Strengthening Governance in the Primary Health Care System in Kyrgyzstan

Ministry of Health

The overall goal of the project is to contribute to improving the health status and well-being of the Kyrgyz population in rural areas through better control and management of non-communicable diseases (NCDs) at primary health care (PHC) level. This will be achieved through improvement of governance of the PHC system, training of PHC staff for improved service delivery and healthy promotion activities to change behaviour of the population towards healthier life-styles. GFA/EHG consortium provided a team of international and national experts who implement the following project activities in close collaboration with the Ministry of Health, local subcontractors and technical working groups: • Enhance the referral system between the PHC level and the secondary/tertiary levels; • Strengthen external auditing related to NCD management; • Update Feldsher-Accoucher Point (FAP) medical staff functions; • Improve the PHC e-CIF management system; • Integrate PEN training materials into post-graduate educational programmes for doctors and nurses; • Procure necessary equipment and supplies for better management of NCD at PHC facilities; • Adapt WHO PEN protocol 4 for addressing the problems of breast and cervical cancer to Kyrgyz situation; • Enhance the role of PHC nurses and VHCs (with focus on risk factors) in NCDs control; • Strengthen internal auditing for the quality of patient care related to NCDs; • Develop information campaigns, outreach events and BCC interventions on hypertension, diabetes, breast and cervical cancer; • Develop information materials for men, mainly on CVD and diabetes addressing risk factors as tobacco, harmful use of alcohol, nutrition and physical activity; • Implement interactive health promotion activities (e.g. JiC) on NCD risk factors in schools; Incentivize Local Self-Governments and VHCs to address NCD issues (small grants based on competition for health determinants).