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Country
Program
| 2000-2004
Country program for Turkmenistan envisages disbursement
of US $ 800,000 per annum from the combination of
the regular and multi-bilateral resources and this
amount was considered for the initial planning of
the program activities at the beginning of the year.
In the mean time, provision of regular resource
for the program support has been reduced to US $480,000,
because of the overall availability of resources
in UNFPA. As of July 2000 a total of 6 projects
have been initiated, 3 projects in RH including
IEC project, 1 in advocacy, 1 in PDS and 1 in Program
Coordination (Umbrella). |
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total of the US $ 471,0000 is allocated against
these projects and the program implementation rate
stands at 43%. The program is being delivered through
the mixture of execution modalities, which include
national execution and projects implemented by WHO,
UNSD and UNFPA. In the result of the fruitful cooperation
relationships with USAID a joint project on the
implementation of the demographic and health survey
is being implemented this year. This project has
also resulted in mobilization of US $113,000 from
USAID to support the DHS Project, which will be
implemented by the Marco International within the
course of the year. Data of the survey will be used
as a baseline to support and evaluate future program
activities. Within the joint UN Theme Group initiatives
on the HIV/AIDS and STIs prevention activities,
UNFPA is supporting review and adoption of the WHO
syndrome management of STIs for Turkmenistan. Other
cooperation activities include advocacy support
for the expansion of the vaccination programs, and
coordination with WHO office for the reform programs
in the field of reproductive health and compliance
of the various initiatives in this with the national
strategies and other programs UNFPA has taken the
lead in the process of primary health care reforms
in the field of reproductive health. Reproductive
Health Activities of this year include training
of service providers at the etrap level, which includes
modern contraceptives technology for family doctors
as well as such topics as antenatal and neonatal
care, safe motherhood and delivery. Simultaneously,
within the presidential health reform frameworks,
ways for the incorporation of the comprehensive
RH service delivery within the current health care
system are being explored. As the initial stage
of this process focus discussions and training are
being conducted with the chief doctors of the etrap
hospitals. In the field of PDS and data collection,
UNFPA is providing support to the first mini-census,
which will be conducted among the 5% sampling frame
of the households. Other activities in this field
include technical assistance for the development
of the data banks and improvement of the collection
and-analysis for the decision making process. According
to the UNFPA guidelines, a steering committee has
been established to oversee the implementation of
the program and coordinate the relevant activities,
which are being used intensively to improve the
coordination efforts with the Government and ensure
national ownership. Reduction of the annual ceiling
has resulted in the delay of the following activities:
initiation of the Project on the RH service for
adolescents, procurement of medical equipment and
supplies, opening of 5 youth and 5 women education
centers which was planned to be done jointly with
national unions of women and youth. A number of
the other activities has been slowed down or transferred
to the next year due to the same problem and this
includes expansion of the family life education
curriculum in formal school system, printing of
textbooks and other teaching aids. According to
the information provided by the field office, the
contraceptive stock-out situation may be observed
by the end of the year. In order to procure an additional
shipment of contraceptives for the next year, the
annual ceiling will have to be considered for revision,
otherwise, due to the inadequate resources availability
it can lead to the reduction of the program activities.
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