Birtanov reported that from July 1 2019, salary of all nurses and junior medical staff will be increased by 30%. Also, the salaries of the most demanded specialists will increase (emergency doctors, anesthesiologists, resuscitation specialists, oncologists, psychiatrists, hematologists, TB specialists, obstetrician-gynecologists, pediatricians, neonatologists, local doctors). Thus, the salary of more than 225 thousand medical workers will be increased. For this, from the republican budget in 2019, an additional 37.6 billion tenge will be allocated, in 2020 and 2021, 78.7 billion tenge annually.
At the same time, in order to increase the availability of primary health care, the regions plan the construction of 595 primary health care facilities until 2021. As Birtanov noted, 577 of them are in the countryside and 18 in the cities, within walking distance to the population. Thus, by 2021, 100% coverage of rural settlements of the country with primary health care facilities will be provided. At the same time, about 42% of funding sources will be attracted through the mechanism of public private partnership.
In addition, on the instructions of the Head of State, the expenditures on primary health care will be increased by 20%. Expenses in this category will grow 2.3 times and amount to 936 billion tenge in 2022.
“Expenditures on public health will increase by 2 times due to the expansion of the vaccination program, screening of major diseases, raising public awareness on health and healthy lifestyles. By 2022, spending will be about 74 billion tenge. Thus, the role of general practitioners will be strengthened, hospitalization for major diseases will be reduced by 30%, early detection of oncological diseases will increase, and the level of vaccine-preventable infections will decrease,”E. Birtanov said.
As part of the request of the Head of State for the additional allocation of 120 billion tenge for the development of the health sector, 10 medical organizations are planned to be built in 7 regions (Astana, Karaganda, Mangystau, Turkestan, North Kazakhstan, East Kazakhstan, Almaty).
About 100 thousand patients will undergo treatment in new hospitals annually. Under the public-private partnership, 15 large multi-profile hospitals will be additionally built to replace 56 worn out ones. In general, by 2025, an additional 800 billion tenge will be invested under the Single Perspective Plan.