It has been fifteen years since the law on "Medical Insurance" was adopted in Tajikistan, yet its implementation has been delayed for the fifth time. Citizens reminisce about the times when healthcare in the country was free, similar to the former USSR.
In June 2008, the Law on Medical Insurance in the Republic of Tajikistan was passed, but its implementation was postponed until 2010. By the end of 2022, parliamentarians once again extended the deadline for the law to come into force.
During a parliamentary session, the Deputy Minister of Health and Social Protection of the Population, Gafur Mukhsinzoda, explained that the country lacks favorable conditions for a full transition to a health insurance system. He emphasized the need to consider economic, financial, and organizational requirements for its implementation.
According to the Ministry of Health, around 100,000 people are currently employed in the healthcare system, with an average of 7 visits to medical institutions per person annually. The government is taking steps to improve healthcare quality and services.
President Emomali Rahmon highlighted the ongoing implementation of 15 national strategies and programs to enhance healthcare. Projects like "Healthy Nation" aim to improve primary healthcare services with a budget exceeding 630 million somoni.
Experts believe that implementing a health insurance system could address existing healthcare challenges. While voluntary health insurance is growing in Tajikistan, many agree that conditions for mandatory social insurance for all population groups are not yet in place.
Despite progress, issues such as staff training, shortage of specialists, and corruption remain unresolved in the healthcare sector. The lack of coordination among ministries and public distrust in insurance systems pose additional challenges.
Private insurance companies are partnering with private medical institutions due to uncertainties in state collaboration. The disparity in service prices between public and private healthcare facilities affects insurance company partnerships.
To introduce a comprehensive insurance system nationwide, experts recommend detailed planning, transparency in proposed measures, increased funding for free medical services, public awareness campaigns, and adjusting service prices in public healthcare facilities to market rates.
Medical insurance is crucial for citizen welfare and healthcare quality. Starting with pilot projects in communities could pave the way for successful nationwide implementation, benefiting citizens' health and well-being.
