ORDER OF THE GOVERNMENT OF THE REPUBLIC OF TAJIKISTAN

of April 3, 2012 No. 130

About approval of the National program of prevention, diagnostics and treatment of diabetes in the Republic of Tajikistan for 2012 - 2017

According to article 7 of the Law of the Republic of Tajikistan "About the state forecasts, concepts, strategy and programs it is social - economic development of the Republic of Tajikistan" and for the purpose of decrease in the illness rate, invalidism and death rate from diabetes, the Government of the Republic of Tajikistan decides:

1. Approve the National program of prevention, diagnostics and treatments of diabetes in the Republic of Tajikistan for 2012 - 2017 and the Actions plan on its realization (are applied).

2. To provide to the Ministry of Health of the Republic of Tajikistan together with other relevant ministries and departments, local executive bodies of the government of the Gorno-Badakhshan Autonomous Region, areas, the city of Dushanbe, cities and areas accomplishment of this Program within the means provided for health care sector.

3. To the Ministry of Health of the Republic of Tajikistan:

- provide coordination and technical support of program implementation;

- annually to inform the Government of the Republic of Tajikistan on results of program implementation.

4. To local executive bodies of the government of the Gorno-Badakhshan Autonomous Region, areas, the city of Dushanbe, cities and areas to create Coordination council on accomplishment of this Program.

Approved by the Order of the Government of the Republic of Tajikistan of April 3, 2012 No. 130

The national program for prevention, diagnostics and treatment of diabetes in the Republic of Tajikistan for 2012 - 2017

1. Introduction

The national program for prevention, diagnostics and treatment of diabetes in the Republic of Tajikistan for 2012 - 2017" (further - the Program) is developed within realization of reforms in the field of health care of the Republic of Tajikistan on the basis of the following accepted fundamental documents:

- The law of the Republic of Tajikistan "About public health care";

- The law of the Republic of Tajikistan "About medico-social protection of the citizens having diabetes";

- National strategy for public health care of the Republic of Tajikistan for 2010 - 2020 accepted by the order of the Government of the Republic of Tajikistan of August 2, 2010, No. 368;

- Recommendations of CINDI (The international integrated program of fight against noninfectious diseases). Copenhagen, 1991;

- Declaration of meeting of the First global ministerial conference on healthy lifestyle and fight against noninfectious diseases, Moscow 2011;

- Declaration of the Meeting of high level of the General Assembly of the United Nations on prevention and fight against noninfectious diseases, New York, 2011;

- Declaration of the regular meeting of Ministers of Health of the Organisation of Islamic Cooperation, Astana 2011;

This Program is directed to high-quality change of delivery of health care, prevention, diagnostics and treatment of patients with diabetes.

The program promotes improvement of the nation, decrease in disability and death rate in the specified group of patients.

2. Analysis of situation

1. Features of demographic situation in the republic are caused by global political and is social - economic changes after endured civil soldiers, deterioration in living conditions of the population, formation of the market relations, severable breach of gender and age structure of the population, weakening of social protection of large families and change of national structure of the population.

2. The republic population for January 1, 2011 constitutes 7616764 people. The natural increase of the population in 2010 reaches 25,1 on 1000 people and in comparison with 2006 increased (22,1 for 1000 of the population). More 73,5 of % of the population lives in the rural zone, the urban population constitutes % 26,5. The general demographic situation is characteristic the high level of birth rate (29,3 for 1000 of the population) and relative low death rate of the population (4,2 for 1000 of the population), however the high nursery (16,8 for 1000 of the population) and maternal death rate (45 on 100 thousand live-birth), low urban saturation, high level of external labor migration.

3. According to the World Health Organization (WHO) noninfectious diseases are the leading reason of death rate in the world and incidence of them increases from year to year. For example, in 2008 36,1 of one million people died of such diseases as diseases it is warm - vascular system - 17 million people, oncological diseases - 4,2 of one million, chronic pulmonary diseases - 4,2 of one million people and diabetes - 1,3 of one million people. Nearly 80% of such cases of death are the share of developing countries.

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