Health systems in transition : Uzbekistan

xx
Principal health reforms
Over 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 have been scaled back and 
new governance and financing arrangements for pilot tertiary care facilities 
introduced. Reforms of medical education have also been initiated.