In of all the governmental agencies are getting together

In recent years, there
has been an increasing migration movement from the Middle East, mainly from
Iraq, Syria, Turkey and Afghanistan. This has brought many changes that have
been considered a challenge for the local citizens. One of the biggest
challenges that host nations need to face is the management of the asylum
seekers´ health due to the fact that they are not given the needed facilities
and the Health System has not the adequate infrastructure and medical
technology. Western societies recognize their obligation to extend the health
care services to all their inhabitants, however, there are still some barriers
such as language or cultural ones, which do not allow them to do so. While it
is true that Tajikistan is not among the highly economic developed countries
and we are facing a severe crisis with the arrival of Afghans refugees. Local
authorities and representatives of all the governmental agencies are getting
together with the UNHCR to organize the arrival of this asylum seekers which
they do not have the exact number. The arrival of refugees has meant a great
economic problem for our country because they demand, in order to survive, jobs
that were previously carried out by the Tajik citizens, it is also demanding an
additional item of economic aid that the Ministry of Economy had not budgeted.

 On the other hand, social problems and security have increased due to the
possibility that criminals and terrorists have entered with refugees. At the
same time, UNICEF has estimated that 80% of the refugees could be women and
children who, probably, have not had access to health or medicines. (UNICEF, Syria Crisis Situation Report, 2016)

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After the Soviet Union
lost power in 1991 and Tajikistan won its indepence, we have been associated with
deterioration of our population´s health status. We have had the lowest ratio
of doctors since the separation of the USSR. There has been a serious and
emergent necessity of acquiring materials and personnel specially in rural
areas. The Tajik government was the first of Central Asia to sign the UN
Refugee Convention of 1951 and its 1967 Protocol, which is to recognize the
rights of the asylum seekers and the definition of refugees and their rights.

The ratification of this Convention was followed by the incorporation of
domestic legislation which was the 1994 Law on Refugees, which was checked in
2002. Tajikistan is also a party to the 1990 Convention on the Protection of
the Rights of All Migrant Workers and Members of Their Families that is a reciprocal
treaty governing the protection of migrant workers and families. Because the health care
system has deteriorated badly and receives insufficient funding and sanitation
and water supply systems are in declining condition, Tajikistan has a high risk
of epidemic disease. Although, mortality rates for non communicable
diseases (NCDs) are nearly vanishing in the WHO European region, they are not
stagnating in Tajikistan. Tajikistan was not a currently target to meet in the
2012 World Health Assembly’s target of a 25% reduction in premature death from
NCDs by 2025 for member states.

 

To face the ongoing challenges, the
Republic of Tajikistan proposes the implementation of the “Social Support
Project (SOS)” which consists in two main pillars. First, we need to get the
ways of funding to sustain the help to the refugees. The goal budget for 2018
are 7 billion dollars worldwide which involve refugees (83%), stateless (1%)
programmes and reintegration (6%) and internally Displaced Persons (IDP)
projects (10%). This can be through the UNHCR, developed countries in America,
Europe, Oceania and Asia through donations, private donors; which were the
biggest contributors in the year 2017, or work for tax. The second pillar
consists in getting support for the social workers through volunteering. They
will be in charged of working to improve health in accordance with specialists
of areas such as physicians, nurses, medical technicians, engineers, teachers,
planners, among others specialists or professionals. We will make an agreement
with the State hospitals so that the doctors work as volunteers 1 day a week,
specially specialists in pediatrics, gynecology, infectious diseases, mental
health specialists and surgeons, who work in the change of donation of taxes.

To encourage programs so that voluntary medical assistance programs represent a
certain percentage of discount in taxes, this would be done through
governmental organizations who will channel the logistics of this system. We
need to contact the pharmaceutical industries in order to send products to us
free of charge, these donations would be reduced from their tax payments as
well, we would channel the logistics through the health secretaries of the
donor countries with the recipient countries, this group of medicines would
involve treatment medicines for acute and chronic diseases, vaccines, medical
instruments and will coordinate with the medical equipment development
companies with social support personnel. The donations will help to feed the
population so that in this way diseases are reduced, sanitation is ready in the
camps. We will work in coordination with the Ministry of Health to implement
the best environmental health conditions, supervising what are potable water
networks and draining through specialized people. This proposal will also help to address the Rohinhya Crisis by
training the social workers in order to avoid the expansion of the disease.

 

 

The Republic of Tajikistan strongly believes that by the application
of this measures we can improve the health system and in the words of Victoria
Beckham “Access to good health care
shouldn´t depend on where you live”. It is time to remember our people, and
work with them and for them.