According to official statistics of the Ministry of Health, maternal mortality has decreased almost twofold between 1990 and 2005 (from 97.7 to 33.2 per 100,000 live births). In 2009, the figure was 46.2 per 100,000 live births. Current problems in the registration of maternal mortality, the high incidence of unsafe home births (40-60%) suggest that this official figure is understated.
In 2009 still 30 – 40% of pregnant women were not actually covered by any antenatal care services and remained without a minimum set of services and medical examinations.
A major problem in improving maternal health is still the high prevalence of home deliveries in some regions of the country. Home births are often carried out in unsafe conditions, without providing adequate medical assistance by medical staff. 60% of women do not receive postnatal care and assistance in the first six weeks after birth.
Despite the wide-ranging measures to improve reproductive health, the majority of parturient leave maternal hospitals, without having high-quality contraceptive services.
The most important risk is the acute shortage of qualified medical personnel as a result of foreign labour migration (the availability of obstetricians-gynecologists in the country is 1.9 per 10,000 population) and deteriorating infrastructure.
Tajikistan has made considerable progress in delivery management by trained personnel, although the gains vary from region to region. Further reduction of maternal mortality is complicated by low quality and effectiveness of prenatal preventive interventions and emergency care, and to a large extent, by still high poverty rates, malnutrition (widespread iodine deficiency and anemia) and the general poor state of maternal health.