Health systems in transition : Uzbekistan

Project Health III (2012–2018)
The project Health III has four components (for performance indicators see 
Table 6.4; see also World Bank, 2011) that focus on:
1.  health service delivery at the levels of district/city hospitals and primary 
care facilities;
2.  health financing and management;
3.  noncommunicable disease prevention and control;
4.  project management and evaluation.
It is planned that improvements of health service delivery will be carried 
out by equipping district- and city-level hospitals with a selected list of medical 
equipment, medical furniture and waste management equipment. Hospital 
facilities will also be re-evaluated against new construction requirements 
and, where necessary, improvements will be carried out. Primary health care 
reform in urban settings will be expanded to cover all urban primary health care 
facilities in pilot cities. The ten-month training programme in general practice 

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Health systems in transition
  
Uzbekistan
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for primary care physicians will be continued. Clinical guidelines on a set of 
clinical conditions will be developed in locally accessible languages. Cascaded 
trainings in target facilities will be carried out to improve compliance with the 
new guidelines. 
The component on health financing and management aims to strengthen 
local capacity in health financing and management issues. Improving the 
effectiveness of noncommunicable disease prevention and control will take 
the form of strengthening local capacities in health promotion. The final 
component envisages a number of evaluation studies to strengthen evidence-
based decision-making in the health sector.
This project is by far the largest health care project implemented in 
Uzbekistan. Over US$ 228 million is pledged for project activities, of which 
about US$ 186 million will be provided by the World Bank in the form of loans, 
while the remainder will be covered from state funds.