Development and implementation of disease prevention system; DCC Cluster on Food Security and Nutrition MTDS (GoT) priorities for the sector Increase Food Security and improving nutrition through increasing food self sufficiency; Deepening of agrarian reform to promote the establishment and development of the highly profitable agricultural production; Improving access to quality nutrition- exclusive breastfeeding, food fortification, supplementation; Establishing a system of social protection for the poor, low-income families; Development and implementation of disease prevention system; Strengthening child health and reducing infant and child mortality rates; Reducing maternal mortality.  

Development Partners’ interventions / Donor’s support Support to improvement the agriculture production and its quality; Support to Agrarian Reform (MoA, Agrarian Secretariat and Land Reform); Support to National Food Security Council- to make operational, develop the National Food Security and Nutrition Strategy; Support to the Scaling up Nutrition movement; Provide education in nutrition (including promotion of exclusive breastfeeding), hygiene and health lifestyles across Tajikistan; Support efforts to mandate and implement flour fortification and improve quality and regulation of salt iodization; Micronutrient Supplementation for children, pregnant women and vulnerable populations; Strengthening the capacity of health providers, in hospitals and PHCs to provide care in line with WHO standards and guidelines; Promote the establishment of nutrition sensitive social safety nets for vulnerable populations, such as school meals programme; Support to regular monitoring of food security situation in the country; Support in development of the National Roadmap to promote healthy and safe diet and prevention of obesity in women and children in Tajikistan; Support in strengthening nutritional, food safety and water safety related disease monitoring Support to the MoHSPP in rolling out of Integrated Management of Acute Malnutrition strategy Support in development of national strategies on Food Safety, School Meals and relevant action plans

What is missing? But is important for the sector development. What is missing (that DPs already doing) Improve Food Security and Safety in the country; Improve access to safe drinking water and improve sanitation infrastructure; Expand the role of the National Food Security Council; Integration of the multi-sector approach to Food Security & Nutrition within the MtDS; Developing the Agriculture related policies along the whole value chain (trade, processing, agricultural production and access), and in this sense these functions (development of policies) have to attributed to one Ministry (usually Ministry of Agriculture). New actions/interventions planned by DPs Establishment of Agrarian Reform Secretariat; Strengthening and expanding of the Agricultural Extension system and knowledge transfer in whole value chain; Possible increase in WASH support.

Priority areas / Results to be achieved by 2020 What are the expected results/outcomes achievable by 2020 in the sector Implementation of the agrarian reform supported; Mandatory flour fortification approved by GoT and implemented; Common Framework for “Scaling up Nutrition” established/adopted by GoT; Institutional restructuring of the MoA implemented; A system of incentives to support investments in agriculture designed and established; Agriculture extension established/strengthened; Increased access to food for the rural food insecure population in the country; Increased prevalence of exclusive breastfeeding, improved diet diversity and nutritional status of children and women of childbearing age; Common and institutionalized National Health Promotion and Disease prevention system.