Healthcare Policies in Kazakhstan : A Public Sector Reform Perspective

This book is the first of its kind about healthcare reform efforts in Kazakhstan since its independence within the context of the public sector reform movement. The book provides a brief background of Kazakhstan and its Soviet legacy and the country's efforts to modernize the health system, before creating an overview of the existing system, the reforms since independence, and the future of healthcare in Kazakhstan. This book will be of interest to policymakers, analysts, and development economists. Francis E. Amagoh is a professor of public policy and administration at KIMEP University in Kazakhstan. He obtained his PhD from Virginia Commonwealth University, USA. Contents List of Tables Chapter 1: Introduction and Study Background 1.1 Early Years of Political and Economic Transitions 1.2 Trajectory of Health Indicators 1.3 Conclusion References Chapter 2: The Need for Health System Design 2.1 Goals of Health System Design 2.2 Health System’s Design Prerequisites 2.3 Functions of Health System’s Structure 2.4 Conclusion References Chapter 3: Overview of Kazakhstan’s Health System 3.1 Primary Healthcare 3.2 Elements of Primary Healthcare in Kazakhstan 3.3 Responsible Entities and Programs 3.4 Categories of Primary Healthcare Staff 3.5 Categories of Primary Healthcare Facilities 3.6 The Hospital Sector 3.6.1 Major Categories of Hospital Facilities 3.7 Hospital Modernization Initiatives 3.8 Other Aspects of the Health System 3.9 Conclusion References Chapter 4: Organization of the Health Delivery System 4.1 Health Delivery Structure 4.1.1 Ministry of Health 4.1.2 Committees under the Ministry of Health 4.2 Oblast Health Departments (Also Known as Local Health Authorities) 4.3 Health Financing 4.4 The Urban/Rural Divide 4.5 Conclusion References Chapter 5: Trajectory of Health Reforms 5.1 The Concept of Healthcare Reform (1992) 5.2 Mandatory Health Insurance (1996) 5.3 The President’s “Strategy Kazakhstan 2030” (1997) 5.4 Law on the Health of the Nation (1998) 5.5 Decree on Measures for Improving Primary Healthcare for the Rural Population (1999) 5.6 National Program for Healthcare Reform and Development 2005–2010 (2004) 5.7 State Healthcare Development Program for 2011–2015 (Salamaty Kazakhstan) (2010) 5.8 State Policy for Public Health Development 2016–2019 (Densaulyk) (2015) 5.9 State Program of Healthcare Development 2020–2025 (2019) 5.10 Conclusion References Chapter 6: A Review of Public Sector Reform 6.1 A Closer Look at Public Sector Reform 6.2 Some Features of Public Sector Reform 6.2.1 Decentralization 6.2.2 Competition (Quasi-Market) 6.2.3 Efficiency 6.2.4 Good Governance 6.2.5 Partnerships 6.3 Conclusion References Chapter 7: Features of Public Sector Reform in Kazakhstan’s Health Reform Programs 7.1 Decentralization and Devolution of Responsibilities 7.2 Efficiency 7.3 Quality 7.4 Education and Training of Health Professionals 7.5 Competition 7.6 Conclusion References Chapter 8: Partnerships and Collaborations 8.1 Nonprofit Organizations 8.2 International Organizations 8.3 Collaborations with the Private Sector (Public-Private-Partnerships) 8.4 Conclusion References Chapter 9: Future Prospects and Conclusion 9.1 Future Outlook and Pandemic Response Strategies 9.2 Conclusion References Index