O. Guidzheva

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Millennium Development Goals

• O. Guidzheva
• Director of Information Center of Healthcare
  of MHMI

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• The concept of main directions of the policy of
  the President of Turkmenistan on peoples health
  protection is presented in the governmental
  program Health proclaimed On July 21, 1995,
  the Ministry of Health and Medical Industry
  of Turkmenistan established contacts with many
  international organizations

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• Pursuant to the Law of Turkmenistan On Citizens
  Healthcare, the Government of Turkmenistan
  protects and stimulates maternity and childhood.
  This program was based on the current healthcare
  programs such as Prevention and suppression of
  anaemia, Protection and support of breast
  feeding, Service of RH protection,
  Integration of management of childhood
  diseases, Immunoprophylaxis, Proof
  Maternity, Fight against acute intestinal
  disease, Fight against acute respiratory
  disease, Prevention of HIV/AIDS, thus,
  National Strategy covers all the areas of RH

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• Today Turkmenistan achieved defined success in
  implementation of goals stated by the Program
  Health. Award of 3 international certificates
  to Turkmenistan as following Country free of
  infantile paralysis, Country free of
  dracunculiasis, Country with universal salt
  iodization
• confirms this fact.

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• Indicators of success of program Health are
  also such facts as
• Reduction of infant mortality by three and half
  times
• Reduction of maternal mortality by three times
• Thus, the purpose of Millennium Declaration is to
  reduce mortality of children to 5 years by two
  third till 2015 is reached in advance.

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• Service of reproductive health protection,
  established in Turkmenistan, provides
  the family, separate persons freely could take
  responsible decision on quantity of their
  children, observation of optimal intervals
  between their birth. At the same time, it does
  not pursue the objective to reduce birth rate and
  limit the number of children in the family.
  Taking into account national interests, it is
  oriented to prevent pregnancy of women of high
  risk group to protect their lives and achieve
  optimal interval between successive births. The
  country produced rationalization of primary
  healthcare institutions which are obliged along
  with other medical and social tasks to protect
  health and reproduction function of women, reduce
  sickness rate, maternal and childrens mortality.
  

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• Healthy life-style promotion was adjusted in
  Turkmenistan. In connection with this fact The
  Law on AIDS Prevention dated 1991 was revised.
  New Law On prevention of diseases caused by
  human immunodeficient virus (HIV) was adopted in
  2001. National Program of prevention of AIDS/STD
  was accepted for 1999-2003 in Turkmenistan on
  September 9, 1999.

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• New National Program of prevention of AIDS/STD
  was accepted for 2005-2010 in
  Turkmenistan on April 27, 2005.
• Main purposes of the Program are
• To define national policy relatively
  HIV/AIDS/STD
• To prevent transmission of HIV/AIDS/STD through
  blood
• To prevent transmission of HIV/AIDS/STD through
  sexual contacts
• To prevent pre- and perinatal transmission of
  HIV/STD through sexual contacts
• Provision of all types of assistance and support
  for HIV positive, AIDS positive persons and
  members of their families

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• Interdepartmental Coordination Committee was
  established to implement stated tasks and its
  statute was adopted.

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• Multisectoral approach and integration of all
  interested ministries, departments, public and
  international organizations is provided to
  fulfill National Program. In a whole, prevention
  of HIV/AIDS/STD is coordinated at governmental
  level. Fight against malaria as well as against
  AIDS, tuberculosis is coordinated on
  international level and entered to Millennium
  Goal Declaration.

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• When Kabul and Tashkent Declarations Infectious
  Diseases Have No Limits and From Fight To
  Elimination of Malaria were declared, the
  government of Turkmenistan supported the
  Strategic plan of European Region WHO Transition
  From Fight To Elimination of Malaria by 2015.
  Malaria sickness rate is reduced to such level in
  the country, that in case of further
  strengthening and development of anti-malaria
  measures, interruption of its transition becomes
  rather real.

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• Taking into account potential of the country,
  World Health Organization recognized Turkmenistan
  as priority country, which can eliminate malaria
  by 2010 .

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• One of the important tasks of national healthcare
  is population immunization, which is the most
  efficient system in reduction of sick rate of
  many infectious diseases.
• National Program for Immunoprophylaxis for
  the period 2003-2020 was ratified in 2003.

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• The goals of National Program include
  liquidation, reduction of sick rate and mortality
  level caused by the raw of infections, managed by
  immunoprophylaxis means support of status of the
  country, free of infantile paralysis, elimination
  of measles by 2010, exclusion of breakouts and
  fatal cases caused by diphtheria by 2005,
  reduction of sick rate of diphtheria, pertussis,
  parotitis, hippy hepatitis, exclusion of severe
  forms of tuberculosis of first-year children,
  control of the sick rate of rubeola and
  prevention of congenital rubeola syndrome by 2005

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• National Program for Prevention and Fight against
  Tuberculosis was adopted in Turkmenistan in 2005.
  Goals of NPT are to reduce the sick rate,
  prevalence rate, mortality from, tuberculosis,
  prevention of spread of stable forms of
  tuberculosis.

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• Introduction of DOTS strategy was started in the
  country in 1999. Today DOTS strategy is
  introduced in absolutely all the regions of the
  country. DOTS Program is also introduced in MLS

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• In the result of planned implementation of NPT
  and DOTS Program implementation, the sick rate
  reduced after program deployment by 16,
  prevalence rate by 26 and mortality rate by 48

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• The use of indicators on goals and tasks of
  millennium Tasks 5 and 6 of goals 4 and 5 are
  covered fully by the indicators provided in the
  Millennium Program. In goal 6 of tasks 7 and 8
  from 7 indicators 3 indicators are provided by
  report forms as following
• - the sick rate of malaria and mortality
  level from it
• - the sick rate of tuberculosis and mortality
  level from it
• - number of tuberculosis cases, diagnosis
  and treatment of which was produced during short
  treatment course under direct observation of the
  physician.
• The rest indicators not provided by report
  forms are applied for medical and demographical
  surveys. The last survey was conducted in 2000.

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Thanks for Attention !