National Medical Equipment Base to be created under the Densaulyq State Program – Y. Birtanov
As the Minister of Healthcare, Yelzhan Birtanov, noted, the average percentage of medical equipment in accordance with the minimum standards is 65.2%. Wear of medical equipment in public healthcare organizations is more than 35%. The need for updating medical equipment is 96 billion tenge per year.
In the period from 2016 to 2018, medical equipment worth a total of more than 128 billion tenge was purchased. In addition, annually general transfers are allocated to local executive bodies for material and technical equipment. In 201742.8 billion tenge, in 201840.2 billion tenge.
At the same time, for 2016-2018 the dynamics of procurement of medical equipment increased with the use of PPP and leasing mechanisms.
“In pursuance of the instructions of the Head of State, the Ministry of Healthcare in order to analyze the effectiveness of the use of medical equipment, in the period of May-June 2017, carried out the phased examination of the equipment purchased from 2012 to 2016. Medical equipment worth more than 5 million tenge was the subject of inspection. As a result, violators were identified and appropriate measures were taken,” said Yelzhan Birtanov.
According to the minister, a compulsory expert evaluation has been introduced in the procurement of medical equipment that costs over 50 million tenge and in the construction of health facilities. Due to the expert assessment in 2017, the total amount of savings amounted to 3.5 billion tenge.
The local executive bodies took measures for idle equipment, of which 40 units were repaired and redistributed, 10 units were sent for cancellation.
“After the analysis of the needs and taking into account the positive growth dynamics of the concluded PPP and leasing contracts, the Ministry decided to equip healthcare organizations that apply these mechanisms,” Y. Birtanov noted.
Thus, under the PPP for the purchase of medical equipment for 2017-2018, 16 contracts amounting to 5.4 billion tenge have been concluded (computer tomography6, magnetic resonance imaging5, X-ray system1, equipment for anesthesiology, resuscitation and intensive therapy1) in Karaganda, Pavlodar, West Kazakhstan and Atyrau regions. For the current year, 21 PPP projects totaling 18 billion tenge (PET-centers, CT, MRI, X-ray equipment) are in progress.
The Minister of Healthcare reported that during the 2016-2018 period, 241 leasing projects worth 4.9 billion tenge were realized.
“To date, 668 units of medical equipment for the total amount of 12.7 billion tenge have been purchased by the revolving method at the expense of the authorized capital. This mechanism allowed solving the issues of equipment acquisition, idling, service maintenance,” Y. Birtanov said.
The main element of the current leasing system is the mechanism for reimbursement of leasing payments to healthcare organizations. Previously, the main source of financing for the leasing system was the republican budget.
“In 2018, within the framework of the privatization of the quasi-public sector, KazMedTech JSC was transferred to the trust management of a private company. The subsidization of new leasing projects in the form of funds for reimbursement of lease payments from the republican budget has been discontinued. In this regard, the acquisition of equipment for leasing is carried out at the expense of the local budget and the own funds of health organizations,” said Minister Yelzhan Birtanov.
One of the measures to increase the level of transparency in the planning and procurement of medical equipment, as well as its tracking, is the creation of the National Medical Equipment Base, which is envisaged by the Densaulyq State Healthcare Development Program.
In the National Database, the marginal cost of medical equipment from the documents submitted by the customer (Exworks price) will be formed with a marginal premium of 25%, which health organizations will be guided by when planning procurement.
Also one of the tools for increasing the effectiveness in the use of medical equipment is the online monitoring system for the efficiency of medical equipment use. With the participation of domestic and foreign monitoring system developers, a pilot project was implemented on the basis of two health organizations in Astana and Almaty with the connection of medical equipment.
Until the end of the year, taking into account the digitalization of medical facilities, the System is planned to be introduced in all state health organizations with the connection of expensive medical equipment to it.
Akims of the regions: South KazakhstanZh. Tuimebayev, AtyrauN. Nogayev, North-KazakhstanK. Aksakalov, reported on the work in the regions. The comment was also made by Chairman of the Board of Atameken NCE, A. Myrzakhmetov.
Following the results of consideration of the issue, the Prime Minister Bakytzhan Sagintayev instructed the Ministry of Healthcare, together with local executive bodies and the Atameken NCE, to continue work in this direction.
Bakytzhan Sagintayev outlined the importance of rational planning and the need to pay attention to the advisability of purchasing medical equipment. This will reduce the risk of idling and inefficient use of equipment, moreover, it requires constant updating and maintenance.
Source: The Prime Minister of Kazakhstan