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European Region
Kyrgyzstan

Technical Contacts

UHC Partnership Implementation

Programmatic and Financial

Status
85
Activities
Completed/Canceled
Status Product/Service Deliverables Last updated Updated by
view Completed 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
 glajman
view Completed Equitable access to Health Products Temporary price control regulation piloted. The revision of the regulatory framework based on the pilot results started
jlima@who.int
view Completed 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. 		SYDYKOVAA@who.int

Products/Services

Start date
Product/Service Deliverables Status Programme Implementation Start date End date User Contacts Last updated Updated by
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 Medicines, e.g. to address high burden from NCDs. 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
70%
 Jan 01,2018 Dec 31,2018 shriwisea
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
100%
 Dec 09,2020 Dec 31,2021 moldoisaevas@who.int shriwisea
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
0%
 Dec 05,2023 Dec 31,2024 shriwisea
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
5%
 Jan 01,2017 Dec 31,2017 shriwisea
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
0%
 Apr 01,2019 Dec 31,2019 shriwisea
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
10%
 Jun 26,2023 Dec 31,2023 moldoisaevas@who.int moldoisaevas@who.int
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
0%
 Apr 01,2019 Dec 31,2019 downeyc
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
100%
 Jan 01,2017 Dec 31,2017 glajman
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
0%
 May 01,2019 Nov 30,2019 downeyc
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 of the coverage of mandatory health insurance and ensure financial protection to the population toward UHC Implementation of health program 2030 action plan for 2019
Completed
0%
 Apr 01,2019 Dec 31,2019 downeyc
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
100%
 Jan 01,2018 Dec 31,2018 glajman
Equitable access to Health Products Temporary price control regulation piloted. The revision of the regulatory framework based on the pilot results started
Completed
0%
 Jan 01,2022 Dec 31,2023 jlima@who.int
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
0%
 Sep 01,2019 Nov 30,2019 downeyc
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
100%
 Jan 01,2017 Dec 31,2017 glajman
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 towards UHC. 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
70%
 Jan 01,2018 Dec 31,2018 downeyc
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
0%
 Apr 01,2019 Dec 31,2019 downeyc
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
0%
 Apr 01,2019 Dec 31,2019 downeyc
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
0%
 May 01,2019 Nov 30,2019 downeyc
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
100%
 Jan 01,2017 Dec 31,2017 glajman
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
0%
 Apr 01,2019 Dec 31,2019 downeyc
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
0%
 Apr 01,2019 Dec 31,2019 downeyc
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
100%
 Jan 01,2018 Dec 31,2018 glajman
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
100%
 Dec 09,2020 Dec 31,2021 jlima@who.int
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
100%
 Jan 01,2022 Dec 31,2023 SaltanatMoldoisaeva
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
80%
 Jan 01,2017 Dec 31,2017 glajman
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