Completed work in the field of healthcare

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Work in the healthcare sector for the III quarter of 2026

Within the framework of the Government of the Republic of Kazakhstan Resolution No. 945 dated November 24, 2022 "On approval of the Concept for the development of healthcare in the Republic of Kazakhstan for 2022-2029", measures were taken to improve public health, improve the quality of medical services, provide affordable medicine, develop preventive medicine, protect maternal and child health, improve primary health care, and strengthen the material and technical base of medical organizations.

33 069 residents are attached to the Syrdarya District Hospital under the "Attached Population Register" program. Including children – 10 811, adolescents – 1 859, adults – 20 399.

The institution includes: district hospital, district polyclinic for 250 visits per shift, 10 medical ambulatories, 2 feldsher-midwife stations, 1 medical point.The district hospital consists of pediatric, surgery, therapy, intensive care, gynecology and maternity, rehabilitation and palliative care, and infectious diseases departments with 160 beds.

Total staff – 765, including 76 doctors, 429 mid-level, 134 junior and 124 other staff.In 8 months of 2026, 5 doctors were hired to reduce shortage (1 GP, 1 therapist, 1 obstetrician-gynecologist, 1 rehabilitologist, 1 radiologist).Qualification category: 36 of 76 doctors have a category – 47.3%, 253 of mid-level staff – 59.0%.

Morbidity:

	9 months of 2025	9 months of 2026
Total morbidity	29 946	26 186
Primary incidence	13 028	11 838

11,838 newly detected patients: 6,784 adults, 849 adolescents, 4,205 children.

Polyclinic visits in 9 months – 215 367 (2025 – 219 743), decreased by 4 376.

Total deaths – 168 (2025 – 120), rate per 1000 population – 5.0.

Of working age – 47 (28.0%). At home – 109 (64.8%), in hospital – 36 (21.4%), elsewhere – 23 (13.6%).Screening: Annual plan – 3,650, completed – 3,208 – 87.8%Circulatory diseases – plan 3,262, screened 2,987 (91.6%), 108 detectedDiabetes – plan 3,262, screened 3,262 (100%), 33 detectedGlaucoma – 3,262 (100%), 9 detectedBreast cancer – plan 2,379, screened 2,102 (88.4%), 346 detectedCervical cancer – plan 1,538, screened 1,534 (99.7%), 382 detectedColorectal cancer – plan 3,307, screened 2,352 (71.1%), 6 detectedChildren 0-17 years – plan 11,918, completed 10,448 – 88.7%Drug supply:

Under the "Social Wallet" project, an average of 350 prescriptions are dispensed per day. 17,052 free drugs have been issued. 481,801,508 drugs labeled, 94.4% spent in E-Health system.

Under the Guaranteed Volume of Free Medical Care (GVFMC), application for 420,772,406.54 tenge.

Under Compulsory Social Health Insurance (CSHI) for adults – 209,867,155.36 tenge, for children under 18 – 18,438,568.06 tenge plus additional 51,464,495.96 tenge.

Work in the healthcare sector for the II quarter of 2026

As part of the implementation of the Decree of the Government of the Republic of Kazakhstan No. 945 dated November 24, 2022 "On approval of the Concept of Healthcare Development of the Republic of Kazakhstan for 2022-2029", a number of measures were carried out aimed at improving public health improving the quality of medical services ensuring access to medical care developing preventive medicine protecting maternal and child health and improving primary health carehealth care strengthening the material and technical base of the district's medical and preventive organizations as well as achieving target indicators According to the regional plan 33,446 residents have been assigned to the Syrdarya Regional Hospital's "Register of the Attached Population" program Of these children 10 9646 teenagers 2 121 adults 20 361 The structure of the institution includes a district hospital a district polyclinic for 250 visits per shift 10 outpatient clinics 2 paramedic and obstetric centers 1 medical center The district hospital has children's surgical therapeutic intensive care gynecological and maternity departments a department of rehabilitation and rehabilitation treatment a department of palliative care as well as an infectious diseases department The total bed capacity is 160 beds Currently, the district health system employs 776 employees including 75 doctors 429 employees of the secondary medical staff 138 employees of the junior medical staff 134 other employees The availability of doctors is 22.4% Of the 75 doctors, 34 people (45.3%) have the qualification category, and 247 people (57.6%) have the category among the secondary medical staff Employees without a category have less than 5 years of work experience and have relevant professional certificates Over the past 6 months, 4 doctors and 3 nurses have improved their qualifications Screening programs Screening examinations are conducted in accordance with the order of the Ministry of Health of the Republic of Kazakhstan No KR DSM174/2020 dated October 30, 2020, as amended by Order No. 71 dated July 29, 2025 which approved the target population groups to be screened as well as the rules scope and frequency of their conduct For early detection of diseases and prevention of complications, an examination of 3,650 people was planned for 2026 As of the current date, 3,208 people have been examined which is 87.8% An examination of 3,262 people was planned for 2026 for the early detection of diseases of the circulatory system In 6 months, 2,231 people (70.8%) were examined, 62 cases of the disease (2.7%) were detected and all patients were registered at the dispensary For the prevention of complications of diseases of the circulatory system, the following devices are used devices for daily blood pressure monitoring (SMAD) systems for daily Holter ECG monitoring and telemetry equipment It was planned to examine 3,262 people for early detection of diabetes mellitus For 6 months, 3,036 people (93.1%) were examined, 16 cases of the disease (1.4%) were detected and all patients were registered at the dispensary Of the planned 3,262 people with glaucoma, 3,092 (94.8%) were examined, 5 cases of the disease were identified and all patients were registered at the dispensary An examination of 2,379 women was planned for the early detection of breast cancer 1,599 women (67.2%) were examined in 6 months 268 cases of pathology (16.8%) were detected All patients are under medical supervision The cervical cancer screening plan was 1,538 women 1,381 women (89.8%) were examined, 313 cases of pathology (22.7%) were detected All patients are under medical supervision and wellness work is underway An examination of 3,307 people was planned for the early detection of colorectal cancer 2,352 people (71.1%) were examined, 6 cases of the disease were detected and patients are under dynamic monitoring In terms of screening coverage for children aged 0 to 17, 11,918 children were scheduled to be screened in 2026 5,696 children were examined in 6 months which is 47.8% Provision of medicines In 2026, stocks of medicines and medical devices have been formed to provide the population with free medicines as part of the guaranteed volume of free medical care.: for a hospital in the amount of 72,480,397.49 tenge; for outpatient care in the amount of 67,550,140.20 tenge The necessary supply of medicines has been created in the emergency department and the intensive care unit to provide emergency care to patients The hospital polyclinic and departments in the settlements of the district are sufficiently provided with medicines and medical products primarily vital drugs In order to provide free medicines to patients registered at the dispensary in 2026, initial applications were sent to the Single Distributor of SKPharmacy LLP for the following amounts:: for inpatient treatment within the guaranteed volume of free medical care 96,558,204.34 tenge; within the guaranteed volume of free medical care 288,094,950.32 tenge; within the framework of compulsory social health insurance (adult category) 53,766,855.60 tenge; within the framework of compulsory social health insurance (children under 18 years of age) 16 378 380.60 tenge Starting from January of this year, medicines are delivered monthly according to an approved schedule which allows timely provision of the necessary drugs to both patients registered at the dispensary and patients undergoing treatment at the hospital

Work in the healthcare sector for the I quarter of 2026

Within the framework of the resolution of the Government of the Republic of Kazakhstan dated November 24, 2022 No. 945 on approval of the concept of healthcare development of the Republic of Kazakhstan for 2022-2029, improving the quality of medical services for improving public health, providing the population with affordable medicine, developing prephilactic medicine, protecting maternal and child health, improving primary health care, as well as strengthening the material and technical base of medical and preventive organizations in the district, some measures have been taken to achieve the target indicators. Based on the Regional Plan, 33535 residential polyclinics were registered in the Syrdarya District Hospital under the program "attached population register". Of these, the number of children is 10,985, teenagers-2,041, adults-20,509. The institution includes: a district hospital, a district Polyclinic with a capacity of 250 people per shift, 10 outpatient clinics, 2 paramedic and obstetric Posts, 1 medical post. The District Hospital has 160 children's departments, surgery departments, therapy departments, intensive care departments, gynecology and maternity departments, rehabilitation and rehabilitation departments, palliative care departments, as well as infectious diseases departments. To date, 767 employees, including 73 doctors, 425 middle-level employees, 138 junior and 131 other employees, work in the district's healthcare sector. The provision of doctors is 92.4%. Speaking about the categories of employees, there are 34 categories of 73 doctors in the district –24.8%, the categories of middle– level medical workers-245-57.6%. Those who do not have a category have less than 5 years of work experience, they have specialist certificates. In 3 Months, 3 ayazhan improved their knowledge. According to the screening program According to the order of the Acting Minister of health of the Republic of Kazakhstan dated October 30, 2020 No. 174/8 2020 of the Ministry of health of the Republic of Kazakhstan, amended by Order No. 71 of July 29, 2025 "on approval of Target groups of persons subject to screening studies, as well as the rules, volume and frequency of conducting these examinations". The planned population for the current year for screening tests for early detection of diseases and Prevention of complications is 3650, as of today it is 1594, that is, 43.5%. For 2026, the planned number of people for early detection of diseases of the circulatory system was 3262, of which 1357 (41.6%) people were examined for 3 months of this year, 34 (2.5%) were identified, and all were registered at the dispensary. In order to prevent complications from diseases of the circulatory system, there are devices for daily blood pressure monitoring (Smad) and daily holtermoniteration of ECG (Holter), telemetry. Glaucoma covered 1,320 (40.5%) of the total planned population of 3,262. 2 diseases were identified, d-registered. 3262 people who were planned to detect diabetes at an early stage, 1292-39.6% were examined,of which 3 diseases were detected and accounted for, that is, 0.2%. The number of women scheduled for screening for early detection of breast cancer is 2379. 750-31.5% for 3 months of this year. The number of detected diseases is 110-14.7%. 100% were taken under dispensary control. The plan for cervical cancer is 1,538, of which 845 -54.9% of women were examined, 145 (17.2%) were identified, 100% were taken under dispensary control, and rehabilitation work is underway. 3307 people were planned for cancer of the rectum and colon, 1154-34.9% were examined,2 diseases were detected and dynamically monitored. According to the coverage of screening tests for 0-17 years, 11,918 children are planned for the current year, 1,787-15% were completed in 3 months. In order to provide free medicines for the Syrdarya District Hospital in 2026, within the guaranteed volume of free medical care, a fund of medicines and medical devices is organized in the residual fund of the pharmacy in the amount of 77,820,635.41 in the hospital and 67,550,140. 20 in the outpatient framework. In the hospital, the reception Department and intensive care units have a fund of medicines that provide primary care to patients, and in the district, the hospital, Polyclinic, and settlement departments are provided with medicines and medical buoys, primarily vital medicines, in sufficient quantities. In order to provide timely free medicines to patients registered at the District dispensary in the Syrdarya District Hospital for 2025 For treatment in a hospital within the guaranteed volume of free medical care-96,558,204. 34, Within the guaranteed volume of free medical care-in the amount of 420,774,406. 54 Within the framework of OSMS by adult category – for the amount of 209,867,155. 5 Within the framework of the OSMS, primary applications for the category of children under 18 years of age - for the amount of 18,438,568.06 are sent to the single distributor SK-pharmacy LLP, starting from January of this year, monthly according to the schedule, medicines are delivered to patients registered at the dispensary and patients undergoing hospital treatment in a timely manner.

Work in the healthcare sector for the IV quarter of 2025

Within the framework of the 2020–2025 State Program “Densaulyq” for the development of the healthcare sector, a number of measures have been implemented to improve public health, enhance the quality of medical services, ensure access to healthcare, develop preventive medicine, protect maternal and child health, improve primary health care, strengthen the material and technical base of treatment and prevention organizations in the district, and achieve target indicators.

Based on the regional plan, 33,664 residents are registered with the Syrdarya District Hospital under the “Attached Population Registry” program. Of these, 11,106 are children, 2,019 adolescents, and 20,539 adults.

The institution includes: a district hospital, a district polyclinic with a capacity of 250 visits per shift, 10 medical outpatient clinics, 2 feldsher–obstetric points, and 1 medical post.

The district hospital comprises a children’s department, surgery department, therapy department, intensive care unit, gynecology and maternity department, rehabilitation and recovery unit, palliative care unit, as well as infectious diseases departments, operating with 160 beds.

Currently, the district healthcare sector employs 759 staff, including 73 doctors, 419 mid-level medical workers, 134 junior medical staff, and 149 other employees. Doctor staffing coverage is 94.25%.

Regarding qualification categories: out of 75 doctors, 42 have qualification categories (56.0%); among mid-level medical staff, 226 have categories (66.4%). Those without categories have work experience of less than 5 years and possess specialist certificates.

A total of 8 specialists upgraded their qualifications, including 3 doctors and 10 nurses.

The total bed capacity of the district hospital is 160. Bed provision per 10,000 population is 47.5. In addition, a 140-bed day hospital operates district-wide.

Inpatient activity indicators (12 months):

Indicator	2024	2025
Number of admissions	4,349	5,009
Number of discharges	4,187	4,951
Total bed-days	35,306	50,542
Bed utilization (work of bed)	321.0	315.9
Bed turnover	38.1	30.6
Average length of stay (days)	8.4	10.2
Bed occupancy rate	112.9%	101.9%
Number of deaths	10	21
Surgical activity	48.1%	48.6%

In 2025 (12 months), 583 babies were born, compared to 703 in 2024. The birth rate in 2025 was 17.3, versus 20.5 in 2024, representing a 15.6% decrease year-on-year.
Infant mortality in 2025 (12 months) was 7 deaths (12.0), while in 2024 there were 5 deaths (7.1).

Total and newly registered morbidity:

Indicator	2024 (12 months)	2025 (12 months)
Total morbidity	39,968	39,974
Primary morbidity	17,714	17,741

During the reporting 12 months, the number of outpatient visits totaled 308,734 (2024: 218,983), an increase of 89,751 visits. Of these, 108,842 were children, 24,998 adolescents, and 174,894 adults.

Screening programs are conducted in accordance with the Order of the Acting Minister of Health of the Republic of Kazakhstan dated October 30, 2020, No. ҚР ДСМ-174/82020, approving target groups, rules, scope, and frequency of screening examinations.

Cardiovascular diseases: Planned 3,244 people; 3,244 (100%) examined; 131 (4.0%) cases detected and registered for follow-up. To prevent complications, ambulatory blood pressure monitoring (ABPM), ECG Holter monitoring, and telemetry devices are in use.
Diabetes mellitus: Planned 4,129; 3,390 (82.1%) examined; 34 cases (1.0%) detected and registered.
Glaucoma: Planned 4,208; 3,443 (81.8%) covered; 13 cases detected and registered.
Breast cancer: Planned 2,013 women; 1,721 (85.5%) examined. Detected conditions 156 (9.1%), including 2 cases (1.3%) of breast cancer registered for follow-up; benign breast diseases 60 (38.5%); other conditions 94 (60.3%). 100% are under dynamic observation.
Cervical cancer: Planned 1,510; 1,249 (82.7%) examined; 135 (10.8%) cases detected; 135 (100%) registered and undergoing treatment.
Colorectal cancer: Planned 2,263; 2,263 (100%) examined; 3 cases (0.1%) detected and registered.
Children aged 0–17: Planned 13,471; 12,970 (96.3%) examined.

In 2025, to ensure free medicines within the guaranteed volume of free medical care, the pharmacy stock included medicines and medical devices worth 90,445,685.09 KZT for inpatient care and 25,504,976.26 KZT for outpatient care. Emergency and intensive care units are stocked with first-aid medicines. Across the district, inpatient facilities, polyclinics, and local medical posts are sufficiently supplied, primarily with essential medicines.

For 2025, initial applications were submitted to the unified distributor SK-Pharmacia LLP to ensure timely free medicines for dispensary patients:

Inpatient care within the guaranteed volume of free medical care: 95,069,852.33 KZT
Guaranteed volume of free medical care: 288,094,951.32 KZT
Mandatory Social Health Insurance (adults): 53,766,855.60 KZT
Mandatory Social Health Insurance (children under 18): 16,378,380.60 KZT

From January of the current year, medicines are delivered monthly according to schedule and provided on time to dispensary patients and hospitalized patients.

The 6,000 sq. m phthisiology building located at 11b G. Muratbayev Street, Terenozek settlement, affiliated with the hospital, underwent major renovation, and a 60-bed palliative care unit was commissioned for public use.

The medical outpatient clinic in Shagan village was fully renovated and commissioned.

Ongoing repairs are being carried out in the therapy departments of the district hospital;
Construction of the water tower has been completed;
Repairs of the emergency staircase are underway using hospital funds;
Office equipment and more than 80 computers were purchased with enterprise funds;
Hospital and palliative care buildings were equipped with necessary electric generators.

In the Syrdarya district, the list of 5,032 uninsured residents has been clarified. The share of uninsured citizens among the registered population is 14.9%. Awareness and explanatory work is being conducted among the population.

Work in the healthcare sector for the III quarter of 2025

Within the framework of the State Program for the Development of Healthcare of the Republic of Kazakhstan for 2020–2025 “Densaulyk”, work has been carried out in the Syrdarya district to improve public health, enhance the quality of medical services, ensure accessibility of healthcare, develop preventive medicine, protect maternal and child health, improve primary healthcare, strengthen the material and technical base of medical institutions, and achieve target indicators.

According to the regional plan, 33 814 residents have been registered in the «Population Registration» system of the Syrdarya District Hospital, including 11 212 children, 2 002 teenagers, and 20 600 adults.

The institution consists of a district hospital, a district outpatient clinic (with a capacity of 250 patients per shift), 10 medical outpatient facilities, 2 feldsher-obstetric centers, and 1 medical post.

The hospital includes pediatric, surgical, therapeutic, intensive care, gynecology and maternity departments, as well as rehabilitation, palliative care, and infectious disease units with a total of 160 hospital beds.

Currently, 754 healthcare employees work in the district, including 75 doctors, 399 mid-level staff, 134 junior staff, and 146 other personnel. The provision of doctors stands at 94.2%.

Of the 75 doctors, 42 (56.0%) hold a qualification category, and among mid-level personnel 226 (66.4%) have one. Employees without a qualification category have less than 5 years of experience, but all possess professional certificates.

During the reporting period, 8 specialists upgraded their qualifications, including 3 doctors and 10 nurses.

SCREENING PROGRAMS

Screening activities are carried out in accordance with the Order of the Acting Minister of Health of the Republic of Kazakhstan dated October 30, 2020, No. ҚР ДСМ-174/82020 “On the approval of target population groups subject to screening examinations, as well as the rules, volume, and frequency of these examinations.”

Cardiovascular diseases: planned – 3,244 people, examined – 2,987 (92.1%), detected – 121 cases (4.1%), all placed under dispensary observation.
Diabetes mellitus: planned – 4,129 people, examined 2,980 (72.2%), detected 33 cases (1.1%), all under medical supervision.
Glaucoma: planned – 4,208, examined – 2,981 (70.8%), detected – 11 cases.
Breast cancer: planned – 2,013 women, examined – 1,512 (75.1%), detected – 147 diseases (including 2 cancer cases).
Cervical cancer: planned – 1,510 women, examined – 1,141 (75.6%), detected – 115 (10.1%), all under medical supervision.
Colorectal cancer: planned – 2,263 people, examined – 1,519 (67.1%), detected – 4 cases.
Children’s screening (0–17 years): planned – 13,471 children, examined – 10,155 (75.4%).

In 2025, within the framework of the Guaranteed Volume of Free Medical Care (GVFMC), the Syrdarya District Hospital formed a reserve of medicines and medical products:

for inpatient care – 106,177,941.92 KZT;
for outpatient care – 44,596,881.54 KZT.

Necessary emergency medicine reserves have been created in the admission and intensive care departments. All departments are fully supplied with essential and life-saving drugs.

To ensure timely provision of free medicines to patients under dispensary supervision:

guaranteed amount of free medical care (inpatient) – 95,069,852.33 KZT;
guaranteed amount of free medical care (total) – 288,094,951.32 KZT;
Social Health Insurance Fund (adults) – 53,766,855.60 KZT;
Social Health Insurance Fund (children under 18) – 16,378,380.60 KZT.

Initial applications were submitted to SK-Pharmacy LLP, and since January of this year, medicines have been delivered monthly according to the approved schedule.

Material and technical development

A 6,000 sq.m. building located at Terengozek settlement, 11b G. Muratbaev Street, underwent major renovation of the phthisiatric facility, and a 60-bed palliative care department was opened.
In the village of Shagan, the major renovation of the outpatient clinic building is 90% complete.
Current repair works have begun in hospital departments (therapy, surgery, pharmacy, etc.).
Construction of a water tower has been completed (project cost – 125 million KZT).
Elevator repair works in the hospital building are scheduled for completion in October.
The enterprise has purchased 50 computers and office equipment using its own funds.

In the 3rd quarter of 2025, comprehensive measures were taken in the Syrdarya district to improve the quality of medical care, expand preventive health programs, ensure the population’s access to free medicines, and strengthen the material and technical base of healthcare institutions.

Work in the healthcare sector for the II quarter of 2025

Within the framework of the state health development program "Densaulyk" for 2020-2025, a number of measures were carried out to improve the health of the population, improve the quality of medical services, provide affordable medicine to the population, develop preventive medicine, protect maternal and child health, improve primary health care, as well as strengthen the material and technical base of medical and preventive organizations in the district, and achieve target indicators. Based on the Regional Plan, 34,109 residential polyclinics were registered in the Syrdarya District Hospital under the program "attached population register". Of these, the number of children is 11,309, teenagers-2,108, adults-20,692. The institution includes: a district hospital, a district Polyclinic with a capacity of 250 people per shift, 10 outpatient clinics, 2 paramedic and obstetric Posts, 1 medical post. The District Hospital has 160 children's departments, surgery departments, therapy departments, intensive care departments, gynecology and maternity departments, rehabilitation and rehabilitation departments, palliative care departments, as well as infectious diseases departments. To date, 758 employees, including 76 doctors, 401 middle-level employees, 135 junior and 146 other employees, work in the district health care sector. The provision of doctors is 94.25%. Speaking about the categories of employees, there are 44 categories of 76 doctors in the district – 58.0%, the categories of middle – level medical workers – 248-61.8%. Those who do not have a category have less than 5 years of work experience, they have specialist certificates. The number of specialists who have improved their knowledge is 17, including 5 Doctors, 5 ayazhan. According to the screening program The order of the Acting Minister of health of the Republic of Kazakhstan dated October 30, 2020 No. MH RK-174/82020 is carried out in accordance with the "order on approval of Target groups of persons subject to screening studies, as well as the rules, volume and frequency of conducting these examinations". According to screening examinations carried out in order to detect diseases at an early stage and prevent complications, the planned number of people for the current year for early detection of diseases of the circulatory system was 4539, 2257 (47.7%) were examined, 92 (4.1%) were identified, and all were registered at the dispensary. In order to prevent complications from diseases of the circulatory system, devices for daily blood pressure monitoring (Smad) and daily holtermoniteration of ECG (Holter), telemetry are working. Glaucoma covered 2,212 (39.7%) of the total planned population of 5,571. 10 diseases were identified, d-registered. 5487 people who were planned to detect diabetes at an early stage, 2164-39.4% were examined,of which 30 diseases were detected and accounted for, that is, 1.4%. The number of women scheduled for screening for early detection of breast cancer in 2013 was 1260 -62.6%. The number of detected diseases is 89-7.1%. 100% were taken under dispensary control. The plan for cervical cancer is 1,510, of which 1,011 -67.0% of women were examined, 62 (6.1%) were identified, 62 women were registered at the dispensary, and rehabilitation work is underway. For cancer of the rectum and colon, 2263 people were planned,1245-55.0% were examined, and 2 people were accounted for. According to the coverage of the screening examination of scores at the age of 0-17 years, the planned for the current year is 13,471 children,5,228-38.8%. In 2025, the Syrdarya District Hospital organized a fund of medicines and medical devices in the amount of 184,152,836.30 in order to provide free medicines. The amount of 167,485,900.00 has been disbursed. In the hospital, the reception Department and intensive care units have a fund of medicines that provide primary care to patients, and in the district, the hospital, Polyclinic, and settlement departments are provided with medicines and medical buoys, primarily vital medicines, in sufficient quantities. Major repairs of the building of the outpatient clinic, located in the settlement of Chagan, continue. - Ongoing repairs of departments located in the building of the District Hospital (therapy, surgery, pharmacy, etc.) are being started; - The construction of a water tower is underway. (the estimated cost of the project is 125 million tenge).

Work in the healthcare sector for the I quarter of 2025

Within the framework of the state health development program "Densaulyk" for 2020-2025, a number of measures were carried out to improve the health of the population, improve the quality of medical services, provide affordable medicine to the population, develop preventive medicine, protect maternal and child health, improve primary health care, as well as strengthen the material and technical base of medical and preventive organizations in the district, and achieve target indicators. Based on the Regional Plan, 34,144 residential polyclinics were registered in the Syrdarya District Hospital under the program "attached population register". Of these, the number of children is 11,447, teenagers-1,972, adults-20,725. The institution includes: a district hospital, a district Polyclinic with a capacity of 250 people per shift, 10 outpatient clinics, 2 paramedic and obstetric Posts, 1 medical post. The District Hospital has 160 children's departments, surgery departments, therapy departments, intensive care departments, gynecology and maternity departments, rehabilitation and rehabilitation departments, palliative care departments, as well as infectious diseases departments. To date, 754 employees, including 75 doctors, 399 middle-level employees, 134 junior and 146 other employees, work in the district's healthcare sector. The provision of doctors is 94.25%. Speaking about the categories of employees, there are 42 categories of 75 doctors in the district – 56.0%, the categories of middle – level medical workers – 238-59.4%. Those who do not have a category have less than 5 years of work experience, they have specialist certificates. The number of specialists who have improved their knowledge is 8, including 3 doctors, 5 ayazhan. According to the screening program The order of the Acting Minister of health of the Republic of Kazakhstan dated October 30, 2020 No. MH RK-174/82020 is carried out in accordance with the "order on approval of Target groups of persons subject to screening studies, as well as the rules, volume and frequency of conducting these examinations". According to screening tests for early detection of diseases and Prevention of complications, the planned population for the current year is 5810, as of today it is 1050, that is, 18.1%. In order to detect diseases of the circulatory system at an early stage for 2025, the planned number of people was 4539, of which 1050 (23.1%) people were examined for 3 months of this year, 5 (0.5%) were identified, and all were registered at the dispensary. In order to prevent complications from diseases of the circulatory system, devices for daily blood pressure monitoring (Smad) and ECG diary holtermoniteration (Holter), telemetry are working. Glaucoma covered 1,050 (18.8%) of the total planned population of 5,571. 5 diseases were identified, d-registered. 5487 people who were planned to detect diabetes at an early stage, 1050-19.1% were examined,of which 11 diseases were detected and accounted for, that is, 1.0%. The number of women scheduled for screening for early detection of breast cancer in 2013. 358-17.8% for 3 months of this year. The number of detected diseases is 9-2.5%. 100% were taken under dispensary control. The plan for cervical cancer is 1510, of which 638 -42.3% of women were examined, 37 (5.8%) diseases were detected, 15 (40.5%) women were registered at the dispensary, and rehabilitation work is underway. For cancer of the rectum and colon, 2263 people were planned and 100-4.4% were examined,there was no detected disease. According to the coverage of the screening examination of scores at the age of 0-17 years, 13,471 children are planned for the current year,962-7.1% are completed in 3 months. In order to provide free medicines for the Syrdarya District Hospital in 2025, within the guaranteed volume of free medical care, a fund of medicines and medical devices is organized in the residual fund of the pharmacy in the amount of 98,796,559.75 in the hospital and 47,331,147. 24 in the outpatient framework. In the hospital, the reception Department and intensive care units have a fund of medicines that provide primary care to patients, and in the district, the hospital, Polyclinic, and settlement departments are provided with medicines and medical buoys, primarily vital medicines, in sufficient quantities. In order to provide timely free medicines to patients registered at the District dispensary in the Syrdarya District Hospital for 2025 For treatment in a hospital within the guaranteed volume of free medical care-78,069,852. 33 Within the guaranteed volume of free medical care – in the amount of 288,094,951. 32 Within the framework of OSMS by adult category – for the amount of 53,766,855. 60 As part of the OSMS, primary applications for the category of children under 18 years of age are sent to the single distributor SK - pharmacy LLP in the amount of 16,378,380.60, starting from January of this year, monthly according to the schedule, medicines are delivered to patients registered at the dispensary and patients undergoing treatment in the hospital, and they are provided with the necessary medicines in a timely manner. The hospital, located in the village of terenozek G. Muratbayev 11B, has a capacity of 6000 square meters.major repairs of the building of the meter phthisiology have been completed, and a palliative medical care unit with 60 beds has been transferred to the public domain. Major repairs have begun in the building of the outpatient clinic located in the village of Chagan. At the expense of the enterprise, org equipment and 50 pieces of computer equipment were purchased.

Work in the healthcare sector for the IV quarter of 2024

Within the framework of the state health development program "Healthy Nation" for 2021-2025, a number of measures were carried out to improve the health of the population, improve the quality of medical services, provide affordable medicine to the population, develop preventive medicine, protect maternal and child health, improve primary health care, as well as strengthen the material and technical base of medical and preventive organizations in the district, and achieve target indicators. Based on the Regional Plan, 34243 residential polyclinics were registered in the Syrdarya District Hospital under the program "attached population register". Of these, the number of children is 10922, teenagers-1888, adults-20772. The institution includes: a district hospital, a district Polyclinic with a capacity of 250 people per shift, 10 outpatient clinics, 2 paramedic and obstetric Posts, 1 medical post. The District Hospital has 110 children's departments, surgery departments, therapy departments, intensive care departments, gynecology and maternity departments, rehabilitation and rehabilitation departments, palliative care departments, as well as infectious diseases departments. To date, 729 employees, including 75 doctors, 390 middle-level employees, 117 junior and 147 other employees, work in the district's healthcare sector On the basis of the order of the Ministry of health of the Republic of Kazakhstan dated October 7, 2020 No. MH RK-116/2020" on approval of the rules for providing medical rehabilitation " in October 2020, an outpatient medical rehabilitation and restorative treatment and a 10-bed day rehabilitation department were opened in the district Polyclinic, 117 patients were treated for 12 months of 2024, 3699 patients were treated in the general day hospital. Total and first registered number of patients and incidence rate: 2023 12 months 2024 12 months Total incidence 40373 39968 Primary incidence 17843 17714 Of the first identified 17,714 patients, 9,536 are adults, 1,102 are adolescents, and 7,076 are children. For 12 months of this year, the number of visits (Visits) to the Polyclinic amounted to 218,983 (2023 – 245,150), compared to the reporting period of the previous year, there is a decrease in 26,167 patients. Of the 218983 patients, the number of children is 74301, the number of adolescents is 18949, and the number of adults is 125733. Mortality rate: For 12 months of 2024, a total of 174 patients died (for 12 months of 2023 – 204 patients - 5.9 ppm) per 1000 population – 5.0 . The overall mortality rate decreased by 15.2% compared to the reporting period last year. Of these,the working age – 52-1.5 ppm (66-1. 9 ppm for 12 months of 2023) decreased by 14 people compared to last year. 2023 12 months 2024 12 months Number of people 1000 xhz number of people 1000 xhz Total deaths 204 5.9 174 5.0 Home deaths 141 4.1 133 3.8 Died in hospital 45 1.3 20 0.5 Died elsewhere 18 0.5 21 0.6 Depending on the place of death of patients: The registered mortality rate at home decreased by 133 cases -3.8 per cent compared to the previous year (12 months of 2023 - 141-4.1 per cent) by 8 people,that is, by 7.3%. The number of deaths in the hospital is 20– 0.5 ppm (12 months of 2023 – 45 patients-1.3 ppm), a decrease of 25 patients-61.5% compared to the previous year. In other places, the death rate is 21-0. 6 ppm (12 months 2023 – 18 cases 0.5 ppm). Compared to the 12 months of last year, there is a tendency to increase by 3 cases. On the reasons: 2023 12 months 2024 12 months Man the number is 100 thousand.Hal.time.the figure% of the number of people is 100 thousand.Hal.time.indicator % Diseases of the circulatory system 40 116.5 27 78.8 From malignant tumors 12 34.9 14 40.8 From injuries and poisoning 6 17.3 8 23.3 Respiratory diseases 19 55.3 16 46.7 COVID-19 0 0 0 0 Infectious diseases 4 11.5 0 0 Diseases of the digestive system 4 11.5 6 17.5 Diseases of the urinary system 6 17.4 2 5.8 Diseases of the endocrine system 10 29.1 5 14.6 Diseases of the nervous system 25 72.8 33 96.3 From natural aging 55 160.2 47 137.2 Other reasons 23 66.9 16 46.7 Total 204 593.4 174 507.7 By cause of death: * Deaths from the circulatory system amounted to 27 cases of 78.8 ppm (2023 - 40 cases of 116.5), a decrease of 13(32.3%) cases compared to last year. * 14 cases of cancer deaths amounted to 40.8 ppm (2023 - 12 cases-34.9), an increase of 2(16.9%) cases compared to last year. * Mortality from injuries and poisoning-8-23,3 (2023 – 6-17.3). An increase of 2(34.6%) cases compared to the previous year. * Deaths from tuberculosis have not been recorded in two years. * Deaths from respiratory diseases 16 cases 46.7 per year (2023 - 19 cases-55.3). Compared to the reporting period of the previous year, it decreased by 3(15.5%) cases. * 6 cases of mortality from diseases of the digestive system -17.5 (2023-4-11.5). An increase of 2(52.1%) cases compared to the previous year. • 2 cases in mortality from diseases of the urinary system-5.8 (in 2023-6 cases - 17.4). A decrease of 4(66.6%) cases compared to the previous year. * 5 cases of diseases of the endocrine system 14.6 (2023-10-29,1). A decrease of 5(49.8%) cases compared to the previous year. * 33 cases of diseases of the nervous system amounted to 96.3 ppm (2023 -25 cases-72.8 ppm). An increase of 8(24.4%) cases from the previous year. * The mortality rate from natural aging amounted to 137.2 ppm with 47 cases (2023 - 55 cases-160.2 ppm) compared to last year, there is a decrease by 8(14.3%) cases. • 16 cases for other reasons -46.7 ppm (2023-23-66, 9). An increase of 7(30.1%) cases compared to the reporting period of the previous year. On screening examinations carried out in order to identify diseases at an early stage and prevent complications Execution of the order of the Ministry of health of the Republic of Kazakhstan dated October 30, 2020 No. 174/2020 "on approval of the target groups of persons subject to screening studies, as well as the rules, volume and frequency of these inspections" : In order to detect diseases of the circulatory system at an early stage in 2024, the planned number of people was 3159, of which 3159 (100.0%) people were examined for 12 months of this year, 65 (2.06%) were identified, and all were registered at the dispensary. In order to prevent complications from diseases of the circulatory system, devices for daily blood pressure monitoring (Smad) and daily holtermoniteration of ECG (Holter), telemetry are working. Glaucoma covers 3,879 (100%) of the total planned population of 3,879. The percentage is 3-0.1%, subject to full dispensary control. 3806 people who are planned to detect diabetes at an early stage, 3806-100% have been examined, of which 23 diseases were detected, that is, 0.6%. Full dispensary registration. The number of women scheduled for screening for early detection of breast cancer is 1757. for 12 months of this year,1744-99.3%. The number of detected cases is 251-14.4%. 77.7% were taken under dispensary control. The plan for cervical cancer is 1,210, of which 1,210 -100% of women were examined, 129(10.7%) cases were detected, 91 (70.5%) women were registered at the dispensary, and rehabilitation work is underway. 2102 people were planned for rectal and colon cancer, 2102-100% were examined,the number of detected diseases was 36-1.7%. 3, that is, 8.3%, were taken for dispensary control.

Work in the healthcare sector for the III quarter of 2024

Within the framework of the state health development program "Healthy Nation" for 2021-2025, a number of measures were carried out to improve the health of the population, improve the quality of medical services, provide affordable medicine to the population, develop preventive medicine, protect maternal and child health, improve primary health care, as well as strengthen the material and technical base of medical and preventive organizations in the district, and achieve target indicators. Based on the Regional Plan, 34266 residential polyclinics were registered in the Syrdarya District Hospital under the program "attached population register". Of these, the number of children is 11645, teenagers-1882, adults-20739. The institution includes: a district hospital, a district Polyclinic with a capacity of 250 people per shift, 10 outpatient clinics, 2 paramedic and obstetric Posts, 1 medical post. The District Hospital has 110 children's departments, surgery departments, therapy departments, intensive care departments, gynecology and maternity departments, rehabilitation and rehabilitation departments, palliative care departments, as well as infectious diseases departments. To date, 700 employees, including 73 doctors, 390 middle-level employees, 117 junior and 120 other employees, work in the district health care sector. On the basis of the order of the Ministry of health of the Republic of Kazakhstan dated October 7, 2020 No. MH RK-116/2020" on approval of the rules for providing medical rehabilitation " in October 2020, an outpatient medical rehabilitation and restorative treatment and a 10-bed day rehabilitation department were opened in the district Polyclinic, 80 patients were treated for 9 months of 2024, 2727 patients were treated in the general day hospital. Total and first registered number of patients and incidence rate: 2023 9 months 2024 9 months Total incidence 29952 30154 Primary incidence 13052 13231 Of the 13,231 first identified patients, 7,635 are adults, 738 are adolescents, and 4,858 are children. For 9 months of this year, the number of visits (Visits) to the Polyclinic amounted to 172,081 (2023 – 171,289), compared to the reporting period of the previous year, there is an increase in 792 patients. Of the 172081 patients, the number of children is 59650, the number of adolescents is 17037, and the number of adults is 95394. Mortality rate: In total, 114 patients died for 9 months of 2024 (for 9 months of 2023 – 150 patients - 4.3 ppm) per 1000 population – 3.3. compared to the reporting period of the previous year, the overall mortality rate decreased by 24%. Of these, the working age – 30 (26.3%) (46--30.6% for 9 months of 2023) decreased by 16 people compared to last year. 2023 year 9 months 2024 year 9 months Number of people 1000 xhz number of people 1000 xhz Total deaths 150 4.3 114 3.3 Home deaths 105 3.0 91 2.6 Died in hospital 38 1.1 10 0.2 Died elsewhere 7 0.2 13 0.3 Depending on the place of death of patients: The registered mortality rate at home decreased by 91 cases -2.6 per cent compared to the previous year (9 months of 2023 - 105-3.0 per cent) by 14 people,that is, by 13.3 per cent. The number of deaths in the hospital is 10– 0.2 per cent (9 months of 2023 – 38 patients-1.1 per cent), a decrease of 28 per cent compared to the previous year, or 81.8 per cent. In other places, the death rate is 7-0. 2 ppm (9 months 2023 – 13 cases 0.3 ppm). There is a tendency to increase by 9 cases compared to 6 months of the previous year. On the reasons: 2023 year 9 months 2024 year 9 months Man the number is 100 thousand.Hal.time.the figure% of the number of people is 100 thousand.Hal.time.indicator % Diseases of the circulatory system 33 95.3 18 52.5 From malignant tumors 11 31.7 9 26.2 From injuries and poisoning 6 17.3 4 11.6 Respiratory diseases 15 40.4 13 37.9 COVID-19 0 0 0 0 Infectious diseases 4 11.5 0 0 Diseases of the digestive system 4 11.5 1 2.9 Diseases of the urinary system 5 14.4 2 5.8 Diseases of the endocrine system 6 17.3 4 11.6 Diseases of the nervous system 17 49.1 23 67.1 From natural aging 40 115.5 28 81.7 Other reasons 9 23.1 12 32.1 Total 150 433.4 114 332.6 By cause of death: * Deaths from the circulatory system amounted to 18 cases of 52.5 ppm (2023 - 33 cases of 95.3), a decrease of 15(44.9%) cases compared to last year. * 9 cases of cancer deaths amounted to 26.2 ppm (2023 - 11 cases-31.7), a decrease of 2(18.1%) cases compared to last year. * Mortality from injuries and poisoning-4-11,6 (2023 – 6-17.3). A decrease of 2(33.3%) cases compared to the previous year. * Deaths from tuberculosis have not been recorded in two years. * Deaths from respiratory diseases 13 cases 37.9 ppm (2023 - 15 cases-40.4). Compared to the reporting period of the previous year, it decreased by 2(13.3%) cases. * 1 case in mortality from diseases of the digestive system -2.9 (2023-4-11.5). A decrease of 3 (75%) cases compared to the previous year. • In terms of mortality from diseases of the urinary system, 2 cases-5.8 (in 2023-5 cases - 14.4). A decrease of 3 (60%) cases compared to the previous year. * The indicator of 4 cases for diseases of the endocrine system is 11.6 (2023-6-17,3). A decrease of 2(33.3%) cases compared to the previous year. • 23 cases of diseases of the nervous system amounted to 67.1 ppm (2023 -17 cases-49.1 ppm). From the previous year, it increased by 6(although the indicator decreased by 35%) cases. * The mortality rate from natural aging is 81.7 ppm with 28 cases registered (2023-40 cases - 115.5 ppm) compared to last year, there is a decrease by 12(30%) cases. • 12 cases for other reasons -32.1 ppm (2023-9-23, 1). An increase of 3(33.3%) cases compared to the reporting period of the previous year. On screening examinations carried out in order to identify diseases at an early stage and prevent complications Execution of the order of the Ministry of health of the Republic of Kazakhstan dated October 30, 2020 No. 174/2020 "on approval of the target groups of persons subject to screening studies, as well as the rules, volume and frequency of these inspections" : In order to detect diseases of the circulatory system at an early stage in 2024, the planned number of people was 3159, of which 3159 (100.0%) people were examined for 6 months of this year, 50 (1.6%) diseases were detected, and all were registered at the dispensary. In order to prevent complications from diseases of the circulatory system, devices for daily blood pressure monitoring (Smad) and ECG diary holtermoniteration (Holter), telemetry are working. Glaucoma covered 3,773 people (97.3%) of the total planned population of 3,879. The percentage is 3-0.1%, subject to full dispensary control. Of the 3806 people who are planned to detect diabetes at an early stage, 3766-98.9% were examined,of which 23 diseases were detected, that is, 0.6%. Full dispensary registration. The number of women scheduled for screening for early detection of breast cancer is 1,757. for 9 months of this year,1,665-94.8%. The number of detected diseases is 245-14.7%. 78.4% were taken under dispensary control. The plan for cervical cancer is 1,210, of which 1,166 -96.4% of women were examined, 129(11.06%) cases were detected, 84 (65.1%) women were registered at the dispensary, and rehabilitation work is underway. 2102 people were planned for rectal and colon cancer, 1866-71.9% were examined,and the number of detected cases was 36-1. 9%. 3, that is, 8.3%, were taken for dispensary control.

Work in the healthcare sector for the II quarter of 2024

Within the framework of the state health development program "Healthy Nation" for 2021-2025, a number of measures were carried out to improve the health of the population, improve the quality of medical services, provide affordable medicine to the population, develop preventive medicine, protect maternal and child health, improve primary health care, as well as strengthen the material and technical base of medical and preventive organizations in the district, and achieve target indicators. Based on the Regional Plan, 34492 residential polyclinics were registered in the Syrdarya District Hospital under the program "attached population register". Of these, the number of children is 11672, teenagers-1990, adults-20830. The institution includes: a district hospital, a district Polyclinic with a capacity of 250 people per shift, 10 outpatient clinics, 2 paramedic and obstetric Posts, 1 medical post. The District Hospital has 110 children's departments, surgery departments, therapy departments, intensive care departments, gynecology and maternity departments, rehabilitation and rehabilitation departments, palliative care departments, as well as infectious diseases departments. To date, 709 employees, including 68 doctors, 394 middle-level employees, 120 junior and 127 other employees, work in the district's healthcare sector. On the basis of the order of the Ministry of health of the Republic of Kazakhstan dated October 7, 2020 No. MH RK-116/2020" on approval of the rules for providing medical rehabilitation " in October 2020, an outpatient medical rehabilitation and restorative treatment and a 10-bed day rehabilitation department were opened in the district Polyclinic, 50 patients were treated for 6 months of 2024, 1,835 patients were treated in the general day hospital. Total and first registered number of patients and incidence rate: 2023 6 months 2024 6 months Total incidence 20342 20494 Primary incidence 8943 9134 Of the 9,134 first identified patients, 5,285 are adults, 550 are adolescents, and 3,299 are children. For 6 months of this year, the number of visits (Visits) to the Polyclinic amounted to 114042 (2023 – 111511), compared to the reporting period of the previous year, there is an increase in 2531 patients. Of the 114042 patients, the number of children is 40841, the number of adolescents is 11734, and the number of adults is 61467. Mortality rate: For 6 months of 2024, a total of 80 patients died (for 6 months of 2023 – 96 patients - 2.8 ppm) per 1000 population – 2.3. compared to the reporting period of the previous year, the overall mortality rate decreased by 17.8%. Of these,the working age decreased by 26-32.5% (for 6 months of 2024 – 27-28. 1%) compared to last year by 1 person. 2023 Year 6 months 2024 year 6 months Number of people 1000 xhz number of people 1000 xhz Total deaths 96 2.8 80 2.3 Death at home 65 1.9 60 1.7 Died in hospital 26 0.7 9 0.2 Died elsewhere 5 0.1 11 0.3 Depending on the place of death of patients: The number of registered deaths at home decreased by 60 cases -1.7 per cent compared to the previous year (6 months of 2023-65-1.9 per cent) by 5 people,that is, by 10.5 percent. The number of deaths in the hospital is 9– 0.2 per cent (6 months of 2023 – 26 patients-0.7 per cent), a decrease of 17 per cent compared to the previous year. In other places, the death rate is 11-0. 3 ppm (6 months 2023 – 5 cases 0.1 ppm). There is a tendency to increase by 6 cases compared to 6 months of the previous year. On the reasons: 2023 Year 6 months 2024 year 6 months Man the number is 100 thousand.Hal.time.the figure% of the number of people is 100 thousand.Hal.time.indicator % Diseases of the circulatory system 26 74.6 15 43.4 From malignant tumors 8 23.0 7 20.2 From injuries and poisoning 2 5.7 4 11.5 Respiratory diseases 10 28.7 9 26.0 COVID-19 0 0 0 0 Infectious diseases 1 2.9 0 0 Diseases of the digestive system 1 2.9 1 2.9 Diseases of the urinary system 2 5.7 1 2.9 Diseases of the endocrine system 5 14,4 2 5,8 Diseases of the nervous system 13 37.3 16 46.3 From natural aging 24 68.9 18 52.1 Other reasons 4 11.4 7 20.2 Total 96 2.8 80 2.3 By cause of death: * Deaths from the circulatory system amounted to 15 cases of 43.4 ppm (2023 - 26 cases of 74.6), which decreased by 11 cases compared to last year. * 7 cases of cancer deaths amounted to 20.2 ppm (2023-8 cases-20.3), a decrease of one case compared to last year. * Mortality from injuries and poisoning-4-11,5 (2023 – 2-5.7). Compared to last year, there is an increase in 2 cases. * Deaths from tuberculosis have not been recorded in two years. * Deaths from respiratory diseases 9 cases 26.0 per mille (2023 -10 cases-28.7). A decrease of 1 case compared to the reporting period of the previous year. * 1 case in mortality from diseases of the digestive system -2.9 (2023-1-2.9). • 1 case in mortality from diseases of the urinary system-2.9 (2023-2 cases 5.7). Compared to the previous year, it decreased by 1 case. * The indicator of 2 cases for diseases of the endocrine system is 5.8 (2023-5-14,4). Compared to the previous year, it decreased by 4 cases. • 16 cases of diseases of the nervous system amounted to 46.3 ppm (2023 -13 cases-37.3 ppm). Increased by 3 cases from the previous year. * The mortality rate from natural aging is 52.1 ppm with 18 cases registered (2023-24 cases 68.9 ppm) compared to last year, there is a decrease by 4 cases. • 7 cases for other reasons -20.2 ppm (2023-4-11, 4). An increase of 3 cases compared to the reporting period of the previous year. On screening examinations carried out in order to detect diseases at an early stage and prevent complications Execution of the order of the Ministry of health of the Republic of Kazakhstan dated October 30, 2020 No. 174/2020 "on approval of the target groups of persons subject to screening studies, as well as the rules, volume and frequency of these inspections" : In order to detect diseases of the circulatory system at an early stage in 2024, the planned number of people was 3159, of which 3159 (100.0%) people were examined for 6 months of this year, 50 (1.6%) were identified, and all were registered at the dispensary. In order to prevent complications from diseases of the circulatory system, devices for daily blood pressure monitoring (Smad) and daily holtermoniteration of ECG (Holter), telemetry are working. Glaucoma covered 3,489 people (89.9%) of the total planned population of 3,879. The percentage is 3-0.1%, subject to dispensary control. 3806 people who are planned to detect diabetes at an early stage, 3472-91.2% were examined,of which 22 diseases were detected, that is, 0.6%. Full dispensary registration. The number of women scheduled for screening for early detection of breast cancer is 1757. for 6 months of this year,1455-82.8%. The number of detected diseases is 54-3.7%. 100% were taken under dispensary control. The plan for cervical cancer is 1210, of which 1011 -83.6% of women were examined, 83 (8.2%) diseases were detected, 58 (69.9%) women were registered at the dispensary, and rehabilitation work is underway. For cancer of the rectum and colon, 2102 people were planned and 1512-71.9% were examined,the number of detected diseases was 34-2. 2%. 3, that is, 8.8%, were taken for dispensary control.

Work in the healthcare sector for the I quarter of 2024

Total and first registered number of patients and incidence rate:
2023 3 months 2024 3 months
Total incidence 11910 11262
Primary incidence 5180 4945

Of the 4,945 first identified patients, 2,855 are adults, 327 are adolescents, and 173 are children.
For 3 months of this year, the number of visits (Visits) to the Polyclinic amounted to 55,511 (2023 – 52,391), compared to the reporting period of the previous year, there is an increase in 3,120 patients. Of the 55,511 patients, the number of children is 18,884, the number of adolescents is 5,151, and the number of adults is 31,276.

Mortality rate:
In total, 41 patients died in 3 months of 2024 (in 12 months of 2023 – 50 patients - 1.4 ppm) per 1000 population – 1.1. compared to the reporting period of the previous year, the overall mortality rate decreased by 21.4%. Of these, the working age decreased by 17-41.4% (for 3 months of 2024– 13-26. 0%) compared to last year by 59.2%, that is, by 4 people.
2023 Year 3 months 2024 year 3 months
Number of people 1000 xhz number of people 1000 xhz
Total deaths 50 1.4 41 1.1
Death at home 32 0.9 27 0.7
Died in hospital 14 0.4 7 0.2
Died elsewhere 4 0.1 7 0.2

Depending on the place of death of patients:
The registered mortality rate at home decreased by 27 cases -0.7 per cent compared to the previous year (3 months of 2023 - 32-0.9 per cent) by 19 people,that is, by 22.2%.
The number of deaths in the hospital is 7– 0.2 per cent (3 months of 2023 – 14 patients-0.4 per cent), compared to the previous year-7 patients, that is, a decrease of 50%.
In other places, the death rate is 7-0. 2 ppm (3 months 2023 – 4 cases 0.1 ppm). Compared to the 3 months of last year, there is a downward trend of 3 cases.

On the reasons:
2023 Year 3 months 2024 year 3 months
Man
the number is 100 thousand.Hal.time.the figure% of the number of people is 100 thousand.Hal.time.indicator %
Diseases of the circulatory system 13 37.2 7 20.3
From malignant tumors 5 14.3 5 14.5
From injuries and poisoning 2 5.7 4 11.6
Respiratory diseases 7 20.0 2 5.8
COVID-19 0 0 0 0
Infectious diseases 0 0 0 0
Diseases of the digestive system 0 0 1 2,9
Diseases of the urinary system 2 5.7 1 2.9
Diseases of the endocrine system 2 5,7 1 2,9
Diseases of the nervous system 6 17.2 10 29.1
From natural aging 11 31.5 7 20.3
Other reasons 2 5.7 3 8.7
Total

By cause of death:
* Deaths from the circulatory system amounted to 7 cases of 20.3 ppm (2023 - 13 cases of 37.2), which decreased by 6 cases compared to last year.
* 5 cases of cancer deaths amounted to 14.5 ppm (in 2023-5 cases-14.3) at the same level as last year.
* Mortality from injuries and poisoning-4-11,6 (2023 – 2-5.7). Compared to last year, there is an increase in 2 cases.
* Deaths from tuberculosis have not been recorded in two years.
* Deaths from respiratory diseases 2 cases 5.8 ppm (2023 -7 cases-20.0). Compared to the reporting period of the previous year, it decreased by 5 new ones.
* 1 case in mortality from diseases of the digestive system -2.9 (2023 -0).
• 1 case in mortality from diseases of the urinary system-1.9 (2023-2 cases 5.7). Compared to the previous year, it decreased by 1 case.
* For diseases of the endocrine system,the rate of 1 case is 2.9 (2023 - 2-5, 7). ). Compared to the previous year, it decreased by 1 case.
• 10 cases of diseases of the nervous system amounted to 29.1 ppm (2023 -6 cases-17.2 ppm). Increased by 4 cases from the previous year.
* The mortality rate from natural aging is 20.3 ppm with 7 cases registered (2023-11 cases 31.5 ppm) compared to last year, there is a decrease by 4 cases.
• 3 cases for other reasons -8.7 ppm (2023-2-5, 7).

In the top three in terms of mortality :

Name 3 months of 2023 3 months of 2024
1 2 3 1 2 3
Old age 11 7
Circulatory system 13 7
Nervous system 10
Cancer 5
Breathing 7

On screening examinations carried out in order to detect diseases at an early stage and prevent complications

Execution of the order of the Ministry of health of the Republic of Kazakhstan dated October 30, 2020 No. 174/2020 "on approval of the target groups of persons subject to screening studies, as well as the rules, volume and frequency of these inspections" :
In order to detect diseases of the circulatory system at an early stage for 2023, the planned number of people was 3159, of which 1468 (46.5%) people were examined for 3 months of this year, 16 (1.9%) were identified, and all were registered at the dispensary. In order to prevent complications from diseases of the circulatory system, devices for daily blood pressure monitoring (Smad) and daily holtermoniteration of ECG (Holter), telemetry are working.
Glaucoma covered 1,751 (45.1%) of the total planned population of 3,879 people. 2-0.1% of cases are subject to dispensary control.
Of the 3806 people who are planned to detect diabetes at an early stage, 1734-45.6% were examined,of which 7 diseases were detected, that is, 0.40%.
The number of women scheduled for screening for early detection of breast cancer is 1,757. 544-31.0% for 3 months of this year. The number of detected diseases is 15-2.8%. 100% were taken under dispensary control.
The plan for cervical cancer is 1210, of which 465 -38.4% of women were examined, 16 (3.4%) diseases were detected, 3 (18.7%) women were registered at the dispensary, and rehabilitation work is underway.
For cancer of the rectum and colon, 2102 people were planned and 684-32.5% were examined,the number of detected diseases-24-3.5%. 2, that is, 8.3%, were taken for dispensary control.

Work in the healthcare sector for the IV quarter of 2023

Of the first identified 17,843 patients, 9,583 patients are adults, 1,157 are adolescents, and 7,103 are children.
For 12 months of this year, the number of visits to the Polyclinic amounted to 245,150 (2022 – 215,122), compared to the reporting period of the previous year, there is an increase in 30,028 patients. Of the 245150 patients, the number of children is 84508, the number of adolescents is 21880, and the number of adults is 138762.

Mortality rate:
In total, 204 patients died in 12 months of 2023 (in 12 months of 2022 – 223 patients - 6.3 ppm) per 1000 population – 5.9. compared to the reporting period of the previous year, the overall mortality rate decreased by 6.3%. Of these, the working age decreased by 66-32.3% (71-31. 8% for 12 months of 2022) compared to last year by 1.5%, that is, by 5 people.
2022 12 months 2023 12 months
Number of people 1000 xhz number of people 1000 xhz
Total deaths 223 6.3 204 5.9
Home deaths 146 4.1 141 4.1
Died in hospital 49 1.3 45 1.3
Died elsewhere 28 0.8 18 0.5

Depending on the place of death of patients:
The registered mortality rate at home decreased by 141 cases – 4.1 ppm compared to the previous year (12 months of 2022 - 223-6.3 ppm) by 19 people.
The number of deaths in the hospital is 45– 1.3 ppm (12 months of 2022 – 49 patients-1.3 ppm) , a decrease of 4 patients compared to the previous year.
The number of deaths elsewhere is 18-0. 5 ppm (12 months 2022 – 28 cases 0.8 ppm). Compared to the 12 months of last year, there is a downward trend of 10 cases.
On the reasons:
2022 12 months 2023 12 months
Man
the number is 100 thousand.Hal.time.the figure% of the number of people is 100 thousand.Hal.time.indicator %
Diseases of the circulatory system 52 148.1 40 116.5
From malignant tumors 11 31.3 12 34.9
Injuries and poisoning 15 42.7 6 17.3
Respiratory diseases 16 45.6 19 55.3
COVID-19 2 5.7 0
Infectious diseases 3 8.5 4 11.5
Diseases of the digestive system 9 25.6 4 11.5
Diseases of the urinary system 5 14.2 6 17.4
Diseases of the endocrine system 10 28.5 10 29.1
Diseases of the nervous system 25 71.2 25 72.8
From natural aging 54 153.8 55 160.2
Other reasons 21 59.9 23 66.9
Total 223 635.2 204 594.2

By cause of death:
* Deaths from the circulatory system amounted to 40 cases 116.5 ppm (52 cases 148.1 in 12 months of 2022), a decrease of 12 cases compared to last year.
* 12 cases of cancer deaths amounted to 34.9 ppm (in 12 months of 2022, 11 cases amounted to 31.4), an increase of 1 case compared to last year.
* Mortality from injuries and poisoning-6-17. 3 (42.8 cases in 15 months of 2022). Compared to last year, there is an increase in 9 cases.
* Deaths from tuberculosis have not been recorded in two years.
* Deaths from respiratory diseases 19 cases 55.3 ppm (16 cases for 12 months of 2022-45.6).
* Mortality from infectious diseases is 4 cases-11.5 (3 cases for 12 months of 2022-8.6).
* 4 cases of mortality from diseases of the digestive system -11.5 (9 cases for 12 months of 2022-25.6). Compared to the reporting period last year, it decreased by 5 cases.
• 6 cases of mortality from diseases of the urinary system-17.4 (5 cases for 12 months of 2022-14.2). An increase of 1 case compared to the previous year.
* For diseases of the endocrine system,the rate of 10 cases for 12 months of 2023 is 29.1 (10-28. 5 for 12 months of 2022).
* 25 cases of diseases of the nervous system amounted to 72.8 ppm (for 12 months of 2022, 25 cases amounted to 71.2 ppm).
* The mortality rate from natural aging is 153.8 ppm with 54 cases registered (55 ppm for 12 months of 2022-160.2 ppm) compared to last year, there is a decrease by 1 case.

In the top three in terms of mortality :

Name 12 months of 2022 12 months of 2023
1 2 3 1 2 3
Old age 54 55
Circulatory system 52 40
Nervous system 25 25

On screening examinations carried out in order to detect diseases at an early stage and prevent complications

According to screening examinations for early detection of diseases and Prevention of complications, the planned population for the current year is 17143, as of today it is 17143, that is, 100.0%.
In order to detect diseases of the circulatory system at an early stage in 2023, the planned number of people was 3210, of which 3210 (100.0%) people were examined for 12 months of this year, 44 (1.37%) were identified, and all were registered at the dispensary. In order to prevent complications from diseases of the circulatory system, devices for daily blood pressure monitoring (Smad) and daily holtermoniteration of ECG (Holter), telemetry are working.
4020 (100.0%) of the planned total population of 4020 are covered by glaucoma.
3954 people who were planned to detect diabetes at an early stage, 3956-101.0% were examined,of which 18 diseases were detected and accounted for, that is, 0.46%.
The number of women scheduled for screening for early detection of breast cancer is 1667. for 12 months of this year,1667-100.0%. The number of detected diseases is 65-3.9%. 100% were taken under dispensary control.
The plan for cervical cancer is 1125, of which 1125 -100.0% of women were examined, 89 (7.9%) diseases were detected, 89 (100.0%) women were registered at the dispensary, rehabilitation work is underway.
2067 people were planned for rectal and colon cancer, 2067-100.0% were examined, and there was no detected disease.
1,172 people were scheduled for prostate cancer and had 1,172 examinations in 12 months. There is no clearly defined disease.

Work in the healthcare sector for the III quarter of 2023

On screening examinations carried out in order to detect diseases at an early stage and prevent complications

According to screening examinations carried out in order to detect diseases at an early stage and prevent complications, the planned population for the current year is 17,143, as of today it is 16,845, that is, 98.2%.
In order to detect diseases of the circulatory system at an early stage for 2023, the planned number of people was 3210, of which 3210 (100.0%) people were examined for 9 months of this year, 35 (1.09%) were identified, and all were registered at the dispensary. In order to prevent complications from diseases of the circulatory system, devices for daily blood pressure monitoring (Smad) and daily holtermoniteration of ECG (Holter), telemetry are working.
4020 (100.0%) of the planned total population of 4020 are covered by glaucoma. 3 diseases were identified, d-not taken into account.
3954 people who were planned to detect diabetes at an early stage, 3954-100.0% were examined,of which 16 diseases were detected and accounted for, that is, 0.4%.
The number of women scheduled for screening for early detection of breast cancer is 1667. for 9 months of this year,1667-100.0%. The number of detected diseases is 65-3.9%. 100% were taken under dispensary control.
The plan for cervical cancer is 1125, of which 1125 -100.0% of women were examined, 88 (7.8%) diseases were detected, 88 (100.0%) women were registered at the dispensary, rehabilitation work is underway.
2067 people were planned for rectal and colon cancer, 2067-100.0% were examined, and there was no detected disease.
1,100 people were scheduled for prostate cancer and underwent 802-72.9 examinations in 9 months. There is no clearly defined disease.

Total and first registered number of patients and incidence rate:

9 months 2022 9 months 2023
Total incidence 28004 29917
Primary incidence 12769 12971

Currently, in order to implement the electronic queue management system, electronic terminals have been launched, the registration department has been modernized, a digital post has been created, and a CALL center is functioning. This will reduce the queue in the doctors ' office. The introduction of pre-registration of patients to doctors will allow planning the individual time of the patient, reducing the time spent in medical organizations from 1 hour to 15 minutes.
Patients can make an appointment with a doctor through an electronic system, register at the clinic and get the necessary consultation. In addition, there was an opportunity to sign up for a medical appointment by phone and via the internet (egov e-government portal and damumed mobile application).
Facebook Instagram is currently publishing campaign materials and work done on the MES, gobMp and ESP through social systems.
Currently, the District Hospital has a sufficient supply of necessary medicines and personal protective equipment.

Work in the healthcare sector for the II quarter of 2023

Within the framework of the state health development program "Densaulyk" for 2020-2025, measures were implemented to improve the quality of medical services, provide the population with affordable medicine, develop preventive medicine, protect the health of mothers and children, improve primary health care, as well as strengthen the material and technical base of medical and preventive organizations of the district, achievement of target indicators.
Based on the regional plan, the Syrdarya Regional Hospital provides medical care to the population of 34,831 residents. Among them, the number of children is 11967, teenagers -1865, adults - 20999.
The institution includes: a district hospital, a district polyclinic for 250 visits per shift, 10 outpatient clinics, 2 paramedic - obstetric stations, 1 medical center.
The district hospital has a children's department, a surgical department, a therapeutic department, an intensive care unit, gynecology and maternity department, a rehabilitation and palliative care department, an infectious diseases department with a total of 110 beds.
To date, the total number of employees in the Syrdarya Republic of Belarus is 694, of which 72 are doctors, 395 are secondary medical personnel, 124 are junior medical staff, and others are 103. The provision of doctors is 94.25 per 10 thousand of the population, average medical workers 113.3.
Also, the number of doctors with categories is 54 – 76.0%, the number of smr - 230 – 58.2%.
According to the Order of the Ministry of Health of the Republic of Kazakhstan "On approval of the Rules of medical rehabilitation" Order of the Minister of Health of the Republic of Kazakhstan dated October 7, 2020 No. RK MZ -116/2020, a department of outpatient rehabilitation, rehabilitation treatment and 10 beds in a day hospital was opened in the district polyclinic in October of this year, where for 6 months of 2023 there were only 60 patients were treated. The total number of patients treated in the day hospital is 1,775.
The number of newborns for 6 months of 2022 is 366 (9.5%), for 6 months of this year - 340 (9.8%). The number of deceased children for 6 months 2022-1, for 6 months 2023-1.
The total number of deaths in the district is 103 (2.9%) for 6 months 2022, for 6 months 2023 - 96 (2.8%).

Results of screening studies for the prevention and detection of diseases at early stages
In order to cure diseases of the circulatory system in the early stages, 3210 people are planned for 2023, the implementation of the plan for 6 months of this year is 2255- 70.2%. Among the examined persons, 34 (1.5%) patients were identified, all 34 (100.0%) were taken on dispensary registration.
Screening studies for the detection of glaucoma. 4020 are planned, 2718 (67.6%) were screened. No patients were identified.
Screening studies to detect diabetes mellitus in the early stages. The planned number of the population is 3954, the implementation of the plan is 2694-68,1%. 11 diseases were detected, which was 0.4%. All are registered.
Breast cancer screening. The plan is 1667 women, 886-53.1% passed the examination. 36 -4.1% were identified, all 36 were taken into account.
Cervical cancer screening. The planned number of women is 1225, the implementation of the plan is 846-75,2%. 78 (9.2%) were identified, all 78 (100.0%) were registered at the dispensary.
Colorectal screening. 2067 is planned, 1128-54.6% are completed, there are no detected diseases.
Prostate cancer screening. The planned number of men is 1,172, of which 173-11.5 were examined for 6 months of this year.

Indicators of general morbidity and newly identified patients:

6 months 2022 6 months 2023
Total illness 18376 20342
Primary illness 8663 8943

As part of the implementation of the Digital Kazakhstan program, electronic terminals were put into operation, a digital post was created in order to modernize the registry, a CALL center was opened, which will reduce queues in doctors' offices. The introduction of pre-appointment of patients to doctors will allow you to plan the patient's personal time, reduce the time they spend in medical organizations from 1 to 15 minutes.
Patients can make an appointment with a doctor through an electronic system, attach themselves to a polyclinic and get the necessary advice. There is also an opportunity to make an appointment with a doctor by phone and via the Internet (egov e-government portal and the Damomed mobile application).
Through subscribers of WhatsApp, Telegram and other cellular communications, campaign materials and about the work done are published.
Currently, the district hospital has sufficient supplies of necessary medicines and personal protective equipment.

Work in the healthcare sector for the I quarter of 2023

On screening examinations carried out in order to detect diseases at an early stage and prevent complications

In order to detect diseases of the circulatory system at an early stage for 2023, the planned number of people was 3210, of which 1022 (31.8%) people were examined in the 1st quarter of this year, 13 (1.3%) were identified, and all were registered at the dispensary. In order to prevent complications from diseases of the circulatory system, devices for daily blood pressure monitoring (Smad) and daily holtermoniteration of ECG (Holter), telemetry are working. 830 people were identified as at high risk for diseases of the cardiovascular system, and according to the plan, 254 patients with Holter monitoring and 7 patients with treadmills were covered.
Glaucoma covered 1,183 (27.5%) of the total planned population of 4,020. The disease is not detected.
3954 people who were planned to detect diabetes at an early stage, 1086 -27.5% were examined, of which 4 diseases were detected and accounted for, that is, 0.4%.
The number of women scheduled for screening for early detection of breast cancer is 1667. currently, screening has not been started due to the failure to start the device.
The plan for cervical cancer was 1125, of which 455 -40.4% of women were examined, 25 (5.5%) were identified, and 5 (20.0%) women were registered at the dispensary.
2067 people were scheduled for cancer of the rectum and colon, 347-16.8% were examined,of which 12 (3.5%) were identified.

Total and first registered number of patients and incidence rate:

Q1 2022 Q1 2023
Total incidence 10601 12050
Primary incidence 4842 5280

Currently, in order to implement the electronic queue management system, electronic terminals have been launched, the registration department has been modernized, a digital post has been created, and a CALL center is functioning. This will reduce the queue in the doctors ' office. The introduction of pre-registration of patients to doctors will allow planning the individual time of the patient, reducing the time spent in medical organizations from 1 hour to 15 minutes.
Patients can make an appointment with a doctor through an electronic system, register at the clinic and get the necessary consultation. In addition, there was an opportunity to sign up for a medical appointment by phone and via the internet (egov e-government portal and damumed mobile application).
Through WhatsApp, Telegram and other mobile subscribers, propaganda materials and work on the MES, gobMp and ESP are published.
Currently, the District Hospital has a sufficient supply of necessary medicines and personal protective equipment.

Work in the healthcare sector for the IV quarter of 2022

Within the framework of the state health development program "Healthy Nation" for 2021-2025, it is planned to improve the quality of medical services, provide the population with affordable medicine, develop preventive medicine, protect the health of mothers and children, improve primary health care, as well as provide the material and technical base of medical and preventive organizations of the district, measures have been implemented to strengthen and achieve the target indicators.
Based on the regional plan, 35268 residents are attached to the Syrdarya Regional Hospital to the "Register of the attached Population" program. The institution includes: a district hospital, a district polyclinic for 250 visits per shift, 10 outpatient clinics, 2 paramedic - obstetric posts, 1 medical post.
The district hospital has a children's department, a surgical department, a therapeutic department, an intensive care unit, a department of gynecology and a maternity hospital, a department of rehabilitation and rehabilitation, palliative care, as well as infectious diseases departments with 110 beds.
To date, 739 employees work in the healthcare sector of the district, including 75 doctors, 398 middle-level employees. Provision of doctors per 10,000 population 21.3. mid-level medical workers 113.2.
In the district 75 doctors have 40 categories – 53.3%, medium–term medical categories – 218 - 54.7%. Those who do not have a category have less than 5 years of work experience, have specialist certificates.
In the fourth quarter of 2021, according to the plan, 15 doctors, 5 middle-level employees, a total of 20 employees were trained.
On the basis of the Order of the Ministry of Health of the Republic of Kazakhstan dated October 7, 2020 No. KR DSM-116/2020 " On approval of the Rules for ensuring medical rehabilitation " in October 2020, a department of outpatient medical rehabilitation and restorative treatment and day rehabilitation for 10 beds was opened in the district polyclinic, 68 patients were treated in the IV quarter of 2022.
In 12 months of 2021, 733 (20.4%) children were born, in 12 months of 2022 -628 (17.8%). In 2021, 12 (16.3%) cases of infantilism were registered, in 2022-6 (9.5%) cases of infantilism.
In general, in 2021, 247 people per 1000 inhabitants (6,9%) died in the district, in 2022-185 (5,2%).
In total, 177,091 doctors in the district in 2021, including 60,496 (34.1%) who fell ill, 105,785 (59.7%), who arrived for vaccination 10,810 (6.1%). In 2022, 182,212, including 64,883 (35.6%) who became ill, 104,952 (57.5%) who arrived for preventive examination, 12,377 (6.7%) who arrived for vaccination.

About screening examinations conducted to detect diseases at an early stage and prevent complications
As a result of the screening conducted in order to detect diseases of the circulatory system at an early stage, a full examination of 2,916 people is planned, 55 (1.9%) of them were identified, 45 (81.8%) patients were taken on dispensary registration. In order to prevent complications from diseases of the circulatory system, daily blood pressure monitoring devices (SMAD) and daily ECG holtermoniterization (HOLTER), telemetry devices work. 830 people were identified in the high-risk group of diseases of the cardiovascular system, in accordance with the Holter monitoring plan - 254, treadmill – 7 patients.
In total, 100% of the population of the planned 3338 are covered by glaucoma, 13 (0.4%) diseases were detected, 3 (23.1%) people were taken on dispensary registration.
3,295 people planned to be diagnosed with diabetes mellitus at an early stage underwent a full examination, of which 28 diseases were identified and accounted for, i.e. 0.8%.
As a result of screening for early detection of breast cancer, 53 (4.6%) of the examined women revealed diseases, 36 (64.1%) were accounted for.
The cervical cancer plan has been fully implemented, i.e. 981 women have been examined, 49 (5.0%) of them have been identified, 25 (51.0%) women are on dispensary registration.
For cancer of the rectum and colon, a full examination of 1,142 men was planned and carried out, of which 1 (0.1%) of the disease and D-registration were detected.

The indicator of morbidity and the total and primary number of registered patients:

12 months of 2021 12 months of 2022
The total incidence is 35099 38379
Primary morbidity 16458 17450

Currently, in order to implement the electronic management system, electronic terminals have been launched, the registration department has been modernized, a digital post has been created, and a CALL center is functioning. This will reduce the priority in the doctors' office. The introduction of pre-appointment of patients to doctors allows you to plan the patient's personal time, reducing the time they spend in medical organizations from 1 hour to 15 minutes.
Patients can make an appointment with a doctor through an electronic system, register at a polyclinic and get the necessary advice. There is also an opportunity to make an appointment with a doctor by phone and via the Internet (egov e-government portal and the Damomed mobile application).
Through WhatsApp, Telegram and other mobile subscribers, campaign materials on MEMS, GOBMP and ESP, as well as on the work done, are published.
Currently, the district hospital has a sufficient supply of necessary medicines and personal protective equipment.

Work in the healthcare sector for the III quarter of 2022

Work in the healthcare sector for the II quarter of 2022

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