Main Focus

Context

The Astana declaration of 2018 renewed the commitment to primary health care (PHC) in pursuit of health and well-being for all, leaving no one behind. Its emphasis is on promotion and prevention, addressing determinants and a people-centred approach. Correspondingly, Kyrgyzstan’s health sector strategy, Healthy person – Prosperous Country (2019-30), has a strong emphasis on moving towards Universal Health Coverage, strengthening health service delivery with a focus on improving the quality of PHC services and changing to a comprehensive, person centred approach.

Whilst the country has experienced success in working on health-related SDG targets, issues persist when it comes to PHC service delivery. Mortality from cardiovascular disease accounts for more than 50% of all deaths in Kyrgyzstan (WHO, 2020) and maternal mortality measures 60 per 100,000 live births (UNICEF, 2019). These figures are the highest across the WHO Euro region. The COVID-19 pandemic further exposed weaknesses in the system and underlined the importance of PHC in managing a pandemic, both now and in the future

The approach

The Kyrgyz-German project Promotion of Primary Healthcare is implemented by the Ministry of Health of the Kyrgyz Republic and the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH on behalf of Germany’s Federal Ministry for Economic Cooperation and Development (BMZ) from January 2021 to December 2023. 

Kyrgyzstan has been a partner country for German development cooperation since the early 1990s, and this project continues to build on a strong partnership whilst targeting health as a focus area. 
The overall objective of the project is to improve the quality of primary healthcare services, with a focus on mother and child health, in the Chui and Osh regions. To achieve this, the project team, together with national experts, work to improve management of healthcare organizations, further strengthen the quality of health services and develop the competencies of health professionals. Underpinning this work are the principles of “person-centred integrated care”, which drives the direction and implementation of our activities. 

The project works in line with the National Development Strategy 2018-2040 and the National Health Strategy 2019-2030 and contributes to the Sustainable Development Goals SDG 3.1 (Reduce maternal mortality), 3.2 (End preventable death under 5 years of age) and SDG 3.8 (Achieve universal health coverage).