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21 мая 2019

INFORMATION On the “Primary Health Care Improvement” investment project with the participation of Asian Development Bank (ADB)


On the “Primary Health Care Improvement” investment project with the participation of Asian Development Bank (ADB)

The goals and objectives of the project are defined in accordance with the Resolution of the President of the Republic of Uzbekistan dated 29 th of March, 2017 № PP-2857 “On measures to improve the organization of primary health care facilities of the Republic of Uzbekistan activity”

The feasibility study of the project was approved by the resolution of the Cabinet of Ministers of the Republic of Uzbekistan, dated November 1 st, 2018 № 902 “ On measures for the implementation of the “Primary Health Care Improvement” project with the participation of Asian development bank (ADB).

The project will contribute to strengthening the health sector in rural areas by equipping rural medical clinics with modern medical equipment and training medical staff in order to expand the services they provide.

The total amount of the project:

57,8 million USD of which:

Government contribution – 12, 8 million USD;

ADB loan – 45, 0 million USD

The project provides for equipping 793 rural medical policlinics with modern medical equipment. Besides, the pilot operation of the health management information system will be carried out in one of the rural regions.

The structure of the “Primary Health Care Improvement” project includes the following components:

1. Procurement of medical and non-medical equipment

This output focused on providing each of newly created medical policlinics with medical and non-medical equipment. Each of the 793 rural medical policlinics will receive the following standard set of equipment:

· Universal digital ultrasound diagnostic system with color Doppler

  • 12-lead ECG

· Ophthalmoscope / Otoscope Sets

  • Instrument sets for operating surgeon, obstetrician-gynecologist
  • Patronage bags with contents
  • Electronic scale with height meter

· Dental units (with accessories)

  • PC’s

Within the framework of the project, all purchased equipment will be registered and serviced by the Republican maintenance center of the Ministry of Health.

Besides that, this output planned to equip 13 regional multi-profile medical centers, TIPME, faculty of advanced training and retraining of doctors in Andijan and Samarkand State medical institutes each with one ultrasound scanner and one ECG to facilitate training activities. The training process will be coordinated and implemented by TIPME, the leading institution, responsible for training and professional development of medical personnel.

Bidding documents for the procurement of medical equipment, tools and PC’s for the rural family policlinics were agreed and approved by tendering committee of MoH and Asian Development Bank. Tender for the procurement of equipment was announced on April 9, 2019 (link). The date of bid opening is May 21, 2019. Currently, bids are being collected. The delivery of equipment to rural family policlinics will start in the 1st quarter of 2020.

2. Strengthening the capacity of the staff of polyclinics.

This output will provide training to about 2,700 health technology operators, doctors, and nurses at family polyclinics to ensure their competence in using the equipment and to improve their diagnostic and therapeutic skills. This in turn will help to improve the quality of care, and public trust in and use of PHC services; and ultimately reduce morbidity and mortality. Under this output, Uzbekistan’s medical training institutions will be provided with the necessary training and equipment to institutionalize the skills of their health staff.

Preparatory work for the organization of professional development of both physicians and nurses, as well as for the improvement of skills of using of equipment supplied under the project has been initiated. Information on medical and nursing personnel working in rural family polyclinics has been requested from the regions, and the obtained data are being analyzed.

3. PHC monitoring tools institutionalized.

This output will focus on the development and implementation of monitoring tools for the collection, processing, imaging and use of data to strengthen the health system of the Republic and monitor its effectiveness, as well as to achieve the goals of public health and progress in the reform of WHO and PHC.

Currently, the collection and processing of public health data is done in a manual way (on paper), when primary health care institutions submit data to the regional health authorities for further imaging and reporting to the statistics authorities and the Ministry of Health. The output focuses to establish tools and procedures for more effective monitoring of health indicators. The implementation of the activities outlined in this component will carried out in two ways:

First method: a platform for systematic collection of main indicators of primary health care data will be established within the ADB/WHO structure. The health data-monitoring panel will provide the government health interested parties with direct and immediate access to detailed or aggregated health indicator data.

Second method: In (family) medical policlinics with the day-treatment departments in Syrdarya region a pilot implementation and operation of the Health Management Information System (hereinafter - "HMIS"), by providing the necessary equipment and software will be implemented.

Project management:

On December 3, 2018, the Project Implementation Unit and Charter of PIU were registered on Single center for public services. Thereafter, the Project Implementation Unit is formed.

Based on the Order of the Minister of Health of the Republic of Uzbekistan No. 94-k dated March 18, 2019, Ilkhom Tashtemirov was appointed as the Manager of “Primary Health Care Improvement” Project.

Currently, qualification of interested candidates regarding competitive selection of 3 individual international consultants (team leader, specialist on monitoring and evaluation and specialist on health management information systems) under the evaluation process. The evaluation of interested candidates regarding competitive selection of 2 national consultants was sent to ADB for No Objection.

PIU contacts:

100007, Tashkent, Parkent str, 51

Phone/fax: (+998-71) 268 0819, 268 2539, 268 1213

fax: (+998-71) 267-73-47

e-mail: uzphcip.piu@gmail.com