81266550-Assessment and Revision of Curricula in Uzbekistan

Since gaining independence in 1991, Uzbekistan has introduced multiple health reforms in the areas of health care, governance and financing in order to improve efficiency while ensuring fair access. Health care in the country has remained largely in public hands, but the buildings and medical infrastructure date predominantly from the Soviet Union era. Necessary repairs, for which there is often no personnel on site, are an additional burden on hospital budgets. Over the past 15 years, the Government of Uzbekistan has invested heavily in upgrading the health infrastructure, with a particular focus on the nationwide network of emergency care facilities. Modern medical devices are being acquired for imaging procedures and minimally invasive surgical procedures. The health reform for 2019-2029 demands a new concept of public health care development in which training and continuous education based on international quality standards are important goals. In the area of pre and postgraduate education, Continuous Medical Education (CME) is being introduced to enable a more efficient and professional use of modern medical equipment. In the technical field, the switch from reactive maintenance to secure and cost-effective health technology management (HTM) is another priority in the reform efforts. The GIZ project ‘Management of advanced medical technology in Uzbekistan’ aims to improve the quality of medical and technical services in the use and management of advanced medical technology in Uzbekistan. The project focuses on systematizing the training and continuing education of medical and technical personnel based on international quality standards. Relevant stakeholders include the Ministry of Health and its downstream agencies which are responsible for pre- and in-service training of medical staff. The measure has four outputs that aim at an improvement of the health situation of Uzbekistan's population, above all in the populous and high-fertility pilot regions, namely Tashkent, Samarkand, the Fergana Valley and the Republic of Karakalpakstan.