The Health of Peo­ple is the Key to Pros­per­ity

The Diplomatic Insight - - Independence Day of Uzbekistan -

Throughout the years of in­de­pen­dence Uzbek­istan has made dra­matic changes in im­prov­ing health­care ser­vices, ac­cess and qual­ity of care. The land­mark point for the en­tire na­tional health­care sys­tem was Head of State De­cree "On State pro­gram of re­form­ing the health care sys­tem of the Repub­lic of Uzbek­istan" is­sued on Novem­ber 10th, 1998 which in strict com­pli­ance is based on so­cial pro­tec­tion, univer­sal avail­abil­ity of guar­an­teed health­care, and a grad­ual trans­fer of hos­pi­tals to mixed and pri­vate fund­ing sources. Over the past years af­ter the im­ple­men­ta­tion of this pro­gram the coun­try has a mod­ern and ef­fi­cient free pri­mary med­i­cal care ser­vice, con­sist­ing of a net­work of ru­ral health units (SVP), dis­trict and mu­nic­i­pal health cen­ters. The pop­u­la­tion is ppro­vided with ap­pro­pri­ate as­sis­tance by about 3200 SVP that are equipped with mod­ern equip­ment, in­stru­ments and lab­o­ra­tory equip­ment which was achieved through the im­ple­men­ta­tion of projects sup­ported by the World Bank's "Health-1" and "Health-2" that to­taled more than $ 75 mil­lion. The in­tro­duc­tion of mod­ern meth­ods for the di­ag­no­sis, preven­tion and treat­ment, with mod­ern equip­ment has led to a nat­u­ral re­duc­tion in the num­ber of hospi­tal ad­mis­sions by 30% and in­crease of 1.6 times in SVP at­ten­dance in just the last 3 years alone, in­di­cat­ing in­creased con­fi­dence in ser­vices of pri­mary care. As part of the project named "Strength­en­ing the health of women and chil­dren" with­ADB and "The im­prove­ment of ma­ter­nal and child health" with the par­tic­i­pa­tion of the Euro­pean Union and UNICEF, the re­gional train­ing cen­ters be­gun to train pe­di­a­tri­cians, neona­tol­o­gists and ob­ste­tri­cians and health vis­i­tors nurses who are equipped with au­dio, visual, com­puter and ed­u­ca­tional equip­ all re­gions of Uzbek­istan. Uzbek­istan has suc­cess­fully im­ple­mented pro­grams to im­prove the nu­tri­tion of the pop­u­la­tion such as the for­ti­fi­ca­tion of flour, salt iodiza­tion, vi­ta­min prepa­ra­tions for women of child­bear­ing age and chil­dren un­der 5. This also con­trib­uted to the re­duc­tion of ma­ter­nal and child mor­bid­ity, re­duced ane­mia among women of child­bear­ing age. Ac­cord­ing to the na­tional vac­ci­na­tion cal­en­dar of the state bud­get, the vac­ci­na­tion and re­vac­ci­na­tion of chil­dren is fully en­sured nowa­days. For ex­am­ple, in 2011 dur­ing the "Week of im­mu­niza­tion against measles and rubella," the vac­ci­na­tion was car­ried out for about 99.4% of chil­dren un­der the age of 10 years. In 2007, Uzbek­istan joined the group of coun­tries iden­ti­fied by WHO for the im­ple­men­ta­tion of the Euro­pean strat­egy of "Health and de­vel­op­ment of chil­dren and ado­les­cents." The main cri­te­rion for se­lec­tion was the high com­mit­ment of our state to the for­ma­tion of healthy gen­er­a­tion. Ac­cord­ing to the num­ber of in­ter­na­tional in­sti­tu­tions and in­ter­na­tional or­ga­ni­za­tions (e.g. Save the Chil­dren) Uzbek­istan took 9th place among the ten lead­ing coun­tries in the world rank­ing of the best places in tak­ing care of chil­dren's health. This was also con­firmed dur­ing the in­ter­na­tional sym­po­sium "Na­tional model of ma­ter­nal and child health in Uzbek­istan: healthy mother - healthy child" in­Tashkent on Novem­ber 25-26, 2011. An­other ma­jor achieve­ment of the na­tional health care model of Uzbek­istan is the cre­ation of fun­da­men­tally new sys­tem of med­i­cal care emer­gency that meets the high­est re­quire­ments and in­ter­na­tional stan­dards. Each year, an acute in­pa­tient and out­pa­tient care is pro­vided to­more than 1.8 mil­lion pa­tients. More than 7 mil­lion calls a year are re­sponded to by the emer­gency ser­vices "03" and the air am­bu­lance. In gen­eral, the timely pro­vi­sion of emer­gency med­i­cal care to the pop­u­la­tion has in­creased by 40% over the last 10 years Much at­ten­tion is paid to the fight against dis­eases of so­cial im­por­tance, such as tu­ber­cu­lo­sis, HIV/AIDS. For ex­am­ple, the im­ple­men­ta­tion of the "Strate­gic Pro­gram to re­duce the in­ci­dence and preven­tion of tu­ber­cu­lo­sis for 2003-2008" has de­creased deaths from the dis­ease by 50.4% and has de­creased the in­ci­dence rate by 22.5%. The ex­ten­sive work has been done on the preven­tion ofHIV trans­mis­sion from amother to a child, pro­vid­ing al­most 100 per­cent cov­er­age of vol­un­tary test­ing for preg­nant women. Spe­cific an­tiretro­vi­ral treat­ment of HIV-in­fected preg­nant women and chil­dren born to them were also con­ducted. To­day, Uzbek­istan is ac­tively de­vel­op­ing the phar­ma­ceu­ti­cal in­dus­try: 124 en­ter­prises pro­duce more than 1,100 kinds of medicines. In to­tal, there are more than six thou­sand types medicines were reg­is­tered in the coun­try. The av­er­age life ex­pectancy of the pop­u­la­tion, which is has a ma­jor so­cial im­por­tance and in­di­ca­tor of qual­ity of life, in­clud­ing the qual­ity of med­i­cal care, has in­creased from 67 to 73.1 years (women - 75 years) in the pe­riod from 1990 to 2010. To­tal mor­tal­ity has de­creased from 6.1 to 4.9 per 1,000 in the last 20 years.

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