1. The restructuring of the hospital sector. Karaganda, 2015 F. Copobayev Deputy Head of the Department of Health of Karaganda region.

2. According to the developed master - plan in the region of Karaganda was reorganized network of the hospital sector in 2010 - 2015 years The number of medical organizations, hospitals from 62 to 43 Number of beds day and night stay at 17% (from 9278 to 7684) As a result: The restructuring of the hospital sector.

3. Project goals and objectives: Improving healthcare services for population of the region, Provision accessibility and quality of health services Efficient use of resources in healthcare. Efficient use of resources in healthcare. Rational distribution of : Rational distribution of : 1.financial resources; 2.areas; 3.medical equipment; 4.human resources. Goal: Objectives:

4. Central hospital Children hospital The reorganization in the region of Zhezkazgan STI clinic

5. Drug addiction and alcoholism (100 thousand. population) The optimization of neurological beds for compulsory treatment Reducing the incidence and morbidity associated with psychoactive substances use has caused a decrease in demand for beds (in this profile), which led to a high number of beds downtime, inefficient use of funds allocated to the maintenance of buildings, spaces, equipment and human resources.

6. Centralization of specialized services Filial branch Regional TB Dispensary regional neuropsychiatric dispensary Regional Drug Dispensary  Ensure continuity between urban and rural organizations, multi-field hospital of the area (cities and villages).  In order to organize the management process, was made the automation of basic types of reporting, operational decision of operational issues produced by the introduction of video conferencing between departments.  Integration into primary health care. Currently, the regional oncologist, TB doctors and psychiatrists work in supervising medical organizations of PHC. Filial branch

7. The reorganization of the network of sanatoriums in the region of Zhezkazgan a reduction in the total number of beds to 100 beds. Children's sanatorium department TB dispensaries in Zhezkazgan Relocation in the liberation of the building Children's Hospital of Zhezkazgan Somatic resort "Bobek" 50 beds 50 beds Somatic sanatorium "Karla" - 100 beds Reorganization through merger The social facilities located in the Zhezkazgan village are reorganized by the comprehensive plan of social and economic development of Zhezkazgan, Satpaev’s city and Ulytau district of the region of Karaganda in 2012- 2017 years, approved by the Government of Kazakhstan №1283 from 03.11.2011. Result: Bringing staffing health centers with medical staff of up to 100%; Ensuring efficient use of hospital beds; The released funds aimed at the development of restorative - rehabilitation treatment of children.

8. The centralization of children tuberculosis sanatorium Regional Tuberculosis Sanatorium Branch in Abay city was eliminated with the transfer of buildings in the city for the organization of children's preschool. Children tuberculosis sanatorium in Balkash Children tuberculosis sanatorium“NYR" Children tuberculosis sanatorium of Saran city Children tuberculosis sanatorium “Densaulyk"

9. In the Saran city the policlinic is attached to the central hospital clinic. Thus managed to improve continuity between all units providing medical care to the population. Also, the following projects: City hospital №2 in Karaganda became a part of the city hospital №1 of Karaganda Central Hospital of Karazhal village and the Hospital in Zhairem were merged Hospital of the Aktau village is attached to the clinic №4 of Temirtau with the optimization of hospital beds around the clock.

10. Central laboratory