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of January 22, 2024 No. PP-38

About additional measures for deepening of reforms in health sector

For the purpose of deepening of the reforms undertaken in health sector, cardinal improvement of quality of the medical services rendered to the population, the organization of activities of medical institutions on the basis of the best foreign practices, increase in potential of medical personnel, support of activities of the non-state medical organizations:

1. Take into consideration that with participation of the leading foreign experts and consultants the offers on development of health care system of the country consisting of 40 practical actions for increase in personnel potential, the organization of rendering medical services in primary link of medicine at the level of regions and the republic on the basis of the new principles and to raising of its quality to the level of international standards, to ensuring efficiency and transparency in the sphere are developed.

For the purpose of implementation of these offers, further improvement of quality of medical services and acceleration of reforms in the sphere to form in structure of the Ministry of Health Project office "Center of projects of health care" (further - Project office) in the form of public institution.

2. Confer on Project office responsibility for implementation of new mechanisms in the following priority directions:

complete implementation of system of national health insurance and packet of the free medical services and medicines guaranteed by the state;

increase in personnel potential, development of system of medical education and the sphere of science on the basis of international standards, implementation of mechanisms of worthy stimulation of health workers proceeding from results of their work;

acceleration of projects of public-private partnership and broad attraction to the sphere of private sector, ensuring accreditation of medical institutions, strengthening of their independence and increase in responsibility;

enhancement of the control system behind quality and safety of medical services;

adjustment of system of medical rehabilitation of patients after heart attack, stroke, mutilations and surgeries, and also the patients having diseases of bone and muscular system;

project implementation assistance "Support of reforms on health care digitalization";

increase in efficiency and transparency of public procurements, reforming of the sphere of pharmaceutics;

updating of sanitary standards and rules on the basis of modern requirements.

3. Approve "Road map" on realization of the priority directions of enhancement of health care system according to appendix.

4. Determine that:

the director of Project office is appointed to position and dismissed by Administration of the President of the Republic of Uzbekistan. At the same time the managerial personnel of Administration of the President of the Republic of Uzbekistan is granted the right to work part-time as the director of Project office;

the powers determined for the First Deputy Minister of Health are assigned to the director of Project office;

established posts of Project office are created within the operating states of the organizations of system of the Ministry of Health;

The project office monthly enters in Administration of the President of the Republic of Uzbekistan information on the course of reforming of health care system, on the performed measures, factors interfering realization of reforms and ways of their elimination;

structural divisions of the Ministry of Health provide high-quality implementation at the scheduled time of the offers and recommendations developed by Project office, will mobilize forces necessary for this purpose and means, and also introduce in Project office the report on the done work following the results of every quarter;

The Ministry of Health provides coordination with Project office of drafts of the regulatory legal acts regulating health sector questions.

5. Administration of the President of the Republic of Uzbekistan to take measures for coordination and ensuring efficiency of activities of Project office.

6. To project office:

involve in activities of Project office of experienced specialists of the republican specialized scientific and practical medical centers, territorial authorities of health care, the non-state medical organizations, medical the highest educational and research establishments on contractual basis;

in three-months time to make in the Cabinet of Ministers the offer on creation in our country of medical school in cooperation with authoritative foreign medical highest educational institution.

7. Grant to the director of Project office the right to attraction and employment of foreign specialists, experts, consultants and advisers on the basis of direct agreements, payment of the salary it in national or foreign currency, including by money transfer into their accounts abroad, and also on involvement of specialists of the Ministry of Health, its structural divisions to implementation processes of reforms, creation with their participation of commissions of experts and working groups.

8. Determine sources of financing of Project office:

in 2024 - the funds allocated from the Government budget for the Ministry of Health, 20 billion sum by extrabudgetary funds of the ministry and also since 2025 - the means provided in parameters of the Government budget;

according to reasonable offers of Project office - the funds allocated at the expense of the Agency of strategic reforms in case of the President of the Republic of Uzbekistan;

the credit and grant funds raised within projects with participation of international financial institutions and the foreign government financial organizations;

charitable gifts of physical persons and legal entities;

other sources which are not forbidden by acts of the legislation.

Administration of the President of the Republic of Uzbekistan to approve the Provision of Project office, and also its structure, the number of staff, the amount of compensation of workers and condition of their material stimulation in a month.

9. To the Ministry of Health:

a) in 2024 to provide:

taking into account requirements of the World Trade Organization, the best foreign practices for designing, construction, equipment and operation of medical institutions complete review and reduction in compliance with international standards of the existing 40 health regulations, regulations and hygienic standard rates;

implementation of modern methods of management, high standards of safety and quality of medical care in activities of the republican specialized scientific and practical medical centers of surgery, cardiology, endocrinology, dermatovenereology and cosmetology, the National children's medical center and National medical center, and also carrying out their international accreditation.

At the same time in 2025 to provide carrying out the international accreditation of all republican specialized scientific and practical medical centers;

b) since 2024/2025 academic years:


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