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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 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
glajman
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. 		glajman
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

Products/Services

Start date
Product/Service Deliverables Status Programme Implementation Start date End date User Contacts Last updated Updated by
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
100%
 Jan 01,2017 Dec 31,2017 glajman
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
0%
 glajman
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
0%
 Apr 01,2019 Dec 31,2019 glajman
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
0%
 Apr 01,2019 Dec 31,2019 glajman
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
60%
 Jan 01,2017 Dec 31,2017 glajman
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
0%
 Apr 01,2019 Dec 31,2019 glajman
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
100%
 Jan 01,2020 Jan 01,2021 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 glajman
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 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 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 glajman
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
0%
 Jan 01,2017 Dec 31,2017 glajman
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 glajman
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
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
100%
 Jan 01,2018 Dec 31,2018 glajman
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
100%
 Jan 01,2018 Dec 31,2018 glajman
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
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 glajman
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
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
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
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 glajman
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 glajman
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 glajman
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 glajman
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