CBM has been active in Tajikistan since 2002. Currently we are supporting CBR programmes advancing inclusive education for children with disabilities aiming at improving the qualitiy of life for them and their families. This includes capacity building for local teachers by offering regular seminars on inclusive education, CBR, speech therapy, learner-centered (active) education, and similar topics. CBM supports early intervention services and advocacy for access to mainstream schooling.
In the last few years there have been major public sector reforms with health care reforms formally launched in the late 1990s aiming at the reorientation of the system towards primary health care with a strong emphasis on health promotion and active community involvement in disease prevention.
The process of de-institutionalisation is a very slow one for countries in transition. The reality is that newly developed ‘gatekeeping’ services only prevent more children from coming into the system, they do not safeguard the welfare of children already living in institutions. Over 80 % of children in these institutions have no contact with their families.
One of the complicated tasks in the process of de-institutionalisation will be – in addition to the development of an integrative schooling system – the development of community-based programmes to raise awareness in the communities but also to work with parents of children with disabilities and show/provide alternative ways of upbringing rather than giving their children away to residential facilities.
Tajikistan has not yet signed the UN Convention on the Rights of Persons with Disabilities .