Kyrgyzstan strengthens health services delivery through high-level policy dialogue

Valuable recommendations on strengthening health services delivery were developed during a high-level policy dialogue on 4–7 December 2017 in Bishkek, Kyrgyzstan. The Ministry of Health of Kyrgyzstan organized the dialogue together with development partners.

The event brought together representatives from the offices of the President, Government and Parliament, the Mandatory Health Insurance Fund, development partners and international organizations. They aimed to identify policy options and next steps for transforming the health services delivery model in Kyrgyzstan based on known challenges and opportunities.

Core themes on health services delivery

During the 4-day event, attendees listened to presentations by experts from the Mandatory Health Insurance Fund, the Ministry of Health, the Swiss Agency for Development and Cooperation, WHO and the World Bank Group, as well as other development partners and their national counterparts.

Following the presentations, moderated discussions with national and international partners covered 4 core themes:

  1. selecting services for improved health outcomes;
  2. designing care and organizing providers for integrated delivery;
  3. strengthening strategic purchasing for quality and care integration; and
  4. governance and other system enablers.

The following key recommendations for each of the core themes emerged.

  1. Review the contents of the state-guaranteed benefit package and consider new services with an emphasis on prevention-oriented care, preventable mortality, cost effectiveness and internationally recognized best buys.
  2. Revisit the capacities of nurses, including functions to manage risk factors, prevention services and authority to dispense medicines, while also working to raise the attractiveness of primary health care for both patients and providers.
  3. Improve coordination, capacity-building efforts and alignment with the forthcoming health services delivery master plan, and undertake actions to make use of the increasingly available services delivery data.
  4. Develop a national system of quality management, strengthen managerial autonomy and revise the medical education system to build a competent family medicine workforce.

Summary and future steps

In the last session, chaired by Minister of Health Dr Talantbek Batyraliev, recommendations from each theme were presented. These will serve as input to the development of the health strategy for 2019–2030, which is currently being developing under WHO leadership. Establishing working groups on each of the four themes to address the recommendations was agreed as a next step.

Support for the “Den Sooluk” health care reform programme and assistance for the development of a new health sector strategy are among the key activities envisaged under the biennial collaborative agreement between WHO/Europe and Kyrgyzstan (in collaboration with the Ministry of Health).

The programme is financially supported by the WHO/Swiss Agency for Development and Cooperation project “Strengthening monitoring and evaluation and policy dialogue for Den Sooluk”, WHO and a Bill & Melinda Gates Foundation strategic grant.