Public Health Service model Y. Birtanov, Minister of Health, 2017 - - PowerPoint PPT Presentation

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Public Health Service model Y. Birtanov, Minister of Health, 2017 - - PowerPoint PPT Presentation

Aug 16, 2022 382 likes •550 views

Ministry of Health of the Republic of Kazakhstan Public Health Service model Y. Birtanov, Minister of Health, 2017 Background and definitions Background : Densaulyk 2016-2019 State healthcare development program: formation and

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Public Health Service model

Ministry of Health of the Republic of Kazakhstan

  • Y. Birtanov, Minister of Health, 2017
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  • Background: «Densaulyk» 2016-2019 State healthcare development program:

formation and development of the Public Health Service

  • WHO definition: «Public health - the art and science of preventing disease, prolonging

life and promoting health through the organized efforts of society»

  • The list of 10 Essential Public Health Operations was approved by Member States at

the 62nd session of the WHO Regional Committee in 2012 Background and definitions

Public Health Medicine

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Essential public health operations defined by WHO

1: Surveillance of population health and well-being 2: Monitoring and response to health hazards and emergencies 3: Health protection, including environmental, occupational and food safety and others 4: Health promotion, including action to address social determinants and health inequity 5: Disease prevention, including early detection of illness 6: Assuring governance for health 7: Assuring a competent public health workforce 8: Assuring organizational structures and financing 9: Information, communication and social mobilization for health 10: Advancing public health research to inform policy and practice

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Source: http://www.euro.who.int/ru/health-topics/Health-systems/public-health-services/policy/the-10-essential-public-health-operations

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Страна Название соответствующей службы USA United States Public Health Service England Public Health England France Santé publique France Canada Public Health Agency of Canada Israel Israel Center for Disease Control

Public Health Services worldwide

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Communicable and non-communicable disease incidence

Circulatory

system diseases

Malignant

neoplasms

Trauma and

injury

Major non-communicable diseases

д д

Chronic

  • bstructive

pulmonary disease Diabetes

2000000 4000000 6000000 8000000 10000000 2014 2015 2016

8729538 8944440 9862334 266290 250543 239933

Non-communicable diseases Communicable diseases

  • Communicable diseases

constitute only 2% of all disease incidence

  • The burden of disease is

accounted for by chronic non-communicable diseases

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Communicable diseases and non-communicable diseases expenditure

213 466 170,78 268 534 390,45 360 084 455,39 397 360 142,00 373 646 050,00 414 749 449,00

50 000 000 100 000 000 150 000 000 200 000 000 250 000 000 300 000 000 350 000 000 400 000 000 450 000 000 500 000 000 2010 2011 2012 2013 2014 2015

Инфекционные заболевания Неинфекционные заболевания

  • Communicable diseases

expenditure constitutes 4-5% of total health expenditure

  • Non-communicable diseases

expenditure is growing and constitutes 95-96% of all health expenditure Non-communicable diseases Communicable diseases

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235,6 8021,1

Расходы на профилактические услуги, тыс.долл Текущие расходы на здравоохранение, тыс.долл

13454,2 67335,4

Расходы на профилактические услуги, тыс долл Текущие расходы на здравоохранение, тыс.долл

Preventive measures expenditure (in thousands USD) Current health expenditure (in thousands USD)

Preventive measures expenditure

*Current health expenditure – final consumer expenditure of residents on medical products and services

19% 3%

Preventive measures include:

  • Informative, educational and consultative programs
  • Immunization programs
  • Early disease detection/screening programs
  • Communicable, non-communicable disease and injury surveillance
  • Health environment programs

Preventive measures expenditure (in thousands USD) Current health expenditure (in thousands USD)

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Conceptual framework of the Public Health Service

Mission: protection and promotion of health of the population of Kazakhstan through recognized measures

Objective 1: Analytical evidence- based work Objective 2: Implementation of health promotion measures Цель 3: Institutional development of the Public Health Service

Communicable and non-communicable disease surveillance Public health research Advocacy and communication Monitoring and response to public health emergencies Health protection, including environmental,

  • ccupational, food safety and others

Health promotion Disease prevention, including early detection of illness Assuring a sufficient and competent public health workforce Assuring governance for health and wellbeing Assuring sustainable organizational structures and financing

10 EPHOs

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Cross-sectoral implementation

  • f principal areas of activity of Public Health Service

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Ministry of Information and Communications

  • Publishing information materials on

behavioral risk factor prevention

Ministry of Culture and Sports

  • Stimulating physical activity
  • Sports propaganda
  • Engaging children in sports

Ministry of Education and Science

  • Educating children on healthy lifestyles
  • Implementing behavioral risk factors

and suicide prevention programs in schools

Ministry of Agriculture

  • Assuring food safety
  • Soil and natural water reservoir

contamination control

Ministry of Internal Affairs

  • Preventing road traffic accidents
  • Assuring compliance with anti-tobacco & anti-

alcohol legislation

  • Narcotics control
  • Preventing and responding to emergencies
  • Preventing tuberculosis in the correctional

system

  • Control of import of contraband products

Local executive bodies, NGOs, businesses

  • Construction of bicycle lanes, common areas

with sports grounds and exercise equipment

  • Access to drinking water, sewerage, utilization
  • f domestic waste, heating, power supply etc
  • Implementation of the WHO Healthy City

program

Ministry of Finance

  • Increasing excise duties on alcohol and

tobacco products

  • Control of alcohol and tobacco products

trade

Ministry of Energy

  • Monitoring environmental media
  • Waste management
  • Preventing air contamination

Operating body: Ministry of Health of the Republic of Kazakhstan Coordinating body: National Coordination Council on Health Protection under the Government of the Republic of Kazakhstan

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Public Health Service structure

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Republican level Regional level

National Coordination Council on the protection of population’s health Interdepartmental coordination councils on the protection of population’s health Ministry of Health Departments of Health Committee for Protection of Public Health Departments of Committee for Protection of Public Health Department of Strategic Development and Public Health of the Ministry of Health Public Health Divisions at the Departments of Health Central executive bodies (Ministry of Culture & Sports, Ministry of Information & Communications, Ministry of Internal Affairs, Ministry

  • f Education & Science, Ministry of Agriculture, Ministry of

Investment and Development) Local executive bodies National Center for Expertise Regional branches Public Health Research Center Healthy Lifestyle Development Centers

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  • 1. Coordination of the Public Health Service

activities

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Mission – strengthening the capacity of the public health service, disease control and prevention Creation of the NPHC by merging the National Center for Problems of Healthy Lifestyle Development with the following enterprises (branches)

Objectives and duties of the National Public Health Center

Creation of the National Public Health Center

  • Hygiene and epidemiology research center named

after K. Zhumatov

  • Kazakh research center for quarantine and zoonotic

diseases named after M. Aikimbayev

  • 2. Monitoring communicable and non-

communicable diseases

  • 3. Evaluating the risks of the effects of

environmental factors on population health

  • 4. Developing disease management programs
  • 5. Training the Public Health Service

workforce

  • 6. Public health research and developing methods of

influencing the population health

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1.1. Deregulation of control and supervision duties with refocusing on preventive activity

  • 2. Developing the List of services of the Public Health Service

(similar to the List of guaranteed volume of free medical care)

  • 1. Forming the legislative framework and budgetary programs

Principal areas of activity of Public Health Service

  • 3. Strengthening the capacity of the Public Health Service
  • 4. Developing public-private partnership through involvement of business

3.1. Developing the infrastructure of the Public Health Service 3.2. Creating a unified IT-platform of the Public Health Service 3.3. Developing the workforce capacity of the Public Health Service

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Fitness centers, sports clubs, swimming pools

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Stimulating business activity in the health industry Healthy (eco-) food: deliveries, production, restaurants Active leisure and eco-tourism (infrastructure, accessories) IT-products, remote health monitoring solutions Occupational safety: manufacturing of safety products; private laboratories

Mass media: advertising, billboards, shows, programs (healthy lifestyle image)

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Key timelines Achievements Measures

«Swift victories – 100 days» June 2017

  • Public Health Service model
  • Guidelines on evaluating the Service’s

activity based on international practice

  • Amendment proposals for Code of Laws and
  • ther legal acts
  • Adopted structure, purpose, objectives of the Public Health Service
  • Workforce capacity: candidate pool for employment within the institutions
  • f the Public Health Service
  • Adopted roadmap and project network (planning the Public Health Service

activity) «2017 victories» December 2017

  • Institutional basis of the Public Health

Service (restructuring and merging of institutions)

  • Legal framework for the operation of the

Public Health Service

  • List of services of the Public Health Service
  • Formation of Public Health Research Center; draft order «On introduction
  • f amendments to Order «On introduction of nomenclature of healthcare
  • rganizations»»
  • Development of a unified IT-platform of the Public Health Service
  • Amendment draft for the «On public health and health care system» Code
  • Public Health Service financing (budgetary program)

«500 days victories» July 2018

  • Public Health Service activity evaluation
  • Creation of a Unified budgetary program to

support the Public Health Service

  • Public Health Service operating on the basis of a unified public health

service IT-platform

Intermediate results

«Creation of the Public Health Service» project

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Public health service functions and expected results

Indicators 2016 KPI 2017 KPI 2018 KPI 2019 KPI Life expectancy 71,8 72,2 72,6 73 года Reducing population mortality (per 100 000) from:

  • diseases of the circulatory system
  • malignant neoplasms;
  • injuries & accidents

203,1 93,5 84,9 201,7 93,3 82,3 200,2 93,1 79,8 200,0; up to 92,9; up to 77,5 Vaccination coverage in accordance with the national schedule (%) 90 93 95 95 Reducing obesity prevalence (per 100 000) 256,5 243,6 231,4 220 Increasing the share of the population engaging in physical training and sports (%) 27,0 28,0 29,0 30 Access to high-quality drinking water for rural residents (%) 73 75 78 80 Access to primary care and planned parenthood services for women of reproductive age (%) 85 90 95 100 Reducing alcohol consumption level (equiv. liters of pure alcohol per person) 6 5,5 5 4 Reducing tobacco smoking prevalence (% of tobacco smokers aged ≥15) 22 20 19 18 Reducing the number of road traffic accidents with injuries (no of cases) 19570 19178 18794 18 418 HIV prevalence in people aged 15-49 (%) 0,26 0,33 0,41 0,51 Tuberculosis incidence (per 100 000) 63,1 61,5 59,9 57,0

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