📋 Tender Overview
Scope :
The proposed technical assistance will support ministry of health of the republic of kazakhstan (moh) and turar healthcare with health sector planning, including sector analysis, master planning of health services, hospital infrastructure planning, project identification, and related capacity building. improved healthcare planning will help establish an integrated, modernized, and climate-friendly health services network to achieve better quality and efficiency of public health services towards universal health coverage (uhc) and sustainable development goals (sdgs).
The government of the republic of kazakhstan has established turar healthcare as the national operator with the aim of modernizing state health services. this includes plans to develop university and multidisciplinary hospitals and primary health care (phc) facilities to be funded either by the state or as public-private partnership (ppp). the ministry of health of the republic of kazakhstan (moh) has identified health infrastructure development as a priority and has requested adb to assist with sector analysis, master planning, hospital design, project scoping, and related capacity building.
in 1991, the government inherited an input-driven, inefficient health system focused specialists and inpatient care. health sector reforms initiated in 1995 led to major rationalization of hospitals and strengthening of phc. the country achieved a universal health coverage (uhc) of 80% in 2021, which is high for the region. social health insurance reached 84% of the population in 2020 and supports a basic benefits package. however, health indicators such as maternal and child health are not commensurate with the countrys rapid economic growth of annual average of around 6% of gross domestic product in the past two decades.
while the burden of diseases is declining, demand for and cost of health services are increasing with a shift to non-communicable diseases linked to population aging, and lifestyle and environmental conditions that require a multi-sectoral approach with more effort in prevention. the health sector itself is still in transition with incomplete reforms and investment initiatives. most hospitals and health centers in kazakhstan are owned and operated by the public sector, and about half of these require upgrading and renovation. the health system remains biased towards specialist care and inpatient services. access to and quality of rural health services are insufficient and challenging due to a very low rural population density of about 3 persons per km2. health services quality is also affected by under-resourced education institutions and teaching hospitals. the country of 19 million people has 12 accredited and globally recognized medical colleges. kazakhstans 2020 health spending amounted to 3.8% of gross domestic product (gdp) or $342 per capita, with a government share of 66% and a modest out-of-pocket share of 27%.
as per the national healthy nation project:
