The project’s ultimate beneficiaries are citizens in rural areas of 3 southern oblasts (Batken, Osh, Jalalabad) and 2 cities Bishkek and Osh, which is 70% (around 4.6 million) of total population in Kyrgyzstan .

Primary health care providers as Family Group Practitioners( 449 out of 678) and Village Medical Points (614 out of 1057), and 1’560 family doctors and 4’180 nurses are direct beneficiaries.

The national level beneficiaries are the Ministry of Health and the Mandatory Health Insurance Fund.

Outcome 1: The Primary Health Care system deliverse fficient,e quitable and quality care to the population at risk or living with non-communicabldei seases in target regions.

Outcome 2: The populationin target areas has adopted healthier lifestyles, which reduces its non-communicable diseases related risks.

Erwartete Resultate:  

• An effective and transparent PHC system allows toprevent and control NCD
• Management of NCDs improved through implementation of PEN protocols
• Gender-specific awareness and information campaigns on risk factors of NCDs lead to a healthier lifestyle of men and women

Resultate von früheren Phasen:  

The project achieved most of its outcome and output indicators during phase I, and thereby contributed to strengthening the PHC system and promoting healthy lifestyles in the four northern oblasts.

Main achievements of the phase 1 by areas of interventions are:

PHC system strenqtheninq: Ministry of Health adopted WHO tool called Package of Essential activities on Non-Communicable Diseases (PEN); all family doctors and nurses working in 228 Family Group Practitioners in the 4 target oblasts trained and are applying PEN 1,2 and 4 protocols; quality committees’ work enhanced with focus on NCD management; algorithm for referrals to other levels of care revised and piloted; budget transparency principles introduced in pilot facilities; quality of patient’ data improved thanks to digitalization; eased patient’s appointment and improved data analysis by the Ministry of Health and Mandatory Health Insurance Fund.

Health promotion:

Behavioral change communication introduced to promote healthy lifestyles and improve health literacy of the population about NCD-related risk factors. Around 70% of the rural population in targeted regions reached by the health education sessions, including schoolchildren. 13% increase of men’s visits to a family doctor for check-up; improved behavior concerning smoking, alcohol consumption, healthy diet and physical activity.