1. Analysis of the current healthcare situation in East Kazakhstan oblast Ust-Kamenogorsk 2015 Health Department Akimat of East Kazakhstan Oblast

2. The main priority in healthcare is primary care services. The joint responsibility of the state, the employer and employee for his/her health is the main principle of the entire health care system. Sports, proper diet, regular preventive examinations are the foundation of disease prevention. Message of the President of the Republic of Kazakhstan N.A. Nazarbayev to the people of Kazakhstan «Kazakhstan’s way – 2050: Common Goal, Common Interests, Common Future» 2

3. General overview of the region 3 Area — 283,3 sq. km Administrative divisions - 15 village rayons, 10 cities, 754 selos (town), 244 selo districts. Population density on average 4,9 person per 1 sq km.

4. General overview of the net of healthcare organizations 01.01.2015г (legally independent) 4 Total number of medical organizations Received state orderPublic organizations Private organizations East Kazakhstan Oblast

5. Configuration of the current network of hospitals and primary care facilities in East Kazakhstan 2012-2014 Hospitals201220132014 Public Hospitals (Health Ministry system) City 454341 Selo (village) 34 Total 797775 Private Hospitals 13 12 Total 92909087 Ambulatory care organizations Independent Ambulatory-polyclinic organizations (APO) public 18 16 City22202020 Selo172171172 Total (public)194 195 Total APO262267271 Including primary care organizations Doctors ambulatory without primary care centers188 189 Pre-physician organizations: Доврачебные организации: FAPs, Medical point 413 403403 Medical staff without place726865

6. 6 Structure of Primary Care in East Kazakhstan Oblast 2013-2015 Primary Care medical organizations -63, among them Doctors ambulatory– 18

7. Level of Primary Care organizations in East Kazakhstan Oblast 2015 Autonomy Проблемы Достижения 4 Primary Care (0,06%) 4 Primary Care orgs. in Semey (1 DA, 2 Primary Care Centers, 1 Polyclinic) 100%: total number of hospitals Central Rayon Hospital, City Hospitals and 87,5% polyclinics Не переведено на ПХВ в 2015г Переведено на ПХВ city rayonselo Problems Achievements numberproportion

8. со стороны ПМСП Population dynamics and results of attachment to Primary Care organizations in East Kazakhstan Oblast Increase of registration in Population Attachment Register from 97,9 % to 99,9% in the beginning of the year 1 388 890 1 364 316 1 394 433 8 Population Attachment Register - 99,9% out of 1 395 271 according to Health Department in East Kazakhstan Oblast (-838 people) childrenpensioners Employable age Statistics Agency

9. Level of concentration of population to 1 Primary Care organization in Semey in 2015 Higher than average in Semey 9

10. High population density for 1 medical organization: 1) decrease access and quality to care; 2) queuing; 3) low competition level. 1) In order to increase access, planning to open DA in Ahmirovo, polyclinic in the Left bank of city and Ulbinsk rayon Level of concentration of population to 1 Primary Care organization in Ust-Kamenogorsk in 2015 10

11. 4 Staffing in Primary Care 2013-2014 Total population of East Kazakhstan Oblast – 1395271 people (Department of Statistics) Doctors Normal 5 to 10 thousand Normal 2.5 per 1 physician Social workers Psychologists

12. Development of General Practice in Primary Care 2012-2014 Absolute number of GP: 2012- 2014 Relative proportion of GPs to Primary Care Physicians: 2012- 2014 GP

13. 13 Thank you!