LESSONS, LEARNED FROM TREATMENT OF CHRONICAL DISEASES IN KYRGYZSTAN: CONSEQUENCES FOR MEDICAL EDUCATION
Abstract
Resume: Chronic Noncommunicable Diseases (NCDs) are the leading cause o f morbidity and mortality worldwide, includingKyrgyzstan. As data showed, the management of Chronic NCDs is one of the largest challenges that health systems throughoutthe world currently face and that each system needs to find a locally adapted solution. In this publication the previous studies in Kyrgyzstan focusing on diabetes using a Rapid Assessment tool are presented. The received results highlighted that there are several elements that are necessary for the proper management of NCDs. Some of these elements are clear weaknesses o f the health care provided to patients with NCDs in Kyrgyzstan, namely “Patient education and empowerment” and “Adherence”.
The conclusion was made, that with the growing burden of Chronic Conditions, medical education in Kyrgyzstan is in need of optimization. The variety o f aspects in health training in Kyrgyzstan can be improved. These range from clinical skills to softer skills and even Public Health training. Changes in training will impact how the health system is organised.
References
1. Beaglehole R, Epping-Jordan J, Patel V, et al. Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care. Lancet 2008; 372(9642): 940-9.
2. WHO. General Principles of Good Chronic Care: Integrated Management of Adolescent and Adult Illness. Geneva: World Health Organization,2004.
3. WHO. Preventing chronic diseases: a vital investment. Geneva: World Health Organization, 2005.
4. Yach D, Hawkes C, Gould C, Hofman K. The Global Burden of Chronic Diseases. JAMA 2004; 291(2): 2616-22.
5. Nolte E, McKee M. Introduction. In: Nolte E, McKee M, eds. Caring for people with chronic conditions: A health system perspective. Maidenhead: Open University Press; 2008.
6. WHO. Kyrgyzstan Country Health Profile. 2013. http://vww.who.int/countries/kgz/en/ (accessed February 28 2013).
7. World Bank. Millennium Development Goals for Health in Europe and Central Asia. Washington D.C.: World Bank, 2004.
8. Akunov N, Ibraimov A, Akkazieva B, Pankova O, Jakkab M, Kojokeev K. Quality of treatment and prevention of cardiovascular diseases in the in the Kyrgyz Republic. Bishkek: Health Policy Analysis Unit, Center for Health System Development, 2007.
9. Young JH, Parler P, Bristol B, Klag MJ. The coming epidemic: hypertension in rural Kyrgyzstan, Central Asia. J Hum Hypertens 2005; 19(2): 145-8.
10. International Diabetes Federation. International Diabetes Federation Diabetes Atlas 3rd Edition. Brussels: International Diabetes Federation, 2006.
11. Jakab M, Lundeen E, Akkazieva B. Health System Effectiveness in Hypertension in Kyrgyzstan. Bishkek: Health Policy Analysis Unit, Center for Health System Development, 2007.
12. Hopkinson B, Balabanova D, McKee M, Kutzin J. The human perspective on health care reform: coping with diabetes in Kyrgyzstan. Int J Health Plann Manage 2004; 19(1): 43-61.
13. Beran D, Abdraimova A, Akkazieva B, McKee M, Balabanova D, Yudkin JS. Diabetes in Kyrgyzstan: changes between 2002 and 2009. Int J Health Plann Manage 2012.
14. Beran D, Yudkin J, de Courten M. Assessing health systems for insulin-requiring diabetes in sub- Saharan Africa: developing a ‘Rapid Assessment Protocol for Insulin Access’. BMC Health Services Research 2006; 6(1): 17.
15 Abdraimova A, Beran D. Report on the Rapid Assessment Protocol for Insulin Access in Kyrgyzstan. London: International Insulin Foundation, 2009.
16. WHO. Innovative Care for Chronic Conditions: Building Blocks for Action. Geneva: World Health Organization. 2002.
17. Bury M. Chronic illness as a biographical disruption. Sociol Health Illn 1982; 4(2): 167-82.
18. Beran D. Health systems and the management of chronic diseases: lessons from Type 1 diabetes. Diabetes Management 2012; 2(4): 1-13.
19. Nolte E, Bain C, McKee M. Diabetes as a tracer condition in international benchmarking of health systems. Diabetes Care 2006; 29(5): 1007-11.
