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RESOLUTION OF THE PRESIDENT OF THE REPUBLIC OF UZBEKISTAN

of October 16, 2018 No. PP-3973

About measures for enhancement of service of emergency medical service in the Republic of Uzbekistan

(as amended on 22-08-2022)

Note that despite the taken measures for enhancement of health care system, in the sphere of rendering emergency medical service number of the system problems and shortcomings interfering full implementation of the tasks remains.

In particular, in the republic till today there are no results of repeatedly made decisions on creation of automated control system for service of emergency medical service. The organization of acceptance and servicing of challenges are performed by obsolete, manual mechanisms.

Growth of pre-hospital death rate when rendering emergency medical service continues, and in the Tashkent, Syr Darya and Fergana regions death rate increased from two to four times.

The operating procedure for sorting of addresses does not allow to concentrate the available forces and funds for servicing of priority challenges that leads to increase in quantity false or to servicing of cases of exacerbation of the chronic diseases which are not posing threat to the patient's life.

The allocated budgetary funds do not promote ensuring due quality of the provided emergency medical service and strengthening of its material and technical resources.

For the purpose of the accelerated development of service of emergency medical service, ensuring its financial stability, achievement of proper efficiency, technological effectiveness and efficiency of activities in this direction:

1. Consider priority task of service of emergency medical service timely rendering high-quality medical services to each person needing the emergency help.

2. For rendering practical support to development of service of emergency medical service and improvement of its material and technical resources to form under the Ministry of Health of the Republic of Uzbekistan Fund of development of emergency medical service (further - Fund) without the status of the legal entity.

3. Determine since January 1, 2019 sources of forming of fund:

grants and means of technical assistance of the international and foreign financial institutions, government and non-governmental organizations;

income gained from placement of temporarily available funds of Fund;

charitable gifts of physical persons and legal entities, including nonresidents of the Republic of Uzbekistan;

other means which are not forbidden by the legislation.

Determine that fund is spent on:

purchase and timely updating of the park of specialized motor transport of service of emergency medical service, and also its equipping by the modern medical equipment, acquisition of spare parts and consumable materials;

training, advanced training and training of employees of service of emergency medical service, including in research, educational and other institutions of foreign states;

payment of allowances, awards and other stimulating payments to employees of service of emergency medical service;

implementation of modern information and communication technologies in activities of service of emergency medical service.

Keep the operating procedure and the amounts of financing of service of emergency medical service from the Government budget of the Republic of Uzbekistan and budgets of the state trust funds.

Determine that management and distribution of fund is performed on the basis of the decision of board of the Ministry of Health of the Republic of Uzbekistan (further - the Ministry).

4. Exempt the Ministry for up to January 1, 2022 from customs payment (except for customs fees) specialized vehicles and spare parts to them, the medical equipment and consumable materials, the computer equipment, means of communication, technical means of training, literature and other material resources for needs of service of emergency medical service, according to the lists created in accordance with the established procedure.

5. To the ministry together with the Ministry of Finance of the Republic of Uzbekistan in two-month time to approve:

regulations on Fonda and procedure for forming of the income and expenditure of its means;

expense budget of Fund for 2019, having provided including the means necessary for implementation of this resolution.

6. Approve:

The program of measures for enhancement of service of emergency medical service in the Republic of Uzbekistan in 2019 - 2021 according to appendix No. 1;

Standard indicators of efficiency evaluation of activities of service of emergency medical service according to appendix No. 2.

Determine that:

efficiency and effectiveness of activities of service of emergency medical service is subject to regular assessment and publication on the website of the Ministry;

results of assessment are the basis for material stimulation of employees of service of emergency medical service, and also are considered in case of completion of its organizations by the managerial personnel.

7. To the ministry:

together with National chamber of innovative health care of the Republic of Uzbekistan (further - National chamber) in two-month time to approve procedure and technique of efficiency evaluation and effectiveness of activities of service of emergency medical service taking into account Standard indicators of efficiency evaluation of activities of service of emergency medical service;

together with the Ministry of Finance, the Ministry of Emergency Situations, the Ministry of Defence, the State inspectorate of the Republic of Uzbekistan for supervision of safety of flights and NAC Uzbekiston havo yullari till March 1, 2019 to make in the Cabinet of Ministers of the Republic of Uzbekistan offers on equipping of service of emergency medical service since 2020 the aircraft equipment and (or) to acquisition of aviation services, including on the basis of public-private partnership;

until the end of 2019, proceeding from structure of challenges, amount and nature of the given help by crews of emergency medical service to carry out restructuring of service of emergency medical service with increase in share of medical assistant's crews;

in two-month time to bring in the Cabinet of Ministers of the Republic of Uzbekistan specific proposals on transfer of the right of management of service of emergency medical service of certain regions of the republic to investors on the basis of public-private partnership.

8. Agree with the offer of the Ministry on transformation of Training center on emergency medical service to Republican educational and training urgent care center (further - the Center).

Determine that the Center is basic methodical organization on training, retraining and advanced training of personnel in the sphere of rendering the pre-medical help.

9. Determine the main objectives and activities of the Center:

training, retraining and advanced training of employees of rescue services, state bodies and organizations, other legal entities, and also citizens in skills of the emergency medical and pre-medical aid;

development and enhancement of forms and methods of delivery of health care at pre-hospital stage;

implementation of research works in the sphere of rendering the emergency medical and pre-medical aid;

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