Kyrgyzstan: health system summary 2022
Health System Summary
Overview
Kyrgyzstan has a single mandatory health insurance system with a defined package of publicly covered services called the State-Guaranteed Benefits Programme (SGBP). Just under 70% of the country’s population of 6.6 million are covered by the health insurance system and many services require co-payments. In 2019, total health spending represented 4.5% of GDP, with just over half (51%) coming from public sources. The large share of private spending on health (46%), is mainly due to out-of-pocket payments, particularly for medical devices and pharmaceuticals, which are either excluded from the SGBP or require large co-payments, and on co-payments for inpatient services. Private health expenditure also includes informal payments, which often go towards pharmaceuticals and medical personnel, especially doctors and nurses.
Since independence in 1991, Kyrgyzstan has adopted four major health reform programmes: Manas (1996–2005), Manas Taalimi (2006–2011), Den Sooluk (2012–2018) and the current Healthy Person – Prosperous Country programme (2019–2030). The Den Sooluk programme aimed to improve health outcomes in four priority areas (cardiovascular diseases, maternal and child health, TB and HIV/AIDS) and successfully reduced child mortality as well as adult mortality from cardiovascular diseases, stroke and TB. The current Healthy Person – Prosperous Country programme (2019–2030) has broad aims to strengthen primary care, restructure the hospital sector and safeguard the population from financial risk, while guaranteeing the provision of essential services.