Analysis of the current healthcare situation in East Kazakhstan oblast

1. Health Department Akimat of East Kazakhstan Oblast Analysis of the current healthcare situation in East Kazakhstan oblast Ust-Kamenogorsk 2015

2. Message of the President of the Republic of Kazakhstan N.A. Nazarbayev to the people of Kazakhstan «Kazakhstan’s way – 2050: Common Goal, Common Interests, Common Future» The main priority in healthcare is primary care services. The joint responsibility of the state, the employer and employee for his/her health is the main principle of the entire health care system. Sports, proper diet, regular preventive examinations are the foundation of disease prevention. 2

3. General overview of the region Area — 283,3 sq. km Administrative divisions - 15 village rayons, 10 cities, 754 selos (town), 244 selo districts. Population density on average 4,9 person per 1 sq km.

4. General overview of the net of healthcare organizations 01.01.2015г (legally independent) East Kazakhstan Oblast Total number of medical organizations Received state order Public organizations Private organizations

5. Configuration of the current network of hospitals and primary care facilities in East Kazakhstan 2012-2014

6. Structure of Primary Care in East Kazakhstan Oblast 2013-2015 Primary Care medical organizations -63, among them Doctors ambulatory– 18

7. Level of Primary Care organizations in East Kazakhstan Oblast 2015 number proportion city rayon selo Проблемы Достижения Problems Achievements Не переведено на ПХВ в 2015г Переведено на ПХВ 100%: total number of hospitals Central Rayon Hospital,City Hospitals and 87,5% polyclinics 4 Primary Care (0,06%) 4 Primary Care orgs. in Semey (1 DA, 2 Primary Care Centers, 1 Polyclinic) Autonomy

8. Population dynamics and results of attachment to Primary Care organizations in East Kazakhstan Oblast Increase of registrationin Population Attachment Register from 97,9 % to 99,9% in the beginning of the year 1 388 890 1 394 433 1 364 316 со стороны ПМСП со стороны ПМСП Employable age children pensioners Statistics Agency Population Attachment Register - 99,9% out of 1 395 271 according to Health Department in East Kazakhstan Oblast (-838 people)

9. Level of concentration of population to 1 Primary Care organization in Semey in 2015 Higher than average in Semey

10. Level of concentration of population to 1 Primary Care organization in Ust-Kamenogorsk in 2015 • High population density for 1 medical organization: 1) decrease access and quality to care; • 2) queuing; • 3) low competition level. • In order to increase access, planning to open DA in Ahmirovo, polyclinic in the Left bank of city and Ulbinsk rayon

11. Staffing in Primary Care 2013-2014 Total population of East Kazakhstan Oblast – 1395271 people (Department of Statistics) Doctors Normal 5 to 10 thousand Normal 2.5 per 1 physician Social workers Psychologists

12. Development of General Practice in Primary Care 2012-2014 • Absolute number of GP: 2012- 2014 • Relative proportion of GPs to Primary Care Physicians: 2012- 2014 GP

13. Thank you!