Long-term trends in the financial burden of health care seeking in Kyrgyzstan, 2000–2014
Akkazieva, Baktygul; Jakab, Melitta; Temirov, Adyl.
Copenhagen; World Health Organization. Regional Office for Europe; 2016. (WHO/EURO:2016-6553-46319-67005).
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| WHOLIS | ID: who-369682
Kyrgyzstan has committed itself to universal health coverage and has launched comprehensive reforms to improve the health of the Kyrgyz population. In order to document progress in reducing the financial burden of the population, a module on health care utilization and health expenditure was added to the Kyrgyz integrated household budget survey, conducted by the National Statistical Committee. This is a unique, repeated cross-sectional survey to assess financial burden on the population and access to care over a 15-year period. The survey provides evidence of impressive reduction in financial burden associated with health care seeking due to the introduction of comprehensive health reforms during 2000-2009. However, the financial burden for health care services increased again after 2009 considerably, in particular for the two poorest groups of the population and in the two largest cities, Bishkek and Osh. Outpatient medicines drive the increase in OOP expenditures. Financial and geographical barriers to accessing health services improved during the survey period, but almost half the population still finds it difficult to find the money to pay for health care. Thus, the evidence obtained over the past 15 years in Kyrgyzstan indicates that well thought-out health reforms contextualized to the country’s needs can reduce financial burden associated with health care seeking but sustaining these gains in the longer term can be a challenge.
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