Giuffrida, AntonioJakab, MelittaDale, Elina M.2013-05-062013-05-062013-01https://hdl.handle.net/10986/13311In this case study the paper describes the evolution of the Kyrgyz health care system and discusses challenges in ensuring universal access to basic health care services. Section one provides an overview of the Kyrgyz health system and of the national health care reform programs that started in 2001 with Manas (2001-2005) and which have been continued with Manas Taalimi (2006-2011), and the recently adopted Den Sooluk (2012-2016). Section two provides a detailed discussion of the SGBP that follows a universal approach as it applies to all citizens, and describes the management of public funds and the information environment of the State Guaranteed Benefit Package (SGBP). Section three draws lessons from Kyrgyz national health reforms for universal health coverage for other countries with very limited public resources, widespread poverty, and high levels of corruption. Section four discusses the remaining challenges for universal health coverage for the poor and how the provision of good-quality care forms an important part of the agenda for the recently adopted Den Sooluk program.en-USCC BY 3.0 IGOaccess to health careaccess to health servicesaccess to servicesadministrative costsadult mortalityAdult mortality rateagedagingallocation of resourcesbasic health carebasic health servicesbudget allocationbudgetary resourcescancercancer patientscapitationcardiovascular diseaseschild healthchild health servicescitizencitizenscivil society organizationsCommunicable diseasesCommunity Actioncontraceptive usecost of treatmentdeveloping countriesdiabetesdiphtheriadispensariesdoctorsdrugseconomies of scaleemergency careEmergency SituationsEpidemiological Surveillanceequal accessexternalitiesfamiliesfinancial barriersfinancial managementfinancial protectionfinancial resourcesfinancial risksForecastsGeneral PracticeHealth Affairshealth carehealth care costsHealth Care Coveragehealth care organizationshealth care providershealth care reformHealth Care Serviceshealth care systemHealth Care SystemsHealth Care Systems in TransitionHealth Committeeshealth conditionshealth consequencesHealth CoverageHealth DeliveryHealth Delivery Systemhealth educationHealth Expenditurehealth expenditureshealth facilitiesHealth Financinghealth informationhealth information systemhealth insuranceHealth Insurance Fundhealth insurance marketHealth Organizationhealth organizationshealth outcomeshealth policyhealth programsHealth Promotionhealth promotion activitieshealth providersHealth Reformhealth reformshealth sectorHealth Sector Reformhealth serviceshealth statusHealth Systemhealth system performanceHealth System Reformhealth system strengtheninghealth systemsHealth Systems in Transitionhealth workershealthcare servicesHIVHIV infectionHIV/AIDSHospitalhospital admissionhospital admissionshospital bedshospital capacityhospital carehospital serviceshospitalizationhospitalshousehold expenditureHygienehypertensionill healthillnessesimmunizationimmunizationsimpact on healthimpact on health outcomesincomeincome countriesincome groupsIndividual healthInfant mortalityInfant mortality rateinfectious diseasesinformal paymentsinstitutional capacityinternal migrantsinternational organizationsLife expectancyLife expectancy at birthLow IncomeLow-income Countriesmedical doctorsmedical personnelmedical servicesmedical suppliesmedicinesmidwifemigrantsMigrationMinistry of EducationMinistry of HealthmorbiditymortalitymotherNational Healthnational health policynational initiativesnational levelNational SecuritynurseNursesoutpatient careoutpatient servicespatientpatient rightspatient satisfactionpatient satisfaction surveyspatientspediatricspermanent residencepharmaceutical sectorpharmaciespharmacyphysicianPhysicianspocket paymentsPolicy ResearchpolioPoor Familiespostnatal carepregnant womenprimary careprimary care physicianprimary health careprimary health care servicesprivate financingprivate health insuranceprivate pharmaciesprivate sectorprogressprovision of careprovision of health servicesprovision of servicesPublic Healthpublic health policypublic health spendingpublic health systempublic providerspublic sectorquality assurancequality carequality controlquality of carequality of healthQuarantineradiologyrehabilitationrural areasskilled birth attendanceSocial Affairssyphilistertiary leveltuberculosisuniversal accessuse of health care servicesuse of resourcesvaccinationvascular diseasesvictimsvulnerable groupsWarworkersWorld Health OrganizationWorld Bank10.1596/13310