RESOLUTION OF THE PRESIDENT OF THE REPUBLIC OF UZBEKISTAN

of May 21, 2024 No. PP-183

About measures for further enhancement of delivery of health care to the children having oncological, hematologic and immunological diseases

Within state programs of reforming of health care system special attention is paid to improvement of rendering the oncological, hematologic and immunological help to children.

In particular, measures for creation of the Center of children's hematology, oncology and clinical immunology, increase in its personnel potential, strengthening of material and technical resources, creating favorable conditions for patients and to providing them are performed by necessary medicines.

At the same time acceptance of additional measures for further enhancement of system of delivery of health care in this direction is required, to widespread introduction of modern standards of diagnostics and treatment, methods of management and funding mechanisms.

For the purpose of improvement of quality of prevention, early identification and treatment of oncological, hematologic and immunological diseases of children, expansion of their scope and ensuring efficiency of treatment, adjustment in the republic of high-technology medical services, providing with effective medicines, implementations in practice of modern standards of diagnostics and treatment, enhancement of system of the organization of activities of the public medical institutions, and also improvements of scientific and personnel potential in this sphere:

1. Take into consideration that in Strategy "Uzbekistan - 2030" the task is determined by reducing in 2,5 of time of early death rate from oncological diseases.

2. Determine priority tasks of development of the sphere of children's hematology, oncology and clinical immunology:

within participation in the Global initiative of the World Health Organization of fight against children's cancer increase till 2030 in the level of survival of the children having oncological diseases to 60 percent;

implementation on the basis of the best foreign practices of modern protocols and standards of diagnostics, treatment and rehabilitation of the children having oncological, hematologic and immunological diseases;

development of transplantation of haematopoietic stem cells and cells of marrow;

continuous providing sick children with necessary medicines and products of medical appointment;

preparation for the sphere of the specialists having knowledge and skills of modern diagnostics, treatment and rehabilitation, their retraining and advanced training, the organization of carrying out the advanced basic, applied and innovative scientific research in this direction.

3. Take into consideration that:

The center of children's hematology, oncology and clinical immunology reaches the agreement on the joint organization and development of activities of this center on the basis of modern experience with the leading foreign medical clinics which reached high rates in the field of survival of sick children;

the foreign partner organization in the Center of children's hematology, oncology and clinical immunology shall assist in implementation of clinical standards, protocols and recommendations of highly effective diagnostics and treatment, enhancement of its infrastructure and equipping, adjustment of effective management system, increase in personnel potential.

4. Permit the Center of children's hematology, oncology and clinical immunology to sign direct contracts with the leading foreign medical clinics, the engineering (contract) and consulting companies for development and implementation of the concept (the master plan and other technical documentation) developments of this center.

In case of development of the concept to provide:

development of measures for studying of opportunities of medical institutions in the direction of the hematology and oncology which are available in the republic, and to effective use of the existing infrastructure on the basis of international standards;

determination of prospects of adjustment in the republic of autologichesky and allogenny transplantation of haematopoietic stem cells of marrow;

forming of modern infrastructure of rendering high-technology medical services to children in the field of children's hematology, oncology and immunology by designing and construction of necessary medical and diagnostic blocks and cases in the specified center and regions of the republic;

development of strategy for the organization of activities of the Center of children's hematology, oncology and clinical immunology on the basis of international standards, including establishing treatment of patients from the near foreign states;

At the same time contracts can be signed with foreign medical clinics, the engineering (contract) and consulting companies, including EPC contracts (to be performed payment for work and services in them).

5. And finance to provide to the Ministry of Economics allocation in 2024 - 2026 according to the concept of development developed by the attracted leading foreign medical clinics, the engineering and consulting companies, means for the account:

The government budget - in equivalent of 20 million US dollars;

Fund of reconstruction and development - in equivalent of 20 million US dollars on irretrievable basis;

allocated from the Government budget for health sector - in equivalent of 11 million US dollars.

At the same time according to this Item:

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