Baktygul Akkazieva

TL;DR: These experiences show that improvements in health can still be achieved in countries with relatively few resources, though strategic investment is necessary to address new challenges such as complex chronic diseases and growing population expectations.

TL;DR: Tajikistan is undergoing a complex transition from a health system inherited from the Soviet period to new forms of management, financing and health care provision, with marked geographical imbalances in health care resources and financing.

TL;DR: This paper reviews experiences in this rarely studied part of the world to identify what has worked in terms of 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.

TL;DR: Although utilization of both primary care and hospital services declined during the 1990s and early 2000s, it is increasing again and there is increasing equality of access across regions, improved financial protection and a decline in informal payments, but more efforts will be required in these areas in the future.

TL;DR: The findings of a new evaluation of diabetes management in Kyrgyzstan are described, undertaken in 2009, using the Rapid Assessment Protocol for Insulin Access, now implemented in seven countries and credited with some improvements in diabetes care.