Table 1 Chronology of events and health reforms in the Kyrgyz Republic

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.

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 (MHIF) 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

Feb 2002

Government decree on Provision of Health Care to Citizens of Kyrgyzstan 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.

Feb 2006

Government approves ‘Manas Taalimi’ Health Care Reform Programme 2006–2010.

Feb 2012

National Health Reform Program “Den Sooluk” 2012–2016.

Dec 2018

The Program of the Kyrgyz Republic Government on Public Health Protection and Health Care System Development for 2019–2030 “Healthy Person - Prosperous Country”