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Kazakhstan
>> Regional Overview >> Kazakhstan Overview Program Data Sheet
115-0320
USAID MISSION: Kazakhstan
PROGRAM TITLE: Health and Population Program (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Increased Utilization of Quality Primary Health Care for Select Populations; 115-0320
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $6,000,000 FSA
PRIOR YEAR UNOBLIGATED AND FUNDING SOURCE: $3,092,000 FSA
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $6,600,000 FSA
INITIAL OBLIGATION: FY 1992 ESTIMATED COMPLETION DATE: FY 2005Summary: USAID's training and technical assistance programs to strengthen primary care have four components:
- public awareness campaigns on personal health care rights and responsibilities;
- improving quality of care for new mothers, children and those with infectious diseases;
- reforming systems to devote more public health resources to primary health care; and
- updating legislative, regulatory and policy frameworks that are scientifically based and in line with international standards.
Inputs, Outputs, and Activities: FY 2002 Program: USAID plans to continue work with the Government of Kazakhstan (GOK) that will improve the financial sustainability, efficiency and quality of their health care systems, while preserving access. USAID plans to help restructure health systems at the oblast level to develop new primary care practices, introduce family medicine, upgrade clinical skills and introduce evidence-based clinical guidelines to improve quality of care. USAID will support a separate Health NGO Capacity Building Initiative (HNI) for Central Asia. The purpose of the Initiative is to facilitate the development of six sustainable NGOs with the capacity to improve health care through participatory actions with communities and government. A separate ongoing partnership at Kazakhstan's School of Public Health will focus on health management education.
SUBMISSION OF THIS PROGRAM DATA SHEET CONSTITUTES FORMAL RENOTIFICATION OF USAID'S INTENT TO OBLIGATE FY 2002 RESOURCES FOR THE ACTIVITIES DESCRIBED ABOVE Planned FY 2003 Program: USAID's Health and Population Program will continue to address health challenges, in particular infectious disease control, in Kazakhstan. USAID will support TB control activities by building capacity of local trainers and monitors to provide intensive Directly Observed Treatment, Short Course (DOTS) implementation. USAID will support TB laboratory training and surveillance, adoption of World Health Organization definition of live birth and infant mortality, and blood safety. USAID will also continue support for two new projects in applied epidemiology training and HIV/AIDS surveillance. A new HIV/AIDS prevention program, to begin in FY 2002, will focus on condom social marketing, drug prevention, and interventions for high-risk groups, especially intravenous drug users.
As a result of USAID-promoted universal immunizations, which cover 97% of newborns in Kazakhstan, there were no hepatitis B cases reported among children of age one to six in 2000. Redefining patient rights and responsibilities and creating a favorable legal and policy framework are important elements of the health program. Public information campaigns will better inform people about how to protect their children's well being through "Keeping Children Healthy" and how to seek early tuberculosis (TB) care through "TB Can be Cured." A safe motherhood activity will update maternal care standards from the primary health care facility to the hospital. USAID will also work to expand health finance and health information systems in Kazakhstan, so that health care facilities will have better infrastructure and capacity to provide services. One of USAID's ongoing partnerships will focus on family medicine in Astana.
USAID will support a separate Health NGO Capacity Building Initiative (HNI) for Central Asia. The purpose of the Initiative is to facilitate the development of six sustainable NGOs with the capacity to improve health care through participatory actions with communities and government. A separate ongoing partnership at Kazakhstan's School of Public Health will focus on health management education.
Performance and Results: The USAID-funded "Keeping Children Healthy" campaigns in Karaganda and Semipalatinsk have reached 1,000,000 women with instruction in breastfeeding, appropriate use of antibiotics and appropriate feeding for children with diarrhea. Such basic knowledge in the hands of parents will greatly increase child survival. More than 700,000 people from one oblast recently enrolled with USAID-funded primary health care facilities. Through support of a Drug Information Center, USAID is increasing information on medications so physicians can prescribe the most effective and least costly medications.
As the result of USAID and GOK joint efforts to control tuberculosis, the national TB incidence rate declined 6 % -- its first decline in 10 years. The national TB mortality rate declined 29.9%. USAID and CDC calculate that implementation of DOTS strategy in Kazakhstan saved approximately 8,000 lives over the past 2 years. The TB Electronic Case-Based Surveillance System developed by USAID became fully operational throughout the country. This system allows policy makers to rapidly analyze trends and make informed decisions. At the urging of USAID and the CDC, the GOK changed its immunization policy for newborns to include immunization against hepatitis B. The universal immunization covers 97% of newborns, and resulted in no reports of hepatitus B among children age 1 to 6 in 2000. This compares with 27-87 cases per 100,000 of population in 1990.
USAID's expanded efforts in HIV/AIDS prevention, including research and training in HIV/AIDS surveillance, just began.
In FY 2001, the partnership between the Kazakhstan School of Public Health (KSPH) in Almaty and Virginia Commonwealth University in Richmond, Virginia helped to improve and develop post-graduate programs, research, and service functions at the KSPH. New short-term certificate programs in public health and health management were also developed, and curriculum for a Ph.D. program in health services research was designed. The partnership between the City Health Administration in Astana and Mercy Health System in Pittsburgh, Pennsylvania is fostering the development of prevention-oriented family-based primary care with integrated delivery of social services. The model Family Medicine Center was officially opened this year.
By December 2001, with USAID's support, all six of the major Kazakhstani health NGOs received organizational development training, developed long-term strategic plans, and completed community appraisals resulting in community action grants for two of those NGOs. Kazakhstani and Kyrgyzstani Family Group Practice NGOs have formed a Central Asian coalition to facilitate exchange of best practices.
Principal Contractors, Grantees, or Agencies: Abt. Associates/ZdravPlus, American International Health Alliance, Centers for Disease Control and Prevention, Counterpart Consortium, Project HOPE, WHO, Soros Foundation, and Population Services International. All are separate prime instruments.
US Financing in Thousands of Dollars
115-0320 Increased Utilization of Quality Primary Health Care for Select Populations CSD ESF FSA Through September 30, 2000 Obligations 0 997 14,277 Expenditures 0 997 9,933 Unliquidated 0 0 4,344 Fiscal Year 2001 Obligations 200 0 4,865 Expenditures 0 0 4,048 Through September 30, 2001 Obligations 200 997 19,142 Expenditures 0 997 13,981 Unliquidated 200 0 5,161 Through September 30, 2001 Obligations 0 0 3,092 Planned Fiscal Year 2002 NOA Obligations 0 0 6,000 Total Planned Fiscal Year 2002 Obligations 0 0 9,092 Proposed Fiscal Year 2003 NOA Obligations 0 0 6,600 Future Obligations 0 0 0 Est. Total Cost 200 997 34,834
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Last Updated on: May 29, 2002 |
