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Data Collection Survey on Health Sector in the Republic of Uzbekistan Final Report the Republic of Uzbekistan Ministry of Health

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Data Collection Survey on Health Sector in the Republic of Uzbekistan Final Report the Republic of Uzbekistan Ministry of Health Data Collection Survey on Health Sector in the Republic of Uzbekistan Final Report The Republic of Uzbekistan Ministry of Health Data Collection Survey on Health Sector in the Republic of Uzbekistan Final Report August 2014 August 2014 Japan International Cooperation Agency(JICA) System Science Consultants Inc. 3R CR(10) 14-019 2 英文 093442.3117.26.7.31 作業；藤川 Survey Site Map Pictures Tashkent City Ministry of Health First Round Table Meeting (JICA Uzbekistan Office Meeting Room) Sanitation Epidemiological Station (SES) Institute of Health and Medical Statistics (IHMS) Republican Perinatal Center Incubator and Premature Baby (Republican Perinatal Center) Republic Scientific Center of Urology Dialysis Treatment Room, There are six dialyzers. (Republic Scientific Center of Urology) Navoi Oblast Group Health Checkup at Primary School at Rayon Patients’ files are managed by the date of birth Level (Karmana District) (Madaniyat SVP) Weight & Height Meter at Rahtoabad SVP NCD Database Management by Staff (Equipment provided by JICA was utilized will.) (Rahtoabad SVP) Andijan Oblast (Andijan City) City Family Clinic Patient Consultation at Outpatient Department (City Family Clinic) Republic of Karakalpakstan (KKP) Ministry of Health (Nukus City) KKP Oncology Dispensary Facility of Rural Medical Union Delivered Equipment provided by the Health III Project (Rural Medical Union) National Rehabilitation Center (Tashkent City) Portable X-ray Imaging Machine Equipment for Operating Room provide by the Grant Aid Project provide by the Grant Aid Project Making Prosthetic Limbs (1 Making Prosthetic Limbs 2 Regional Rehabilitation Center (Samarkand Oblast, Samarkand City) X-ray Imaging Machine made in 1978 Electrical Therapy Device Vocational School (Fergana Oblast, Fergana City) Dressmaking Class (Physically Disabled Persons) Manufacturing Shoes by Deaf Students Repairing TV Radio by Intellectual Disability Training School Materials (Nationally Common) Dress made in Dressmaking Class Items made in Dressmaking Class Republic of Karakalpakstan Facility for Female Psychiatric Disability Persons Psychiatric Disability Persons who are knitting and (30-minute drive far from Nukus city) dressmaking Abbreviations and Acronyms ADB Asian Development Bank AIDS Acquired immune deficiency syndrome APCD Asia-Pacific Development Center on Disability ART Antiretroviral Therapy ARVP Antiretroviral Prophylaxis C/P Counterpart CBR Community-based Rehabilitation CIS Commonwealth of Independent States COPD Chronic Obstructive Pulmonary Disease DET Disability Equality Training DPO Disabled People Organization ESC Employment Support & Social Protection Center EU European Union FAO Food and Agriculture Organization of the United Nations GFATM The Global Fund to Fight AIDS, Tuberculosis and Malaria GIZ Deutsche Geselischaft fur Internationale Zusammenarbeit GP General Practitioner HIV Human immunodeficiency virus IDF International Diabetes Federation IHMS Institute of Health and Medical Statistics IMCI Integrated Management Childhood Illness IMF International Monetary Fund IMR Infant Mortality Rate IRP Individual Rehabilitation Program ISCED International Standard Classification of Education IUD Intrauterine Device JDF Japan Disability Forum JICA Japan International Cooperation Agency JOCV Japan Overseas Cooperation Volunteers KfW Kreditanstalt fur Wiederaufbau (Reconstruction Credit Institute) KKP Republic of Karakalpakstan MCC Medical Consulting Commissions MDGs Millennium Development Goals MDR-TB Multidrug resistant tuberculosis MICS Multiple Indicator Cluster Survey MLEC Medical Labor Expert Commissions MLSSP Ministry for Labour and Social Security of Population MMR Maternal Mortality Ratio MOH Ministry of Health MRI Magnetic Resonance Imaging NCD Non-Communicable Diseases NGO Non-governmental Organization NHA National Health Account OJT On the Job Training OPD Outpatient Department PEN Package of Essential Noncommunicable diseases interventions for primary health care in low-resource settings PHC Primary Health Care PWDs Person with disabilities RKKP Republic of Karakalpakstan RMU Rayon Medical Union SCOS State Committee of the Republic of Uzbekistan on Statistics SES Sanitation Epidemiological Station STEPS STEP wise approach to chronic diseases risk factor Surveillance SVP Selsky Vrachebny Punkt (primary health care facility) TB Tuberculosis UHES Uzbekistan Health Examination Survey UN ESCAP United Nations Economic and Social Commission for Asia and the Pacific UNDP United Nations Development Programme UNESCO United Nations Educational, Scientific and Cultural Organization UNFPA United Nations Population Fund UNICEF United Nations Children's USAID United States Agency for International Development WB World Bank WHO World Health Organization WIS Welfare Improvement Strategy Exchange rate in the report (As of May, 2014) 1 USD = 102.58 JPY 1 UZS (som) = 0.045JPY Table of Contents Survey Site Map Pictures Abbreviations and Acronyms Table of Contents Chapter 1 Outline of the Survey ...................................................................................................................... 1 1.1 Background of the Survey .............................................................................................................. 1 1.2 Objective of the Survey .................................................................................................................. 2 1.3 Survey areas .................................................................................................................................... 2 1.4 Approach of the Survey .................................................................................................................. 2 1.5 Members of the Survey Team ......................................................................................................... 3 1.6 Main Interviewees .......................................................................................................................... 3 1.7 Survey Schedule ............................................................................................................................. 4 Chapter 2 Country Situation ............................................................................................................................ 5 2. 1 Natural Condition and Economy .................................................................................................... 5 2. 2 Social Situation ............................................................................................................................... 5 Chapter 3 Development Policies and Plans ..................................................................................................... 6 3.1 National Development Policies ...................................................................................................... 6 3.2 Health Sector Development Plan .................................................................................................... 7 3.1 Policy and Plan for Disability Sector .............................................................................................. 8 Chapter 4 Health Status of the People ........................................................................................................... 14 4.1 Overview ...................................................................................................................................... 14 4.2 Mother and Child Health .............................................................................................................. 15 4.3 Infection ........................................................................................................................................ 17 4.4 Noncommunicable Diseases (Lifestyle-related diseases) ............................................................. 19 4.5 Other (Nutrition) ........................................................................................................................... 34 Chapter 5 Health System ............................................................................................................................... 36 5.1 Service Delivery, Referral System ................................................................................................ 36 5.2 Leadership/ Governance ............................................................................................................... 39 5.3 Health Workforce .......................................................................................................................... 41 5.4 Financing ...................................................................................................................................... 46 5.5 Health Information ....................................................................................................................... 50 5.6 Facility/ Equipment/ Pharmaceuticals .......................................................................................... 53 Chapter 6 Current Situation of People with Disabilities ............................................................................... 55 6.1 Overview ...................................................................................................................................... 55 6.2 Rehabilitation ............................................................................................................................... 59 6.3 Employment and Vocational Training for PWDs ........................................................................
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