Uzbekistan Country Gender Assessment: Update

On Sanitary and Epidemiological Welfare of the Population
.
195 
Law of Republic of Uzbekistan # 399 (4 January 2016). 
On Medicines and Pharmaceutical Activity
(New edition). 
decree of the president # 2647 (31 October 2017). 
On Measures for Further Improvement of Providing the Population with 
Medicines and Medical Products
; decree of the president # 4985 (16 March 2017). 
On Measures for Further Improving the 
System of Emergency Medical Care
.
196 
decree of the president # 2596 (13 September 2017). 
On Measures for Further Development of Pharmaceutical Industry of 
the Republic of Uzbekistan in 2016–2020.

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Uzbekistan Country Gender Assessment Update
were moved from the Ministry of Social protection to the Ministry of Health).
197
the reforms 
aim to further strengthen social support for the disabled and elderly persons living in boarding 
houses.
198
the latest transformations in the public health-care system aim at dramatically improving 
efficiency, modernizing the system of highly specialized medical care, and improving the 
prevention and early detection of diseases, including in rural areas.
199
the reform focuses on 
enhancing the role of scientific and practical medical centers in relevant areas of specialization, 
promoting privatized health care, and developing robust competition. the transformations 
in private health care provide for necessary conditions to deliver high-tech medical services, 
attract foreign investments and highly skilled specialists, develop medical tourism, and export 
health services.
200
the most recent decree of the president of Uzbekistan envisions “female consultations” in 
the structure of family polyclinics and rural medical posts charged with the responsibility of 
medical consultation to adolescent girls and women of childbearing age.
201
these developments 
allow assumptions on a more holistic approach toward health care and social safety nets as 
articulated earlier in this chapter. 
3. Gender Issues
although health care is traditionally considered a female profession, it mostly relates to 
secondary medical personnel (nurses) and secondary vocational education (table 8).
Gender asymmetry in professional medical colleges displays a stable trend of female 
domination: 25,400 (19.5%) males vs. 104,600 (80.5%) females in 2014; 28,000 (24.1%) vs. 
116,000 (75.9%) in 2015; and 27,400 (24.8%) vs. 110,300 (75.2%) in 2016. that trend might be 
culturally conditioned: nurse-brides are welcome in families because they can take professional 
care of children, elders, and other family members.
197 
Ministry of Finance of the Republic of Uzbekistan. Order #4782 (22 February 2016). 
On Measures for Further 
Improvement of the System of Social Support and Medical-Social Assistance to Vulnerable Segments of Population.
198 
according to the reforms, branches for disabled adults (aged 18 years and older) and some orphanages for disabled 
children will open under “Muruvvat houses.” Former inmates of boarding houses will be admitted to these departments, 
taking into account the peculiarities of their mental and physical development and condition. the Republican Board of 
trustees has been established to support the activities of the Muruvvat and Sakhovat boarding houses and the territorial 
boards of trustees in Karakalpakstan, regions, and the capital. they are entrusted developing and implementing state 
programs on social support for the disabled and elderly, improving orphanages, and establishing an effective system 
for the provision of health and social care. the Ministry of Health established an extra-budgetary fund through 
donations and grants to support Muruvvat and Sakhovat boarding houses. “the Muruvvatorphanages will create 
special departments for people with disabilities over 18 years.” https://nuz.uz/obschestvo/24531-v-domah-muruvvat-
sozdadut-osobye-otdeleniya-dlya-invalidov-starshe-18-let.html.
199 
decree of the president # 3071 (20 June 2017).