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of March 5, 2014 No. 50

About measures for further optimization and increase in efficiency of activities of rural medical Items

 For the purpose of further deepening of reforms in health sector, enhancement of system of the organization of primary health care in the rural zone, cardinal improvement of quality and efficiency of medical attendance of rural population, increase in responsibility and effectiveness of professional activity of rural doctors and average medical personnel the Cabinet of Ministers decides:

1. Accept the offers of the Ministry of Health and the Ministry of Finance of the Republic of Uzbekistan developed together with Council of Ministers of the Republic of Karakalpakstan and khokimiyats of areas:

about liquidation of 243 low-power and inefficiently operating rural medical Items (RMI) placed in the adapted buildings which are not meeting construction standards and rules and also not meeting the requirements of operational safety according to appendix No. 1;

about optimization of network of rural medical Items by regions of the republic according to appendix No. 2;

about introduction in the central district multi-profile clinics, within the total number of workers, the assistant manager's position polyclinic - the coordinator of activities of SVP;

about introduction for general practitioners of SVP located in the remote, remote and steppe settlements, the special monthly allowance for special working conditions in the amount of 25 percent to the tariff charge according to appendix No. 3;

about increase in the maximum size of the allowance for duration of years of service of continuous work to patronage nurses of SVP from 20 to 40 percent to the tariff charge.

2. To the Ministry of Health, the Ministry of Labour and Social Protection of the population, the Ministry of Finance of the Republic of Uzbekistan to develop and enact new regular standard rates of SVP since March 1, 2014, having provided in them reduction of existing rules of load of the patronage nurse of SVP for the purpose of providing conditions for visit of each attached family, and also introduction of position of the senior nurse responsible for the organization of nurse business, accounting, storage and the correct expenditure of medicines.

3. To provide to the Ministry of Health of the Republic of Uzbekistan together with the Ministry of Finance, since April 1, 2014, implementation according to the procedure of experiment in Bostanlyksky, Uzbekistan, Shakhrisabzsky, Khivan and Dzhambaysky districts of the republic of system of rating efficiency evaluation of work of the patronage nurse of SVP providing:

completeness of accomplishment of the fundamental functional obligations - patronage visit of women and children at home, accomplishment of appointments of the doctor, the organization and carrying out package of measures for ensuring sanitary and epidemic wellbeing of the population, actions for sanitary and hygienic education and promotion of healthy lifestyle;

quality and resulting effects of activities of the patronage nurse - scope preventive inoculations, fluorographic inspection, decrease in incidence, lack of infantile and maternal death rate.

Till November 1, 2014 to generalize results of experiment and to make in the Cabinet of Ministers offers on distribution of system of efficiency evaluation of work on other health workers of SVP in all regions of the republic and to introduction of system of assessment of completeness and quality of SVP provided to medical care in general, with providing organizational and methodical management of works on its implementation.

4. To the Ministry of Health of the Republic of Uzbekistan on the basis of the critical analysis in two-month time to develop and approve package of measures for introduction of advanced system of advanced training and enhancement of professional level of general practitioners and nurses of SVP including:

updating of material and technical resources of departments of training of general practitioners in case of medical higher educational institutions and regional branches of Republican training center and specialization of average health workers;

implementation of remote training methods and assessment of knowledge of general practitioners on places, with creation based on the regional multi-profile medical centers of the training classes equipped with the network computer equipment;


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