Effective management and prevention of Non-Communicable Diseases
Kyrgyzstan faces an increasing prevalence of non-communicable diseases and there are significant gaps in the health system to manage them. The Primary Health Care system should deliver equitable care and prevent hospitalizations with non-communicable diseases’ complications. The project contributes to Improve health and quality of life of the rural population through replicating the model of primary health care strengthening and promoting healthy behaviour among people in southern regions and two big cities.
Health systems strengthening
Primary health care
- 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
- Central State of South East
- Foreign private sector North
|Background||Non-communicable diseases (NCD) account for 83% of all deaths and remain a serious health issue in Kyrgyzstan. The reasons for this high prevalence of NCD include low levels of early diagnosis, insufficientc apacity of health workers to prevent and control NCDs, uncoordinated quality management processes, and low awareness of population about risks factors related to NCDs. In the face of this situation, the Primary Health Care system continues to play a central role. The Ministry of Health recognises the urgency of addressing the growing burden of non-communicable diseases, but lacks vision to solve this issue through strengthening primary care system. Building on the positive experience of the previous phase, SDC wiII support the replication of interventions to strengthen the primary health care system in the southern regions: Osh, Djalalabad, Batken and in two cities: Bishkek and Osh, to reduce the burden of NCDs throughout the whole country.|
|Objectives||The overall goal of the project is that “the health status and wellbeing of the Kyrgyz population in targeted areas is improved through better controlled and managed NCDs at primary health care level”.|
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.
Results from previous phases:
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.
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.
|Directorate/federal office responsible||
Foreign state institution
The implementing partner of the project is the Consortium of GFA Consulting Group, Euro Health Group and local nongovernmental organization “Healthy Future”.
|Coordination with other projects and actors||The project has strong synergies with the Swiss funded health projects such as Health Budget Support through Payment for Results, Health Facilities Autonomy and Medical Education Reforms.|
|Budget||Current phase Swiss budget CHF 5’070’000 Swiss disbursement to date CHF 600’000 Total project since first phase Budget inclusive project partner CHF 12’000’000|
|Project phases||Phase 2 01.07.2022 - 30.06.2026 (Current phase) Phase 1 01.01.2017 - 30.06.2022 (Completed)|