Diabetes in Kyrgyzstan: changes between 2002 and 2009

Beran, D; Abdraimova, A; Akkazieva, B; McKee, M; Balabanova, D; Yudkin, JS; (2013) Diabetes in Kyrgyzstan: changes between 2002 and 2009. The International journal of health planning and management, 28 (2). e121-e137. ISSN 0749-6753 DOI: https://doi.org/10.1002/hpm.2145

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Health system reform in Kyrgyzstan is seen as a relative success story in central Asia. Initially, most attention focused on structural changes, and it is only since 2006 that the delivery of care and the experience of health service users have risen on the agenda. One exception from the earlier period was a rapid appraisal of the management of diabetes, undertaken in 2002. Using that study as a baseline, we describe the findings of a new evaluation of diabetes management, undertaken in 2009, using the Rapid Assessment Protocol for Insulin Access, now implemented in seven countries. Access to care has improved through the creation of the Family Medical Centres and the deployment of endocrinologists to them. Another improvement is the access to insulin and related medicines, although assessment of the procurement system reveals that the government is getting very poor value for money. Looking ahead, there are grounds for optimism that the passage of the law on diabetes may progressively have a greater impact. Although the law is not yet fully implemented, it has enabled the diabetes associations to defend the rights of their members. This increased capacity is credited with some improvements in diabetes care. Copyright (c) 2012 John Wiley & Sons, Ltd.

Item Type: Article
Keywords: diabetes, health systems, health system management, chronic diseases, health system assessments, rapid assessment protocol, health systems, noncommunicable diseases, insulin access, eastern-europe, care, mozambique, countries, reform
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Faculty of Public Health and Policy > Dept of Global Health and Development
Research Centre: ECOHOST - The Centre for Health and Social Change
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 23125073
Web of Science ID: 319876700001
URI: http://researchonline.lshtm.ac.uk/id/eprint/1105310


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