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
- 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.
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
