The Air Quality Management (AQM) system in Tajikistan needs strengthening in its key policy and institutional as well as technical aspects to reduce health impacts of air pollution in the most polluted airsheds (Dushanbe and other urban centers). The World Bank's first engagement to strengthen Tajikistan's AQM aims to develop a better understanding of the priorities and needs in addressing air pollution and to support the government of Tajikistan in identifying key air pollution reduction measures. This summary report and the attached presentation detail the outcomes of Tajikistan's first AQM study, which is envisioned to continue.The study provides recommendations for all components of the AQM framework based on an analysis of the current status and gaps. It provides: 1) air quality (AQ) monitoring and population exposure assessment, 2) source attribution, 3) emissions-reduction interventions, and 4) recommendations to strengthen AQM Policies. The study prioritizes fine dust particles (PM2.5) due to their significant health impacts.