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Country Presentations: Methodology

Country Presentations: Methodology. Aims: To Describe and share the situation in the country (needs, characteristics, palliative care programmes and services) To Identify strong points and weak points To Identify main difficulties and dilemmas To Identify main challenges Method: 5 slides

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Country Presentations: Methodology

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  1. Country Presentations: Methodology Aims: To Describe and share the situation in the country (needs, characteristics, palliative care programmes and services) To Identify strong points and weak points To Identify main difficulties and dilemmas To Identify main challenges Method: 5 slides Time: 5 minutes

  2. 1: Needs & situation assessment Aims: The population in Kyrgyzstan is 54203 mln. Residents in the capital is-1848. 8 mln, in the villages 3575.5 mln peolpe. Men life interval is - 65.2 years and women - 73.2 years. Population 65-68 agedis - 105411. Aged 69 years is 64767 Aged 70 and older is -181532. 2. To Describe Health care system main issues – please see next slide (p.2)

  3. 2: Needs & situation assessment Aims: The population of Kyrgyzstan is 54203 mln people. Residents in the capital 1848, 8, in the villages 3575,5 mln. Men life interval is 65.2 years and female 73.2 years. Population aged 65-69 years 105411. Aged 69 years is 64767 and aged 70 years and older-181532. 2. Financingdeficit of the health budget, brain drain, low salary for medical workers, poor material and technical base of health care facilities, there are areas of health, remain at large without a system of support and attention (such as oncology, psychiatry, etc.) According to the statistics data in 2010 mortality from 100 000people in the republic is 666.8 Which is: Heart disease-326, 5 people; Respiratory system diseases - 55.5 people; Cancer -60.7 people; Digestive diseases-44, 3 people; Infectious disease -17.6 people; Accidental death of various etiologies is -44.3 people; And 75% of total are able-bodied people. In 2009 mortality in the republic is amounted to 50,3%, in Bishkek - 62,9%

  4. 3: Palliative Care Aims: Have no state program for the PC. There are 2 Department for PC in National Oncology Centre and 2hospises based on Republican Narcology Centre. The absence of mobile team and other forms of PC , except stationary. Large percentage of patients do not receive PC. But, at the department of PC (National Oncology Centre) annually 500-600 people receive PC, form that amount 42,2% of people die first year (one year lethality). There is no narrow specialization on PC. Since last year physicians of the Department of PC at the national Oncology Centre are trained in other countries.

  5. Weak points: There is no adequate funding for the PC Not developed policies, strategies, legislation on the PC, PC standards, etc. PC is not included in the priorities of Medical Universities programs, lack of educational material on PC. Lack of specialists Lack of institutions on the PC 4: Qualitative analysis Strong points: The presence of motivated professionals in the PC Political support – Ministry of Health, Jogorku Kenesh deputies Formed and Association for the PC development in Support of KSMI, KSMA and other healthcare institutions PC included in the health care reform program “ManasTaalimi 2”

  6. Dilemmas: Lack of sustainable support for PC Low capacity of professionals in PC providing Legal illiteracy of patients and physicians Legislation imperfection on PC. Previously PC was not included in health priorities, including “Manas taalimi” program Challenges: Palliative care models support of and advocacy to ensure their sustainability Capacity building for medioprophilactic institution, likeMoH/ NGOs providing palliative care. Advocacy activities to patients rights protect in order to receive palliative care and quality health care. Development of laws, which give access to quality palliative care in health institutions (MoH). Including PC in a priorities in a new reforming strategy for the health care system 5: Main dilemmas & challenges

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