Sektor-Programm Gesundheit Phase VII Sector Program Health Phase VII Das Vorhaben verbessert die unzureichende Qualität von und den Zugang zu nachhaltig finanzierter Basisgesundheitsversorgung aller Bevölkerungsgruppen und Geschlechter in Kirgisistan, insbesondere im ländlichen Raum. Durch eine erhöhte Inanspruchnahme qualitativ angemessener Basisgesundheitsleistungen soll zum einen ein Beitrag zur weiteren Verbesserung des Gesundheitszustands der kirgisischen Bevölkerung geleistet und zum anderen die Effizienz des Gesundheitssystems in Kirgisistan erhöht werden. Indirekt zielt das Vorhaben überdies auf eine Verbesserung der finanziellen Absicherung im Krankheitsfall ab, da die Basisgesundheitsversorgung - anders als Leistungen auf sekundärer und tertiärer Versorgungsebene - überwiegend kostenfrei ist. Das Modulziel ist die Verbesserung der Qualität der Basisgesundheitsversorgung in Kirgisistan. Zielgruppe ist die gesamte Bevölkerung des Landes, die derzeit rd. 6,2 Mio. Menschen (Weltbank 2017) umfasst und jährlich um 2,1 % wächst. Die Gesamtkosten des Vorhabens betragen EUR 35.2 Mio. - wovon der Investitionsanteil der FZ EUR 10.0 Mio beträgt. Die Auszahlung der FZ-Mittel erfolgt policy-basiert nach Erreichen vereinbarter Disbursement-Linked Indicators (DLIs) im Rahmen eines Program for Results (PforR). Mit dem Vorhaben unterstützen die PforR-Financiers die Umsetzung der ersten Fünfjahresphase des State Program on Health Development (SPHD). Das Vorhaben gliedert sich in drei Ergebnisbereiche, auf dessen die DLIs definiert sind und an deren Erreichung die Auszahlungen im Rahmen des Vorhabens geknüpft werden:1.Integration nachhaltiger Mechanismen zur Qualitätsverbesserung der Gesundheitsdienste,2.Stärkung von Qualitätsaspekten im strategischen Einkauf von Gesundheitsleistungen,3.Stärkung der Governance des Gesundheitssektors zur Qualitätsverbesserung.Die DLIs, die auf zentrale Reformerfordernisse abstellen, definieren auch Zwischenschritte und werden im Erfolgsfall honoriert. Rd. EUR 7,83 Mio. des FZ-lnvestitionsteils werden für DLI-basierte Zahlungen verwendet. Das Modul wird federführend durch die Weltbank umgesetzt und durch die Schweizer Entwicklungszusammenarbeit kofinanziert. Besondere Relevanz hat das Vorhaben für die Komponente zur Verbesserung der Basisgesundheitsversorgung von Müttern und Kindern im Rahmen des TZ-Programms Perinatalgesundheit. The project improves the inadequate quality of and access to sustainably financed basic health care for everyone in Kyrgyzstan, especially in rural areas. By increasing the utilization of qualitatively improved basic health services, the project aims to contribute to a further improvement in the health status of the Kyrgyz population and to increase the efficiency of the health system in Kyrgyzstan. Indirectly, the project also aims to improve financial security in the event of illness, since basic health care - in contrast to services at the secondary and tertiary care levels - is largely free of charge. The module objective is to improve the quality of basic health care in Kyrgyzstan. The target group is the entire population of the country, which currently comprises about 6.2 million people (World Bank 2017) and is growing by 2.1% annually.The total cost of the project is EUR 35.2 million - of which the FC investment share is EUR 10.0 million. The disbursement of the FC funds proceeds policy-based after the achievement of agreed Disbursement-Linked Indicators (DLIs) within the framework of a Program for Results (PforR). With this project, the PforR financiers support the implementation of the first five-year phase of the State Program on Health Development (SPHD). The project is divided into three result areas, on the basis of which the DLIs are defined and to the achievement of which the disbursements under the project are linked:1. integration of sustainable mechanisms to improve the quality of health services,2. strengthening quality aspects in strategic purchasing of health services,3. strengthening health sector governance for quality improvement.The DLIs, which address key reform needs, also define intermediate steps and are also remunerated if successful. Approximately EUR 7.83 million of the FC investment component will be used for DLI-based payments. The module is implemented by the World Bank and co-financed through Swiss Development Cooperation. However, the project particularly relevant to the component on improving basic maternal and child health services under the TC Perinatal Health Program. Verbesserung der Qualität der Basisgesundheitsversorgung. The project improves the inadequate quality of and access to sustainably financed basic health care for everyone in Kyrgyzstan, especially in rural areas. By increasing the utilization of qualitatively improved basic health services, the project aims to contribute to a further improvement in the health status of the Kyrgyz population and to increase the efficiency of the health system in Kyrgyzstan. Indirectly, the project also aims to improve financial security in the event of illness, since basic health care - in contrast to services at the secondary and tertiary care levels - is largely free of charge. The module objective is to improve the quality of basic health care in Kyrgyzstan. The target group is the entire population of the country, which currently comprises about 6.2 million people (World Bank 2017) and is growing by 2.1% annually.The total cost of the project is EUR 35.2 million - of which the FC investment share is EUR 10.0 million. The disbursement of the FC funds proceeds policy-based after the achievement of agreed Disbursement-Linked Indicators (DLIs) within the framework of a Program for Results (PforR). With this project, the PforR financiers support the implementation of the first five-year phase of the State Program on Health Development (SPHD). The project is divided into three result areas, on the basis of which the DLIs are defined and to the achievement of which the disbursements under the project are linked:1. integration of sustainable mechanisms to improve the quality of health services,2. strengthening quality aspects in strategic purchasing of health services,3. strengthening health sector governance for quality improvement.The DLIs, which address key reform needs, also define intermediate steps and are also remunerated if successful. Approximately EUR 7.83 million of the FC investment component will be used for DLI-based payments. The module is implemented by the World Bank and co-financed through Swiss Development Cooperation. However, the project particularly relevant to the component on improving basic maternal and child health services under the TC Perinatal Health Program.