Uzbekistan - Assessment of the Primary Health Care Reform : Transparency, Accountability and Efficiency
The main purpose of this report is to assess the degree to which progress has been made by the Government of Uzbekistan in increasing the transparency, accountability, and efficiency of its primary health services, and to identify what further step...
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| Language: | English |
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World Bank
2012
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| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20090710000658 http://hdl.handle.net/10986/3065 |
| Summary: | The main purpose of this report is to
assess the degree to which progress has been made by the
Government of Uzbekistan in increasing the transparency,
accountability, and efficiency of its primary health
services, and to identify what further steps could be taken
to improve the effectiveness of delivery, some of which may
be applicable to other sectors as well. The report examines
public spending, public financial management, and human
resource management and remuneration in the primary health
care sector at the local level. It draws lessons from the
experience of Ferghana and Samarkand, two oblasts that have
implemented reforms in primary health care, and incorporates
the findings drawn from other sources, such as public
expenditure data, the laws and regulations governing these
systems, and the Service Quality Delivery Survey (SQDS)
conducted in 2007. This report discusses the key governance
issues related to improving service delivery in the primary
health care area, and concludes with recommendations
tailored to decision makers at the central and local
government levels and those in local facilities. |
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