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Киргистан Форум ЦАРК ОЗМиР PowerPoint PPT Presentation


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Доступ и качество первичного звена здравоохранения с фокусом на здоровье матери и ребенка. Киргистан Форум ЦАРК ОЗМиР. Толкун Джамангулова. Беглая оценка исследования, проведенного в Чуйской и Иссык-Кульской областях Киргизстана Подготовлена киргизско-шведским проектом по поддержке реформы.

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Киргистан Форум ЦАРК ОЗМиР

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4098651


4098651

, -

-

UNICEF,


4098651

( )

2003

:

4 2

- 7 FGP

( 4 3 )

- 7 FAP

26 261 14


4098651

  • 71% (100-150 )

  • 48%


4098651

:

4 2

  • 100%

  • 100 4 . 50 ( FGPs )


4098651

261

  • 187 (72%)

  • 48 (18%)

  • 26 (10%) 1 3

    214 < 3

  • 8 (4%) -


4098651

(n=145)

0 5

15 (10%)

6 12

15 (10%)

> 12

115 (79)

, . (n=196)

0

63 (29%)

5 7

83 (39%)

8 2

29 (14%)

> 12

23 (11%)


4098651

  • Complains for bad service and conditions everything is missing

  • Informal payments in between 225-425 som


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Friendliness of PHC staff

  • Staff from all FAPs and 4 FGPs out of 7 was assessed as friendly

    Trust

  • Mothers trust completely to the FAP staff

  • 19 groups out of 26 expressed overall trust to FGP doctors


4098651

Staff availability at working hours

  • PCH staff is always or almost always available at working hours. Except for 2 FGP which are open only in the morning.

  • The working hours of FGP and FAPs are convenient.


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Access in emergency cases

  • All FAPs and 4 FGP are available during the night time in emergency cases.

  • In the cities people call ambulances at night.

  • Almost everywhere emergency drugs must be paid.


4098651

Pharmacies and Outpatient Drug Package (ODP)

  • There are no pharmacies in all FAP areas.

  • There are pharmacies available in all FGP areas.

  • Never heard about ODP (in 17 sessions out of 26).


4098651

Health promotion

  • Information on health promotion is received almost exclusively at time of treatment for an ailment.

  • PHC staff does not undertake any activities on health promotion.


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Workshop with PHC staff (FGP/FAP)

There were 26 participants from 26 PHC units of 2 oblasts 26

- 8 FGP nurses

- 7 FAP nurses

- 8 FGP doctors

- 3 FMC doctors


4098651

Availability of family planning material

FAP 7, FGP 14, FMC 3. Total - 24


4098651

Emergency care

Emergency care for children

  • Parents bring children to doctor in time (in case of pneumonia, diarrhoea, etc).

  • Big confusion about reparation of rehydration solution at home (many doctors do not know the components and dosage).

  • There are no necessary emergency drugs in many FGPs and all FAPs (antibiotics, antihistamins, rehydration solution)


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Emergency obstetric care

  • PHC staff feels comfortable in situation of normal deliveries (without complications)

  • But everywhere oxytocine and clonidin are missing

  • In case of obstetric emergency, the transport to the hospital is organised


4098651

Medical equipment

FAP:

  • The most elementary medical instruments are lacking (for example: 2,1 thermometers per1 FAP)

    FGP:

  • Not enough manometers (0,6 per doctor)

  • Not enough thermometers, tongue spatels, hemoglobinemters, etc).


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