WHO/Europe has worked with the Ministry of Health and partners in Kyrgyzstan for some years to support work and build capacity for different aspects of maternal and newborn health.
The biennial collaborative agreement for 2010–2011 included work to strengthen capacitу to guide and monitor implementation of maternal, neonatal, child, adolescent and reproductive health activities in the context of the Manas Taalimi strategy and results-based financing initiative.
This also formed part of the medium-term priority for 2008–2013, which was to improve the quality and efficiency of maternal, reproductive, neonatal and child health services (including promotion, prevention and treatment) to promote progress towards Millennium Development Goal targets, using the strategy of integration into the general health service system (particularly primary and first referral services).
Maternal Death Surveillance and Response (MDSR) system is now in place, which has resulted in the following:
- training and field visits for maternal hospitals, which has improved registration and analysis of maternal death cases;
- training in all regions of Kyrgyzstan for Near-miss case review (NMCR);
- a working group has been established and has reviewed material and tools on verbal autopsy, including a preliminary mechanism for timely information on maternal death cases, which is communicated through a wide network of village health committees; and
- a manual on Confidential enquiry of maternal deaths at national, regional and local level: registration and coding of deaths cases according to International Classification of Diseases -10th edition (ICD-10) has been produced by the working group.
A working group has also been established to develop methodological guidance on National Health Accounts (NHA) for tracking Reproductive Maternal Newborn and Child health resources.