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Republic of Kosova - Country Profile-

21 st EPSO Conference Prishtina , Kosova , June 2016. Republic of Kosova - Country Profile-. Ardita Baraku , MD, Spec. & MSc . Public Health Chief Inspector, Health Inspectorate Ministry of Health, Prishtina , Kosova. General Information. Location: Balkan Peninsula

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Republic of Kosova - Country Profile-

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  1. 21st EPSO Conference Prishtina, Kosova, June 2016 Republic of Kosova- Country Profile- ArditaBaraku, MD, Spec. & MSc. Public Health Chief Inspector, Health Inspectorate Ministry of Health, Prishtina, Kosova

  2. General Information Location: Balkan Peninsula Territory : 10 908 km2 Capital town: Prishtina Population : 1.8 million, 61.7% rural in 2011, Average family: 5.68 members in 2013 Ethnicity: 91% Albanians; serbian, bosniac, turk, montenegrian, roma, Language: Albanian, and Serbian. Religion: Prevailing Muslim; Orthodox, Christian .

  3. Gjakovë Prizren Prishtinë Prizren

  4. Political development • A part of Yugoslavia / Serbia between years 1945-1999 • Severely suppressed by Serbian regime • Reçak massacre, January 1999 • Under United Nations protectorate 1999-2007 • In year 2008, Independent State, • Recognized by 111 UN member states • Current president The Newborn monument (stylized NEWBORN) is a sculpture and tourist attraction in Prishtina, Kosova, unveiled on 17 February 2008, the day that Kosovo declared independence from Serbia.

  5. Natural Resources • The richest mineral resources in all of Europe: gold, silver, pure lead, zinc, cadmium, nickel etc. (World Bank, 2008).

  6. Brezovica ski resort Gadime Cave Rugovacanion Mirusha Waterfalls

  7. Vallja e Rugovës Çiftelia, sharkia, lahuta... Folccostumesof Has area Fli-ja Sofra – traditionaldiningtable Filigran

  8. World Famous … • Kosova Albanians • Rita Ora: MTV Awards, World Music Awards • Majlinda Kelmendi, judo champion 2013 • Luan Krasniqi, European box champion • Lorik Cana, Xherdan Shaqiri, Valon Behrami – soccer player • Albanian origin • Mother Tereza, humanitarian worker

  9. Indicators

  10. Population Pyramid 53% of population are under age 25 (ECLO Kosovo, 2011) 6 % above age of 65

  11. Health system (1) • Public health-care : • Primary care – family medicine, over 400 facilities • Secondary care – 5 regional + 2 city hospitals • Tertiary care – university clinical center, and other. • 13 568 employees (in 2013): 67% of them females; 94% of them Albanians % of employ- ment by level of health care

  12. Health system (2) • Private health care : • 1000 smaller facilities, general or specialized services, • 21 hospitals. • 3472 employees, from them 1666 nurses • Reform of the health system - May 2013 • Introduction of independent organization of public health-services, • Introduction of line-services • Introduction of payment by performance

  13. Utilization of public health-care • KAS for year 2011: http://esk.rks-gov.net/ • Primary Care: • 4.4 million registered visits, • 1080 doctors, • 18.6 visits per working day • Secondary Care: • 1128 doctors • 1908 beds • 85415 hospitalized • 382057 treatment days • 834 deaths • Terciary Care: • 870 doctors • 2164 beds • 84824 hospitalized • 510365 treatment days • 1324 deaths

  14. 5 most frequent groups of diseases • Source: NIPHK 2013, HFA –DB/ WHO

  15. Challenges • New health law and health reform • No health insurance, striving to start soon. • Low expenditure, low financing, low investment, low bed utilisation • Patient satisfaction survey in 2012, 84% of patients consider good to excellent the services provided • Health Sector Strategy 2014-2020 • Improve health promotion, prevention, treatment and care • Riorganise health sector • Ensure sustainable and sufficient resources for health care financing

  16. Health Financing • 6,7% of government expenditures or 135 Euro per citizen/year • Mainly tax financed • Patient copayment, Local budget, Donations, Kosova consolidated budget • In 2013, private sources contribute 40%. • Expenditures divided %(SOK, 2011) • S • S • S • S • s

  17. Organizational structure of Ministry of Health

  18. Thank you ! Questions? • ArditaBaraku, MD, MSc Public Health • Prishtina, Kosova, arditabaraku@yahoo.com

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