In the justification for the project, it is emphasized that the need to revise the existing SGP, which has been in effect since 2023, is driven by the necessity to create priority, economically efficient, and accessible medical packages for citizens.
Out of 424 medical service packages selected as a result of mapping for Kyrgyzstan, 186 were recognized as highly effective and priority packages.
The selection of services was based on the evaluation of medical technologies and scientifically substantiated international data. The new package of medical services covers the entire treatment process, from preventive measures and laboratory tests to hospital treatment and surgeries.
The revision of the SGP utilized recommendations from the World Health Organization and applies a package approach to the organization of medical services.
The criteria for selection included clinical and economic effectiveness, life-threatening conditions, disease burden, as well as financial difficulties faced by the population due to out-of-pocket health expenses.
The 186 priority medical service packages include:
- services for socially significant diseases,
- maternal and child health,
- non-communicable diseases (including cardiovascular diseases, diabetes, certain types of oncology, and mental disorders),
- communicable diseases (such as tuberculosis, HIV, hepatitis, measles, and meningitis),
- assistance to victims of violence,
- services for injuries,
- palliative and emergency care.
Particular attention is given to preventive packages and services at the primary healthcare level.
“Economic analysis shows that it is necessary to increase investments in healthcare. Insufficient funding for primary and secondary prevention leads to costly emergency interventions and increased expenses for treating serious diseases such as stroke and heart failure. Investments in healthcare contribute to economic growth by reducing productivity losses and alleviating the burden of caring for sick relatives,” the Ministry of Health notes.
The adoption of the new regulation will lead to additional expenses from the republican budget.
For 2025, the budget for the SGP is set at 9.2 billion soms.
The total cost of all 424 medical service packages amounts to 201.24 billion soms.
To implement the 186 priority packages, 32.1 billion soms per year will be required, creating a budget deficit of 22.9 billion soms under current funding.
According to the medium-term forecast for 2026–2028, the SGP will be implemented in phases, taking into account available funds from the republican budget and mandatory health insurance.
Additionally, in 2026, it is planned to revise the procedure for calculating the price list for paid and partially paid medical services, as well as the list of privileged population categories to attract additional funds into the healthcare system.