{"id":987501965,"date":"2023-02-03T08:19:16","date_gmt":"2023-02-03T07:19:16","guid":{"rendered":"https:\/\/p4h.world\/country\/kyrgyzstan\/"},"modified":"2024-06-04T17:26:00","modified_gmt":"2024-06-04T16:26:00","slug":"kyrgyzstan","status":"publish","type":"country","link":"https:\/\/p4h.world\/en\/countries\/kyrgyzstan\/","title":{"rendered":"Kyrgyzstan"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 1&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<span style=\"font-weight: 400;\">Kyrgyzstan implemented three major reforms following independence: Manas, 1996-2005; Manas Taalimi, 2006-2010; and Den Sooluk, 2012-2018<sup><a href=\"#1\">[1]<\/a><\/sup>. As a result of these reforms, the government introduced mandatory health insurance and a single-payer system with consolidated financing for health services and medicines. The Mandatory Health Insurance Fund managed the system, which is among the first in the Commonwealth of Independent States<sup><a href=\"#2\">[2]<\/a><\/sup>. The fund was established in 1996; compulsory medical insurance was launched on January 1, 1997; and a state guarantee program of benefits was introduced in 2001. <\/span>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 2 &#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<span style=\"font-weight: 400;\">Major efforts were made to increase public spending on health and improve the efficiency of resource allocation with emphasis on primary healthcare and health outcomes by providing needs-based core health services without financial and other barriers to access<sup><a href=\"#1\">[1]<\/a><\/sup>. From 2000 through 2019, the universal health service coverage index in Kyrgyzstan improved from 52 to 70<sup><a href=\"#4\">[4]<\/a><\/sup>. Over the same period, 2000-2019, the [EY1] [AA2]\u00a0positive effects of mandatory health insurance manifested in the reduction of the share of out-of-pocket payments from 51.6% to 38.6% of current health expenditure<sup><a href=\"#5\">[5]<\/a><\/sup>.<\/span>[\/et_pb_text][ba_gradient_heading title=&#8221;Social health protection today: committed to continuous improvements&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221;HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;15px||10px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<span style=\"font-weight: 400;\">The social health protection system in Kyrgyzstan includes two major schemes: 1) State Guaranteed Benefits Package (SGBP) and 2) Additional Mandatory Health Insurance (MHI) Package. Both are financed through The Mandatory Health Insurance Fund<sup><a href=\"#1\">[1]<\/a><\/sup>. The SGBP provides all citizens with free access to a basic package of primary and outpatient specialist services, and specialist inpatient services with co-payments. The MHI package is accessible to those who contribute to the MHI and provides outpatient medicines at reduced prices, as well as reduced SGBP copayments for specialist inpatient care<sup><a href=\"#2\">[2]<\/a><\/sup>. The government contributes on behalf of children under five years of age, pensioners, students, soldiers and veterans. About 69% of the total population is insured. The system fully subsidizes a defined group of high-cost health care services and reduces or exempts certain patients from copayments for inpatient care<sup><a href=\"#3\">[3]<\/a><\/sup>.\u00a0<\/span>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 4 &#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Though not all objectives of the three reforms have been achieved, the effective coverage of the social health protection and diversification of health financing sources have increased. An additional preferential drug provision programme was developed at the outpatient level. The COVID-19 pandemic created incentives and opportunities for further strengthening of the health system. The government of Kyrgyzstan has committed to a 12-year national health strategy \u201cHealthy person\u2014prosperous country\u201d <sup><a href=\"#2\">[2]<\/a><\/sup>.\u00a0<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 9 &#8211; Footnotes&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;13px&#8221; custom_margin=&#8221;20px||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>References<\/strong><\/p>\n<p><span style=\"font-weight: 400;\"><span id=\"1\">[1]<\/span> Social Protection System Review of Kyrgyzstan. OECD, 2018. doi: 10.1787\/9789264302273-en<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span id=\"2\">[2]<\/span> P4H Network (2022). \u201c<a href=\"https:\/\/p4h.world\/en\/news\/p4h-webinar-cis-2-tajikistan-and-uzbekistan-executive-summary-additional-resources-and-links\">Country Briefs: Social Health Protection and Health Financing Reforms<\/a>\u201d. Briefing Note for Kyrgyzstan prepared by the International Labour Organization. Accessed on 21 February 2023<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span id=\"3\">[3]<\/span> <a href=\"https:\/\/p4h.world\/system\/files\/2021-08\/WHO-EURO-2021-2604-42360-58654-eng.pdf\">Health Financing in Kyrgyzstan: Obstacles and Opportunities in the Response to COVID-19<\/a>. Copenhagen: World Health Organization Regional Office for Europe, 2021. Accessed 11 February 2022<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span id=\"4\">[4]<\/span> &#8220;<a href=\"https:\/\/www.euro.who.int\/en\/countries\/kyrgyzstan\/news\/news\/2019\/01\/kyrgyzstan-adopts-new-health-strategy-for-20192030\">Kyrgyzstan adopts new health strategy for 2019\u20132030<\/a>\u201d Copenhagen: WHO Regional Office for Europe, 2019. Accessed on 11 February 2022<br \/><\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span id=\"5\">[5]<\/span> <a href=\"https:\/\/apps.who.int\/nha\/database\/Select\/Indicators\/en\">Global Health Expenditure Database<\/a>. Geneva: World Health Organization Available. Accessed on 21 February 2023 at\u00a0<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kyrgyzstan implemented three major reforms following independence: Manas, 1996-2005; Manas Taalimi, 2006-2010; and Den Sooluk, 2012-2018[1]. As a result of these reforms, the government introduced mandatory health insurance and a single-payer system with consolidated financing for health services and medicines. The Mandatory Health Insurance Fund managed the system, which is among the first in the&#8230;<\/p>\n","protected":false},"author":1,"featured_media":987536821,"template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987501965"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/country"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":3,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987501965\/revisions"}],"predecessor-version":[{"id":987697475,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987501965\/revisions\/987697475"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media\/987536821"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987501965"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}