Annex P Z II Kyrgyzstan PMP Report 2007.pdf

SO 3.2

Description Year KR Nat'l Issyk-Kul Oblast Chui Oblast Bishkek City Osh Oblast Jalalabat Oblast Batken Oblast Talas Oblast

Naryn Oblast Osh City

2005 % of total outpatient visits in PHCP's Number of visits to PHCP's 2005 10,512,610 872,695 1,691,045 2,700,276 1,460,089 1,751,070 626,575 325,646 402,514 682,700 Number of total outpatient visits 2005 17,084,627 1,401,198 2,552,604 4,765,552 2,383,552 2,645,559 909,720 627,873 657,366 1,141,203 % of total outpatient visits in PHCP's 62% 62% 66% 57% 61% 66% 69% 52% 61% 60%

2006 % of total outpatient visits in PHCP's Number of visits to PHCP's 2006 (submitted) 11,917,361 922,430 1,873,421 3,096,514 1,662,998 1,961,786 860,513 367,231 461,588 710,880 Number of total outpatient visits 2006 (submitted) 20,247,660 1,683,205 2,496,300 5,519,726 3,262,732 2,967,885 1,509,780 581,723 868,838 1,357,471 % of total outpatient visits in PHCP's 59% 55% 75% 56% 51% 66% 57% 63% 53% 52% Number of visits to PHCP's 2006 (revised) 11,659,201 924,233 1,749,012 2,473,487 2,349,291 2,087,681 775,297 322,396 360,870 616,934 Number of total outpatient visits 2006 (revised) 20,454,165 1,601,440 2,561,431 5,216,338 4,181,542 3,054,222 1,377,005 526,848 687,903 1,247,436

% of total outpatient visits in PHCP's 57% 58% 68% 47% 56% 68% 56% 61% 52% 49% 2007 % of total outpatient visits in PHCP's

Number of visits to PHCP's 2007 7,622,699 579,675 921,420 1,786,200 1,852,937 1,259,533 350,166 199,319 260,114 413,335 Number of total outpatient visits 2007 12,891,818 926,116 1,421,728 3,420,345 3,217,357 1,705,783 575,109 303,246 530,410 791,724 % of total outpatient visits in PHCP's 59% 63% 65% 52% 58% 74% 61% 66% 49% 52%

Year Performance Fee Targets Revised Targets Actual

Baseline 2005 62% Target 2006 60% 60% 57% Target 2007 63% 61% 59% Target 2008 67% 62% Target 2009 71% 63%

FINAL 75% 63%

2006 Notes: 1. The results seem to have stabilized around 60% which may be the best that can be expected in the post-Soviet environment

2. Additional substantial increases are likely dependent on significant regulatory changes, for example changing the requirement that army inductees must visit a substantial number of specialists rather than one PHC doctor

3. Decreases in 2006 data may reflect the post-revolution migration of rural PHC workers and may well hamper future increases

4. The 2005 increase from 56% to 62% was considered to be large and may be the anomaly with the increase from 56% to 59% being the more natural small, incremental increase expected in the current stage of development of PHC. Although ZdravPlus works to monitor data quality with the MOH Statistics Department, it is a difficult task as the system is so large and the KR calendar year reporting year doesn't match the USAID reporting year meaning some KR year-end data quality checks aren't included.

2007 Notes:

Percent of total outpatient visit share increased in PHC practices, relative to outpatient specialist care, from 56% in 2003 to 75%

Kyrgyzstan Target Indicators

1. Data from 2007 is from first three quarters only.

2. Two 2006 data sets are included above. 2006 (revised) and 2006 (submitted). 2006 (revised) are lower than those submitted last year, 2006 (submitted), due to the inclusion of data from all four quarters of 2006 and data checks and edits performed by the MOH Republican Medical Information Center.

ZdravPlusII Target Indicators Kyrgyzstan 2007