Health systems in transition : Uzbekistan

6. Principal health reforms
O
ver the past two decades, Uzbekistan has initiated several major health 
reforms, with the aim of improving health care provision, governance 
and financing. Areas of reform included primary care (initially in 
rural areas), secondary and tertiary care, and emergency care. Primary care has 
been changed from a multi-tiered to a two-tiered system, the training of GPs 
has been initiated and the financing of primary care is increasingly based on 
capitation. There are also efforts to introduce new approaches to maternal and 
child health, public health, noncommunicable disease prevention and control, 
and monitoring and evaluation. In secondary and tertiary care, capacities were 
scaled back and new governance and financing arrangements for pilot tertiary 
care facilities introduced. Reforms of medical education have also been initiated.