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Ministry of Justice

Republic of Tajikistan 

 On January 7, 2016 No. 40

ORDER OF THE GOVERNMENT OF THE REPUBLIC OF TAJIKISTAN

of December 31, 2015 No. 827

About questions of implementation of subear financing of organizations of primary health care

According to article 17 of the Constitutional law of the Republic of Tajikistan "About the Government of the Republic of Tajikistan", for the purpose of enhancement of the mechanism of subear financing of organizations of primary health care on the basis of inclusion of all expenditure items and effective use of budgetary funds of the Government of the Republic of Tajikistan decides:

1. Since January 1, 2016 step by step to implement the mechanism of subear financing taking into account all expenditure items in organizations of primary health care of the Republic of Tajikistan.

2. Approve the Procedure for financing of organizations of primary health care according to the mechanism of subear financing taking into account all expenditure items (appendix 1).

3. Approve the minimum standard rates and special coefficients of subear financing of organizations of primary health care for 2016 (appendix 2).

4. To the Ministry of Health and Social Protection of the Republic of Tajikistan:

- together with the Ministry of Finance of the Republic of Tajikistan to develop and approve the schedule of transition to subear financing of organizations of primary health care for 2016 - 2018 at the level of the cities and areas;

- annually till March 15 within work on preparation of the budget statement for the next financial year to represent offers on the size of standard rates of subear financing for organizations of primary health care to the Ministry of Finance of the Republic of Tajikistan;

- for the purpose of further enhancement of financing of structural divisions of the city and district centers of health, in coordination with the Ministry of Finance of the Republic of Tajikistan to develop and accept till January 15, 2016 technique of normative distribution of budgetary appropriations on the principles of subear financing for the rural centers of health and houses of health;

- together with the relevant local executive bodies of the government to provide development and approval of schedules of phased transition on subear financing of the rural centers of health and houses of health on the areas transferred to new method of financing.

5. To provide to the Ministry of Finance of the Republic of Tajikistan and local executive bodies of the government step-by-step equalization of budgetary appropriations for organizations of primary health care of the cities and areas transferred to subear financing within the provided means.

6. Determine that budgetary funds for each organization of primary health care transferred to subear financing, are not subject to reducing within fiscal year, except as specified introduction of amendments and amendments to the legislation of the Republic of Tajikistan on the Government budget for the corresponding financial year.

7. To impose control over the implementation of this resolution on the Ministry of Health and Social Protection of the Republic of Tajikistan.

Prime Minister of the Republic of Tajikistan

Emomalii Rahmon

Appendix 1

Approved by the Order of the Government of the Republic of Tajikistan of December 31, 2015, No. 827

Procedure for financing of organizations of primary health care according to the mechanism of subear financing taking into account all expenditure items

1. General provisions

1. This Procedure determines the mechanism of forming and execution of budgets of the cities and areas of the centers of health on the basis of subear financing taking into account all expenditure items for organizations of primary health care.

2. To the mechanism of subear financing of organizations of primary health care (further - PHC) transfers the city centers of health yu (further - GTsZ), the district centers of health (further - RTsZ) taking into account all structural divisions of the specified organizations (the rural centers of health (further - STsZ) and houses of health (further - DZ).

3. The mechanism of subear financing considers all expenditure items of PHC organizations, except for expenses on capital construction.

4. Transition of PHC organizations to the mechanism of subear financing is performed in limits, the established amount of budgetary appropriations on health care.

5. The minimum standard rates of subear financing are installed separately for the following types of PHC organizations:

- city centers of health;

- district centers of health.

6. The minimum standard rates are established by the Government of the Republic of Tajikistan on representation of the Ministry of Health and Social Protection of the Republic of Tajikistan in coordination with the Ministry of Finance of the Republic of Tajikistan.

7. The amount of the budget of health care of the area/city provided for PHC organizations in the planned year shall not be less actual budget implementation of the current year.

8. The annual size of budgetary funds on the basis of subear standard rates for each PHC organization is determined by general packet of means without breakdown by expenditure items of economic budget classification.

9. All packet of means for the PHC organizations determined on the basis of subear standard rates is considered protected.

2. Process of budgetary planning

10. PHC organization represents data on the served population (appendix 1) for calculation of the subear standard rate and the budget requests in the Ministry of Health and Social Protection of the Republic of Tajikistan on format and in the terms established by instructions of the above-stated ministry.

11. The Ministry of Health and Social Protection of the Republic of Tajikistan, taking into account the preliminary size of ceiling of expenses on the sector and the data obtained from PHC organizations, develops offers on the size of standard rates of subear financing on types of PHC organizations, the project of distribution of assignments for PHC organizations by the cities and areas of the republic and represents the specified calculations to the Ministry of Finance of the Republic of Tajikistan.

12. After approval of the Government budget of Majlisi namoyandagon of Majlisi Oli of the Republic of Tajikistan the Ministry of Finance of the Republic of Tajikistan till 10 days represents to the Ministry of Health and Social Protection of the Republic of Tajikistan and financial managements / departments of local executive bodies of the government the approved budget indicators for creation and approval of expense budgets of organizations.

13. PHC organization individually constitutes expense budget with breakdown under Articles of economic budget classification within determined on the basis of the subear standard rate; general budget. Estimating of expenses is made according to the operating regulatory legal acts of the budget legislation of the Republic of Tajikistan.

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