The Health of People is the Key to Prosperity
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 equipment.in 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.