Toward Universal Coverage in Health : The Case of the State Guaranteed Benefit Package of the Kyrgyz Republic

In this case study the paper describes the evolution of the Kyrgyz health care system and discusses challenges in ensuring universal access to basic health care services. Section one provides an overview of the Kyrgyz health system and of the national health care reform programs that started in 2001...

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Bibliographic Details
Main Authors:	Giuffrida, Antonio, Jakab, Melitta, Dale, Elina M.
Format:	Working Paper
Language:	en_US
Published:	World Bank, Washington DC 2013
Subjects:	access to health care access to health services access to services administrative costs adult mortality Adult mortality rate aged aging allocation of resources basic health care basic health services budget allocation budgetary resources cancer cancer patients capitation cardiovascular diseases child health child health services citizen citizens civil society organizations Communicable diseases Community Action contraceptive use cost of treatment developing countries diabetes diphtheria dispensaries doctors drugs economies of scale emergency care Emergency Situations Epidemiological Surveillance equal access externalities families financial barriers financial management financial protection financial resources financial risks Forecasts General Practice Health Affairs health care health care costs Health Care Coverage health care organizations health care providers health care reform Health Care Services health care system Health Care Systems Health Care Systems in Transition Health Committees health conditions health consequences Health Coverage Health Delivery Health Delivery System health education Health Expenditure health expenditures health facilities Health Financing health information health information system health insurance Health Insurance Fund health insurance market Health Organization health organizations health outcomes health policy health programs Health Promotion health promotion activities health providers Health Reform health reforms health sector Health Sector Reform health services health status Health System health system performance Health System Reform health system strengthening health systems Health Systems in Transition health workers healthcare services HIV HIV infection HIV/AIDS Hospital hospital admission hospital admissions hospital beds hospital capacity hospital care hospital services hospitalization hospitals household expenditure Hygiene hypertension ill health illnesses immunization immunizations impact on health impact on health outcomes income income countries income groups Individual health Infant mortality Infant mortality rate infectious diseases informal payments institutional capacity internal migrants international organizations Life expectancy Life expectancy at birth Low Income Low-income Countries medical doctors medical personnel medical services medical supplies medicines midwife migrants Migration Ministry of Education Ministry of Health morbidity mortality mother National Health national health policy national initiatives national level National Security nurse Nurses outpatient care outpatient services patient patient rights patient satisfaction patient satisfaction surveys patients pediatrics permanent residence pharmaceutical sector pharmacies pharmacy physician Physicians pocket payments Policy Research polio Poor Families postnatal care pregnant women primary care primary care physician primary health care primary health care services private financing private health insurance private pharmacies private sector progress provision of care provision of health services provision of services Public Health public health policy public health spending public health system public providers public sector quality assurance quality care quality control quality of care quality of health Quarantine radiology rehabilitation rural areas skilled birth attendance Social Affairs syphilis tertiary level tuberculosis universal access use of health care services use of resources vaccination vascular diseases victims vulnerable groups War workers World Health Organization
Online Access:	http://hdl.handle.net/10986/13311

Description
Summary:	In this case study the paper describes the evolution of the Kyrgyz health care system and discusses challenges in ensuring universal access to basic health care services. Section one provides an overview of the Kyrgyz health system and of the national health care reform programs that started in 2001 with Manas (2001-2005) and which have been continued with Manas Taalimi (2006-2011), and the recently adopted Den Sooluk (2012-2016). Section two provides a detailed discussion of the SGBP that follows a universal approach as it applies to all citizens, and describes the management of public funds and the information environment of the State Guaranteed Benefit Package (SGBP). Section three draws lessons from Kyrgyz national health reforms for universal health coverage for other countries with very limited public resources, widespread poverty, and high levels of corruption. Section four discusses the remaining challenges for universal health coverage for the poor and how the provision of good-quality care forms an important part of the agenda for the recently adopted Den Sooluk program.

Toward Universal Coverage in Health : The Case of the State Guaranteed Benefit Package of the Kyrgyz Republic

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