INFORMATION DIGEST OF PRESS OF UZBEKISTAN (December 13, 2017)
On December 12, 2017, a meeting devoted to the current issues of the healthcare sphere of our country was held under the chairmanship of the President of the Republic of Uzbekistan Shavkat Mirziyoyev.
Today, our compatriots are feeling the results of reforms implemented in all spheres of their everyday life, including cardinal improvement of quality and living standards of the population.
Ensuring the guarantees of a happy and prosperous life, protecting the rights and freedoms of citizens are priority areas of the state policy.
Further improvement of public health protection, ensuring satisfaction with the activities of the medical system is our most important task, said the President of our country.
A large-scale activity is being carried out in the healthcare system. A number of decrees and resolutions of the President on development and radical reforming this sphere were adopted. The activity of primary healthcare, emergency medical services, specialized medical services, private medicine, reproductive healthcare and others are determined priority areas of activities.
There are obvious changes in comparison with 2016. In the current year, the number of family polyclinics increased by 793. 793 rural family polyclinics working round the clock were organized, where an emergency medical care stations and day hospitals were opened. The disease with tuberculosis has sharply decreased. Specialists of republican specialized medical centers traveled to regions 2407 times, meanwhile, in 2016 this indicator was more than 500 times. If last year their services were used by 30 thousand people, this year this figure amounted 220 thousand. About 100 qualified specialists – our compatriots have returned to the country from abroad and now providing services to our people.
Special attention is paid to provision of medical and social services. Providing people in need with rehabilitative technical equipment has increased to 90 percent.
Provision of wheelchairs, hearing aids and other means has doubled. 49,3 billion sums were allocated for construction and reconstruction of medical and social institutions, that is 2 times more.
The scale of work on training personnel for the sphere is expanding. The number of admission quotas for training doctors with higher education has been brought to 3445, of which 1180 are targeted regional quotas. Quotas for training in clinical residency have increased.
As a result of measures on development of private healthcare sector, the number of medical services provided by its subjects has been increased from 50 to 126, tax and customs privileges have been extended to 2022, a Fund for the development of non-governmental medical institutions has been established at “Asaka” bank, the number of private medical institutions has increased to 400. An atmosphere of healthy competition between state and private medical institutions has been created.
The amount of funds allocated for the purchase of medicines and medical products amounted to 821 billion sums. This is 3,5 times more than in 2016.
At the same time, the volume of attracted foreign investments is growing. If 40,2 million dollars were spent in 2016, this figure amounted 93,5 million this year.
However, there is still much to be done in the sphere.
Shavkat Mirziyoyev, analyzing the problems and shortcomings in the healthcare system in the context of the regions, noted the incompleteness and insufficient human resources potential of medical institutions at places, that is, currently there is a shortage of more than 11 thousand doctors in the country, as a result of which new medical institutions are incapable of serving the population qualitatively, pointed to the reasons, consequences and ways to solve this problem.
Weak material and technical base of medical institutions, absence of emergency medical care stations and drugstores in rural family polyclinics, activities of managers impeding the participation of entrepreneurs in development of private medicine were also criticized.
Particular attention was paid to the fact that, despite the adoption of decrees and resolutions on further improvement of the system of specialized medical care, the activities of branches of republican specialized centers in the regions are not organized at proper level.
Shortcomings in the activities of republican specialized scientific practical medical centers of pediatrics, surgery, urology, eye microsurgery, cardiology, dermatovenereology, endocrinology, neurosurgery and others, in particular, the inadequate level of work on training and advanced training of local specialists, introduction of modern diagnostic methods and treatment at places, early detection and treatment of diseases, preventive work among the population were discussed, reports of responsible heads were heard.
Strategic tasks to be implemented in the first half of 2018 were identified in order to eliminate these shortcomings.
Attention was paid to the fact that the Legislative Chamber of the Oliy Majlis must develop and ensure rigorous execution of the six-month plan of measures on constant control and monitoring of reforms that are being implemented in the healthcare sphere. The importance of formation, within a week, of working groups on each region of the executive staff and organization of their effective activities was also noted.
The need to develop “road maps” on activities of working groups, which should be approved and taken under strict control of the Legislative Chamber in cooperation with the khokimiyats of districts (cities) was emphasized.
The task was set on development and implementation of a method on providing practical assistance in eliminating the existing problems on the basis of an in-depth study of the real situation at places, and not by conducting inspections.
For solving the problem of shortage of personnel, the Ministry of Health was instructed, together with local khokimiyats, to determine the need for medical specialists in the context of regions, districts and institutions, to increase target enrollment quotas for admission to the baccalaureate by 20 percent, to magistracy by 10 percent and to clinical residency by 15 percent in 2018, compared with 2017.
Instructions were given on increasing the amount of allocated funds for the purchase of medical products for emergency medical care at least twice and to take measures on balanced financing in the context of regions in 2018.
The task was also set on development of a plan of comprehensive measures on protecting motherhood and childhood, taking into account the improvement of providing perinatal services to pregnant women, reducing death rate among mothers, newborns and children, preventing the birth of children with congenital malformations and hereditary diseases, strengthening the material technical base of maternity complexes and children’s hospitals, equipping them with modern equipment, introducing a system of full medical examination of women for prevention, early detection and treatment of oncological diseases.
Instructions were given on systemic development of private medicine. Thus, tasks were set on establishment of an educational and practical center for the development of private medicine in the country and training of qualified personnel for the sphere at “Akfa Medline” private medical center that has been opened in Tashkent, as well as organization of a higher medical education institution of the Republic of Korea and its territorial branches in the capital, in cooperation with this medical center.
The Jokargy Kenes of the Republic of Karakalpakstan, khokimiyats of regions, districts and the city of Tashkent were instructed to organize more private medical institutions of narrow specialization with their own hospitals taking into account the morbidity indicators of the population and needs of the regions, in cooperation with the Ministry of Health.
Orzu small industrial zone, formed on the massif Orzu in Namangan, is a practical expression of such attention to the development of entrepreneurship. In the industrial zone, occupying about 10 hectares, currently about 20 businessmen are engaged in creative work.
Hilol Totli Limited Liability Company is completing construction of a confectionery shop with a project cost of over 3 billion soums (currency rates of CB RU from 13.12.2017, 1$= 8093.00 soums), where 40 new jobs will be created.
The region also pays special attention to the processing of raw cotton, the development of ready-made garments and textiles. In a small industrial zone, a number of projects are being implemented in this direction. In particular, Nurobod Sifat Textiles employs a cotton fabric workshop with a project value of 1.4 billion soums, which is being built at an accelerated pace. Here, 105 people will get a permanent job. White gold towel textile is erecting another enterprise in this direction.
The Perfect Fruits company is building a workshop for processing agricultural products, “Yuksalish ulgurji savdo export” organizes a refrigerator for storing agricultural products.
“The creation of a small industrial zone has become a good opportunity for entrepreneurs,” says the head of Perfect Fruits J. Abbosov. “At the 0.27 hectares received here, we started the construction of a workshop for the processing of fruit and vegetable products. Based on the project worth 2 billion soums, a production facility will be created to process 30 tons of products per day, employing 30 people.”
Also work is under way on projects aimed at the production of furniture, toys, accessories, napkins, lamps. Currently, the total cost of projects implemented here is more than 30 billion soums.
“The study of projects submitted by entrepreneurs continues,” says the first deputy hokim of the city of Namangan U. Kholikov. “Implementation of already approved projects will create 2500 jobs in a small industrial zone. The small industrial zones established in our country contribute to a dramatic increase in the role of private property in the economy, a reduction in state participation, a gradual increase in the share of the private sector in the gross domestic product and the development of industrial potential.”
(Source: «Uzbekistan Today» newspaper)
On 12 December 2017, an Uzbek delegation headed by the Special Representative of the President of the Republic of Uzbekistan for Afghanistan Ismatilla Irgashev took part in the regular meeting of the International Contact Group (ICG) on Afghanistan in Oslo (Norway).
At a meeting in the Norwegian capital, representatives of about 50 states and international organizations discussed the state and prospects of the Afghan settlement, exchanged views on ways to achieve sustainable and lasting peace and stability in Afghanistan.
The delegation of Uzbekistan informed the participants of the meeting about the position on the resolution of the Afghan problem, about the results of the official visit of the President of Afghanistan, Muhammad Ashraf Ghani, to Uzbekistan on 4-6 December 2017.
In the speech, the head of the Uzbek delegation paid special attention to the main provisions of the program speeches of the President of Uzbekistan Shavkat Mirziyov at the 72nd session of the UN General Assembly and on 10 November in Samarkand at the opening of the international conference “Central Asia: One Past and a Common Future, Cooperation for Sustainable Development and mutual prosperity “.
It was stated that Uzbekistan will continue to make efforts to promote the socio-economic development of Afghanistan, including by building up bilateral trade and economic relations, implementing joint transport, communication, energy and other projects.
Valery Tsepkalo, the former head of the Belarusian High-Tech Park (HTP), will be engaged in IT projects in Uzbekistan
According to the press service of the Ministry for the Development of Information Technologies and Communications of Uzbekistan, a meeting with the founder of the Belarusian HTP was held recently in the Ministry.
“Valery Tsepkalo arrived in Uzbekistan to get acquainted with the conditions for the formation and active development of high-tech industries based on the use of ICT, in particular, with the activities of the newly created Mirzo Ulugbek Innovation Center – the Innovation Center for Supporting Development and Implementation of Information Technologies,” the press service of Mininfocom said.
During the meeting, Tsepkalo expressed his readiness to provide practical assistance to the Uzbek Silicon Valley in the formation and development of the computer software industry. This work will be associated with the creation in Uzbekistan of software development centers for the leading IT-corporations, as well as laboratories for training at leading technical universities in the country.
In addition, the parties agreed to continue sharing their experience in promoting the growth and development of the software and information technology industry, including the development of IT parks and improving the conditions for their residents, the development of incentives for national software developers, the promotion of IT services exports, and also to improve the system of training relevant specialists and improve their skills.
It should be noted that when opening the Mirzo Ulugbek Innovation Center of Uzbekistan, in particular, used the best experience of creating computer software, which led the Belarusian IT industry to the leading positions in the international market. The center was established on April 30, 2017 under the decree of the President of Uzbekistan Shavkat Mirziyoyev. Now the number of its residents has reached 147 legal entities.
Companies registered on the territory of the center a number of privileges and preferences are granted until January 1, 2028. So, they are exempted from paying taxes and compulsory payments. The income of resident employees is taxed on the income of individuals at a fixed rate of 7.5%, and the rate of insurance contributions to the Pension Fund is 4.5%.
(Source: «Uzbekistan Today» newspaper)
In Uzbekistan, conditions are created to prevent the spread of the HIV epidemic, access of patients to treatment, and prevention of its occurrence
Particular attention is paid to youth and vulnerable groups of the population, information propaganda in this direction.
The deputy director of the Republican Center for AIDS Control Gulom Rajabov tells about the ongoing work.
The basis of the ongoing work is the legal framework that is being created and being implemented. So, in September 2013, the Law “On combating the spread of the disease caused by the human immunodeficiency virus (HIV infection)” was adopted, aimed at improving the quality of medical services and increasing the effectiveness of antiepidemic measures to combat the disease.
In accordance with the State program in the field of counteracting the spread of HIV infection in the Republic of Uzbekistan for 2014 – 2016, approved in September 2014, measures were taken to upgrade and to strengthen the material and technical base of AIDS centers and medical institutions, to enhance the relationship between dispensary and stationary stages, to improve of the regulatory and legal framework, to develop of the latest achievements in the country for the prevention, to diagnose and treat of this infection, as well as to improve the quality of continuous education activities of medical workers and the level of knowledge of the population in this direction.
The Strategic program for counteracting the spread of HIV in Uzbekistan for 2013-2017 is being implemented to increase the effectiveness of measures on stabilization the epidemic situation through universal access to prevention, diagnosis, treatment, care and support.
New buildings have been built in the AIDS centers in Tashkent, Bukhara, Ferghana, Syrdarya, Navoi regions that meet modern requirements. Major repairs have been carried out in other specialized institutions. To this end, more than 13 billion sums were allocated from the state budget.
High-tech equipment of twenty-one titles was installed in the laboratory complexes of 14 regional AIDS centers, totaling more than 7.5 million dollars. It assists specialists to examine patients who are in dispensary registry, to timely prescribe therapy and control its dynamics.
The Republic pays much attention to the treatment of people living with HIV. Antiretroviral therapy can prolong life, improve its quality, and increase the capacity of people affected by the epidemic. To date, about 20,000 people living with HIV receive antiretroviral therapy. All patients who are in dispensary supervision at AIDS centers are regularly screened for tuberculosis and other infections. If necessary, they receive referral to inpatient or outpatient care in specialized hospitals.
To provide qualified inpatient medical care to patients with HIV infection, the Republican AIDS Center has opened a clinic for 60 beds. It is equipped with modern medical equipment at the expense of the World Bank project. In the clinic, patients receive qualified medical care. Also on its basis annually more than 2 thousand experts upgrade skills on antiretroviral therapy and treatment of concomitant diseases.
On the basis of the Republican Center for AIDS and the Tashkent Institute for Advanced medical studies, there are organized refresher courses, where more than 2,000 medical workers are retrained annually.
Attention is paid to the prevention of infection in newborns – the transmission of HIV from mother to child. Annually more than 600 thousand pregnant women are screened. If disease is detected, they will be treated with antiretroviral drugs. There are positive results – the birth rate of healthy children from HIV-infected pregnant women has risen to 99%.
The level of coverage of testing for infection among newlyweds, migrants is increasing. The control of the latter category is carried out in accordance with the protocol of the Republican Commission for Coordinating Actions to Counteract the Spread of HIV “On improving the effectiveness of measures on the detection and prevention of HIV infection among citizens of the Republic stayed long time abroad” of June 1, 2013.
International experience in the diagnosis, prevention and treatment of HIV infection is taken into account. Thus, over the past three years, 14 new national protocols developed in this direction have been introduced into health practice on the recommendation of international organizations of UN system, including the World Health Organization, UNAIDS, UNICEF and other agencies.
More than 25,000 lectures and conversations, 800 meetings, and more than 200 TV and radio speeches are held annually to raise awareness of the population, especially young people. The level of awareness on HIV infection in recent years has risen from 65.5% to 85%. As a result of these measures, the number of conscious citizens increases every year, who voluntarily apply for counseling and undergo HIV testing. On the basis of treatment and prevention institutions there are 230 trust offices and 30 friendly offices, where residents can come for both informational and psychological support. Further improvement of the results of the work on combating the disease is possible through single adherence to the goal of the state and society.
Preventive work among representatives of groups with an increased risk of contracting HIV has prevented the spread of infection among the general population.
The implementation of a set of measures for the prevention, detection and treatment of HIV infection has outlined a tendency to stabilize the epidemic situation. Over the period from 2013 to 2016, the prevalence of HIV infection among groups at increased risk of infection declined from 19.7% to 7.2%.
As a result of successfully preventive and anti-epidemic measures carried out within the framework of the national program, that strengthened by grants of international organizations, the country has achieved epidemic well-being on HIV infection.
(Source: «Uzbekistan Today» newspaper)
Reference to the source is a must in reproducing materials