Malika holds her son Otbek, 6 month old, on the hallway of a school in a village Onadyr located near Osh, Kyrgyzstan. They fled from their village, Mady in 2010 when the violence broke out in the region. They have been staying the school since then where Save the Children has been providing health services and other relief to children and families affected by the violence.
Photo credit: Ikuru Kuwajima/Save the Children.

Neonatal mortality rate  (per 1,000 live births) (2011) 16
Under-five mortality rate (per 1,000 live births) (2011) 31
Maternal mortality ratio (per 100,000 live births) (2010) 71
Number of doctors, nurses and midwives per 10,000 people (2010) 24.7
Births attended by skilled personnel (2010) 98.3%
Total expenditure on health as a percentage of gross domestic product (2011) 6.5%
General government expenditure on health as a percentage of total expenditure on health (2011) 59.7%

Kyrgyzstan has reduced the number of children dying before age five by 56 per cent since 1990 and now is trying to achieve Millennium Development Goal 4 of reducing child deaths by two-thirds between 1990 and 2015

After independence, Kyrgyzstan started reforming its health system, to make it more decentralized and performance oriented. UHC is being realised through a Mandatory Health Insurance Fund. Continuing commitment by government and stakeholders contributed to producing good health outcomes. Progress slowed down but was not interrupted by difficult economic circumstances and by social unrest in 2010.

HRH issues have received much attention since 1996, but success of interventions remains limited. Family group practices and centres, staffed by one paramedic worker (feldsher) provide primary health care in remote areas; in larger villages, they also employ a midwife and a nurse. Barriers to access to primary care remain due to lack of providers, low salaries and motivation, retention problems. Despite improvements, further efforts are required to improve quality, provide functioning equipment and upgrade qualifications of staff. The Concept for Reforming Medical Education was developed to modernize medical education and to develop accreditation mechanisms.

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