Usman Abubakar Haruna, Amos Abimbola Oladunni, Abdulafeez Katibi Abdulkadir, Abbas Bashir Umar, Shuaibu Saidu Musa, Elizabeth Oluwatoyin Afolabi, Joseph Almazan, Don Eliseo Lucero-Prisno Iii
{"title":"Towards attaining universal health coverage in Kazakhstan: Challenges and important next steps.","authors":"Usman Abubakar Haruna, Amos Abimbola Oladunni, Abdulafeez Katibi Abdulkadir, Abbas Bashir Umar, Shuaibu Saidu Musa, Elizabeth Oluwatoyin Afolabi, Joseph Almazan, Don Eliseo Lucero-Prisno Iii","doi":"10.34172/hpp.025.43529","DOIUrl":null,"url":null,"abstract":"<p><p>The Alma Ata Declaration (1978) positioned primary healthcare (PHC) as central to universal health coverage (UHC). Post-independence Kazakhstan struggles with a fragmented healthcare system marked by high mortality, underfunding, and workforce shortages. Despite initiatives like \"Kazakhstan 2050\" and \"Salamatty Kazakhstan,\" challenges persist: economic instability, unregulated private healthcare, high out-of-pocket costs, and rural disparities. While Kazakhstan achieved a 76% UHC index, advancing PHC quality, expanding health financing, and prioritizing rural access remain critical to achieving equitable UHC.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"15 1","pages":"3-8"},"PeriodicalIF":2.4000,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125506/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Promotion Perspectives","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.34172/hpp.025.43529","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
The Alma Ata Declaration (1978) positioned primary healthcare (PHC) as central to universal health coverage (UHC). Post-independence Kazakhstan struggles with a fragmented healthcare system marked by high mortality, underfunding, and workforce shortages. Despite initiatives like "Kazakhstan 2050" and "Salamatty Kazakhstan," challenges persist: economic instability, unregulated private healthcare, high out-of-pocket costs, and rural disparities. While Kazakhstan achieved a 76% UHC index, advancing PHC quality, expanding health financing, and prioritizing rural access remain critical to achieving equitable UHC.