On 6-7 June 2024 the HMA policy dialogue was successfully organized: more than 90 participants from all stakeholders, President Administration, the regional and sub-regional authorities, PHC represenеatives , sectoral ministries and agencies, Village Health Committee, development partners. Dialogue three main blocks pivot the discussions: importance of health in the mountain agenda, health service delivery via strong PHC, the social, health determinants. The two panel discussions and an interaction session prompt particшpants engagement and brainstorming over inter and multi sectoral issues requiring the high level of collaboration. One of conclusions is to conduct the thorough assessment of situation with service delivery to generate evidence and support the Government reform actions. The comprehensive barrier assessment tool will be revised to enhance the scope and include at least 4 topics (PHC, HLMA, UHPR, Digitalization).
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.
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;
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
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.
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.
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
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
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
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.
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
Amanda MarieSHRIWISE
AigulSYDYKOVA
