National model of mother and child healthcare in Uzbekistan
26.11.2011
“National Model of Mother and Child Healthcare in Uzbekistan: Healthy Mother – Healthy Child” international symposium took place on November 26 in Symposiums Palace of Tashkent’s Ma’rifat Markazi (Enlightenment Center) complex.  

Organized by the initiative of Uzbekistan’s President Islam Karimov, the event has been arranged by the Ministry of Healthcare of the Republic of Uzbekistan in cooperation with World Health Organization (WHO), UN Children’s Fund (UNICEF), and UN Population Fund (UNFPA). Some 300 world-renowned academics and representatives of international healthcare organizations, including the leaderships of WHO, UNICEF, UNFPA, health ministries of around forty nations, including the United States, China, Russia, Canada, UK, Germany, Italy, Spain, France, Finland, Switzerland, Czech Republic, Denmark, South Korea and others, attended the symposium.  

Principal topic of discussion has been the outcomes of cardinal reforms undertaken in Uzbekistan during independence years in public healthcare, including maternity and childhood care, nurturing a healthy generation, shaping a relevant unified national model in this realm.  

President of the Republic of Uzbekistan Islam Karimov addressed the international forum.  

In accordance with Presidential Decree signed November 24, 2011, World Health Organization Director General Margaret Chan is awarded the order “Soghlom Avlod Uchun” (For Healthy Generation) of the 1st Degree for her outstanding service in organizing the activities of the WHO, advancing primary medical aid, implementing the Global Strategy on Mother and Child Healthcare.  

The head of our state presented Margaret Chan with this high award.  

In her speech, WHO Director General Margaret Chan noted the tremendous consideration attached in Uzbekistan to medical sphere, including maternity and childhood health protection defined as a priority area – a correct strategy from the perspective of current as much as prospective realities.  

Margaret Chan expressed sincere gratitude to President of Uzbekistan for the high prize.  

During independence years, thoroughgoing reforms in healthcare system have been undertaken in our country under the leadership of President Islam Karimov. All essential conditions have been created to secure a healthy and dignified life for the people, to raise a physically and spiritually sound younger generation, to expand local pharmaceutical production. The adopted due laws of the Republic of Uzbekistan, decrees and resolutions by the President and Cabinet of Ministers have been critical in the development of medical field. The decree by the head of state approving the “State Program on Reforming the Healthcare System of the Republic of Uzbekistan” signed November 10, 1998, marked a starting point of a crucial stage in the cardinal transformation of the sphere.  

Maternity and childhood health protection and fostering a comprehensively healthy generation are defined as priority tasks of government policy. One of the first international treaties Uzbekistan adhered to was the UN Convention on the Rights of Child ratified by the country’s parliament on September 9, 1992. The Law of the Republic of Uzbekistan on Guarantees of the Rights of Child was approved January 8, 2008.  

The nation’s first state order – “Soghlom Avlod Uchun” (For Healthy Generation) established March 4, 1993 – has been a distinctive symbol of embodying the desire for a healthy generation as well as wide-ranging efforts in the advancement of a physically and spiritually sound posterity.  

The organization of this prominent international forum devoted to mother and child healthcare in the Symposiums Palace of Ma’rifat Markazi complex erected in the year we celebrated the twentieth anniversary of Uzbekistan’s independence, is again a manifestation of consistent significance attached in this country to cultivating a fit generation.  

The care for the health of women, the perpetuators of life, and children is significantly a care for the future of nation. Our people have always honored the woman – the custodian of family, the mother and the nurturer of comprehensively developed posterity. These noble traditions and customs of ours have been enriched with new essence in the course of reforms embarked on during independence period.  

The implantation of the Healthy Mother – Healthy Child idea in the consciousness of people, promotion of a congruently advanced generation in the full sense of the word has turned into a nation-wide movement. When speaking of a healthy generation, we mean first and foremost healthy descendants. In this respect, action plans and measures have been elaborated and persistently implemented in maternity and childhood healthcare during the past years as part of Healthy Mother – Healthy Child scheme to uplift medical culture in the family and fortify the gene pool of the nation.  

Detailed information on the national model of medical services, including in mother and child healthcare, created in Uzbekistan has been presented at the general session of the symposium.  

A number of high-ranking officials addressed the meeting, including the Minister of Healthcare of the Republic of Uzbekistan Adham Ikramov, WHO Regional Director for Europe Zsuzsanna Jakab, UNICEF Eastern Europe and CIS Regional Director Steven Allen, Latvia’s Minister of Healthcare Ingrida Circene, Minister of Healthcare of Azerbaijan Oqtay Shiraliyev, UNDP Country Resident in Uzbekistan Anita Nirody, UNFPA Director of Sub-regional Office in Central Asia Nikolai Botev, Vice President of the European Association of Pediatricians – President of European Pediatricians’ Academic Council Manuel Moya (Spain), President of Seoul National University Pediatricians Center – President of Children’s Cardiologists Association of the Republic of Korea Jung Il-No, Harvard University Professor – Chairman of International Programs Academic Societies Committee at Harvard School of Medicine Edward James (USA), representative of Save the Children No Bo-kim (Republic of Korea), Charite University Clinic Professor Roland Wauer (Germany), director of Im Park cardio-surgery clinic Paul Vogt (Switzerland) and others.  

The speakers noted that the national model of medical services, including in the area of mother and child healthcare, has been created in Uzbekistan at the level of world standards. A network of qualitatively new, modern medical institutions meeting the highest requirements has been established, including national center for emergency medical care and specialized applied research centers in various sectors of medicine. Uzbekistan’s regions host diversified hospitals for children and adults, new maternity homes and complexes. The capacities of lower-local tier of healthcare system, in particular of rural medical units, have been consolidated.  

A single system of providing specialized aid for children has been instituted that comprises the Pediatrics National Applied Research Medical Center and thirteen regional children’s diversified medical centers. A qualified care for mothers and newborns is provided with the application of cutting-edge high technologies by the Obstetrics and Gynecology National Applied Research Medical Center, its regional branches and perinatal centers.  
Building on the Government Program of Mother and Child Screening approved by the initiative of the head of state, modern screening centers have been set up across all regions of the nation, allowing for far better prevention and treatment of many congenital and hereditary diseases.  

In order to further reinforce and raise the effectiveness of efforts undertaken in the country in consolidating the reproductive health system, National Center for Reproductive Health and its thirteen regional branches have been organized to provide highly qualified medical care, promote public awareness in reproductive health issues and sound family formation.  

Refining the diet is an integral part of national strategy of elevating the wellbeing of population. Essential normative base has been created in this realm to secure the safety and quality of food. A range of laws have been adopted, including the ones on State Sanitary Control, on Prophylaxis of Micro-Nutritional Deficiency among Population, on Certification of Goods and Services, on Prevention of Iodine-Deficient Diseases. Preventive measures are being taken in the country to promote reproductive health of population, improve the health of pregnant women by providing them with special multivitamin complexes containing necessary specter of vital micro nutrients. The government has assigned funds to procure multivitamins to allow for improving the health of pregnant women residing in rural areas, preventing the birth of children with congenital defects. Programs on fortification of flour and iodination of salt have been quite successful. All this, along with timely treatment and preventive services, has helped remarkably reduce the spread of iodine deficiency among the population and anemia among women of fertile age.  

The President of Uzbekistan adopted resolutions on Additional Measures in Mother and Child Healthcare and Nurturing a Healthy Generation on April 13, 2009; on 2009-2013 Action Plan to Reinforce and Raise the Effectiveness of Efforts to Consolidate Reproductive Health of Population and Birth of Healthy Child, Fostering a Physically and Spiritually Sound Generation on July 1, 2009.  

In the course of addressing the challenges outlined in the abovementioned documents, a particular emphasis is placed on measures directed at improving the health of women of fertile age, prolonging the gap between births, preventing early marriage and that between close relatives, raising the qualification of medical staff, building up the economic and technical capacities of obstetrics institutions and local tier of healthcare, promoting wider public awareness in reproductive health issues. Working toward mass involvement of children and teenagers in physical culture and sports has also been instrumental in cultivating a comprehensively advanced generation.  

Projects have been underway in securing safe pregnancy, effective perinatal care, resuscitation of newborns, breast feeding, monitoring the growth and development of children.  

Participants of the international forum reviewed the exhibition displayed at the Symposiums Palace addressing our country’s achievements during independence years in health protection, and mother and child care in particular.  

Meeting contributors continued deliberations in panel discussions.  

Via video conference the attendees got familiarized with the course of Week of Fertile Age Women Health Improvement underway in a rural medical unit in Sirdaryo region, medical examination of pregnant women in a Jizzakh region screening center, activities of Namangan branch of Obstetrics and Gynecology National Applied Research Medical Center.  

The symposium participants reviewed the activities of Emergency Medical Aid National Medical Center, Phthisiology and Pulmonology National Applied Research Medical Center, and children’s hospitals in the city of Tashkent. They attended a number of clinics and specialized centers and took part in satellite conferences, delivered master classes, and conducted surgeries with local specialists.  

Following the forum, Resolution of the International Symposium has been approved.

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