During today’s Government meeting chaired by Prime Minister Bakytzhan Sagintayev, Minister of Healthcare Yelzhan Birtanov spoke about the results of the implementation of the main directions of the Densaulyk Healthcare Development State Program for 2016-2019.

Y. Birtanov reported that the results of the first nine months of this year continue to show positive dynamics in terms of overall mortality (decrease by 2%), infant mortality (decrease by 10.2%), maternal mortality (4.9%), mortality from malignant neoplasms (by 4.9%), accidents and injuries (by 9.1%), tuberculosis (by 17.1%) compared to the previous period of last year.

At the same time, the Minister reported on the main directions of the implementation of the Healthcare Development State Program. Thus, the public health service was formed; public health departments were established under healthcare departments in 11 regions.

At the PHC level, in order to improve the quality of medical care for children under six years of age and reduce the burden on general practitioners, work is under way to restore pediatric practices. In general, 23 such practices have been opened this year throughout the country, and another 84 are planned to be opened by the end of the year. Taking into account the emergence of interns-pediatricians, 230 pediatric practices are planned to be opened in 2018, from 2019 to 2024, more than 500 annually. Thus, by 2024 it is planned to ensure 100% coverage of the demand in pediatric practices.

A project is also being implemented to implement a disease management program based on the active management of patients with chronic diseases. This year the project was implemented in all 16 regions, the number of patients participating in the project has doubled.

With a view to improving the administration of emergency medical care and solving problems in the work of the EHS service, a differentiated approach is envisaged to providing emergency and urgent medical care. Calls are optimized and grouped by symptoms to categorize them by urgency.

In the conditions of the admission departments, it is planned to introduce a new medical specialty - the emergency department doctor (emergency doctor) for the timely administration of emergency medical care and, if necessary, the initial resuscitation and other measures to stabilize the patients.

As part of implementing the national drug policy, 53 long-term contracts have been concluded to date, including 24 in the current year. The share of domestic producers in the total procurement of the single distributor was 75% in physical terms, 30% in monetary terms. Prices have been reduced 23% for 175 drugs. At the outpatient level, about 2.5 million patients are provided with medications,  3.8 million patients are planned to be covered in 2018.

Regarding the introduction of the compulsory medical insurance system, employers' contributions and contributions of individual entrepreneurs launched on July 1, 2017. Taking into account the reduction of barriers for private suppliers, measures are being taken to procure medical services for 2018. A database of healthcare entities was established consisting of 1519, of which 686 are private providers.

In addition, the Ministry jointly with the regions is developing a single perspective plan for the development of the healthcare infrastructure, which calls for the transformation of the network, updating the infrastructure and training medical personnel, taking into account the rational use of resources.

To date, long-term plans have been considered to develop the infrastructure of seven regions (Aktobe, Atyrau, Zhambyl, West Kazakhstan, Karaganda, Mangystau regions and Astana). In general, it is planned to complete work on the Unified Perspective Plan and with the investment plans in the first ten days of November this year.

It is assumed that the adoption and implementation of a single long-term infrastructure development plan will allow saving funds in the period from 2017 to 2025 in the amount of 11.2 billion tenge.

In order to increase the quality of the teaching staff in the medical sphere, the Center for Transfer of Innovative Technologies was established on the basis of the Karaganda State Medical University, a plan was developed for further enhancing the potential of teachers, and training and development programs were revised.

It was also noted that at present the second stage of the strategic partnership between domestic medical schools and leading foreign universities is being implemented. Seven foreign specialists from Sweden, France, Poland, Italy, Turkey were invited to managing positions and as professors of the departments. Until the end of 2017 it is planned to attract three more specialists.

New standards for the training of medical personnel in all specialties have been approved.

At the same time, the Minister of Healthcare reported that medical information systems are being introduced with the aim of digital modernization of healthcare and the transition to a paperless format of work.

To date, medical information systems cover 45% of healthcare organizations in the country. The MISs coverage of national organizations is 26%. Until the end of the year, it is planned to introduce MISs in all national organizations, in regions - up to 64%.

In Karaganda, Akmola and Kostanay regions, a pilot project is planned to be implemented in 2018 to switch to paperless management of medical records. According to the results of the first half of 2017, computer equipment of healthcare organizations in the Republic averaged 74.4%, at the beginning of 2017 - 34.3%.

Access to the Internet in the country is available in 53% of medical organizations, at the beginning of the year this figure was 47%. By 2020, all medical organizations to the level of ROCs (rural medical outpatient clinic) will be connected to the Internet.


Published: 10 October 2017



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