Lessons from two decades of health reform in Central Asia.


Rechel, B; Ahmedov, M; Akkazieva, B; Katsaga, A; Khodjamurodov, G; McKee, M; (2012) Lessons from two decades of health reform in Central Asia. Health policy and planning, 27 (4). pp. 281-7. ISSN 0268-1080 DOI: https://doi.org/10.1093/heapol/czr040

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Abstract

: Since becoming independent at the break-up of the Soviet Union in 1991, the countries of Central Asia have made profound changes to their health systems, affecting organization and governance, financing and delivery of care. The changes took place in a context of adversity, with major political transition, economic recession, and, in the case of Tajikistan, civil war, and with varying degrees of success. In this paper we review these experiences in this rarely studied part of the world to identify what has worked. This includes effective governance, the co-ordination of donor activities, linkage of health care restructuring to new economic instruments, and the importance of pilot projects as precursors to national implementation, as well as gathering support among both health workers and the public.<br/>

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Research Centre: ECOHOST - The Centre for Health and Social Change
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 21609971
Web of Science ID: 305423600002
URI: http://researchonline.lshtm.ac.uk/id/eprint/709

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