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Densaulyk State Program: results for the first half of the year

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At today’s meeting of the Government of the Republic of Kazakhstan under the chairmanship of Prime Minister Bakytzhan Sagintayev, Minister of Healthcare Yelzhan Birtanov reported on the results of implementation of the Densaulyk Healthcare Development State Program for 2016-2019 for the first half of this year.

As Y. Birtanov noted, the state program is implemented in 7 areas.

Within the framework of public health protection, public events are actively carried out in the framework of promoting a healthy lifestyle, where over 6 million people took part in the 6 months of this year. In the current year, just over 1.5 million people were screened or 91% of the planned number. Level of immunization of the population reached 95.2%.

Within the framework of priority development of primary health care (PHC), the outpatient and polyclinic network is disaggregated. Thus, during the reporting period, the number of medical stations increased by 12%; the burden on district doctors decreased, amounting to 1950 attached people. As a result, the number of PHC utilization increased by 23%, � Y. Birtanov said.

In addition, within the framework of the State Program, the activities of the emergency service are being reformed. Thus, non-urgent calls are transferred to polyclinics, personnel are gradually trained in accordance with international standards, a unified dispatch service was created in nine regions of the country.

According to the results for six months of this year, the average vehicle response time was reduced by 7 minutes; successful resuscitation rate grew by 14%, prehospital mortality is decreasing.

Within the framework of the State Program on ensuring the quality of medical services, the Comprehensive Plan for Combating Cancer Diseases has been approved, the Comprehensive Plan for Combating Tuberculosis has been updated, and 20 road maps are being implemented. Work is being carried out to increase the availability and convenience of public services by providing them digitally and through mobile applications.

Minister Y. Birtanov also noted that centralization of outpatient drug provision was carried out within the framework of the National Medicinal Support Policy. Also, the transparency of the activities of the Single Distributor has been increased. According to the Ministry of Healthcare, this has made it possible to increase the efficiency of procurement and to save budget funds.

The number of ambulatory patients provided with medicines increased by 5%. Financing of out-patient drug provision was increased by 27% following the results of the additional bid campaign of regions in the amount of 31 billion tenge.

Yelzhan Birtanov emphasized that it is extremely important to finish the implementation of electronic document management in polyclinics before the end of August this year.

This way, we will ensure the transparency of the drug provision, up to the each patient. Moreover, this will allow us to establish feedback with each patient, � Minister Y. Birtanov informed.

Also, according to him, in order to ensure uninterrupted provision of the population with medicines in 2019, measures to purchase and supply drugs to the regions launched in July of this year.

While fulfilling the instructions of the Head of the State, the State program continues to work to deregulate the medical services market and to support the development of private medical providers. In this regard, the number of inspections of entrepreneurs was reduced by 10%.

Thus, efforts to deregulate the medical services market led to an increase in the number of registered small and medium-sized business entities in the first 6 months of 2017-2018 by 41%.

In continuation of his report, Yelzhan Birtanov noted that within the framework of the preparation for the implementation of the Compulsory Social Medical Insurance a bill was drafted providing for a new model of the guaranteed volume of free medical care and CSMI.

This year, the Compulsory Social Medical Insurance Fund acted as the operator of the guaranteed amount of free medical care.

In addition, the report noted that in the framework of further development of the infrastructure of the industry, work continues to attract investment in the healthcare sector. Over the reporting period, in comparison with the six months of last year, the total volume of investments increased by 63%. The largest amount of extra-budgetary investments was attracted to the development of sanatorium-and-spa organizations � 41%, general hospitals and specialized hospitals – 21%

Yelzhan Birtanov noted that the number of investments in the industry is growing in the form of public-private partnership. For 6 months of the current year the number of PPP projects amounted to 30. In general, in the period 2016-2018, 65 PPP contracts amounting to 35 billion tenge are being implemented.

Since the beginning of the year, paper-free medical record management has been launched in pilot mode in 8 regions, since July 1 all the remaining regions of the country have been connected. Computer equipment is being installed in work places in medical organizations. This figure was almost 88%.

In accordance with the Plan of the Nation 100 concrete steps, a bill has been introduced in the framework of forming corporate governance to simplify the requirements for the creation of Supervisory Boards, change the requirements for their members and expand the powers of the boards. In general, the number of Supervisory Boards in enterprises on the right of economic management increased by 23.5%. At the same time, by the end of the year, all medical organizations will assume the legal status of enterprises on the basis of the right of economic management (REM). To date, in some regions this work is executed at 70-80%.

The average salary of doctors in medical organizations which switched to REM is higher than that of counterparts in public medical institutions and amounted to 157 thousand tenge, mid-level staff � 101 thousand tenge. The progressiveness and efficiency of the transition of our enterprises to economic management is proved by time, � Y. Birtanov noted.

With regards to the effective management of human resources, there has been a reduction in the personnel deficit in the industry due to the growing number of graduates of medical universities. Within the framework of the second stage of strategic partnership with leading foreign universities, the teaching staff of medical schools in the country and abroad is undergoing training; an intermediate independent assessment of students’ knowledge was introduced; the transfer rate of students from a course to a course has increased from 2.2 to 3; Since 2019, an additional exam is being legislatively introduced for selection in medical schools.

The strategic plans, development plans, as well as the KPI of the first leaders now include indicators for increasing the share of spending on science, attracting foreign grants, increasing the level of English language proficiency among medical education and science workers for the purpose of increasing the effectiveness of scientific activities.

In addition, the meeting heard the results of the implementation of the State program and the reserves of development of the health care system in the regions. Thus, reports were delivered by the Akims of Almaty region A. Batalov, East Kazakhstan region � D. Akhmetov, Turkestan region – Zh. Tuimebayev, Kyzylorda region – K. Nogayev, Mangystau region – E. Tugzhanov, and Aktobe region � A . Saparbayev.

Source: Government of the Republic of Kazakhstan

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