFF), The World Bank
ORCID ID: 0009-0008-1669-7208
E-mail: malikajon@gmail.com

Mavlonova Sadorat Niyozalievna,
Candidate of Medical Sciences, Obstetrician-Gynecologist, City Health Center No. 13, Dushanbe
ORCID ID: 0009-0002-5781-7102
SPIN: 6441-7356
Author ID: 1054704
E-mail: sadijon55@inbox.ru

Information about support in the form of grants, equipment, medications

The study was conducted within the framework of the “Healthy Nation of Tajikistan” Project, financed by the World Bank through the Project Implementation Center of the Ministry of Health and Social Protection of the Population of the Republic of Tajikistan. The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Mirzoaliev Yunusjon Yusufalievich
Candidate of Medical Sciences, Junior Researcher, Tajik Scientific Research Institute of Preventive Medicine

734025, Republic of Tajikistan, Dushanbe, Shevchenko str., 61

Tel.: +992 (939) 999026

E-mail: yunus.mirzoaliev@gmail.com


This work is licensed under a Creative Commons Attribution 4.0 International License.

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