Health care system in Tajikistan
Standards of health care outside of Dushanbe are very low. Medical staff are usually knowledgeable and well trained but hospitals often lacks of modern equipment and medicines available in the west. Travellers are advised to carry a well-equipped first-aid kit with them containing basic medicines and any prescriptions that they might need on their journey. For minor difficulties, visitors may visit medical unit at their hotel or ask travel agency for help. If you live, work, study or travel to Tajikistan frequently, contact your country’s embassy for a list of recommended physicians in the area. If there is no your country’s embassy in Tajikistan, The US Embassy maintains a list of medical facilities and physicians in the area. Health insurance is essential.
Ambulance: can be reached by calling 03. The staff do not speak English, generally Russian or Tajik. You would be required to describe the symptoms to get a proper brigade as by default the ambulance is staffed with paramedics or physicians who only transport to appropriate hospital. Resuscitation, cardiology and pediatric ambulance is also available. Medical services outside of main cities are very limited.
There are some clinics which accept foreign insurance as method of payment and can work out urgent medical evacuation.
In June 2011, the United Nations Population Fund released a report on The State of the World's Midwifery. It contained new data on the midwifery workforce and policies relating to newborn and maternal mortality for 58 countries. The 2010 maternal mortality rate per 100,000 births for Tajikistan is 64. This is compared with 45.6 in 2008 and 89.6 in 1990. The under 5 mortality rate, per 1,000 births is 64 and the neonatal mortality as a percentage of under 5's mortality is 40. The aim of this report is to highlight ways in which the Millennium Development Goals can be achieved, particularly Goal 4 – Reduce child mortality and Goal 5 – improve maternal death. In Tajikistan the number of midwives per 1,000 live births is unavailable and the lifetime risk of death for pregnant women 1 in 430.