Table 1 Snapshot of a query of Tajikistan’s Problem Statement list and Problem System (Probα) codes (the full list generated by the query is available in the Supplementary file)
ID | Problem_statement | Problem_WHOcode (Probα Code) |
|---|---|---|
1 | Weak policy and legal frameworks to reorient the health system towards primary care and family medicine. | GOV1. Primary care priorities |
2 | Weak and fragmented governance and accountability mechanisms related to the development and strengthening of primary care. | GOV2. Accountability arrangements |
3 | Weak public role in relation to the governance and/or organization of the primary care system. | GOV3. Stakeholder participation and engagement |
4 | Low Total Health Expenditure (THE) | FIN1. Primary care expenditure |
5 | Weak financing mechanisms – revenue collection, pooling, and coverage. | FIN3. Financial protection in PC, FIN4. Comprehensiveness of financial protection for PC services |
6 | Lack of a Basic Health Services Package (BHSP) / Basic Benefits Package. | FIN3. Financial protection in PC |
7 | High private, Out of Pocket (OOP) and informal expenditure, as a percent of Total Health Expenditure (THE). | FIN4. Comprehensiveness of financial protection for PC services |
8 | Poor health system allocative efficiency. | GOV2. Accountability arrangements |
9 | Weak funding mechanisms for primary care facilities. | FIN1. Primary care expenditure |
11 | Weak infrastructure and equipment. | DGN1. Laboratory, DGN2. Imaging, STR 1. Basic amenities, TCH1. Basic technology |