The Role of Government Social Contracting for HIV in Tajikistan

In Tajikistan, nongovernmental organizations (NGOs) play an important role in testing new approaches, expanding coverage, providing services, and meeting health sector needs—a role that is particularly important for HIV prevention and care programs. These efforts are often funded by donors, as many national governments face legal, regulatory, structural, personnel, financial, and political barriers to contracting with NGOs for provision of services. As funding for HIV programs from outside donors declines, social contracting is a mechanism that allows the government to use public funding to contract with NGOs to carry out functions to support the healthcare system. This brief details the role that social contracting can play in supporting the sustainability of HIV services in Tajikistan.

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