Взаимодействие науки и общества –
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29
REFORMS IMPLEMENTED IN THE MEDICAL SYSTEM OF
FERGANA VALLEY PROVINCE
Abdukhalimov Abdurakhmon Abdumuminovich
Andijan State Medical Institute, Head of the Work with youth, spirituality and
education department, PhD in History, Associate Professor
Despite the reforms carried out in the field of healthcare in the country
during the years of independence, several problems remained due to objective
reasons. For example, in 2015, as a result of inspections conducted by the working
group of employees of the Ministry of Health of the Republic of Uzbekistan and
the
“
Health-3
”
project implementation bureau in multidisciplinary medical
centers, 64 district medical associations, and district multidisciplinary central
polyclinics, Andijan is one of the 7 regions of the country. and it is known that in
some districts of Namangan regions, there are problems in providing treatment
and prevention institutions with qualified medical personnel, and the issue of
personnel remains urgent [1].
Andijan State Medical Institute
’
s faculty of advanced training and retraining
of doctors is mainly a training base for doctors of valley regions. Including
therapy, pediatrics, neonatology, obstetrics and gynecology, surgery,
ophthalmology, emergency medicine and anesthesiology-reanimatology, general
practitioner, dentistry, advanced nursing, neurology, and laboratory specialties in
2014, 2,300 people, in 2015, 2 thousand 309 and in 2016 2 thousand 400 doctors
were retrained in their specialties.
Also, 208 people in 2014, 208 people in 2015, and 320 people in 2016
received the qualification certificate in the special specialization course. [2].
Despite the work being done to provide the population with doctors and
paramedics, there are also shortcomings and problems in the field. In 2018, there
were 4,580 doctors and 27,515 paramedics in the Namangan region, and the
provision of doctors per 10,000 inhabitants was 16.7, and the provision of
paramedics was 99.9. As can be seen from the above data, population growth also
affects the demand for medical personnel. Considering the general needs of the
region, targeted training of medical personnel will also prevent a shortage of
personnel.
Work on the treatment of bleeding and severe hereditary hematological
diseases will rise to a higher level. Sufficient funds are allocated from the state
budget for complex diagnostics and medical procedures in the field of onco-
hematology and difficult-to-treat diseases.
All patients with acute renal failure were covered by free hemodialysis
service.
Взаимодействие науки и общества –
путь к инновационному развитию
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Also, in order to identify and treat endocrine diseases, special departments
are established in regional hospitals.
Another issue is that 35 inter-district centers are being established for acute
vascular diseases that afflict a large part of our population. These centers serve to
reduce death and disability by providing rapid and competent medical care to the
population in cases of heart attacks and strokes. In this way, at least 30,000 lives
are expected to be saved every year.
Much work remains to be done in the healthcare system to improve
efficiency and convenience for the population. In local surveys, only 13 percent of
the population said that they perceive positive changes in medicine, indicating
that there are a number of systemic problems that do not allow the effectiveness
of work in this field to increase [3].
According to the information provided by the World Health Organization
and the Ministry of Health of the Republic, the epidemiological situation of
measles in the world, especially in European countries, remains complicated. Last
year, 9.5 million people contracted this disease, and 148,000 children under the
age of 5 died. 6,790 suspected cases of measles were registered in the Republic in
8 months of 2020.
Taking into account the above, in order to prevent measles in the region,
mass vaccination days for children from 6 months to 5 years of age were held from
October 5.
For this purpose, staff were formed under city-district medical associations,
and qualified specialists were involved. Vaccination was organized in full
compliance with quarantine rules [4].
In 2021, a total of 39 thousand 864.0 positions of doctor, mid-level medical
officer, junior medical officer, and others were allocated in health institutions. If
it was 93.2 percent, this figure was lower than the regional figure in Ulughnor,
Boston, Kurgantepa, Shahrikhan, and Andijan districts. The ratio of doctors in the
region was 1.4.
The indicator of the provision of doctors in the region, excluding regional
institutions, was 12.6 per 10,000 inhabitants, and 11.7 in Andijan, Boston, Asaka,
Shahrikhan, Izboskan, and Oltinkol districts.
In 2021, 1,180 doctors improved their professional qualifications, which
made up 17.3% of the total number of doctors. There are 3 thousand 72 qualified
doctors, 1 thousand 858 of them have higher qualifications, 624 of them have 20.3
percent of the first category, and 47 of them have the second category.
A total of 12 thousand 680 secondary medical workers have the
qualification category, 6 thousand 168 of them have higher, 2 thousand 915 have
the first category, and 3 thousand 597 have the second category.
During the year, 3,823 secondary medical workers improved their
professional qualifications, which made up 12.4% of the total number of
secondary medical workers [5].
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In 2022, in the Fergana region, 60 hospitals, 302 ambulatory-polyclinic
institutions, 20 departments of medical centers, and 9 other institutions provided
preventive medical care. 7 thousand 205 doctors, 42 thousand 664 secondary
medical workers, and other employees provided medical services in these
institutions. The supply of doctors is 20.1 per 10,000 population. This indicator
was higher in the city of Kokand, and lower than the regional indicator in the
districts of Toshloq, Fergana, Sokh, and Altiariq.
In 2022, 42 thousand 664 secondary medical workers worked in regional
medical institutions. The provision of secondary medical personnel was 118.1 per
10 thousand population, while it was 114.9 in Kokand city, Rishton, and Kuva
districts, and it was higher than the regional indicator in Fergana City, Buvaida
and Uzbekistan districts.
There are 9 thousand 539.5 doctors positions in treatment and prevention
institutions, of which there are 8 thousand 974.75 vacant positions. In 2022, the
provision of doctor positions per 10,000 inhabitants in the region decreased to
24.5. This indicator was lower than the regional indicator in Toshloq, Uzbekistan,
Altiariq, Buvayda, and Beshariq districts.
94.1 percent of doctor positions were filled with specialists. As the
occupancy coefficient was 1.2 for the region, it was higher than the regional
indicator in Margilan city, Uchkoprik, Kuva, Sokh, and Fergana districts.
In the region, the provision of secondary medical staff positions was 56.4
per 10,000 inhabitants. It was lower than the regional indicator in Beshariq,
Uzbekistan, Tashloq, and Altiariq districts.
The employment of secondary medical staff positions was 100 percent in
the region.
The number of doctor positions in family doctor
’
s offices was 381.75, the
employment rate was 84.6 percent.
While the supply of doctor positions with specialists was 84.6 percent in the
region, it was less in the city of Kuvasoy, Rishton, Fergana, and Altiariq districts.
The occupancy rate at family doctor points in the region was 1.8, and it was
higher than the regional index in Tashlok, Furqat, Beshariq, and Sokh districts.
This is lower than the regional indicator in Uzbekistan, Altiariq, Yozyovon, and
Koshtepa districts.
The occupation of the positions of secondary medical workers was 100
percent in the region, and the vacancy rate was 1.4.
During the year, 1 thousand 265 doctors and 4 thousand 715 secondary
medical workers, working in regional treatment and prevention institutions,
improved their qualifications. 49.6% of all doctors and 43.0% of secondary
medical workers had the qualification category.
There are 95 thousand 39.5 doctor positions in the ambulatory polyclinic
system of the region, which is 24.5 percent of the total doctor positions. the
provision of medical positions with specialists in the system was 94.1 percent [6].
Взаимодействие науки и общества –
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Movement of entrepreneurs and businessmen
–
Shavkat Mirziyoev,
candidate for the President of the Republic of Uzbekistan from the Liberal-
Democratic Party of Uzbekistan, held a meeting with the voters of the Andijan
region on June 14, 2023.
At the meeting, Shavkat Mirziyoev gave a speech on his pre-election
program. First of all, priority was given to the issue of public health.
“
Another new initiative now, we are retraining family doctors in guaranteed
medical services and giving them a certificate of competence. The monthly salary
of certified doctors will be doubled.
We apply the same procedure to our nurses who are true devotees of
medicine
” [7]
he said.
In short, large-scale work is being carried out to consistently continue the
reforms in the health care system, to ensure the implementation of priority tasks
for the protection of public health, and to create the necessary conditions for
increasing the capacity of medical workers. The main goal was to create comfort
for the population and provide specialized medical care on the spot.
References:
1.
Джуманов
С.А. Ўзбекистонда соғлиқни сақлаш тизими асосий
йўналишларининг ривожланиш тарихи (1991–2015 йй). т.ф.ф.д. (PhD) дис...
–
Самарқанд, 2019. –
Б. 50.
2.
Андижон давлат тиббиёт институти маълумотлари. Муаллиф
томонидан қайта ишланган.
3.
Мирзиёев
Ш.М. Янги Ўзбекистон стратегияси. –
Тошкент:
“O‘zbekiston”, 2021. –
Б. 214.
4.
Far
g‘
ona haqiqati 2020-yil 10-
oktabr № 79 (24468).
5.
Андижон
вилояти
Соғлиқни
сақлаш
бошқармаси
маълумотлари
.
Муаллиф томонидан қайта ишланган.
6.
Фарғона вилояти Соғлиқни сақлаш бошқармаси маълумотлари.
Муаллиф томонидан қайта ишланган.
7.
https://uzlidep.uz/uz/news-of-party/14489
