Health systems in transition : Uzbekistan

13
Fig. 2.2
Structure of the Ministry of Health  
The Ministry of Health develops health care legislation and regulation, sets 
standards for the quality and volume of health services, monitors the quality 
of health care, identifies priorities for medical research, monitors population 
health, develops curricula for the training of health professionals, issues licences, 
certifies health care providers and coordinates international aid for the health 
sector. It also evaluates the implementation of governmental and ministerial 
policies (Republic of Uzbekistan, 1996). 
 
 
 
 
   
Minister 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
First Deputy Minister 
Deputy Minister –
Head Sanitary Physician
Deputy Minister
Deputy Minister
  
Department of Licensing 
and Control of the 
Quality of Medical 
Services Provided by 
Non-governmental 
Institutions – 7 staff 
 
 
 
 
 
 
 
 
 
Main Department
for Organization
of Treatment
and Prevention
 
Main Department 
of Sanitary and
Epidemiological Control 
 
Main Department
of Maternal and
Child Health –
4 staff
 
Department for
Development of
Material and
Technical Capacity
 
Inspection control –
4 staff
 
 
 
 
 
 
 
 
 
Division for 
Coordinating the 
Development and 
Implementation of 
Standards for 
Diagnosis and 
Treatment – 2 staff 
 
Division for Sanitation
and Hygiene – 2 staff
 
 
 
Division for
Monitoring of
Renovation and
Construction –
2 staff
 
Main Department of
Economy, Finance
and Forecasting
 
 
 
 
 
 
 
 
 
Division for 
Organization of 
Inpatient and 
Specialized Medical 
Care – 3 staff 
 
Division of
Epidemiology – 2 staff
 
 
 
Department of
Administrative
Management –
3 staff
 
Division of Accounting 
and Reporting – 4 staff
 
 
 
 
 
 
 
 
 
Division for
Organization of
Primary Health
Care – 5 staff
 
 
 
 
 
 
 
Division of Forecasting
and Financing of
Health Care – 3 staff 
 
 
 
 
 
 
 
 
 
Main Department
of Science
and Educational
Institutions
 
 
 
 
 
 
 
Department of
Management of Human
Resources – 4 staff
 
 
 
 
 
 
 
 
 
 
Division for the 
Coordination of 
Research Activities – 
4 staff 
 
 
 
 
 
 
 
  The apparatus under
the leadership – 4 staff
 
 
 
 
 
 
 
 
 
Division of
Education
Institutions – 2 staff
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Maximum number of staff allowed 88, including managerial staff of 69 persons.
 

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Health systems in transition
  
Uzbekistan
14
The structure of the Ministry of Health has changed frequently during 
recent years. Since the first years of independence, there has been a substantial 
reduction in the number of departments and staff. The names of departments 
have also changed frequently. 
•
  The Scientific Council under the Ministry of Health is responsible for 
the application of medical science in the Uzbek health system. It includes 
leading scientists and experts. 
•
  The Chief Directorate of Treatment and Prevention is one of the main 
departments responsible for the overall management and supervision of 
health services. It is responsible for developing practice guidelines and 
protocols for preventing and treating diseases. 
•
  The Department for the Protection of Maternal and Child Health 
administers maternal and child health facilities and supervises health 
care for children and mothers. 
•
  The main tasks of the Department of Sanitary-Epidemiological Inspection 
are the monitoring of sanitation issues, the control of infectious diseases, 
and the supervision of all sanitary-epidemiological institutions. 
•
  The departments for human resources and science and institutions of 
medical education are in charge of the education and training of health 
personnel and of forecasting the requirements for health personnel and 
human resource planning. The Department of Science and Institutions 
of Medical Education is also in charge of developing curricula for health 
care professionals in cooperation with the Ministry of Higher and 
Specialist Education. 
•
  The Department of Inspection Control oversees the implementation of 
health reforms and the pharmaceutical supply system, and inspects legal 
and reporting documents processed by other departments in the Ministry 
of Health. Health facilities are regularly inspected by clinical specialists 
and heads of health departments with the aim of ensuring that health 
facilities meet normative targets and comply with central regulations.
The highest hierarchical layer of the Uzbek health system also comprises health 
care delivery and research institutions. These institutions at the national level are 
financed and regulated directly by the Ministry of Health. Although the Ministry 
of Health exercises managerial and regulatory functions over all actors in the health 
system to some extent, only national-level institutions are directly managed by and 
accountable to the Ministry of Health. For all other institutions, these administrative 
and regulatory functions are performed by other agencies, such as