PRESIDENTIAL DECREE OF THE REPUBLIC OF KAZAKHSTAN

of January 15, 2016 No. 176

About approval of the State program of development of health care of the Republic of Kazakhstan of Densaulyk for 2016 - 2019 and entering of amendment into the Presidential decree of the Republic of Kazakhstan of March 19, 2010 No. 957 "About approval of the List of state programs"  

According to the Presidential decree of the Republic of Kazakhstan of February 1, 2010 No. 922 "About the Strategic plan of development of the Republic of Kazakhstan till 2020" POSTANOVLYAYU:

1. Approve the enclosed State program of development of health care of the Republic of Kazakhstan of Densaulyk for 2016 - 2019 (further - the Program).

2. To the government of the Republic of Kazakhstan:

1) to develop and approve the Actions plan on program implementation in coordination with Administration of the President of the Republic of Kazakhstan in a month;

To represent 2) to Administration of the President of the Republic of Kazakhstan results of monitoring and assessment of program implementation in the terms and procedure determined by the Presidential decree of the Republic of Kazakhstan of March 4, 2010 No. 931 "About some questions of further functioning of System of state planning in the Republic of Kazakhstan".

3. To the central state bodies and local executive bodies to take measures for program implementation.

4. Ceased to be valid according to the Presidential decree of the Republic of Kazakhstan of 05.05.2018 No. 681

5. To impose control of execution of this Decree on Administration of the President of the Republic of Kazakhstan.

6. This Decree becomes effective since January 1, 2016.

Approved by the Presidential decree of the Republic of Kazakhstan of January 15, 2016 No. 176

The state program of development of health care of the Republic of Kazakhstan of Densaulyk for 2016 - 2019

Content

1. Passport of the Program

2. Introduction

3. Analysis of the current situation

4. Purposes, tasks, target indicators and indicators of results of program implementation

5. Main directions, ways of achievement of effective objectives and adequate measures

6. Program implementation terms

7. Necessary resources

1. Passport of the Program

Name of the program			The state program of development of health care of the Republic of Kazakhstan of Densaulyk for 2016-2019 (further - the Program)
Bases for development			The presidential decree of the Republic of Kazakhstan of February 1, 2010 No. 922 "About the Strategic plan of development of the Republic of Kazakhstan till 2020"; President's letter of the Republic of Kazakhstan of Nazarbayev N. A. to the people of Kazakhstan of December 14, 2012 "Strategy Kazakhstan-2050: new political policy of the taken place state"; President's letter of the Republic of Kazakhstan of Nazarbayev N. A. to the people of Kazakhstan of November 11, 2014 "Nurla zhol - way to the future"; National plan of the President of the Republic of Kazakhstan Nazarbayev N. A. "100 specific steps on realization of five institutional reforms"
State body responsible for development of the Program			Ministry of health and social development of the Republic of Kazakhstan
State bodies responsible for program implementation			Ministry of health and social development of the Republic of Kazakhstan, Ministry of Internal Affairs of the Republic of Kazakhstan, Ministry of Culture and sport of the Republic of Kazakhstan, Ministry of national economy of the Republic of Kazakhstan, Ministry of Defence of the Republic of Kazakhstan, Ministry of Education and Science of the Republic of Kazakhstan, Ministry for Investments and Development of the Republic of Kazakhstan, Ministry of Agriculture of the Republic of Kazakhstan, Ministry of Finance of the Republic of Kazakhstan, Department of Energy of the Republic of Kazakhstan, Ministry of Justice of the Republic of Kazakhstan, akimats of the cities of Astana and Almaty, areas
Program purpose			Strengthening of health of the population for ensuring sustainable social and economic development of the country
Tasks			Development of system of public health care; enhancement of prevention and management of diseases; increase in management efficiency and financing of health care system; increase in efficiency of use of resources and enhancement of infrastructure of industry
Realization terms			2016-2019
Target indicator			By 2020 the level of remaining life expectancy will reach 73 years
Sources and amounts of financing			Funds of the government budget and fund of compulsory social medical insurance, and also other means which are not forbidden by the legislation of the Republic of Kazakhstan will be allocated for program implementation in 2016-2019. Total costs from the government budget on program implementation will constitute 1 969 729 500 thousand tenges.
By years	In total			Republican budget	Local budget	Other sources (FSMS, NF)
2016.	128 034 799			92 389 291	34 945 508	700 000
2017.	408 080 865			69 309 875	19 035 944	319 735 046
2018.	709 797 105			46 769 024	2 244 785	660 783 296
2019.	723 816 732			46 701 636	2 259 174	674 855 922
Total:	1 969 729 500			255 169 825	58 485 411	1 656 074 264

The amount of financing of the Program will be specified in case of approval republican and local budgets for the corresponding financial years according to the legislation of the Republic of Kazakhstan and proceeding from possibility of revenues republican and local budgets, Fund of social medical insurance, and also with attraction of other alternative sources.

2. Introduction

For achievement of the strategic objective set by the Head of state Nazarbayev N. A. in the Message to the people of Kazakhstan of December 14, 2012 "Strategy Kazakhstan-2050: new political policy of the taken place state", on further development of the country and entry into number of 30 most developed countries of the world by 2050 it is necessary to overcome gap in development between the countries of Organization for Economic Cooperation and Development (further - OECD) and Kazakhstan.

In this regard the state shall provide step-by-step implementation of standards of the countries of OECD directed to improvement of quality and availability of the provided medical services, increase in system effectiveness of management and financing of health care system, and also rational use of the available resources.

During implementation of the previous state programs the potential of health care system of Kazakhstan was strengthened, elements of market mechanisms are implemented and the transfer of modern medical technologies is performed.

This Program will be directed to fixing and development of the achieved results and the problem resolution in questions of health protection according to new challenges, and also will become basis for systematic development of industry till 2050.

The program implementation will promote stability and dynamic development of socially oriented national health care system with respect for the principles of general scope of the population, social justice, providing with high-quality medical care and joint liability for health according to the key principles of policy of the World Health Organization (further - WHO) "Health-2020".

3. Analysis of the current situation

According to the report of the Global index of competitiveness (further - City Elections Commission) for 2015-2016 Kazakhstan took the 42nd place in rating among 140 countries, having risen to 8 places in comparison with results of rating of last year. On the "Health and Primary Education" indicator Kazakhstan took the 93rd place from 140 countries. On the Index of human development in 2014 the republic was included into group of the countries with the high level of development, having taken the 70th place from 187 countries.

medico-demographic situation and incidence

For the period implementation of the State program of development of health care of the Republic of Kazakhstan "Salamatta Kazakstan" for 2011-2015 (further - Gosprogramma "Salamatta Kazakstan") is noted:

1) increase in population in the republic to 17 417,7 thousand people (for 01.01.2015) with annual rate of population growth on % 1,4;

2) growth of remaining life expectancy to 71,62 of years (2010 - 68,45 of years);

Decrease in general death rate of the population honor 3) on % 15,3 (2010 - 8,94 for 1000 the populations, 2014 - 7,57);

4) increase in birth rate at % 2,6 (2010 - 22,54 for 1000 the populations, 2014 13);

5) decrease in maternal death rate in 1, time (2010 - 22,7 on 100 000 been born, 2014 - 11,7);

6) decrease in infantile death rate in time 1,7 (2010 - 16,58 on 1000 been born live, 2014 - 9, 72);

7) decrease in population morbidity tuberculosis on 30, % (2010 - 95, on 100 000 populations, 2014 - 66,4) and death rates more than twice (2010 - 10,6 for 1000 the populations, 2014 - 4,9);

8) deduction of prevalence of virus of immunodeficiency of person/acquired immunodeficiency syndrome (further - HIV/AIDS) at the concentrated stage (2010 - 0,118, 2014 - 0,169).

Decrease in indicators of maternal, infantile and child mortality on confirmation of Interdepartmental group of the agencies of the United Nations (further - the UN) allowed Kazakhstan to reach the 4th and 5th (child and maternal mortality) the Millennium development goals.

Despite positive dynamics of indicators of health of the population, the remaining life expectancy of Kazakhstan citizens is nearly 10 years less, than in member countries of OECD. The considerable difference between remaining life expectancy of men and women remains (2014 - 8,82 of year), death rate at men at working-age is 24% higher, than at women.

In structure of general death rate blood circulatory system diseases (% 22,3), the most frequent - coronary heart disease, vascular damage of brain of which about 30 thousand people annually die are the leading reason. Growth of primary incidence of diseases of the blood circulatory system constitutes nearly 15% (2010 - 2086,7 on 100 thousand population, 2014 - 2394,7).

Death rate from malignant new growths (% 12,1) of which about 17 thousand people annually die is the second reason, from them 16,9 of % constitutes lung cancer. The indicator of incidence of malignant new growths increased by % 9,7 (2010 - 181,2 on 100 thousand population, 2014 - 198,7).

On the third place - death rate from accidents, injuries and poisonings (% 11,3) of which about 16 thousand people annually die. Annually over 3000 people perish from deliberate self-damage, advancing death rate from the road accidents (further - road accident).

Among the reasons of burden of chronic diseases in 87,5 of % 4 risk factors (high arterial pressure, the increased cholesterol level, tobacco smoking and alcohol intake) are.

According to WHO data annual level of consumption of alcohol in Kazakhstan (in equivalent of liters of net alcohol / smothering of the population in year) decreased slightly: with 7,1 in 2007 to 6,6 in 2012.

By results of Global poll of the population about tobacco consumption prevalence of tobacco smoking in Kazakhstan (tobacco smoking % aged> 15 years) decreased with 23,1 in 2007 to % 22,4 in 2011 (in the countries of OECD - % 20,65).

Since 2007 on 38,1 of % the level of the use of drugs decreased.

By results of the 5th national research (2012) of 31,2 of % of adults have the excessive body weight or obesity.

According to forecasts of Committee according to the statistics of the Ministry of national economy of the Republic of Kazakhstan (further - MNE) population of the country by 2030 will exceed 21 million people, the share of elderly people will increase with % 7,7 approximate to 11-13% (OECD - % 15,5). Change of demographic situation with growth of chronic diseases will affect demand of medical services.

In the republic the stable epidemiological situation on the majority of infectious diseases is noted. The scope immunization against 11 vaktsinoupravlyaemy infections of all subject of the children's population is reached by 95%. In 2012 WHO was recertified by Kazakhstan the country, free from poliomyelitis and malaria.

Ongoing efforts allowed to constrain HIV infection epidemic in the Republic of Kazakhstan at the concentrated stage. In City Elections Commission on indicator "Prevalence of HIV in age group of 15-49 years" Kazakhstan was included into group of the countries with low indicator taking the 1st place.

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