HEALTH CARE
Every person has right to be healthy, to have access to health services, to have good
food, and be satisfied with life. The Government is responsible for providing population with these
conditions, because the country's development depends upon collective actions of healthy
people.
In light of reforms the Government in 1997 adopted a long-term National Program
"Strategy on Public Health Protection till 2005 in the Republic of
Tajikistan", developed by the Ministry for Health Care. It includes 29 global tasks on improvement of health care system and public
health. Subsequently Majlisi Oli adopted Law "On public health
protection" that along with others envisages the right of the population to select services of multistructure system on health
care, e.g. state and private ones. All state medical institutions will continue rendering free-of-charge services for the
population.
The first phase of the agenda of the day covers period of 1997-2001. Main priorities of the program are reorganization and development of primary medical
aid, such as introduction of family medicine, changes in staff and medicinal
policy, multi-source system of financing, funds reallocation for benefit of primary health
care, transition to the system of medical insurance.
MAIN INDICATORS OF HEALTH CARE DEVELOPMENT
by the end of the year
| |
1991 |
1998 |
1999 |
2000 |
2001 |
2002 |
2003 |
| Number of doctors of all specialties |
- |
- |
- |
- |
- |
- |
- |
| - total, thous. |
14,1 |
12,6 |
13,0 |
13,5 |
13,4 |
13,1 |
12,7 |
| - per 10000 persons of the population, persons |
25,5 |
20,6 |
21,2 |
21,6 |
21,0 |
20,1 |
19,1 |
| Number of average medical staff: |
- |
- |
- |
- |
- |
- |
- |
| - total, thous. |
42,8 |
32,6 |
32,4 |
32,2 |
30,7 |
30,3 |
28,6 |
| - per 10000 persons of the population, persons |
77,1 |
53,4 |
52,8 |
51,5 |
48,1 |
46,6 |
43,1 |
| Number of medical institutions, item |
374 |
424 |
433 |
441 |
439 |
449 |
452 |
| Number of beds: |
- |
- |
- |
- |
- |
- |
- |
| - total, thous. |
59,6 |
41,3 |
41,5 |
41,2 |
40,4 |
40,4 |
40,2 |
| - per 10000 persons of the population, persons |
107,2 |
67,7 |
67,7 |
65,8 |
64,1 |
62,2 |
60,6 |
| Number of out-patient and polyclinic institutions, item. |
865 |
1037 |
998 |
1038 |
1066 |
1073 |
1025 |
| Capacity of out-patient and polyclinic institutions |
- |
- |
- |
- |
- |
- |
- |
| - number of visits per shift – total, thous. |
54,5 |
57,5 |
56,7 |
59,5 |
63,0 |
63,4 |
67,7 |
| - per 10000 persons of the population |
98,1 |
94,3 |
92,6 |
95,2 |
100,0 |
97,5 |
102,0 |
| Number of medical houses, item |
1510 |
1630 |
1647 |
1676 |
1691 |
1709 |
1714 |
Within the framework of reform program there are implemented actions on improvement of health care infrastructure by reduction of ineffective
beds, development of a network of institutions on primary health care. For the period of 1993-1997 the one third of ineffective beds was
reduced. By 1997 there were 71.2 beds per every 10000 persons, while in 1993 this indicator made 104.8. This process is being continued and the number of beds will be reduced for 40%. We should be very careful while using the experience of other countries in privatization of medical
institutions, and to make reforms gradually in order not to break positive factors achieved during previous
epoch.
Tajikistan, Report on Human Development, 2000, UNDP
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