Uzbekistan Country Gender Assessment: Update

Report of the Working Group on the Universal Periodic Review. 
Uzbekistan. 
paras. 53, 92. Geneva.
187 
Ministry of Health of Uzbekistan. 2017
. Presentation at the Women’s Committee of Uzbekistan Conference.
14 december. 
tashkent. Uzbekistan.
188 
Y. Yang. 2015. 
Health Financing: Summary Review of Central and West Asia Countries and Country Studies of Pakistan, 
Uzbekistan and Kyrgyz Republic.
US: Johns Hopkins University. https://ru.scribd.com/document/280792266/
pReSeNtatION-Health-Financing-in-Central-and-West-asia-Country-Studies-of-pakistan-Uzbekistan-and-
Kyrgyz-Republic \
189 
UN development program. 2014. 
Human Development 
Report- 2014.
190 
X. Huang and N. Yoshino. 2015. 
Impacts of Universal Health Coverage: A Micro-funded Macroeconomic Perspective.
ADB 
Working Paper Series
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Mainstreaming Gender in ADB Operations, by Sector
63
early detection and specialized treatment; scarcity of equipment and low-quality services in 
rural maternity hospitals, resulting in poor prenatal care; scarcity of medical experts in the 
field of mother and child health and their insufficient professional level; insufficient level of 
gynecological medical care in regional perinatal centers; and lack of hotlines and call centers for 
teenage girls to consult on their reproductive rights and reproductive health issues.
191
Uzbekistan still lacks a social health insurance system, and private health insurance covered 
only 2.6% of total health expenditures in 2012.
192
2. Government Commitments
the ongoing reformation process for the health-care system has addressed many of the 
above issues. From its first days of independence, Uzbekistan has undertaken major efforts 
to improve medical care, provide universal health coverage, and maintain free primary health 
care. One component of health system reforms was the transformation of primary health care 
and establishment of an institution of general practitioners. Under successive reforms, health 
infrastructure was improved and modernized; staff was trained; treatment protocols were 
updated; and new financing and management reforms were piloted.
193
the government has 
made a substantial investment in tertiary-level care, including the establishment of multi-profile 
pediatric and regional hospitals and upgrading district and other specialized hospitals.
Health care is undergoing radical transformations in diverse segments. For instance, 
improvements in sanitary epidemiological services
194
and pharmaceuticals
195
aim to ensure 
dynamic and sustainable development of the national pharmaceutical industry, saturate the 
domestic market with quality and safe medicines based on domestic raw materials, increase 
production of import-substituting pharmaceuticals (supported by broad tax and customs 
benefits for local producers), and attract foreign investments.
196
Some legal interventions worked to improve the support system for vulnerable populations. 
Orphanages, boarding houses, and other social rehabilitation facilities 
(Murruvat,
Sahovat
) 
191 
Ministry of Health of Uzbekistan. 2017. 
Presentation at the Women’s Committee of Uzbekistan Annual Conference
. 
14 december tashkent. Uzbekistan.
192 
M. ahmedov, R. azimov, Z. Mutalova, S. Huseynov, e. tsoy, and B. Rechel. 2014. 
Health System Review. Health Systems in 
Transition
. Uzbekistan. p.41. More recent statistics were not available during CGaU preparation.
193 
Ministry of Health of Uzbekistan portal. https://www.minzdrav.uz/projects/detail.php?Id=13363&version=contrast; 
Successive projects Health-1, Health-2 and Health-3 projects (1996–2018). In the frames of the Health-2 project 
(2004–2011), 2,389 rural health units and 25 family health centers were provided with equipment. the project 
provided training to 3,770 general practitioners and benefited more than 18 million people. the Health-3 project 
(2011–2018) is a logical extension of Health-2, which focused on access to primary health care services and addressed 
the rise of noncommunicable diseases. Over 1,000 doctors have attended training courses for general practitioners 
in the framework of Health-3 project, and 3,000 physicians will complete training by the end of 2018.http://www.
vsemirnyjbank.org/ru/news/feature/2014/02/12/primary-care-and-disease-prevention-become-priorities-in-
uzbekistan
194 
Law of the Republic of Uzbekistan #393 (26 august 2015).