Натиҷаи амалиётҳо
General issues affecting the provision of victim assistance:
• An inter-ministerial coordination mechanism was established
• SMART objectives for victim assistance were developed in 2006 and revised in 2008
• A plan of action to achieve the objectives was developed and progress reviewed
• In 2010, a review of Tajikistan Mine Victim Assistance Programme was conducted by Mrs Sheree Bailey, VA Specialist of AP Mine Ban Convention Implementation Support Unit.
• In 2010, TMAC in cooperation with its partners organized a 2-days VA Coordination Group Workshop focused on the problems of comprehensive rehabilitation and medical-social expertise for landmine survivors as well for all PWDs in Tajikistan. A “Guideline for the medical-social expertise” was developed and distributed to all participants.
• In 2010, TMAC/UNDP supported the establishment of two survivors’ NGOs: “Taqdir” in Dushanbe and “Society of landmine survivors” in Khujand. The NGOs will promote peer support, advocacy for the rights of PWDs, CRPD, CCM and the implementation of income generating opportunities. TMAC provided them with equipment and furniture.
• In 2011 both NGOs started their own activities with two projects to be implemented by NGO survivors (supported by US Embassy and Abilis Foundation accordingly).
• In 2011, 3 round tables in the regional centers (Kulyab, Kurgan-Tube and Garm) were organized by TMAC in cooperation with the MLSPP of RT. They were devoted to advocating Tajikistan’s accession to the UN CRPD and the Convention on Cluster Munitions (CCM).
• In May 2011, a regional workshop on Victim Assistance was organized in Dushanbe by Handicap International (HI) Federation in cooperation with TMAC.
• In 2011 HI provided consultancy to the VA Programme for the development of a new long-term Plan of action for 2012-2015
Understanding the extent of the challenge faced:
• An up-to-date database on landmine/ERW casualties in Tajikistan is maintained on an ongoing basis.
• In 2006, a database on all disability services in Tajikistan was created and is updated on an ongoing basis.
• In 2006, a mechanism was established to promote collaboration between relevant ministries, TMAC and other actors to coordinate and advocate for mine victim assistance activities.
• In 2006, TMAC recruited a medical doctor as victim assistance officer to coordinate activities and strengthen collaboration with relevant ministries.
• In 2007, TMAC recruited a survivor as an assistant to the victim assistance officer.
• In 2008, a needs assessment survey was completed in all mine-affected districts.
• Priorities for victim assistance were set based on results of the first needs assessment.
• In 2011, a Needs Assessment Re-Survey was implemented by MLSPP and districts departments of social protection of population of the MLSPP in all mine affected districts of Tajikistan. At present, IMSMA and Needs assessment questionnaires have been collected from districts and are being entered into IMSMA NG database for the subsequent evaluation, prioritization of victims’ needs and establishment of a functional Victim Information System (VIS).
Emergency and continuing medical care:
• In 2006, a directory of all emergency and continuing medical care services in mine-affected areas, and referral services in other areas was created.
• Since 2005, 64 survivors have received emergency medical care in various government hospitals.
• Since 2006, at least 137 survivors have received continuing medical care in various government hospitals.
• In 2008, the WHO project “Assessment of the preparedness of the local medical facilities to provide emergency medical care” was accomplished.
• In 2008, the WHO has provided 13 district hospitals with trauma and anaesthetics kits.
• In 2008, the Swiss Agency for Development and Cooperation (SDC) provided six mobile hospitals to the medical facilities of the MoH and organized a 3-days training course “Preparation for emergency situations through mobile hospitals”.
• In 2009, the WHO supported the establishment of a Training centre under the Department of Emergency Situations (MoH). 38 doctors from 4 regions were trained on emergency care and first aid.
• In 2007-2009, MoH in cooperation with the Medical Teams International and SDC trained 874 healthcare workers and 690 others (students of Medical University, workers of Committee of Emergency Situations and staff of Ministry of Internal Affairs to first aid and emergency care).
• Since 2005 RCST has conducted first aid training for 5147 volunteers: 1933 men and 3214 women.
Physical rehabilitation:
• In 2006, a directory of all physical rehabilitation services in mine/affected areas, and referral services in other areas were created.
• Since 2005, 213 mine/ERW survivors were provided with physical rehabilitation services (prosthesis).
• In 2007, three Tajik doctors attended training on Comprehensive Rehabilitation in Slovenia.
• In 2008, 20 surgeons, trauma specialists and physiotherapists received training on rehabilitation of patients with traumatic amputation of the limbs.
• In 2009, nine rehabilitation specialists, including four P/O technicians, passed training in Kabul, Afghanistan.
• In 2009, the MoH established a 40-bed Rehabilitation centre for children with disabilities in Machiton, Vahdat district.
• In 2012, two prosthetics-technician P/O Cat.II from SUEPOP received training during one month in Teheran, Iran with the support of ICRC Special Fund for Disabled (SFD).
• In 2011, ICRC SFD supported 2 P&O specialists for one-month training in Iran.
• In 2011, 3 students were selected by ICRC SFD and MLSP for three years training on P&O in Hanoi (Vietnam), which started in October 2011.
Psychological support and social reintegration:
• In 2009, 5-year training for social workers started at the Tajik State National University
• Since 2005, 185 survivors have participated in summer camps which provide psychological support
• In 2006, a directory of all psychological support and social reintegration services in mine-affected areas, and referral services in other areas was created
• In 2009, TMAC VA Programme published two books: “Guideline on psycho-social support for landmine survivors” and “Borderline mental disorders and Quality of the Life of landmine survivors” for psychologists, social workers, University students and other people involved in rehabilitation of landmine survivors.
• In 2010, a team of 6 tajik experts participated in the First inter-country Psycho-social Rehabilitation Conference “Reaching unreached through psycho-social rehabilitation” in Kabul.
• In 2011, the second Regional Psychosocial Rehabilitation Conference was organized by MLSPP of RT in cooperation with TMAC and Afghanistan Disability Support Programme (ADSP) in Dushanbe, Tajikistan.
• In 2011, a Working committee was formed, consisting of experts, professionals and key people from relevant Ministries of three countries work on the implementation of the Conference recommendations, report to the next conference and work together for resource mobilization.
• In 2011, exchange experience training on “Peer to Peer Support” with Afghanistan Landmine Survivors Organization (ALSO) was organized for a group of six Tajik participants, during one week in Kabul, Afghanistan.
Economic reintegration:
• In 2006, a directory of all economic reintegration services in Tajikistan was created, including micro-finance providers, and vocational training and employment centres.
• In 2008, the needs assessment survey assessed the economic status of mine/UXO survivors, and the families of those killed.
• Since 2005, 417 mine/ERW survivors and victims’ families were assisted through different income generation activities to improve their economic conditions:
• Since 2009, a category of “landmine victims” was included in the list of criteria for support of Community Program/UNDP, in 2009 - 101 landmine victims were supported through CP/UNDP by different types of economic assistance (micro-loans, gardening, bee-keeping, agriculture, money, aviculture, animal husbandry and seeds); 161 victims had direct access to economic opportunities (micro-credit, micro-loans) and 168 victims had improved access to infrastructure and services during 2010-2011.
Laws and public policies:
• In 2006, an inter-ministerial coordination mechanism has been established
• TMAC VA Programme, in cooperation with MLSPP, published a reference book for landmine survivors/persons with disabilities “Rights and privileges of the PwDs – answers for all questions”.
• In 2010, a new Law on Social Protection of Persons with disabilities was accepted by Government of RT
• In 2011, “Information referral guideline for persons with disabilities” and “Source-book on standard legal documents on social protection and social services for population of Tajikistan” were developed, published and distributed.
• Since 2005, 10 landmine survivors participated in the international events
• In 2011, a landmine survivor participated in the 11th Meeting of States Parties to the Antipersonnel Mine Ban Treaty in Phnom Penh, Cambodia as a part of Government delegation of Tajikistan.
• In 2011, a Disability Coordination Council on social protection of PWDs was established by Decree of Government of RT and TMAC Director was included in the Council to represent landmine victims
• Since 2009, public awareness on victim assistance provisions of Cartagena Action Plan (CAP) and gender issues and rights of persons with disabilities is raised on a constant basis