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Systematic assessments of the quality of care provide a platform for taking stock of achievements, identifying gaps, and having an informed discourse on the way forward. However, data-driven comprehensive assessments of the state of quality in the Kyrgyz Republic are lacking, despite much anecdotal evidence on poor quality of care. This report will be the first attempt at bringing together different datasets and sources of information to provide a comprehensive data-driven view of the state of quality in the country, with international benchmarking of the Kyrgyz data as and when appropriate. This report will describe the socioeconomic context in the country with a focus on health financing and outcomes in its first chapter. In the second chapter, the current state of quality in the Kyrgyz Republic will be evaluated using the quality measurement framework proposed by Donabedian. Findings from the assessment will inform key conclusions and policy recommendations in the final chapter of the report.
Child Health --- Health Care Services Industry --- Health Service Management and Delivery --- Health, Nutrition and Population --- Industry --- Maternal Health
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Uzbekistan's transition from planning to market started almost thirty years ago following its independence from the Soviet Union. For most of this period, economic modernization and transformation were stalled, with little change in institutions and policies from those prevailing at the time of the planned economy. In late 2016, Uzbekistan surprised by launching reforms with a breadth and speed that at times exceeded the pace of those observed in some of the earlier reformers at a similar stage of the process. In November 2018, building on the results from more than a year of economic reforms, the government announced the agenda for the next phase of its bold and ambitious economic transformation. In terms of the pace of transition, Uzbekistan's record has been mixed but appropriate, given that reforms are dependent on experience with markets and prices, initial conditions, and institutional strength. Before the Coronavirus (COVID-19) pandemic started, the reform momentum was supported by comfortable external and fiscal buffers and a robust global economy. The buffers are still sizable, even with doubling of public debt since 2017, and a sign of strength but the pull from the global economy has been substantially diminished. The rest of the introduction reviews progress in the key areas of economic transformation.
Economic Growth --- Energy Sector --- Fiscal Policy --- Health --- Macroeconomics and Economic Growth --- Public Sector Development --- State-Owned Banks --- State-Owned Enterprises
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