Public Health and Preventive Medicine
doi: 10.25005/2074-0581-2019-21-3-415-419
SOME ISSUES OF ACCESSIBILITY AND QUALITY OF MEDICAL CARE FOR THE RURAL POPULATION OF THE REPUBLIC OF TAJIKISTAN

A.G. Gaibov1, N.T. Mirzoali2, Kh.K. Karimzoda3, R.A. Tursunov1

1Scientific Research Institute of Preventive Medicine of Tajikistan, Dushanbe, Republic of Tajikistan
2Institute of Postgraduate Education in Healthcare of the Republic of Tajikistan, Dushanbe, Republic of Tajikistan
3National Laboratory of Public Healthcare, Dushanbe, Republic of Tajikistan

Objective: Scientifically substantiate some of the issues of accessibility and quality of primary health care (PHC) to the rural population in Tajikistan.

Methods: Industry programs, regulatory documents in the field of healthcare and social protection of the population, reports of international experts, related infrastructure, staffing, population relationship with rural health care facilities were analyzed. Information-analytical, sociological, retrospective and expert research methods were used.

Results: Presented the three-level system of providing health services to the population of rural areas. The staffing of rural health centers with physicians has increased by 10% in recent years and by 20% for paramedical personnel. The main health problems of rural residents are: long waits for the arrival of a specialty doctor (40%), low qualifications of doctors (25%), poor provision with modern medical equipment (50%), high cost of services (50%), as well as lack of medicines, irresponsibility and negligence of health workers.

Conclusion: The logistics of PHC institutions need to be improved, quality monitoring and evaluation of these institutions across the country should be carried out, and direct follow-up efforts to improve their availability of both outpatient and inpatient care for rural populations.

Keywords: Rural healthcare, medical care, medical staff , public health, the quality of care.

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Authors' information:

Gaibov Amonullo Gaibovich
Doctor of Medical Sciences, Full Professor, Head of Noninfectious Diseases Prevention Department, Scientific Research Institute of Preventive Medicine of Tajikistan
ORCID ID: 0000-0002-2765-0885

Mirzoali Nazrullo Talbakzod
Applicant, Institute of Postgraduate Education in Healthcare of the Republic of Tajikistan
ORCID ID: 0000-0001-6982-6335

Karimzoda Kholmakhmad Karim
Director, National Laboratory of Public Healthcare
ORCID ID: 0000-0002-9146-5799

Tursunov Rustam Abdusamadovich
Candidate of Medical Sciences, Senior Researer, Scientific Research Institute of Preventive Medicine of Tajikistan
ORCID ID: 0000-0002-5518-6258

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment.

Conflicts of interest: No conflict

Address for correspondence:

Gaibov Amonullo Gaibovich
Doctor of Medical Sciences, Full Professor, Head of Noninfectious Diseases Prevention Department, Scientific Research Institute of Preventive Medicine of Tajikistan

734025, Republic of Tajikistan, Dushanbe, Shevchenko Street, 61

Tel.: +992 (935) 930702

E-mail: s_amon@mail.ru

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