Technical Areas
Completed/Cancelled
| Product/Service | Deliverables | Status |
|---|---|---|
| Kyrgyzstan Support to Ministry of Health MoH in development of the 4th health sector strategy and coordination of development partners | Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity |
Completed |
| Kyrgyzstan Strengthening the Mandatory Health Insurance Fund MHIF governance practice and building organization capacity to implement | Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable |
Completed |
| Kyrgyzstan Support MHIF in strengthening purchasing arrangements | Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable |
Completed |
| Kyrgyzstan Support MHIF to improve the case based payment system | Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable |
Completed |
| Kyrgyzstan Starting dialogue on perspective of mixed payment and pay for performance P4P basics at primary health care PHC level for better health outcomes | Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable |
Completed |
| Kyrgyzstan Policy dialogue on improvement of quality of care and service delivery network | Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable |
Completed |
| Kyrgyzstan Contribute to the policy dialogue on design and development of hospital master plan | Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable |
Completed |
| Kyrgyzstan Revision of mechanism of Mandatory Health Insurance Fund s Additional Drug Package MHIF ADP medicines reimbursement to introduce negotiation lever for price decrease | Countries receiving HF support will have implemented financing reforms to facilitate UC |
Completed |
| Kyrgyzstan Complete the hospital safety assessment in the northern part of the country and the capital Bishkek | Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries |
Completed |
| Kyrgyzstan Policy dialogue to discuss the results of hospital safety assessment | Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries |
Completed |
| Kyrgyzstan Regular communication of reform process at country and local levels and support to develop a reform communication plan | At country level, alignment and harmonization of health aid according to national health plans is consolidated and accelerated |
Completed |
| Kyrgyzstan Institutialization of data collection for the System of Health Accounts SHA to support MHIF to build the reporting system to feed into the Global UHC health expenditures tracing | Countries will have put in place expertise, monitoring and evaluation systems and annual health sector reviews |
Completed |
| Kyrgyzstan Facilitate the strengthening the MHIF good governance practices and building capacity to implement the MHIF organizational strategy | Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable |
Completed |
| Kyrgyzstan Support MHIF to strengthen the purchasing mechanisms toward improving efficiency and contribution to Universal Health Coverage UHC | Countries receiving HF support will have implemented financing reforms to facilitate UC |
Completed |
| Kyrgyzstan Contribute to the policy dialogue on development of the MoH service delivery master plan using the results on hospital safety assessment emergency medical service assessment results and other up to date evidence | Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries |
Completed |
| Kyrgyzstan Follow up on the hospital safety index report as national planning integrating preparedness to service delivery reform and capacity building of leaders of service providers | Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries |
Completed |
| Kyrgyzstan Regular communication of reform process at country and local levels | At country level, alignment and harmonization of health aid according to national health plans is consolidated and accelerated |
Completed |
| Kyrgyzstan Conduct mapping of Official Development Assistance ODA including 2nd round of mapping of 2017 information and provide platform for dialogue with partners | At country level, alignment and harmonization of health aid according to national health plans is consolidated and accelerated |
Completed |
| Kyrgyzstan Strengthening the strategic purchasing of the MHIF by improving data and its use to address coverage and bottlenecks capacity building on case based payment system and DRG updating improving scorecards and indicators for monitoring progress tow | Strategic purchasing principles including provider performance monitoring, scorecards and feedback, and updated case based payment system are integrated to the MHIF practices and updated rolling institutional strategy for years 2019-2022. |
Completed |
| Kyrgyzstan Developing a roadmap for improving access and quality including clinical audits in selected areas as NCDs communicable diseases and MCH to implement the catalytic UHC tools | Roadmap on access to quality health services towards UHC available in 2019 |
Completed |
| Kyrgyzstan Improving financial protection through expanding access to medicines This includes the development of Drug Regulatory Agency institutional strategy and capacity building working on procurement and pricing to improve access to selected Essential | Price regulation and practices are improved leading to decreased patient cost sharing to CVD related essential medicines in additional drug package. Additionally, the new regulation for the selection of medicines into the Additional Drug Package (ADP) is being implemented. The various forms required to launch this new process have been developed. The submission of applications in accordance with the new regulation is planned to start in January 2024. |
Completed |
| Kyrgyzstan Facilitating policy dialogue on UHC including the communication and awareness | Strengthened public health capacities. |
Completed |
| Kyrgyzstan Monitoring system of health strategy development and promotion for approval | Comprehensive monitoring system for implementation of the State Program of Kyrgyz Republic on Public Health Protection and Health Care System Development “Healthy Person – Prosperous Country” for 2019-2030 (health program2030) engaging three levels of implementation and monitoring: rayon/oblast level, MoH / Government level and the Parliament will be developed |
Completed |
| Kyrgyzstan Capacity of M E system participants from three levels built to collect and analyze data timely and inform the decision makers on the progress and bottlenecks | The continued system of training on M&E system in place to support comprehensive bottom up approach |
Completed |
| Kyrgyzstan Maintain the health focus in the high level policy dialogue on implementation of National Sustainable Development Strategy 2040 | Support the secretariat on National Sustainable Development Strategy 2040 implementation in the part of health section |
Completed |
| Kyrgyzstan Conduction series of capacity building workshops for strategic partner organizations on communication and media relations | Workshops addressed to increase capacity of key staff of partner organizations in the sphere of communication and overall media relations in order to convey UHC messages and strengthen media relations and experience. |
Completed |
| Kyrgyzstan Development and dissemination of technical reports visual materials posters flyers brochures and etc | Printing and visual materials (posters, flyers, brochures, and etc.) materials would facilitate the informed decision making and streamline the discussion process during various high-level meetings e.g. Joint Annual Review (JAR) and Thematic weeks as well as the round tables, seminars with participation of wide range of stakeholders. |
Completed |
| Kyrgyzstan Support health flagship days | Conduct country wide information campaigns in order to organize various raising awareness activities (press-conferences, press-briefings, press-tours, and printing roll-ups, banners) during health flagship days e.g. World Health Day, World Immunization Week, World No Tobacco Day, World Antibiotic Week, and etc. |
Completed |
| Kyrgyzstan Development photo and video materials | Obtaining audio-visual materials would imply hiring the services of a professional photographer and videographer. This would ease and accelerate preparation of any informational materials providing with photo and audio/video-visual materials of good quality |
Completed |
| Kyrgyzstan Organize series of photo exhibitions on impact of health to the national economy | Photo exhibition would address to draw decision makers for transparent decision-making in priority-setting and resource allocation, and analysis of the impact of health in the national economy. The photo exhibitions would be installed in the main hall of Government and Parliament buildings. |
Completed |
| Kyrgyzstan Capacity building workshop for media representatives on various health related topics e g UHC emergency immunization access to medicine tobacco control | Increase capacity of local media outlets to improve media coverage and motivate journalists to write about WHO activities. Improve their professional reporting and story-writing skills, and employ them practically in outlining and producing actual stories. |
Completed |
| Kyrgyzstan Capacity building activity for country staff on strengthening internal communication | Capacity-building activity for country staff on strengthening internal communication, foster cultural foster, and enhance technical and administrative processes |
Completed |
| Kyrgyzstan Developing a roadmap to building complex Quality of Care management system for improving access and quality of need care | The Road Map on quality of care management system provides clear actions and milestones for development of comprehensive, balanced, system of Quality of Care management system |
Completed |
| Kyrgyzstan Implementation of tools for clinical audit in acute myocardial infarction and stroke in in the country with series of capacity building trainings for cardiologists and neurologists Publication of report on clinical audit in AMI and stroke | Tools for clinical audit in acute myocardial infarction and stroke in in the country approved by MoH will standardized quality of care in AMI and stroke. Series of capacity building trainings for cardiologists and neurologists will increase awareness of clinicians. |
Completed |
| Kyrgyzstan Implementation of tool for clinical audit in hypertension through regional trainings on oblasts level for clinicians and statisticians | Training will increase regional capacity in terms of control of hypertension among clinicians, statisticians and managers |
Completed |
| Kyrgyzstan Strengthened emergency service delivery implementing evidence based priority actions from emergency care system assessment and review of acute care and rehabilitation services for heart attack and stroke in Kyrgyzstan | Enhance coordination and cooperation building between different partners on evidence base |
Completed |
| Kyrgyzstan Maintain the technical engagement and monitoring of development of health service delivery Master plan and contribute by providing the assessments and other up to date evidence | The health service delivery Master plan provides clear recommendations for optimization of health service delivery |
Completed |
| Kyrgyzstan Facilitate the MHIF institutional strengthening applying the good governance practices | MHIF capacity building to implement the MHIF organizational strategy |
Completed |
| Kyrgyzstan Support MHIF to strengthen the purchasing mechanisms toward improving efficiency and contribution to Universal Health Coverage UHC | Further strengthening of contracting mechanism for purchasing needed health services by volumes, types and quality |
Completed |
| Kyrgyzstan Strengthening the case based payment system for the hospital service purchasing | DRG revision process led by MHIF continued so that to build capacity within the institution to maintain the DRG updating |
Completed |
| Kyrgyzstan Support MHIF data management improvement and use to track progress and inform decision making | MHIF uses the data management system to address coverage and bottlenecks, capacity building on case-based payment system and DRG updating, improving scorecards and indicators for monitoring progress towards UHC. |
Completed |
| Kyrgyzstan Facilitate introduction and establishment of health service costing system of health services to feed in the DRG revision and calculation of health services cost | MHIF uses the data management system to address coverage and bottlenecks, capacity building on case-based payment system and DRG updating, improving scorecards and indicators for monitoring progress towards UHC. |
Completed |
| Kyrgyzstan Strengthen the MoH and MHIF capacity to develop and submit the Program based budgets second time and lead the separate budgeting process | MoH and MHIF program budgets for 2020 developed and approved as per legislation. MHIF institutional capacity on separate budgeting process built and legislation framework further developed. |
Completed |
| Kyrgyzstan Provide on going support to MoH and MHIF to implement the health financing component of the health program 2030 aimed on the improvement of the efficiency of public financial management in health sector develop the strategic purchasing increase | Implementation of health program 2030 action plan for 2019 |
Completed |
| Kyrgyzstan Institutionalization of data collection for the System of Health Accounts SHA to support National Statistical Committee MHIF and MoH to build the reporting system to feed into the Global UHC health expenditures tracing | National Statistical Committee, MHIF and MoH signed MoU on joint process with clear roles and responsibilities, the SHA data for 2017 prepared jointly as a pilot |
Completed |
| Kyrgyzstan Building capacity of National Statistical Committee to strengthen the health module of Kyrgyz Integrated Household Budget Survey KIHBS to monitor financial protection in Kyrgyzstan | National Statistical Committee KIHBS health module adjusted |
Completed |
| Kyrgyzstan Improving financial protection through expanding access to medicines This includes further national scale up and elaboration of mechanisms of price regulation including introduction of e prescription system Public campaign on new prices for med | Price regulation and practices are improved leading to decreased patient cost sharing to medicines in additional drug package via implementation new regulation on price regulation for ADP medicines and improved practices of hospital procurement. Regulation of revision of EML and ADP updated. |
Completed |
| Kyrgyzstan Implementation of of Drug Regulatory Agency institutional strategy and capacity building to contribute to increasing of access to Essential Medicines | Functions carried out by NRA have been strengthened through implementation of Institutional development plan agreed and developed as a result of self-benchmarking of NRA using WHO tool. |
Completed |
| Kyrgyzstan Adequate governance arrangements to lead the implementation of Health program 2030 achievement of UHC and SGDs coordinate all stakeholders via effective inter sectoral communication and engagement | Strengthen capacity of MoH to build the health program 2030 implementation management and monitoring system based on inter-sectoral coordination, including working across national ,regional local levels dialogues. Support MoH to develop effective legislation framework necessary to implement UHC, supportive inter-sectoral dialogue and participatory processes for health decision-making. |
Completed |
| Kyrgyzstan Support MHIF institutional capacity strengthening to scale up the health service purchasing methods for PHC and hospital services toward improving efficiency and coverage of SGBP | Assessment of the governance of strategic purchasing in Kyrgyzstan’s health financing system based on the analysis and synthesis of the institutional capacity strengthening TA in the past 2 years published as a health financing case study (https://www.who.int/publications/i/item/governance-for-strategic-purchasing-in-kyrgyzstan-s-health-financing-system) Organization of a high-level policy dialogue with Vice-Prime-Minister, MoH, MoF, MHIF and WB, German and Swiss development cooperation to discuss the future of the governance of the MHIF. Policy brief on Health financing in Kyrgyzstan: obstacles and opportunities to improve the response to Covid19 with a set of policy recommendations on how to address the weaknesses in health financing laid bare by the pandemic produced by WHO CO in collaboration with GDO Barcelona. TA for strengthening the budget formulation and implementation function of MHIF. Tableau Business Intelligence software provided to MHIF to analyze and visualize population health indicators and the national, oblast, rayon and even hospital level |
Completed |
| Kyrgyzstan Improvement of early detection and control of cardiovascular disease CVDs including hypertension within the PHC services | Implementation of a tool for clinical audit for heart attacks and stroke by MoH and MHIF through the training for experts of MHIF and regional doctors at oblast level. Implementation of findings of analyses of control of hypertension among MHIF experts. Revision of indicators for monitoring of the quality of care in CVDs. Development of standards of quality of care in private healthcare facilities |
Completed |
| Kyrgyzstan Support to the scaling up and development of mechanisms of price regulation as well as a public campaign on new prices for medicines and reimbursement model | To date, prices for 355 medicine items have been registered. The next stage involves developing a monitoring plan to ensure market prices align with the registered prices. Additionally, it is planned to communicate the regulations to all involved stakeholders based on the communication plan. The automation of price extraction is also planned to be introduced with the support of the World Bank. |
Completed |
| Kyrgyzstan Support the development of payment mechanisms tailored to specific diseases and interventions the establishment of information systems and governance arrangements for strategic purchasing Phase 1 | TA for the comprehensive multi staged process of DRG revision led by MHIF to foster capacity within the MHIF and MoH started successfully TA to the first costing of public hospitals services and to the subsequent system for further assessment established TA to the surgical classifier revision completed, MoH order on approval of new surgical classifier issued in January 2020 Promote discussions of output based case based payment system, DRGs and surgical classifiers |
Completed |
| Kyrgyzstan Inclusive integrated and multi profile primary health care ready to spreadhead the health system response to the country s epidemiological burden | Health needs assessment tool is piloted, allowing PHC to provide targeted responses to the disease burden in their catchment areas , MoH Kyrgyzstan was included in the 3nd course on ‘Actionable Primary Health Care Performance Measurement and Management’ organized jointly by the WHO Collaborating Centre Primary Healthcare Systems of the University of Amsterdam (the Netherlands) and WHO Regional Office for Europe. The MoH created the participants group of 19 specialist from MoH, MHIF, E-Health Center, Kyrgyz medical institute of retraining and continuous education, family doctors, DPs, participated in the first week of online training in March 2023, in the country -specific coaching sessions, including the one on the Diabetic Registry with the country best example from Croatia. The Kyrgyz team selected the diabetic indicators to develop eth country case. In November 2023 the second week of online training will take place. |
Cancelled |
| Kyrgyzstan Equitable access to Health Products | Temporary price control regulation piloted. The revision of the regulatory framework based on the pilot results started |
Completed |
| Kyrgyzstan Essential health services | Support the MoH PHC Task Force in accelerating the PHC reforms |
Completed |
| Kyrgyzstan Activities to support the achievement of SDGs | The SDG/GAP progress assessment of 2022 is published and disseminated to advocate for the SDG agenda |
Completed |
| Kyrgyzstan Strengthening human resources for health | Health Policy Advisor supports the implementation of the Working for Health Grant, namely by supporting the MoH to strengthen its health workforce planning capacity |
Completed |
| Kyrgyzstan Assessment of PHC incentive payments 2018 2021 to inform the design of a new incentive payment and its reintroduction | Survey conducted in three oblasts: 6 PHC health organizations; findings presented to MoH, MHIF, DPs and Health Organizations Report circulated among stakeholders, including internally in WHO Survey in Bishkek and Osh at planning stage |
Completed |
Details
| Product/Service | Deliverables | Status |
|---|---|---|
| Kyrgyzstan WHO leadership in donor and development partner coordination and advocacy | WHO convenes and sets the agenda for the Health Development Partners Coordination Council meetings which take place at least 5 times a year , In 2023 WHO called 5 Health DPCC meetings: on 25 January 2023 to coordinate and align DPs activities in PHC, on 17 March 2023 to inform Health DPCC on the WHO onsite review of National Measles and Rubella Laboratory, WHO missions on strengthening Procurement and Supply of medicines in the public sector, the UN Inter-Agency Task Force mission on NCD and mental health investment cases, he WHO Tracking health spending in Kyrgyzstan mission, and update from UNICEF on the health sector priority actions. The Health DPCC meeting held on 30 March 2023 was called upon the MoH request to inform DPs on big task in front of MoH to develop the new 7 years action plan for implementation of State Health Program "Healthy Person-Prosperous Country" 2019-2030. The other DPs meeting were focused on discussion of release of Health system in Transition 2022 – Review of health system of Kyrgyzstan, information on the MoH Official Development Assessment to the health sector of Kyrgyzstan in 2020, introduction of national action plan for health security (NAPHS), measles outbreak, WHO Country Cooperation Strategy for 2024-2030 |
Ongoing |
| Kyrgyzstan Strengthening of primary health care services | - recommendations produced during the mission of the Kazak PHC Association are published and shared with national stakeholder and development partners - assessment of existing statistical data at the health organization and central level - development of a set of model indicators for performance analysis - enhancing capacity for data analysis and planning of actions , Jointly with the WHO European PHC Center facilitated creation of the PHC Task Force as a driving force of reforms on wide spectrum of system components as well as a platform for open discussions of different topics and finding solutions for cross-cutting issues. PHC Task Force is assigned to deliver results against 9 ToRs namely (1) Revise the rules for enrollment of the population to PHC; (2) Revision of the legislative framework, regulations for PHC, including development of basic terms and definitions; (3) Revision of the SBP service package, PHC services package, assessment of compliance of providing SBP to the population at PHC level; (4) Regulations for PHC work organization (health profile, site passport, triage, mode and schedule of work, etc.); (5) Development and implementation of Referral system including standards, procedures and criteria for referring patients to other health care organizations for consultation of narrow specialists (outpatient type, specialized organizations), admission in secondary and tertiary levels hospitals, including the procedure for obtaining feedback from a family doctor, referral of women in labor and sick children, patients with acute CVD conditions; (6) Develop indicators for assessing activities, processes, outcomes at PHC level; (7) Implementation of e- medical patient record/card at PHC level, integrated into all levels of health care, for comprehensive patient management and delivery of integrated services; Implementation of modern information technologies (phone or online consultations, telemedicine, e- registration, recording, referral, referral of patients) in the activities of PHC HCOs to improve access and quality of services, as part of E-health development; (8) Costing of PHC services delivery, including SGBP; (9) Information and communication campaign to promote PHC. The final 2023 review of PHC Task Force accomplishment across the 9 ToRs conducted on 22 November 2023 identified significant progress and results in some areas as approval of quality measurement indictors for PHC, increase amount of nurses from 1 to 2 approval of Law “On the protection of health of citizens in the Kyrgyz Republic": This is fundamental law in healthcare, replacing the 10 sectoral laws eliminating duplications, fragmentations, contradictions and outdated norms; sets the objectives and principles, regulatory framework, legal relations, norms and mechanism for their implementation; introduced new modern concepts have been introduced: digital health, maternal and child health, infectious and non-communicable diseases; and stipulates rights and obligations of citizens in the field of health protection. |
Ongoing |
| Kyrgyzstan Scaling up the Quality of care and patient safety in Kyrgyzstan recommended by the QOC assessment and further collaborative consultations | QoC unit of MoH capacity strengthened , WHO supported MoH with development of the Quality of Care and Patient Safety (QoC&PS)strategy and road map which has been approved on 4 May 2023. The Coordination Committee on QoC and PS with a function to lead implementation of QoC &PS strategy has been approved on 31st May 2023 # 657. WHO coordinated the QoC strategy development TA with World Bank and co-lead the Quality Strategy Consensus Building Workshop held on 11-13 January 2023 prior to approve of QoC&PS strategy. Kyrgyzstan was invited to become a member of WHO European Quality of Care & Patient Safety Focal Points Networks at its first organizational Joint Meeting organized by the WHO Athens Quality of Care and Patient Safety Office in May 2023, in Athens, Greece. The MoH representatives presented the QoC strategy among the 26 countries from the European region of WHO. the plans for next 6 months preliminary agreed to support MoH QoC unit capacity building. |
Ongoing |
| Kyrgyzstan Health system strengthening | MoH stewardship capacity to lead and implement state health reform program in a coordinated way is supported: Joint Annual Review of MoH and DPs conducted , In 2023 MoH has requested support from WHO with development of the second phase action plan 2024-2030 (Action plan) of SHP based on the analysis of the action plan 2019-2023 implementation progress, lessons learnt during the pandemic. To support this process WHO worked with MoH to create the Inter-Sectoral Working Group (ISWG) and Expert Group (EG), prepare the outline for development of the SHP Action plan. On 30 March 2023, this Outline was presented by the MoH to development partners with a request for their support. SHP EG conducted analysis of implementation progress and the pandemic impact and lessons to take into account in the next phase action plan by the 9 SHP priority areas. The ISWG&EG retreat was organized on 12-15 October 2023 to put together the analysis conducted by each priority, discuss the cross-cutting enablers, prioritization of accelerators to prepare the first draft of SHP seven years action plan and amendments to SHP. The first ISWG meeting on 21 November 2023 approved eh SHP analysis for 2019-2023, the draft plans for priorities and the accelerators. |
Ongoing |
| Kyrgyzstan Providing tools for improving health financing towards strategic purchasing | TA provided to the multi phased introduction plan of new DRGs into the health financing system. The DRG grouper for the MHIF information system on treated case developed and installed. ToR for developing new information management system for MHIF to improve the capacity and productivity of existing databases , Full description of DRG development process during 5 years prepared and officially handed over to MHIF to be used as a Guidance for further work on DRG improvement. The new MHIF information management system developed based on new DRG system making the process of introduction of new DRG system in the case based payment irreversible. Within the finalization process the following aspects of comprehensive DRG system has been worked out:(1) the approaches to financing for short-term (one-day) stay of children, short-term (one-day) stay of pregnant women, emergency medical care (up to 3 hours), emergency medical care (from 3 to 24 hours); analysis of 2021-2022 data of TB hospitals and outpatient treatment; further development of new DRG model and improving the "Treated Case" information system. Series of training for MHIF territorial branches and hospitals on new DRG system conducted. |
Ongoing |
| Kyrgyzstan Strengthening Regulatory Systems for Medicines and Medical products | The self-benchmarking of the National Medicines Regulatory Authority (NMRA) has been completed and submitted. The results of this self-benchmarking, along with the Institutional Development Plan derived from the validation results, will be discussed and agreed upon with the NMRA. These will form the foundation for further capacity building. The World Health Organization (WHO) has established a new network for Regulatory Systems Strengthening (RSS), known as the Coalition of Interested Parties (CIP). The CIP's goal is to establish and promote a unified, strategic, and coordinated approach to national and regional RSS. This is aimed at enhancing access to safe, effective, and quality medical products. Additionally, the CIP seeks to increase the effectiveness and impact of collective efforts in countries and regions. This contributes to the implementation of Resolution WHA67.20 and the common objectives of CIP participants. The Kyrgyzstan National Regulatory Authority (KGZ NRA) has expressed interest in joining this platform. In 2022, an initial meeting was held. Follow-up actions will occur after the finalization of the self-benchmarking validation. |
Ongoing |
| Kyrgyzstan Support Primary health care financing strengthen toward UHCWHO recommendations for PHC financing provided the costing of PHC services conducted | Following the assessment of PHC incentive payment 2018-2021 and presenting its results, the general overview of PHC financing conducted to provide the recommendations on PHC financing, the PHC capitation rate calculation, the PHC service pack identification, The Strengthening primary health care financing: policy considerations for Kyrgyzstan policy notes were developed and presented at the WHO/UNICEF Conference on PHC financing in April 2023. the conference discussed key components of PHC: Financing, Incentive Payments to Family Doctors based on the presented analysis of current PHC financing and budgeting assessment by UNICEF, WHO presented the current PHC model of service delivery, types of health organizations, relevance to geographic distribution and its financing system with the impact on PHC work. WHO in coordination with World Bank planned the TA to MHIF to deliver DLIs 5,6 upon request from MoH and MHIF. The WHO part in the improvement of PHC financing and SGBP revision is supporting MHIF to conduct PHC service costing. MHIF created the PHC costing WG, the WHO international consultant visited the country in April 2023 and woks online with Costing WG. The 10 pilot FMCs representing different type of PHC organizations (urban/rural, rayon/oblast, population density, distance from centers) selected and approved by MHIF order, the costing methodology presented, adjusted and approved by the Costing WG. The piloting of costing methodology in 2 FMCs started. | Ongoing |
| Kyrgyzstan Strengthening of Single Payer Institutional Capacity | Information Management system upgraded , Upon request from MHIF to provide technical assistance and consultations of a tender winner IT company to develop a new Information Management System for MHIF (DB IMS), WHO supports the whole p[ack of supporting measures: facilitation of process of development of DB IMS, preparation of the section on IT development in MHIF, development of financing algorithm as part of DB IMS, effective communication between MHIF and an IT company and representing MHIF in technical discussions with an IT company. The development of financing algorithm as part of DB IMS, testing the software product at the stage of transferring the software package to the MHIF, integration with medical information systems in hospitals, integration of DB IMS and DRG grouper, development of the IS User’s Manual and training materials for MHIF and hospitals. |
Ongoing |
| Kyrgyzstan Strengthening financial protection SDG 3 8 2 monitoring system | Capacity building to produce data and monitor financial protection , The WHO Barcelona Office for Health Systems Financing and WHO CO conducted the WHO Tracking health spending in Kyrgyzstan mission in March 2023. The mission focus area was tracking health spending and financial protection. Mission met the MoH, MHIF, MinFin, UN RC office and participated in the Health DPCC meeting. The mission findings were that the according to 2019 data, Kyrgyzstan has a smaller than average size of government allocation on health, the public spending on health in real per capita terms is roughly the same as a decade ago, health spending has been de-prioritized in government’s budget, and that low priority to health and limited fiscal space lead to low public spending on health as a share of GDP. WHO puts efforts into the institutionalization of SHA production for decision-making purposes. The WHO Barcelona office organized the 5th Sub-regional European meeting on tracking health spending using SHA 2011 methodology to improve health accounts production quality and discuss the ways to use the results to influence policy. Kyrgyzstan delegation included representatives of President Administration, MoH, MHIF, Ministry of Finance to engage all stakeholders important for the SHA 2011 calculation |
Ongoing |
| Kyrgyzstan Support launch and implementation of the newly approved permanent regulation for price control for essential medicines | - an executive order of the MoH with responsibilities of involved stakeholders and timelines for implementation of the regulation issued by end of July 2023; - a guideline for involved parties with detailed actions to implement the regulation is developed and circulated by end of July 2023; - a series of informative meetings with applicants (business sector) to communicate the newly approved permanent regulation conducted by end of October 2023; - an automated solution to facilitate a process of external referencing is established in the Department of medicines and medical devices (DMMD) by end of December 2023. |
Ongoing |
| Kyrgyzstan Support to MoH and MHIF to implement newly adopted regulation on a selection of medicines into Additional Drug Package | - In line with the newly approved regulation, the Additional Drug Package has been revised, resulting in two lists: one featuring medicines recommended to remain in the ADP, and another detailing those suggested for removal from the ADP by end of December 2023; | Ongoing |
| Kyrgyzstan Support development of high quality standards for the health workforce | Development of a sectoral qualifications framework for the health sector to ensure high-quality professional standards for the health workforce. At the moment, medical professional associations of the country are developing these professional standards in order to improve the accreditation and training system of medical and pharmaceutical staff and there is a need in providing them with developed health sectoral qualifications frameworks that meet all requirements of the National Qualifications System concept of the Kyrgyz Republic and Ministry of Health’s standards. | Ongoing |
| Kyrgyzstan Support of the human resources for health information system s education sector module | The development of the additional module for the “National Information System on Resource Management” to reflect HRH data from educational sector (postgraduate, undergraduate and nursing students). Its development will allow for ensuring the development of high-quality professional standards for the health workforce. At the moment, medical professional associations of the country are developing these professional standards in order to improve the accreditation and training system of medical and pharmaceutical staff and there is a need in providing them with developed health sectoral qualifications frameworks that meet all requirements of the National Qualifications System concept of the Kyrgyz Republic and Ministry of Health’s standards. | Ongoing |
| Kyrgyzstan Support primary health care financing to strengthen UHC | WHO recommendations for PHC financing provided, the costing of PHC services conducted., The Strengthening primary health care financing: policy considerations for Kyrgyzstan policy notes were developed and presented at the WHO/UNICEF Conference on PHC financing in April 2023. the conference discussed key components of PHC: Financing, Incentive Payments to Family Doctors based on the presented analysis of current PHC financing and budgeting assessment by UNICEF, WHO presented the current PHC model of service delivery, types of health organizations, relevance to geographic distribution and its financing system with the impact on PHC work. WHO in coordination with World Bank planned the TA to MHIF to deliver DLIs 5,6 upon request from MoH and MHIF. The WHO part in the improvement of PHC financing and SGBP revision is supporting MHIF to conduct PHC service costing. MHIF created the PHC costing WG, the WHO international consultant visited the country in April 2023 and woks online with Costing WG. The 10 pilot FMCs representing different type of PHC organizations (urban/rural, rayon/oblast, population density, distance from centers) selected and approved by MHIF order, the costing methodology presented, adjusted and approved by the Costing WG. The data collected and data cleaning and verification stage is ongoing. | Ongoing |
