The Local Health System Sustainability Project (LHSS)

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More than 900 health care specialists including physicians, lab workers and nurses went through training related to Covid-19 response.
More than 900 health care specialists including physicians, lab workers and nurses went through training related to Covid-19 response.
USAID/Kyrgyz Republic

The Local Health System Sustainability Project (LHSS) helps low and middle-income countries transition to sustainable, self-financed health systems to support access to universal health coverage. The project works with partner countries and local stakeholders to reduce financial barriers to care and treatment, ensure equitable access to essential health services for all people, and improve the quality of health services. 

Under this project, USAID is helping the Kyrgyz Republic to address immediate needs related to prevention, detection, and response to Covid-19 epidemic.

Duration: April 01, 2020 – May 30, 2021

Budget: $2.9 million (Kyrgyz Republic)

Implementing Partner:  Abt Associates

Key Partners: Ministry of Health, KSMIRCE, Family Medicine Centers, Hospitals, Department of Disease Prevention and State Sanitary and Epidemiological Surveillance.

Activity Locations: Bishkek City, Chui region, Osh City, Osh region.

MAJOR FOCUS AREAS

In Kyrgyz Republic, the project has focused particularly on strengthening the capacity of primary health care facilities -- mainly family medical centers -- to treat patients, institute infection control measures, and ensure staff are protected from being infected with Covid-19. It also works on infection prevention and control, surveillance, laboratory strengthening, risk communications, and procurement of commodities and supplies requested by national partners. 

IMPACT AND RESULTS

  • More than 900 health care specialists including physicians, lab workers and nurses went through training related to Covid-19 response. They learned about early diagnosis, effective treatment, infection control, standard operating procedures and other measures to combat the epidemic.
     
  • With the help of the project, medical facilities and labs across the country enhanced their operating procedures and protocols to make sure that their response to the pandemic is timely and effective, while their working environment is safe. Clinical protocols and standard operating procedures for early diagnosis and treatment of Covid-19 were adapted in accordance with WHO guidelines. Procedures for Covid-19 specimen collection, storage, and transportation were also enhanced to ensure safety and security.
     
  • In order to address the shortage in medical specialists, the project supported a pilot of a Universal Nurse model in hospital red zone areas where Covid-19 patients are treated. A Universal Nurse is fully trained to observe patients' well-being, diagnosis their condition, record changes, identify problems, and refer them to a physician or specialist. With greater independence and specialized training, the nurses can manage patients more effectively and provide pre-hospital emergency care if necessary.
     
  • The government lab data management system was enhanced and linked to other information management systems. This system helps the Ministry of Health to manage information about 400,000+ Covid-19 tests and other related data more effectively.
     
  • LHSS supported procurement of priority laboratory testing commodities and supplies. Six high-capacity oxygen concentrators were purchased and are currently installed in five hospitals in Bishkek, Chui, and Osh. These state-of-the-art, lifesaving devices will supply the hospitals’ intensive care units with purified oxygen, which is critical for Covid-19 patients with severe symptoms.
     
  • The project has supported risk communications activities aimed at producing trustworthy information about the pandemic. It includes TV programs, social media campaigns and fact checking of different pieces of information. Various communications products have been viewed over 2 million times online. Public service announcements and videos have aired on 20+ TV channels covering an estimated 97 percent of the population.
     
  •  As part of the project, USAID helps to produce and disseminate trustworthy information about Covid-19. The project also supports fact checking in order to fight disinformation. The information materials are developed in cooperation with the Ministry of Health through a special task force of experts. Since November 2020, the project helped to produce more than 40 different materials including video public service announcements, TV shows, livestreams and other social media content. Overall, the online materials have been viewed over 2 million times. Public service announcements and videos have aired on 20+ TV channels covering an estimated 97 percent of the population.

Last updated: May 05, 2021

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