Table 1.
Chronology of events and legislation in the health sector
| Date | Event |
|---|---|
| August 1991 | Declaration of independence of Kyrgyzstan. |
| 1993 | Introduction of user fees. |
| March 1994 | Memorandum of Understanding between WHO Regional office for Europe and the Ministry of Health of the Kyrgyz Republic to undertake the MANAS Health Care Reform Programme. |
| Ministry of Health requests technical assistance from USAID for a health insurance demonstration project in Issyk-Kul oblast. | |
| August 1994 | National Health Policy approved by the government. |
| Nov 1996 | Government approves MANAS Health Care Reform Programme. |
| World Bank funded Health Project (1996–2000) started in Kyrgyzstan (Bishkek and Chui oblasts). | |
| Jan 1997 | Introduction of the mandatory health insurance system in Kyrgyzstan. |
| July 1997 | MHIF introduces case-based payment to hospitals. |
| 1977–1998 | Rolling out of primary health care reforms to Chui, Jalal-Abad and Osh oblasts and Bishkek. |
| June 1998 | Introduction of partial fundholding in 14 Family Group Practices (FGPs) in Karakol city, Issyk-Kul oblast. |
| Nov 1998–March 1999 | FGPs enrolment campaign in Chui oblast and Bishkek. |
| Jan 1999 | Introduction of capitation payment to FGPs in Bishkek. |
| April 1999 | About 55 hospitals and 290 FGPs enter into contracts with the MHIF. |
| Jan 2001 | Government decree on Introduction of a New Health care Financing Mechanism in Health facilities of Kyrgyzstan since 2001. |
| Government decree on Programme of State Guarantees on Provision of Free and Exempt Health Care to Citizens of Issyk-Kul and Chui oblasts in 2001. | |
| Government decree on Population’s Co-Payment for Drugs, Meals and Certain Types of Health Services Rendered by Health Facilities besides the Programme of State Guarantees on Provision of Free and Exempt Health Care to Citizens of Issyk-Kul and Chui oblasts in 2001. | |
| Feb 2002 | Government decree on Provision of Health Care to Citizens of Kyrgystan under the State Benefits Package since 2002. |
| March 2002 | Naryn and Talas oblasts join the single payer system. |
| March 2003 | Batken, Jalal-Abad and Osh oblasts join the single payer system. |
| Nov 2003 | Republican facilities join the single payer system. |
| July 2004 | Law on the Single Payer System in Health Care Financing in the Kyrgyz Republic. |
| March 2005 | Popular uprising and subsequently new government elected. |
| Feb 2006 | Government approves ‘Manas Taalimi’ Health Care Reform Programme 2006–2010. |
Source: adapted from Meimanaliev et al. (2005).