Government reviews the progress of the 2016-2019 Densaulyk State Program
During today’s Government meeting chaired by Prime Minister Bakytzhan Sagintayev, Minister of Healthcare Yelzhan Birtanov reported on the progress of the implementation of the Densaulyk Healthcare Development State Program of the Republic of Kazakhstan for 2016-2019.
According to Y. Birtanov, in 2017 the Ministry launched 6 initiatives of the project Modernization of the healthcare sector, built on 7 directions of the State program. Thus, the activities of the State Program are implemented on the principles of project management.
Within the framework of project management indicators, 4 goals were met, with the exception of the indicator Labor productivity growth. Out of the 123 measures of the State program envisaged for 2017, 122 have been carried out, 1 has not.
Within the framework of the first direction of public health development, 24 activities have been completed. An institutional framework for activities has been created, and the Roadmap developed jointly with international partners is being implemented. The main line of work for the protection of public health is primarily aimed at the prevention of chronic noncommunicable diseases and the promotion of a healthy lifestyle among the population. For continuity of child health protection, school healthcare management is handed over from the education system to health care, uniform school meal standards and a suicide prevention program are also being introduced.
With regards to the second direction on the integration of all health services, measures have been taken to ensure the availability of primary health care. These measures made it possible to achieve a reduction in maternal, infant mortality and mortality from malignant neoplasms in the whole country.
With regards to the third direction on ensuring the quality of medical services, according to the 82 step of the Plan of the Nation “100 concrete steps”, a Joint Quality Commission has been established whose tasks are the approval and implementation of new standards and technologies for the provision of medical care. Work is being carried out to increase the accessibility and convenience of public services by providing them digitally. As a result of these measures, the target indicator of the level of satisfaction with the quality of medical care increased to 46%.
With regards to the fourth direction, there will be improvements in the availability, quality and safety of medicines. On behalf of the Head of State, a bill on the regulation of prices for all medicines has been drafted and submitted to the Parliament. In 2017, 25 new long-term contracts were concluded with domestic producers. This allowed increasing the share of procurement of domestic medicines to 48% in physical terms. The growth of the volume of domestic products was 33% or 45 billion tenge in monetary terms.
Improvement of the legal framework and transparency of procurement allowed saving 18.2 billion tenge, which were spent on additional purchase of medicines. The measures taken allowed increasing the physical volume index of the pharmaceutical industry by 43%.
Within the framework of the fifth direction, preparations are being made for the introduction of compulsory social medical insurance. In 2017, a risk analysis was carried out and due to the high number of self-employed people, the implementation of the CSMI was postponed.
The sixth direction covers the efficiency of human resources management. Deficit of medical staff was reduced through changing conditions of admission to practice for pediatricians, obstetrician-gynecologists and other highly demanded specialties. Modernization of medical education has begun through strategic partnership of medical universities with leading foreign universities. A model university clinic was developed and medical organizations are being integrated into universities.
Within the framework of the seventh direction, with the purpose of further developing the health infrastructure on the basis of public-private partnership and modern information and communication technologies, a new state standard for the network of healthcare organizations was approved. This year, the Single Forward Plan will be approved. For the purpose of digital modernization of healthcare, paperless management of medical records was launched in pilot mode in 4 regions (in Karaganda, Akmola, Kostanay and West Kazakhstan regions), coverage of medical organizations with information systems is 75.5%, and hardware coverage was increased 2.5 times. 56% of the organizations have access to the Internet.
On the whole, out of 35 indicators of the State program, 30 have been met, 5 were not, including 1 due to the postponement of the implementation of CSMI. In terms of indicators of general and maternal mortality, there is an improvement, � Y. Birtanov summed up.
Source: Government of the Republic of Kazakhstan