Annex P Z II Uzbekistan PMP Report 2007.pdf

SO 3.2

2006 Oblast-by-oblast coverage

Description Total

Population Ferghana Navoii Syrdaryo Khorezm Karakalpakstan Population covered by rural PHC reforms 3,921,686 1,918,447 518,208 416,508 610,823 457,700 Total population of the oblasts/regions where rural PHC reforms currently being implemented (not include urban areas or rural areas not yet covered) 7,297,956 2,860,000 726,456 679,000 1,460,700 1,571,800 National population (Total of Uz) 26,021,000 % of population in the project oblasts/regions covered by Rural PHC reforms 53.7% 67.1% 71.3% 61.3% 41.8% 29.1% % of national population covered by rural PHC reforms 15.1%

Description Total

Population Ferghana Navoii Syrdaryo Khorezm Karakalpakstan Andijon Namangan Bukhara Surkhandaryo Population covered by rural PHC reforms 9,980,583 1,957,117 534,030 435,655 1,067,139 800,623 1,606,128 1,183,993 1,051,200 1,344,698 Total population of the project oblasts/regions where rural PHC reforms have been rolled-out throughout the entire oblast/region 15,444,857 2,898,194 726,500 683,200 1,485,000 1,582,600 2,409,900 2,143,700 1,536,000 1,979,763 National population (Total of Uz) 26,485,000 % of population in the project oblasts/regions covered by rural PHC reforms 64.6% 67.5% 73.5% 63.8% 71.9% 50.6% 66.6% 55.2% 68.4% 67.9% % of national population covered by rural PHC reforms 37.7%

% outpatient visits 2006 % of outpatient visits to the reformed PHC Facilities Total Ferghana Navoii Syrdaryo Khorezm Karakalpakstan Data from MOH and Regional Health Departments Number of outpatient visits to the reformed Rural PHCF's 18,826,000 7,849,100 2,033,100 1,896,600 1,152,900 5,894,300 Number of outpatient visits to the Urban PHCF's/Polyclinics 13,428,200 6,407,300 1,267,300 460,100 3,530,300 1,763,200 Number of outpatient visits to the specialty providers 18,618,700 8,202,200 2,833,100 2,606,400 3,655,900 1,321,100 Total of all outpatient visits 58,450,100 22,458,600 6,133,500 4,963,100 11,192,000 13,702,900 % of outpatient visits to the reformed rural PHCF's* 32.2% 34.9% 33.1% 38.2% 10.3% 43.0%

2007 % of outpatient visits to the reformed PHC Facilities * Total Ferghana Navoii Syrdaryo Khorezm Karakalpakstan Andijon Namangan Bukhara Surkhandaryo

Uzbekistan Target Indicators

Percent of total outpatient visit share increased in primary health care practices (SVPs), relative to outpatient specialist care

ZdravPlusII Target Indicators Uzbekistan 2007

Data from MOH and Regional Health Departments Number of outpatient visits to the reformed Rural PHCF's 43,162,695 9,620,595 2,975,752 2,058,948 4,550,500 5,010,550 6,659,900 5,023,750 3,845,600 3,417,100 Number of outpatient visits to the urban PHC polyclinics and specialty providers 87,669,255 17,599,705 5,845,048 3,257,352 6,597,500 6,873,900 11,920,600 13,623,600 10,354,400 11,597,150 Total of all outpatient visits 130,831,950 27,220,300 8,820,800 5,316,300 11,148,000 11,884,450 18,580,500 18,647,350 14,200,000 15,014,250 % of outpatient visits to the reformed rural PHCF's* 33.0% 35.3% 33.7% 38.7% 40.8% 42.2% 35.8% 26.9% 27.1% 22.8%

Within In 3 initial Baseline 2005 34.0% 34.0%

Target 2006 30.0% 32.2% 35.0% Target 2007 32.0% 33.0% 35.4% Target 2008 34.0% Target 2009 35.0%

Year

Targets within national rollout

3 initial pilot oblasts

(ZdravPlusI)

Actual

2006 Notes: 1. The pilot column in the target and actual table reflects the 3 initial pilot oblasts. In ZdravPlusII, Uzbekistan is rolling out nationally so we are converting from pilot targets and actuals to national targets and actuals. The National target is defined as all oblasts in which the roll-out has started happening (step-by-step all UZ oblasts over the next 3 years)

2. Share of the outpatient visits to the reformed (rural) PHC facilities increased from 34% reported in 2005 to 35% in 2006 in the three intial pilot oblasts (Ferghana, Navoii and Syrdaryo). The national targets and actuals decline in the initial years of the country-wide roll-out because of : (1) Inclusion of new sites/regions where the rural PHC reforms have ju started and naturally will need some time to attain higher utilization rates, and (2) Phased-in implementation of the roll-out in the new regions, which results in relatively lower shares of the outpatient visits to the reformed (rural) PHC facilities in the new project sites.

*Official data during the reporting time was available only through the end of Quarter-2, 2006. The reported annual numbers therefore cover the last two quarters of 2005 and the first two quarters of 2006. While the rural PHC reforms cover the entire oblast in Ferghana, Syr Daryo and Navoii, as of the reporting time they have been partly implemented in Khorezm and Karakalpakstan. Region-wide roll-out of the rural PHC reforms will be completed in Khorezm in end-2006 and in Karakalpakstan in 2007.

2007 Notes:

* Official data during the reporting time was available only through the end of Quarter-2, 2007. The reported annual numbers therefore cover the last two quarters of 2006 and the first two quarters of 2007.

1. The pilot columns reflects the 3 initial pilot oblasts of ZdravPlusI. In ZdravPlusII, Uzbekistan is rolling out nationally so we are converting from pilot targets and actuals to national targets and actuals. The national target is defined as all oblasts/regions in which the roll-out of the rural PHC reforms (initially, per capita finance and management systems) has bee fully completed throughout the entire oblasts/regions (all UZ oblasts/regions are planned to be covered next year)

2. Share of the outpatient visits to the reformed (rural) PHC facilities increased from 34% and 35% reported in 2005 and 2006 respectively to 35.4% in 2007 in the three initial pilot oblasts (Ferghana, Navoii and Syrdaryo). The national targets and actuals decline in the initial years of the country-wide roll-out because of : (1) Inclusion of new sites/regions where the rural PHC reforms have just started and naturally will need some time to attain higher utilization rates, and (2) Phased-in implementation of the roll-out in the new regions, which results in relatively lower shares of the outpatient visits to the reformed (rural) PHC facilities in the new project sites.

* Official data during the reporting time was available only through the end of Quarter-2, 2007. The reported annual numbers therefore cover the last two quarters of 2006 and the firs

ZdravPlusII Target Indicators Uzbekistan 2007