{"id":987679434,"date":"2023-10-10T23:18:33","date_gmt":"2023-10-10T22:18:33","guid":{"rendered":"https:\/\/p4h.world\/?post_type=news&#038;p=987679434"},"modified":"2024-05-29T18:52:59","modified_gmt":"2024-05-29T17:52:59","slug":"who-report-on-strengthening-primary-health-care-financing-in-kyrgyzstan","status":"publish","type":"news","link":"https:\/\/p4h.world\/en\/news\/who-report-on-strengthening-primary-health-care-financing-in-kyrgyzstan\/","title":{"rendered":"WHO report on strengthening primary health care financing in 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 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_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;TO BE EDITED &#8211; SUMMARY &#8211; Click on the WHEEL icon to open the textarea where you can paste or type your summary. The summary condenses the main points for the news that starts below. The summary is in bold and not longer than 300 characters, including spaces. The counter at the bottom can help.&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>WHO Barcelona Office for Health Systems Financing has published a <a href=\"https:\/\/iris.who.int\/bitstream\/handle\/10665\/373013\/WHO-EURO-2023-7677-47444-69732-eng.pdf?sequence=1\">report<\/a> titled &#8220;Strengthening primary health care financing: policy considerations for Kyrgyzstan&#8221; in September 2023. The report describes how primary health care (PHC) is organized and financed in Kyrgyzstan and provides evidence-informed policy recommendations aimed at prioritizing and strengthening PHC.<\/strong><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TO BE EDITED &#8211; TEXT OF THE NEWS &#8211; BLOCK 1 &#8211; Click on the WHEEL icon to open the textarea where you can paste or type your news. PLEASE USE ONLY THE FEATURED IMAGE FUNCTION on your right column to add the image.&#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>The report devoted to PHC financing in <a href=\"https:\/\/p4h.world\/en\/countries\/kyrgyzstan\/\">Kyrgyzstan<\/a> was authored by <strong>Kaija Kasekamp<\/strong> (Consultant, WHO Barcelona Office for Health Systems Financing), <strong>Triin Habicht<\/strong> (Senior Health Economist, WHO Barcelona Office for Health Systems Financing), and <strong>Aigul Sydykova<\/strong> (National Professional Officer, WHO Country Office in Kyrgyzstan) with contributions made by national and international experts and policymakers and data contributions made by the <strong>Mandatory Health Insurance<\/strong><strong><a href=\"https:\/\/foms.kg\/\"> Fund<\/a> <\/strong>of Kyrgyzstan (see the acknowledgements in the <a href=\"https:\/\/iris.who.int\/bitstream\/handle\/10665\/373013\/WHO-EURO-2023-7677-47444-69732-eng.pdf?sequence=1\">report<\/a>).\u00a0<\/p>\n<p>As reminded by the World Health Organization in its <a href=\"https:\/\/www.who.int\/europe\/news\/item\/29-09-2023-kyrgyzstan--strengthening-primary-health-care-financing-for-better-health\">news release<\/a>, &#8220;<strong>PHC is the most effective and cost-effective <\/strong>approach to delivering health care services to people and achieving universal health coverage (UHC)&#8221;, and &#8220;Kyrgyzstan is moving in this direction \u2013 counting on sustained support from the Government and from development partners&#8221;.<\/p>\n<p>The report has a detailed description of how PHC is organized in Kyrgyzstan including care models, infrastructure, governance and financing arrangements, and where relevant, provides key data on PHC service utilization and spending. The report also mentions <strong>country-specific challenges<\/strong> such as the excessive reliance on specialist services (doctors referred as &#8220;narrow specialists&#8221;). This is an example of a challenge faced by many former Soviet countries that inherited the Semashko model of health system organization, which means there are<strong> polyclinics <\/strong>(referred as family medicine centres, FMC, in this report) where family doctors work together with specialist doctors, and it is difficult for the family doctors to be the <strong>gatekeepers<\/strong> of services as people simply want to see the narrow specialist who is physically available, sitting in the same building as the primary care doctor in the urban and even some rural (administrative district level) settings.<\/p>\n<p>The report contains the following key messages as <strong>policy considerations<\/strong> for Kyrgyzstan:\u00a0<\/p>\n<ol>\n<li>Enhance the PHC organizational model for increased equity and efficiency.<\/li>\n<li>Scrutinize the PHC benefits package to better meet population health needs.<\/li>\n<li>Strengthen PHC budgeting and the budget monitoring system.<\/li>\n<li>Redesign and adequately resource PHC provider payments.<\/li>\n<li>Revamp the performance payment system for PHC teams.<\/li>\n<li>Improve contracting and monitoring mechanisms by increasing data quality and collaboration.<\/li>\n<\/ol>\n<p>It was <a href=\"https:\/\/www.who.int\/europe\/news\/item\/29-09-2023-kyrgyzstan--strengthening-primary-health-care-financing-for-better-health\">noted<\/a> that although Kyrgyzstan has &#8220;prioritized PHC spending within its health budget and spends about 1% of its gross domestic product (GDP) on PHC, &#8230; per capita public spending on PHC is among the lowest in the WHO European Region.&#8221; Authors <a href=\"https:\/\/www.who.int\/europe\/publications\/i\/item\/WHO-EURO-2023-7677-47444-69732\">concluded<\/a> that &#8220;to strengthen PHC financing, Kyrgyzstan should consider reviewing its PHC benefits package to better align it with population health needs and the available level of public funding, redesigning the PHC provider payment system, and improving the provider monitoring mechanism&#8221;.\u00a0<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TO BE EDITED &#8211; TEXT OF THE NEWS &#8211; BLOCK 2 &#8211; Click on the WHEEL icon to open the textarea where you can paste or type your news. PLEASE USE ONLY THE FEATURED IMAGE FUNCTION on your right column to add the image.&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_text][et_pb_text admin_label=&#8221;Image CAPTION&#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 class=\"\"><strong>Featured image on top:<\/strong> <em>Akipress.org. Source: <a href=\"https:\/\/zdorovie.akipress.org\/news:1371478\">Akipress news<\/a><\/em><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>WHO Barcelona Office for Health Systems Financing has published a report titled &#8220;Strengthening primary health care financing: policy considerations for Kyrgyzstan&#8221; in September 2023. The report describes how primary health care (PHC) is organized and financed in Kyrgyzstan and provides evidence-informed policy recommendations aimed at prioritizing and strengthening PHC.The report devoted to PHC financing in&#8230;<\/p>\n","protected":false},"author":137,"featured_media":987679467,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[],"tags":[127,126],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news\/987679434"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/news"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/137"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987679434"}],"version-history":[{"count":8,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news\/987679434\/revisions"}],"predecessor-version":[{"id":987682959,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news\/987679434\/revisions\/987682959"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media\/987679467"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987679434"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987679434"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987679434"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}