CONFERENCE RESOLUTION: “GLOBAL HEALTH: PROSPECTS FOR DEVELOPMENT OF PUBLIC HEALTH AND QUALITY OF MEDICAL CARE”
September 23, 2022
Recognizing the central role of public health services in preserving and promoting the health of citizens,
Recognizing the central role of the WHO in providing leadership on universal health coverage and reducing inequities as a major constraint on access to health care for all,
Considering current and potential threats, including those of a catastrophic nature (of natural, man-made and human origin),
Referring to the United Nations Sustainable Development Goals (SDGs), the WHO European Program of Action 2020-2025 of the WHO ERB, and the World Health Organization (WHO). “Joint Action for Better Health in Europe”, as well as the resolutions adopted by 53 countries in Tel Aviv on 14 September 2022 at the 72nd session of the WHO Regional Committee for Europe.
Having considered the reports and speeches of participants, including representatives of the World Health Organization, the Ministry of Health of the Republic of Kazakhstan, “Social Health Insurance Fund”, “National Center of Public Health”, National Health Alliance, Fund “Kazakhstan Halkyna”, PA “National Center of Healthy Food”, national and foreign experts, higher educational institutions, heads of public and private medical organizations and others.
Realizing the risks to the sustainable functioning of the world systems of public health and health care, and the failure to achieve the Millennium Development Goals in the field of public health,
Taking into account the prospects for the development of public health and the quality of medical care in the Republic of Kazakhstan, taking into account the assessment of the priority of the basic functions of public health and the leading role of primary health care,
Stressing that there is a lack of public awareness of health issues and health literacy,
Shortcomings in the development of the system of mandatory social medical insurance, which significantly affects the financial sustainability of health care providers and the quality of medical care for the population,
Noting the need to respond to existing and potential challenges to actors, institutions and populations, including the growing threats posed by increasing migration trends related to armed conflicts in the region,
Participants fully support the need to further develop public health and health care services aimed at preserving the health of citizens, through:
– Implementing the One Health approach and achieving the Sustainable Development Goals, further improving the chronic disease management program and hospital health technology assessment, improving the quality of life and mental health of the population, etc.
– Understanding of the importance of a systematic and comprehensive approach to ensure and continuous improvement. Quality of medical care at all levels of its delivery. At the same time it should be noted that it is extremely important to involve all political, economic administrative and civil initiatives in order to achieve adequate regulatory, financial, educational and administrative support of this process with the mandatory involvement of non-governmental organizations and local communities at all stages.
– Implementing the “Healthy Nation” national project “Quality and Accessible Health Care for Every Citizen
– increasing attention to the preservation and promotion of the mental health of the nation, especially among children and adolescents
– Ensuring priority in the area of public health, including the health of residents of large cities and agglomerations affected by urbanization processes and the quality of life of the elderly
– Improving the quality of human resources, the qualifications of medical professionals, in accordance with the real needs of practical health care in cities and regions,
– Increasing the role of academic institutions in promoting the principles of public health policy
The participants call for the necessity to consider and implement a number of measures aimed at improving the system and institutions of public health and adoption of the following recommendations:
At the National level:
1. To ensure the involvement of all medical organizations, universities, research institutes, research centers of public associations in the implementation of the National Project “Healthy Nation”, the development of intersectoral cooperation regardless of ownership and departmental affiliation to improve the effectiveness of addressing issues of health promotion, improving the quality of medical care, development of personnel.
2. To take measures to unite packages of medical care in the framework of individual programs (guaranteed volume of free medical care – FMSA and system of mandatory social health insurance – MSHI), other measures aimed at expanding the real independence of providers of medical services, focused on the final result and contributing to direct motivation of providers and health services to provide quality, safe, timely and affordable medical care to the population.
3. On an annual basis to monitor and evaluate the level of awareness and health literacy of the population, according to the WHO methodology, identifying the most vulnerable aspects and the effectiveness of measures for their correction. To develop and disseminate best practices in improving health literacy of the population everywhere, such as youth health centers, “Healthy Cities” and others, contributing to the formation of safe behavior and necessary life skills and healthy habits.
4. To consider the prospects and significant importance of adopting a roadmap for the implementation of IHR and conducting an external evaluation with the participation of WHO experts, other interested competent international organizations.
5. To consider all measures to prepare for possible public health threats according to the new approach (“Dual Health”) proposed by the WHO ERB at the 72nd session of the WHO Regional Committee for Europe in Tel Aviv (13-14 September 2022)
Regionally:
1. Considering that the regions are the drivers of the National Project “Healthy Nation,” the use of the best international approaches and practices will significantly improve the health of citizens.2. To consider the possibility and take measures to optimize financial expenditures and ensure the effective use of both human and material resources, reinvestment in the development of human capital.
3. Pay special attention to the involvement of educational organizations located in the territory in the study, analysis and solution of problems in the field of public health, improving the health literacy of the local population, continuous improvement of the responsiveness of health protection systems and the effectiveness of individual health organizations.
At the level of local communities, public associations, patient organizations, medical universities and colleges:
1. Ensure commitment to the initiatives of the authorized body in the field of health 2. Actively promote the delegation of its members to deliberative, collegial bodies of health management, supervisory boards of medical organizations.3.To develop a sustainable dialogue with the management system of cities and regions in matters of health protection of citizens.4.Continuous informing of the population on health protection issues.
At the level of educational organizations (universities, colleges, etc.)
1. Encourage awareness-raising and educational activities among the population by opening Skills Development Schools, organizing trainings, seminars and other events in active cooperation with journalists, health workers on public education, including digital literacy.2. More actively use the capabilities of social networks to inform the population and share best practices3. In the framework of educational programs of master’s degree/doctoral studies, certification courses and advanced training courses to conduct training in the assessment of medical technologies, hospital management, public health, health management, expand advanced training courses to study the issues of MSHI, contributing to the effectiveness of clinics. 4. To carry out modernization of educational programs in the field of Public Health and Health Care, following the concept of “One Health”, based on the recognition of the inextricable connection between the health of humans, animals and the environment.
At the level of medical organizations:
1. Proactive behavior of medical and social workers to work with the attached population on preservation and promotion of health, including mental health, involvement of the population in early diagnosis and self-management of non-communicable diseases using new knowledge and technologies is critical for PHC organizations.2. To universally apply health technology assessment (HTA) in medical organizations, taking into account strategic goals and capabilities of human resources, continuous improvement of business processes taking into account the demand and needs of the population. 3. Conduct outreach on the use of digital technologies in the promotion of healthy lifestyles, including healthy eating, among the attached population in primary health care medical organizations.
