Development process of the Practical Approach to Lung Health in Kyrgyzstan
Abstract:The Practical Approach to Lung Health (PAL) strategy was adopted by the Ministry of Health of Kyrgyzstan to improve the quality of case management of priority respiratory illnesses, including tuberculosis (TB). The process of development and implementation of the strategy is described in the present study. The World Health Organization stepwise framework was adapted and used to initiate the PAL strategy within the Kyrgyzstan primary health care (PHC) system. The process followed 10 steps which included the government decision to support PAL development, and the establishment of a national working group in charge of adapting guidelines, developing training materials and testing the feasibility and impact of the guidelines. On the basis of the test results, the guidelines and training materials were revised and a national PAL implementation plan was developed. The ongoing health sector reform which focuses, in priority, on strengthening PHC services and the assistance from the government of Finland, generated favourable political, technical and financial circumstances for the development and implementation of the PAL strategy.
Document Type: Short Communication
Affiliations: 1: Kyrgyzstan–Finland Lung Health Project, Ministry of Health, Bishkek, Kyrgyzstan 2: Department of Internal Medicine, Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan 3: Medical Institute of Post Graduate Education, Ministry of Health, Bishkek, Kyrgyzstan 4: Finland–Kyrgyzstan Lung Health Project, Finnish Lung Health Association, Helsinki, Finland 5: Finland–Kyrgyzstan Lung Health Project, Finnish Lung Health Association, Tampere University Hospital, Tampere, Finland 6: Public Health and Respiratory Diseases, Mar del Plata, Buenos Aires, Argentina 7: Stop TB, World Health Organization, Geneva, Switzerland
Publication date: April 1, 2009
The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.
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