Public Health Is a Priority

Public Health Is a Priority

An Executive Office meeting on anti-corruption issues and the results of a clean-up day was held in the Oblast Akimat, chaired by the Oblast Head, Bulat Bakauov. A separate set of questions concerned the development of the health care system and the improvement of the quality of medical care.

According to the Head of the Oblast Health Department, Oraz Mukashev, work has been done to integrate all health services around the patient’s needs based on the modernization and priority development of primary health care. Around-the-clock emergency medical service brigade for servicing calls of the 4th category of urgency to the population, psychiatrists and narcologists offices in the primary health care organizations of the cities of Pavlodar and Ekibastuz have been opened, the staff TB offices of TB services have been transferred.

This year, at the expense of the local budget, medical equipment was purchased in the amount of KZT 1,450.4 million, lift equipment in the amount of KZT 104, 7 million, 9 units of motor transport in the amount of KZT 36, 4 million, capital repairs of outpatient polyclinic organizations in the amount of KZT 575.1 million.

For the first 9 months of 2018, there were no reported cases of maternal losses in the region, the infant mortality rate decreased by 24%. According to the results of 8 months of 2018, 1514 cases were registered in the Oblast for the first time identified malignant neoplasms; the incidence rate decreased by 4.1% and amounted to 300.9 per 100 thousand population (313.3 in 2017).

There are 260 general practitioners’ districts in the region, which account for over 560 thousand of the attached population (564,467). That is an average of 2,171 people per 1 site, with a standard of 1,700 people (one of the reasons for not achieving this indicator is the shortage of general practitioners (hereinafter referred to GP). Today 86 young professionals have come to Pavlodar Oblast. However, there is a need for 73 doctors. Budget funds for the distribution of educational grants were provided from the local budget for the first time in 2018. In accordance with the legislation of the Republic of Kazakhstan, these educational grants were awarded competitively. Currently, the number of students on the grant of the Akim of Pavlodar Oblast is 104 people: 74 people on speciality “General Medicine” and 30 on residency.

An additional emergency medical service post has been opened in Novoyamyshevo village on the highway of republican value Pavlodar – Semey and in Chernoretsk village on highway Pavlodar – Omsk. In addition, the issue of the location of another post on the highway Pavlodar – Novosibirsk is being resolved. By the end of this year, it is planned to open additional ambulance posts in densely populated rural districts of the region on the highways Pavlodar-Barnaul, Pavlodar-Astana, Pavlodar-Russkaya Polyana. The teams are equipped with the most modern medical equipment for the diagnosis and treatment of various diseases. Cardiometers – devices for remote transmission of ECG in online mode to the central dispatching and the Oblast cardiological centre via Skype play a special role in diagnosis. Departure for calls will be carried out on a new, off-highway mobile ICU equipped with a defibrillator, ventilators, nebulizers, pulse oximeters, perfusors, etc.

Since April of this year, work has begun on the transfer of medical reports to the paperless format of medical services. In December 2018, in accordance with the schedule, this work will be completed. Currently, old registries with outpatient cards of patients have been reorganized in all polyclinics of the Oblast, instead of them the Information and Reference Service has been organized. To date, more than 80 thousand people have created a personal account of the patient and have registered in the DamuMed mobile applications, while in some areas the rate of mobile population coverage is low.

Following the discussion of the current state of health care in the region, the Head of the Oblast, Bulat Bakauov instructed the Akims of towns and districts to make proposals to involve general practitioners, to step up work on the provided social package for young specialists, increase the size of encouraging early attendance of pregnant women for registration to 15 MCI everywhere, to consider to increase the size of social assistance to tuberculosis patients (up to 10-15 MCI), also to take measures to reach the population with a mobile application, explain the possibilities and Using the Damu-Med mobile application and its active use.