Feed the Future Tajikistan Health and Nutrition Activity

Launched in 2015, this $13 million activity will improve health and nutrition in Tajikistan, particularly for women and children in the Khatlon oblast, the most populous administrative region.

Almost half of Tajikistan’s population is living below the national poverty line and one-third is affected by food insecurity. The remote Khatlon oblast has some of the country’s poorest nutrition and maternal and child health statistics combined with a suboptimal agriculture sector. In 2012, the region had the highest under-five mortality rate in the country (61 per 1,000 live births) and 27% of children were stunted. 

To address this, IntraHealth is integrating high-quality maternal, newborn, and child health care at the family, community, clinical, and national levels, with an emphasis on nutrition, sanitation, and hygiene. 

Activity Initiatives

  • Promote the use of evidence-based maternal, neonatal, and child health practices in the first 1,000 days between a woman’s pregnancy and her child’s second birthday within the home, community, and health facility
  • Improve healthy behaviors and practices among adolescent girls, women, and children in their homes and communities related to consumption of nutrients-rich food, improved sanitation and hygiene, and increased use of appropriate health care services
  • Strengthen links among health facilities, communities, and the US Government’s Feed The Future initiatives to address global hunger
  • Incorporate gender-equitable and culturally sensitive approaches that empower women to improve their health and the health of their children 
  • Leverage stakeholder partnerships across the health, education, and agriculture sectors; with donors; and through public–private partnerships
  • Support key policy changes to institutionalize reforms related to health and national food security.

Selected Achievements

Performed in-depth assessments of 14 hospital maternity wards and six primary care centers in the first significant assessment of hospitals in Tajikistan.


Trained high school peer educators in nutrition, agriculture, sanitation, and hygiene


Trained and mobilized more than 1,400 volunteer community health educators to teach women in their neighborhoods about proper prenatal care


Upgraded Bokhtar District Hospital's maternity ward with new equipment and supplies