of December 21, 2005 No. 276
About approval of advanced wages system of health workers
In pursuance of the Resolution of the President of the Republic of Uzbekistan of December 1, 2005 No. PP-229 "About enhancement of wages system of health workers", for the purpose of further enhancement of the operating wages system and material stimulation of health and pharmaceutical workers, strengthening of dependence of the amount of payment of their work on degree of complexity and intensity of the performed work, qualities of the provided medical care, and also creation of incentives for continuous increase in level and qualification of health workers the Cabinet of Ministers decides:
1. Take into consideration that at cabinet meeting of the Republic of Uzbekistan with participation of representatives of public authorities on places, territorial authorities of management of health care, heads of medical institutions comprehensive discussion is carried out and the advanced wages system of health workers is approved.
2. Approve and enact since January 1, 2006:
scale of charges on compensation of health and pharmaceutical workers of public institutions of the Republic of Uzbekistan according to appendix No. 1;
Regulations on procedure and payment terms of work of health and pharmaceutical workers of public institutions of the Republic of Uzbekistan according to appendix No. 2.
Take into consideration that the Ministry of Health, by the Ministry of Labour and Social Protection of the population, the Ministry of Finance of the Republic of Uzbekistan the agreed project of the Regulations on Fonda of material stimulation and development of the medical organizations is developed.
3. Determine that:
fund of material stimulation and development of the medical organizations (further - Fund) goes to financial incentive of the caused a stir health workers and to development of material and technical resources, upgrade and repair of organization, and also payment of accounts payable;
decisions on effective, address expenditure of fund are accepted by the special commissions created under medical institutions headed by the head of the relevant medical institution and with participation of representatives of the trade-union organization;
intervention of territorial authorities of management of health care in activities of the special commissions and the decisions made by them is not allowed.
4. To the Ministry of Health, the Ministry of Labour and Social Protection of the population, the Ministry of Finance of the Republic of Uzbekistan till December 25, 2005 in accordance with the established procedure to approve:
Regulations on Fonda of material stimulation and development of the medical organizations;
Regulations on the special commissions in medical institutions for the order fund of material stimulation and development of the medical organizations.
At the same time to provide in Regulations on Fonda percentage ratio between two directions of expenditure of fund for each of four groups (I-IV) of the medical organizations according to appendix No. 3, and for rural medical Items according to appendix No. 3-1.
5. To the Ministry of Health, the Ministry of Labour and Social Protection of the population of the Republic of Uzbekistan together with Council of Ministers of the Republic of Karakalpakstan, khokimiyats of areas and the city of Tashkent:
till January 1, 2006 to carry out necessary preparatory and explanatory work on introduction of advanced wages system of health workers;
finish during 2006 transformation of rural medical out-patient clinics to rural medical Items according to the Program according to appendix No. 4;
perform within the Zdorovye-II project realized with participation of International Development Association and Asian Development Bank, phased transition on system of the general practitioner in out-patient and polyclinic network of primary link of health care according to the Program according to appendix No. 5.
Assign to the Minister of Health of the Republic of Uzbekistan (F.Nazirov) the personal responsibility for accomplishment of the Program for step-by-step transfer of out-patient and polyclinic network on the principles of work of the general practitioner according to the requirements shown to SVP.
6. To the Ministry of Health, the Ministry of Labour and Social Protection of the population, the Ministry of Finance of the Republic of Uzbekistan, Council of Ministers of the Republic of Karakalpakstan, khokimiyats of areas and the city of Tashkent to establish strict system monitoring of the course of implementation of measures, the enhancements of payment system and work incentives of health and pharmaceutical workers connected with introduction.
To the Ministry of Finance, the Ministry of Labour and Social Protection of the population of the Republic of Uzbekistan in accordance with the established procedure on the basis of system monitoring quarterly to report on the Cabinet of Ministers on timely and complete financing of costs on implementation of the measures provided by this resolution.
7. The republican commission on the organization and control of implementation of the State program of reforming of health care system (Kasymov) in two-month time carefully to study condition of use of treatment and prevention facilities and to make in the Cabinet of Ministers offers on optimization of their network and the capacities providing increase in efficiency and improvement of quality of the provided medical care taking into account ensuring availability of medical services to the population.
8. Recommend to non-state medical institutions
pass with 1 - January, 2006 to introduction of advanced scale of charges on compensation of health and pharmaceutical workers.
9. Declare invalid since January 1, 2006:
the resolution of the Cabinet of Ministers of March 2, 1995 No. 75 "About streamlining of payment terms of work of workers of health care";
item 4 of the resolution of the Cabinet of Ministers of December 2, 2003 No. 537 "About measures for further enhancement of service - the emergency medical care to the population" regarding health workers.
10. In Item 29 of the Procedure for the financing of state-financed organizations approved by the resolution of the Cabinet of Ministers of September 3, 1999 No. 414 (joint venture of the Republic of Uzbekistan, 1999, No. 9, of the Art. 51), to make the following changes:
paragraph two after the word of "percent" to add with words "(in budgetary institutions of health care at least 50 percent)";
the paragraph third after the word of "percent" to add with words "(in budgetary institutions of health care no more than 50 percent)".
11. To impose control over the implementation of this resolution on deputy prime ministers of the Republic of Uzbekistan Golysheva V. A. and Kasymova R. S.
Prime Minister of the Republic of Uzbekistan
Shavkat Mirziyoyev
Appendix No. 1
to the Resolution of the Cabinet of Ministers of the Republic of Uzbekistan of December 21, 2005 No. 276
Categories of compensation |
Tariff coefficients |
1 |
1,526 |
2 |
1,679 |
3 |
1,847 |
4 |
2,031 |
5 |
2,234 |
6 |
2,458 |
7 |
2,704 |
8 |
3,001 |
9 |
3,331 |
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