Towards attaining universal health coverage in Kazakhstan: Challenges and important next steps.

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Promotion Perspectives Pub Date : 2025-05-06 eCollection Date: 2025-05-01 DOI:10.34172/hpp.025.43529
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
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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.

在哈萨克斯坦实现全民健康覆盖:挑战和今后的重要步骤。
《阿拉木图宣言》(1978年)将初级卫生保健定位为全民健康覆盖的核心。独立后的哈萨克斯坦与分散的医疗体系作斗争,其特点是死亡率高、资金不足和劳动力短缺。尽管有“哈萨克斯坦2050”和“萨拉马特哈萨克斯坦”等倡议,但挑战依然存在:经济不稳定、不受监管的私人医疗保健、高昂的自付费用和农村差距。虽然哈萨克斯坦实现了76%的全民健康覆盖指数,但提高初级保健质量、扩大卫生筹资和优先考虑农村可及性对于实现公平的全民健康覆盖仍然至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Promotion Perspectives
Health Promotion Perspectives PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
2.30%
发文量
27
审稿时长
13 weeks
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