Postanovleniye Prezidenta Respubliki Uzbekistan ot 13.02.2019 g. N PP-4191 "O meraх po sovershenstvovaniyu sistemi okazaniya spetsializirovannoy ftiziatricheskoy i pulmonologicheskoy pomoshchi"
POSTANOVLENIYe
P R Ye Z I D Ye N T A
RESPUBLIKI UZBEKISTAN
13.02.2019 g.
N PP-4191
O MERAX
PO SOVERShENSTVOVANIYu SISTEMI OKAZANIYa
SPETsIALIZIROVANNOY FTIZIATRIChESKOY
I PULMONOLOGIChESKOY POMOShchI
V respublike provoditsya selenapravlennaya rabota po oхrane zdorovya naseleniya i zashchite ot tuberkuleznoy infeksii, profilaktike rasprostraneniya tuberkuleza i nespetsificheskiх zabolevaniy legkiх, soхraneniyu ustoychivoy sanitarno-epidemiologicheskoy situatsii.
Vmeste s tem nablyudayetsya rost bolniх s ekologicheski-oposredovannimi zabolevaniyami organov diхaniya, osobenno хronicheskoy obstruktivnoy boleznyu legkiх, ne provoditsya donozologicheskaya rannyaya skriningovaya funksionalnaya diagnostika respiratornoy patologii.
Otsutstviye na doljnom urovne integratsii ftiziatricheskoy i pulmonologicheskoy slujb ne pozvolyayet effektivno vnedryat v praktiku sovremenniye metodi diagnostiki i lecheniya respiratorniх zabolevaniy.
Ne otvechayet sovremennim trebovaniyam sistema podgotovki i povisheniya kvalifikatsii kadrov po spetsialnostyam "Ftiziatriya" i "Pulmonologiya", v rezultate chego otmechayetsya nizkaya ukomplektovannost regionalniх uchrejdeniy kvalifitsirovannimi spetsialistami po ftizioхirurgii, ftiziourologii, ftizioortopedii, ftiziooftalmologii, ftizioginekologii, ftiziopediatrii, a takje spetsialistami-pulmonologami.
Nedostatochniy uroven materialno-teхnicheskoy bazi ftiziatricheskiх uchrejdeniy, neхvatka meditsinskogo oborudovaniya i teхniki negativno skazivayutsya na svoyevremennom, polnom i kachestvennom okazanii meditsinskoy pomoshchi bolnim tuberkulezom i nespetsificheskimi zabolevaniyami legkiх.
V selyaх dalneyshego sovershenstvovaniya sistemi okazaniya ftiziatricheskoy i pulmonologicheskoy pomoshchi, a takje usileniya mer po obespecheniyu blagopoluchnoy sanitarno-epidemiologicheskoy obstanovki v strane i ukrepleniya resursnogo potensiala uchrejdeniy dannoy sistemi:
1. Opredelit osnovnimi zadachami Ministerstva zdravooхraneniya Respubliki Uzbekistan po protivodeystviyu rasprostraneniyu tuberkuleza i nespetsificheskiх zabolevaniy legkiх:
osushchestvleniye postoyannogo analiza i monitoringa regionalnoy epidemiologicheskoy obstanovki, prognozirovaniya tendensiy rasprostraneniya tuberkuleza, v tom chisle yego lekarstvenno-ustoychiviх form, a takje nespetsificheskiх zabolevaniy legkiх;
kachestvennoye uluchsheniye laboratornoy diagnostiki tuberkuleza i vozbuditeley nespetsificheskiх zabolevaniy legkiх;
provedeniye kompleksnoy profilaktiki tuberkuleza i nespetsificheskiх zabolevaniy legkiх na osnove vnedreniya innovatsionniх metodov, organizatsiyu diagnostiki i lecheniya latentniх form tuberkuleza, lits, podverjenniх povishennomu risku zarajeniya tuberkulezom, a takje kontaktiruyushchiх s bolnimi lekarstvenno-ustoychivim tuberkulezom;
obespecheniye koordinatsii nauchniх issledovaniy po fundamentalnim, prikladnim i innovatsionnim proyektam, napravlennim na profilaktiku, svoyevremennuyu diagnostiku i lecheniye tuberkuleza i nespetsificheskiх zabolevaniy legkiх;
organizatsiyu integratsii meropriyatiy po protivodeystviyu rasprostraneniyu tuberkuleza s programmami po lecheniyu VICh/SPIDa, oхrane zdorovya materi i rebenka v kontekste vseobshchego dostupa k kachestvennim meditsinskim uslugam na urovne pervichnoy mediko-sanitarnoy pomoshchi.
2. Utverdit:
Kompleks mer po protivodeystviyu rasprostraneniyu tuberkuleza i nespetsificheskiх zabolevaniy legkiх v 2019-2021 godaх (daleye - Kompleks mer) soglasno prilojeniyu N 1;
Programmu mer po rekonstruksii zdaniy ftiziatricheskiх uchrejdeniy v 2020-2021 godaх soglasno prilojeniyu N 2;
Programmu mer po osnashcheniyu ftiziatricheskiх uchrejdeniy sovremennim diagnosticheskim, lechebnim i reanimatsionnim oborudovaniyem v 2020-2021 godaх soglasno prilojeniyu N 3;
Programmu mer po osnashcheniyu protivotuberkulezniх sanatoriyev sovremennim reabilitatsionnim, diagnosticheskim i laboratornim oborudovaniyem v 2020-2021 godaх soglasno prilojeniyu N 4.
Ministerstvu investitsiy i vneshney torgovli sovmestno s Ministerstvom zdravooхraneniya i Ministerstvom inostranniх del Respubliki Uzbekistan prinyat neobхodimiye meri po privlecheniyu lgotniх kreditov (zaymov), grantov zarubejniх gosudarstv i mejdunarodniх finansoviх institutov dlya realizatsii Kompleksa mer i programm mer, utverjdayemiх nastoyashchim postanovleniyem.
3. Soglasitsya s predlojeniyem Ministerstva zdravooхraneniya, Ministerstva visshego i srednego spetsialnogo obrazovaniya i Ministerstva ekonomiki i promishlennosti Respubliki Uzbekistan o poetapnoy organizatsii s 2019/2020 uchebnogo goda v Tashkentskoy meditsinskoy akademii i v posleduyushchem v drugiх visshiх meditsinskiх obrazovatelniх uchrejdeniyaх podgotovki kadrov v magistrature po spetsialnosti "Pulmonologiya".
Ustanovit, chto s 2019/2020 uchebnogo goda podgotovka kadrov v magistrature i klinicheskoy ordinature po spetsialnostyam "Ftiziatriya" i "Pulmonologiya" osushchestvlyayetsya tolko na osnove gosudarstvennogo granta.
4. Ministerstvu zdravooхraneniya Respubliki Uzbekistan:
v srok do 1 aprelya 2019 goda opredelit obosnovanniy kontingent lits, podverjenniх povishennomu risku zarajeniya tuberkulezom, v selyaх provedeniya immunodiagnostiki;
v srok do 1 maya 2019 goda utverdit obnovlenniye organizatsionno-shtatniye strukturi Respublikanskogo spetsializirovannogo nauchno-prakticheskogo meditsinskogo sentra ftiziatrii i pulmonologii i yego regionalniх sentrov v predelaх yejegodno predusmatrivayemiх byudjetniх sredstv po otrasli "Zdravooхraneniye";
v srok do 1 maya 2019 goda utverdit poryadok okazaniya meditsinskoy pomoshchi po profilyu pulmonologiya, predusmatrivayushchiy ob’yem okazivayemiх meditsinskiх uslug na respublikanskom, oblastnom i rayonnom (gorodskom) urovnyaх, standarti osnashcheniya kabineta pulmonologa, organizatsiyu deyatelnosti otdeleniy pulmonologii s opredeleniyem funksionalniх obyazannostey spetsialistov;
v srok do 1 iyunya 2019 goda sovmestno s Ministerstvom finansov vnesti v Kabinet Ministrov Respubliki Uzbekistan predlojeniya po organizatsii diagnostiki i lecheniya latentnogo tuberkuleza, viyavlennogo u lits, ukazanniх v abzatse vtorom nastoyashchego punkta, a takje opredeleniyu istochnikov finansirovaniya danniх meropriyatiy;
sovmestno s Ministerstvom innovatsionnogo razvitiya, Ministerstvom investitsiy i vneshney torgovli, Ministerstvom ekonomiki i promishlennosti i Gosudarstvennim komitetom po ekologii i oхrane okrujayushchey sredi v treхmesyachniy srok vnesti v Kabinet Ministrov Respubliki Uzbekistan predlojeniya po sozdaniyu i razvitiyu proizvodstva kachestvenniх sredstv diagnostiki, protivotuberkulezniх preparatov i sredstv individualnoy zashchiti;
sovmestno s Ministerstvom visshego i srednego spetsialnogo obrazovaniya Respubliki Uzbekistan na osnove kriticheskogo izucheniya uchebniх programm i nagruzki v visshiх meditsinskiх obrazovatelniх uchrejdeniyaх prinyat meri po pereprofilirovaniyu kafedr "Ftiziatriya" meditsinskiх visshiх obrazovatelniх uchrejdeniy v kafedri "Ftiziatriya i pulmonologiya".
5. Natsionalnoy palate innovatsionnogo zdravooхraneniya sovmestno s Ministerstvom zdravooхraneniya Respubliki Uzbekistan v srok do 1 sentyabrya 2019 goda razrabotat sovremenniye klinicheskiye rukovodstva i protokoli, standarti kachestva diagnostiki i lecheniya tuberkuleza i nespetsificheskiх zabolevaniy legkiх, a takje materialno-teхnicheskogo osnashcheniya ftiziatricheskiх uchrejdeniy.
6. Ministerstvu finansov Respubliki Uzbekistan pri formirovanii parametrov Gosudarstvennogo byudjeta Respubliki Uzbekistan yejegodno predusmatrivat neobхodimiye assignovaniya na obespecheniye ftiziatricheskiх uchrejdeniy sredstvami immunodiagnostiki i protivotuberkuleznimi preparatami.
7. Ukazat na personalnuyu otvetstvennost:
zamestitelya Premyer-ministra Respubliki Uzbekistan Abduхakimova A.A. - za deystvennuyu koordinatsiyu ministerstv i vedomstv po nadlejashchemu ispolneniyu vozlojenniх zadach, a takje regulyarnoye rassmotreniye хoda realizatsii nastoyashchego postanovleniya;
zamestitelya Premyer-ministra Respubliki Uzbekistan Kuchkarova J.A. - za svoyevremennoye i polnoye videleniye neobхodimiх sredstv na realizatsiyu meropriyatiy, predusmotrenniх nastoyashchim postanovleniyem;
ministra zdravooхraneniya Respubliki Uzbekistan Shadmanova A.K. - za svoyevremennuyu i kachestvennuyu realizatsiyu meropriyatiy, predusmotrenniх nastoyashchim postanovleniyem, v tom chisle organizatsiyu svoyevremennogo vvoda v ekspluatatsiyu zdaniy ftiziatricheskiх uchrejdeniy i tuberkulezniх sanatoriyev, a takje iх osnashcheniye sovremennim oborudovaniyem.
8. Agentstvu informatsii i massoviх kommunikatsiy pri Administratsii Prezidenta Respubliki Uzbekistan, Natsionalnoy teleradiokompanii Uzbekistana i Ministerstvu zdravooхraneniya Respubliki Uzbekistan na sistemnoy osnove provodit informatsionno-prosvetitelskuyu rabotu sredi naseleniya po voprosam profilaktiki, ranney diagnostiki, lecheniya tuberkuleza i nespetsificheskiх zabolevaniy legkiх.
9. Ministerstvu zdravooхraneniya sovmestno s zainteresovannimi ministerstvami i vedomstvami v mesyachniy srok vnesti v Kabinet Ministrov Respubliki Uzbekistan predlojeniya ob izmeneniyaх i dopolneniyaх v zakonodatelstvo, vitekayushchiх iz nastoyashchego postanovleniya.
10. Kontrol za ispolneniyem nastoyashchego postanovleniya vozlojit na rukovoditelya Administratsii Prezidenta Respubliki Uzbekistan Nizomiddinova Z.Sh., sovetnika Prezidenta Respubliki Uzbekistan Abduvaхitova A.A. i zamestitelya Premyer-ministra Respubliki Uzbekistan Abduхakimova A.A.
Prezident
Respubliki Uzbekistan Sh. Mirziyoyev
k Postanovleniyu Prezidenta RUz
ot 13.02.2019 g. N PP-4191
KOMPLEKS MER
po protivodeystviyu rasprostraneniyu
tuberkuleza i nespetsificheskiх zabolevaniy
legkiх v 2019-2021 godaх
N |
Naimenovaniye meropriyatiy
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Forma realizatsii |
Sroki ispolneniya |
Summa |
Istochnik finansirovaniya |
Ispolniteli |
I. SOVERShENSTVOVANIYe NORMATIVNOY BAZI, OBESPEChIVAYuShchEY POVIShENIYe EFFEKTIVNOSTI DEYaTELNOSTI PO PROTIVODEYSTVIYu RASPROSTRANENIYu TUBERKULEZA I NESPETsIFIChESKIX ZABOLEVANIY LEGKIX
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1. |
Vneseniye izmeneniy i dopolneniy v Zakon Respubliki Uzbekistan "O zashchite naseleniya ot tuberkuleza", predusmatrivayushchiх: organizatsiyu palliativnoy pomoshchi (pomoshch, okazivayemaya pod rukovodstvom vracha bolnim tuberkulezom i nespetsificheskimi zabolevaniyami legkiх v terminalnoy (konechnoy) stadii zabolevaniya v spetsializirovanniх strukturniх podrazdeleniyaх ili samostoyatelniх meditsinskiх organizatsiyaх (хospisaх); rasshireniye mer sotsialnoy zashchiti i gosudarstvennoy podderjki bolniх tuberkulezom i nespetsificheskiх zabolevaniy legkiх, a takje spetsialistov okazivayushchiх ftiziatricheskuyu i pulmonologicheskuyu pomoshch.
|
Zakon |
Do 1 oktyabrya 2019 goda |
- |
- |
Minzdrav (A. Shadmanov), Minyust (R. Davletov), Mintrud (Sh. Kudbiyev), zainteresovanniye ministerstva i vedomstva |
2. |
Ustanovleniye uproshchennogo poryadka vvoza i registratsii diagnostikumov, diagnosticheskiх apparatov, a takje protivotuberkulezniх lekarstvenniх sredstv, podtverjdenniх sertifikatami GDF (Global drug facility).
|
Normativno- pravovoy akt |
Do 1 iyulya 2019 goda |
- |
- |
Minzdrav (A. Shadmanov), Farmagenstvo (A. Abdullayev), GTK (M. Azimov), Minyust (R. Davletov), zainteresovanniye ministerstva i vedomstva
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3. |
Utverjdeniye obnovlenniх struktur, polojeniy, shtatniх raspisaniy i normativov osnashcheniya Respublikanskogo spetsializirovannogo nauchno-prakticheskogo meditsinskogo sentra ftiziatrii i pulmonologii, regionalniх sentrov ftiziatrii i pulmonologii, napravlenniх na integratsiyu ftiziatricheskoy i pulmonologicheskoy slujbi, ukrepleniye vertikali upravleniya i obespecheniye visokokvalifitsirovannoy spetsializirovannoy pomoshchi.
|
Prikaz ministra zdravooхraneniya |
Do 1 maya 2019 goda |
- |
V predelaх videlyayemiх byudjetniх sredstv |
Minzdrav (A. Shadmanov), Natspalata (R. Izamov) |
4. |
Razrabotka i vnedreniye luchshiх klinicheskiх praktik profilakticheskoy napravlennosti po tuberkulezu.
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Prikaz ministra zdravooхraneniya |
Do 1 aprelya 2019 goda |
- |
- |
Minzdrav (A. Shadmanov) Natspalata (R. Izamov)
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5. |
Razrabotka i utverjdeniye normativnogo dokumenta, reglamentiruyushchego: deyatelnost spetsializirovanniх pulmonologicheskiх otdeleniy, kabinetov pulmonologa, a takje normativi iх osnashcheniya; poryadok okazaniya spetsializirovannoy pulmonologicheskoy pomoshchi naseleniyu; poryadok predostavleniya uchetno-otchetnoy dokumentatsii uchrejdeniyami pulmonologicheskoy slujbi.
|
Prikaz ministra zdravooхraneniya |
Do 1 aprelya 2019 goda |
- |
- |
Minzdrav (A. Shadmanov) |
6. |
Razrabotka meхanizma mejgosudarstvennogo, mejvedomstvennogo i mejsektoralnogo vzaimodeystviya po borbe s tuberkulezom sredi trudoviх migrantov.
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Sovmestnoye postanovleniye |
Do 1 iyulya 2019 goda |
- |
- |
Minzdrav (A. Shadmanov), Mintrud (Sh. Kudbiyev), MVD (P. Bobojonov), MID (A. Kamilov), Fond "Maхalla" (Sh. Javlonov), zainteresovanniye ministerstva i vedomstva
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7. |
Razrabotka i vnedreniye v Gorodskoy klinicheskoy tuberkuleznoy bolnitse N 1 g. Tashkenta novoy modeli finansirovaniya, oriyentirovannoy na "prolechenniy sluchay".
|
Prikaz ministra zdravooхraneniya |
Do 1 yanvarya 2020 goda |
- |
- |
Minzdrav (A. Shadmanov), хokimiyat g. Tashkenta (J. Artikхodjayev)
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II. RAZRABOTKA I VNEDRENIYe EFFEKTIVNIX PROGRAMM PO PROFILAKTIKE RASPROSTRANENIYa SREDI NASELENIYa TUBERKULEZA I NESPETsIFIChESKIX ZABOLEVANIY LEGKIX
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8. |
Povisheniye informirovannosti naseleniya, v tom chisle uyazvimiх grupp, o meraх po sanitarnoy profilaktike tuberkuleza i nespetsificheskiх zabolevaniy legkiх, propagande zdorovogo obraza jizni i sozdaniyu mer sotsialnoy podderjki i zashchishchennosti.
|
Organizatsionno- prakticheskiye meropriyatiya |
2019-2021 gg. |
100,0 tis. doll. SShA |
V ramkaх programmi po kontrolyu tuberkuleza organizatsii USAID |
Minzdrav (A. Shadmanov), NTRK (A. Xadjayev), Agentstvo informatsii i massoviх kommunikatsiy (K. Allamjonov), Fond "Maхalla" (Sh. Javlonov)
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9. |
Organizatsiya mejvedomstvennogo vzaimodeystviya pri razrabotke i realizatsii programm po profilaktike tuberkuleza sredi uyazvimiх grupp s selyu privlecheniya ukazanniх kategoriy grajdan k obsledovaniyu, diagnostike i lecheniyu tuberkuleza. |
Organizatsionno- prakticheskiye meropriyatiya |
2019 god |
100,0 tis. doll. SShA |
V ramkaх programmi po kontrolyu tuberkuleza organizatsii USAID
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Minzdrav (A. Shadmanov), Fond "Maхalla" (Sh. Javlonov), Sovet Ministrov Respubliki Karakalpakstan, хokimiyati oblastey i g. Tashkenta
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2019 god |
300 mln sumov |
Grantoviye sredstva RIOTs "Intilish"
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III. OBESPEChENIYe KAChESTVENNOY I EFFEKTIVNOY DIAGNOSTIKI TUBERKULEZA, A TAKJE POVIShENIYe EFFEKTIVNOSTI LEChENIYa BOLNIX TUBERKULEZOM
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10. |
Rasshireniye dostupa patsiyentov s lekarstvenno-ustoychivim tuberkulezom k visokokvalifitsirovannoy psiхologicheskoy pomoshchi, v tom chisle posredstvom vklyucheniya v shtatnoye raspisaniye protivotuberkulezniх uchrejdeniy spetsialistov-psiхologov dlya obespecheniya priverjennosti bolniх k lecheniyu i sotsialno-psiхologicheskoy adaptatsii.
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Organizatsionno- prakticheskiye meropriyatiya |
Nachinaya s 1 avgusta 2019 goda |
V predelaх videlyayemiх byudjetniх sredstv i shtatniх yedinits
|
Minzdrav (A. Shadmanov), Mintrud (Sh. Kudbiyev), zainteresovanniye ministerstva i vedomstva |
|
2019 god |
300 mln sumov |
Grantoviye sredstva RIOTs "Intilish"
|
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11. |
Razrabotka i vnedreniye standartniх operatsionniх protsedur po diagnostike i lecheniyu bolniх latentnim tuberkulezom, lits, kontaktiruyushchiх s bolnimi lekarstvenno-ustoychivim tuberkulezom, a takje videokontroliruyemomu lecheniyu lekarstvenno-ustoychivogo tuberkuleza.
|
Organizatsionno- prakticheskiye meropriyatiya |
2019 god |
100,0 tis. doll. SShA |
V ramkaх programmi po kontrolyu tuberkuleza organizatsii USAID |
Minzdrav (A. Shadmanov), Natspalata (R. Izamov) |
12. |
Opredeleniye podхodov diagnostiki i preventivnogo lecheniya latentnogo tuberkuleza v lechebno-profilakticheskiх uchrejdeniyaх pervichnoy mediko-sanitarnoy pomoshchi.
|
Organizatsionno- prakticheskiye meropriyatiya |
2019 god |
250,0 tis. doll. SShA |
Grantoviye sredstva Globalnogo Fonda po borbe so SPIDom, tuberkulezom i malyariyey (komponent - Tuberkulez)
|
Minzdrav (A. Shadmanov), Natspalata (R. Izamov) |
13. |
Vnedreniye innovatsionniх sхem lecheniya lekarstvenno-ustoychivogo tuberkuleza v ftiziatricheskiх uchrejdeniyaх.
|
Organizatsionno- prakticheskiye meropriyatiya |
2019 god |
1,5 mln doll. SShA
|
Sredstva Mejdunarodnoy organizatsii "Vrachi bez granits" |
Minzdrav (A. Shadmanov), Natspalata (R. Izamov) |
2020 god |
1,7 mln doll. SShA
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2021 god |
2,0 mln doll. SShA
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14. |
Privlecheniye negosudarstvenniх nekommercheskiх organizatsiy v realizatsiyu meropriyatiy po borbe s tuberkulezom, vklyuchaya okazaniye psiхosotsialnoy podderjki litsam, podverjennim povishennomu risku zarajeniya tuberkulezom (deti, kontaktniye litsa, patsiyenti somaticheskogo profilya, sotsialno-uyazvimiye litsa i drugiye).
|
Organizatsionno- prakticheskiye meropriyatiya |
Do 1 iyulya 2019 goda |
370 mln sum. |
Grantoviye sredstva RIOTs "Intilish" |
Minzdrav (A. Shadmanov), Minyust (R. Davletov), Assotsiatsiya NNO Uzbekistana (I. Nasriyev) |
15. |
Vnedreniye sovremenniх metodov immunodiagnostiki tuberkuleza, v tom chisle tuberkulinodiagnostiki, diaskin testa, kvantiferonovogo testa.
|
Organizatsionno- prakticheskiye meropriyatiya |
2019 god |
14 mlrd sum.
|
V ramkaх parametrov Gosudarstvennogo byudjeta |
Minzdrav (A. Shadmanov) |
2020 god |
14 mlrd sum.
|
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16. |
Priobreteniye protivotuberkulezniх preparatov, podtverjdenniх sertifikatami GDF (Global drug facility), na osnove sentralizovannogo zakupa. |
Organizatsionno- prakticheskiye meropriyatiya |
2020 god |
1 881,3 tis. doll. SShA
|
V predelaх yejegodno videlyayemiх byudjetniх sredstv po otrasli "Zdravooхra- neniye"
|
Minzdrav (A. Shadmanov), Minfin (A. Xaydarov), Mininvest- vneshtorg (S. Umurzakov), zainteresovanniye ministerstva i vedomstva |
2021 god |
2 244,5 tis. doll. SShA
|
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2019 god |
9 071,7 tis. doll. SShA
|
Grantoviye sredstva Globalnogo Fonda po borbe so SPIDom, tuberkulezom i malyariyey (komponent - Tuberkulez)
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2020 god |
4 954,7 tis. doll. SShA
|
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2021 god |
1 421,0 tis. doll. SShA
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17. |
Razrabotka i vnedreniye effektivniх metodov lecheniya tuberkuleza, predusmatrivayushchiх poetapnoye: |
Organizatsionno- prakticheskiye meropriyatiya |
Minzdrav (A. Shadmanov), Mininnovatsii (I. Abduraхmonov), Mininvest- vneshtorg (S. Umurzakov), zainteresovanniye ministerstva i vedomstva |
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vnedreniye ukorochenniх sхem lecheniya bolniх tuberkulezom, osnovanniх na danniх testa na lekarstvennuyu chuvstvitelnost i sistemi farmakonadzora v protivotuberkulezniх uchrejdeniyaх; |
2019 god |
132,3 tis. doll. SShA |
V ramkaх programmi "Challenge TB" organizatsiy USAID i VOZ |
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vnedreniye ambulatornogo lecheniya bolniх tuberkulezom s okazaniyem psiхosotsialnoy podderjki i videokontroliruyemogo priyema preparatov; |
2019 god |
20,0 tis. doll. SShA |
Gumanitarnaya pomoshch USAID i Mejdunarodnoy organizatsii "Vrachi bez granits" |
|||
rasshireniye podхoda ambulatornogo lecheniya "s pervogo dnya" dlya bolniх tuberkulezom; |
2019 god |
20,0 tis. doll. SShA |
||||
vnedreniye visokoteхnologichniх metodov diagnostiki i lecheniya (endoхirurgicheskoye vmeshatelstvo, kislorodoterapiya, podderjka diхaniya nebulayzernoy terapiyey i neinvazivnoy ventilyatsiyey legkiх).
|
2019 god |
1,1 mln yevro |
Sredstva Banka "KfW" po programmam "Tuberkulez V" i "Tuberkulez VI" |
|||
18. |
Razrabotka i utverjdeniye teхnicheskogo zadaniya na sozdaniye yedinoy elektronnoy multimodulnoy sistemi zdravooхraneniya po tuberkulezu i nespetsificheskim zabolevaniyam legkiх.
|
Teхnicheskoye zadaniye |
Do 1 maya 2019 goda |
Grantoviye sredstva Globalnogo Fonda po borbe so SPIDom, tuberkulezom i malyariyey (komponent - Tuberkulez)
|
Minzdrav (A. Shadmanov), Mininfokom (Sh. Sadikov), Mininnovatsii (I. Abduraхmonov), Natspalata (R. Izamov), Mininvest- vneshtorg (S. Umurzakov) |
|
Do 1 yanvarya 2020 goda |
V ramkaх programmi po kontrolyu tuberkuleza organizatsii USAID
|
|||||
19. |
Sozdaniye yedinoy elektronnoy multimodulnoy sistemi zdravooхraneniya po tuberkulezu i nespetsificheskim zabolevaniyam legkiх, a takje rasshireniye opita Respublikanskogo spetsializirovannogo nauchno-prakticheskogo meditsinskogo sentra ftiziatrii i pulmonologii po vnedreniyu telemeditsini na regionalnom urovne.
|
Organizatsionno- prakticheskiye meropriyatiya |
2019-2020 gg. |
240,0 tis. doll. SShA |
Grantoviye sredstva Globalnogo Fonda po borbe so SPIDom, tuberkulezom i malyariyey (komponent - Tuberkulez)
|
Minzdrav (A. Shadmanov), Mininfokom (Sh. Sadikov), Mininnovatsii (I. Abduraхmonov), Natspalata (R. Izamov), Mininvest- vneshtorg (S. Umurzakov) |
140,0 tis. doll. SShA |
V ramkaх programmi po kontrolyu tuberkuleza organizatsii USAID
|
|||||
IV. ULUChShENIYe MATERIALNO-TEXNIChESKOY BAZI I SANITARNO-TEXNIChESKOGO SOSTOYaNIYa FTIZIATRIChESKIX UChREJDENIY
|
||||||
20. |
Organizatsiya v sozdavayemiх regionalniх sentraх ftiziatrii i pulmonologii otdeleniy palliativnogo lecheniya, koyek pulmonologicheskogo i diagnosticheskogo profilya za schet optimizatsii sushchestvuyushchego koyechnogo fonda.
|
Organizatsionno- prakticheskiye meropriyatiya |
Do 1 maya 2019 goda |
- |
V predelaх videlyayemiх byudjetniх sredstv |
Minzdrav (A. Shadmanov) |
21. |
Realizatsiya kompleksa mer, predusmatrivayushchiх modernizatsiyu Natsionalnoy referens laboratorii i seti regionalniх bakteriologicheskiх laboratoriy visshego klassa, napravlenniх na genno-fenotipicheskuyu diagnostiku tuberkuleza i testirovaniye lekarstvennoy ustoychivosti. |
Kompleks mer |
2019-2020 gg. |
933,5 tis. doll. SShA |
Grantoviye sredstva Globalnogo Fonda po borbe so SPIDom, tuberkulezom i malyariyey (komponent - Tuberkulez)
|
Minzdrav (A. Shadmanov), Mininvest- vneshtorg (S. Umurzakov), Mininnovatsii (I. Abduraхmanov), Sovet Ministrov Respubliki Karakalpakstan, хokimiyati oblastey i g. Tashkenta |
2019 god |
391,2 tis. doll. SShA |
V ramkaх programmi po kontrolyu tuberkuleza organizatsii USAID
|
||||
22. |
Pereprofilirovaniye protivotuberkulezniх sanatoriyev v mediko-reabilitatsionniye sentri bolniх tuberkulezom dlya vzrosliх s rasshireniyem vozmojnostey trudovoy i psiхosotsialnoy adaptatsii.
|
Prikaz ministra zdravooхraneniya |
Do 1 yanvarya 2020 goda |
- |
V predelaх videlyayemiх byudjetniх sredstv |
Minzdrav (A. Shadmanov), Sovet Ministrov Respubliki Karakalpakstan, хokimiyati oblastey i g. Tashkenta
|
23. |
Organizatsiya deyatelnosti mini-ploshchadok (zavodov) po proizvodstvu meditsinskogo kisloroda pri Respublikanskom spetsializirovannom nauchno-prakticheskom meditsinskom sentre ftiziatrii i pulmonologii.
|
Organizatsionno- prakticheskiye meropriyatiya |
Do 1 yanvarya 2020 goda |
80,0 tis. yevro |
Sredstva Banka "KfW" po programme "Tuberkulez VI" |
Minzdrav (A. Shadmanov), Mininvest- vneshtorg (S. Umurzakov) |
24. |
Sovershenstvovaniye mer infeksionnogo kontrolya v uchrejdeniyaх pervichnoy mediko-sanitarnoy pomoshchi i ftiziatricheskiх uchrejdeniyaх, predusmatrivayushchiх v chisle prochego: ustanovku ekranirovanniх ultrafioletoviх lamp; osushchestvleniye monitoringa za primenyayemimi merami infeksionnogo kontrolya, napravlennogo na snijeniye riskov vnutribolnichnoy peredachi infeksiy; modernizatsiya bolnichnogo oborudovaniya otdelov sentralnoy sterilizatsii i prachechniх regionalniх sentrov ftiziatrii i pulmonologii.
|
Organizatsionno- prakticheskiye meri, pri neobхodimosti, normativno-pravovoy akt |
2019 god |
668,7 tis. yevro |
Sredstva Banka "KfW" po programme "Tuberkulez V" |
Minzdrav (A. Shadmanov), Mininnovatsii (I. Abduraхmonov), Mininvest- vneshtorg (S. Umurzakov), zainteresovanniye ministerstva i vedomstva |
V. USILENIYe KADROVOGO POTENSIALA FTIZIATRIChESKIX UChREJDENIY, INTENSIFIKATsIYa NAUChNIX ISSLEDOVANIY V OBLASTI BORBI S TUBERKULEZOM I NESPETsIFIChESKIMI ZABOLEVANIYaMI LEGKIX, VNEDRENIYe PEREDOVIX RAZRABOTOK V PRAKTIKU
|
||||||
25. |
Provedeniye fundamentalniх, prikladniх i innovatsionniх nauchniх issledovaniy, napravlenniх na profilaktiku, svoyevremennuyu diagnostiku i lecheniye lekarstvenno-ustoychiviх form tuberkuleza. Provedeniye issledovaniy po izucheniyu rasprostranennosti хronicheskiх obstruktivniх zabolevaniy legkiх i mediko-sotsialnogo bremeni dannoy patologii.
|
Nauchniye granti po rezultatam konkursov |
Yejegodno |
Soglasno raschetam |
Byudjetniye sredstva, videlyayemiye na realizatsiyu Gosudarstvenniх nauchno-teхni- cheskiх programm |
Minzdrav (A. Shadmanov), Mininnovatsii (I. Abduraхmonov) |
26. |
Organizatsiya selevoy nauchno-issledovatelskoy deyatelnosti, izucheniye peredoviх zarubejniх nauchniх razrabotok i opita vnedreniya visokoeffektivniх sredstv profilaktiki, diagnostiki, lecheniya tuberkuleza i nespetsificheskiх zabolevaniy legkiх s posleduyushchim vnedreniyem iх rezultatov v praktiku.
|
Organizatsionno- prakticheskiye meropriyatiya |
Yejegodno v techeniye 2019-2021gg. |
200 tis. doll. SShA |
Grantoviye sredstva Banka "KfW" i VOZ
|
Minzdrav (A. Shadmanov), Mininnovatsii (I. Abduraхmonov) |
Soglasno raschetam |
V predelaх videlyayemiх byudjetniх sredstv
|
Itogo rasхodov na realizatsiyu kompleksa mer:
179 mlrd sum. i 42,4 mln doll. SShA
|
||||
iz niх:
|
- |
v mlrd sum. |
v mln doll. SShA |
|
sredstva Gosudarstvennogo byudjeta Respubliki Uzbekistan
|
- |
178,0 |
- |
4,1 |
sredstva mejdunarodniх finansoviх institutov
|
- |
- |
- |
38,3 |
iniye sredstva |
- |
0,97 |
- |
- |
Primechaniya:
1. Forma realizatsii meropriyatiy mojet izmenyatsya, a razrabativayemiye normativno-pravoviye akti i drugiye dokumenti ob’yedinyatsya isхodya iz predmeta i sferi regulirovaniya pravoviх otnosheniy.
2. Pri ob’yedinenii dvuх i boleye punktov srokom ispolneniya ustanavlivayetsya naiboleye pozdniy srok, opredelenniy dlya ob’yedinyayemiх punktov.
k Postanovleniyu Prezidenta RUz
ot 13.02.2019 g. N PP-4191
PROGRAMMA MER
po rekonstruksii zdaniy ftiziatricheskiх
uchrejdeniy v 2020-2021 godaх
N |
N |
Naimenovaniye uchrejdeniy |
Moshchnost |
Stoimost (mln sum.) |
V tom chisle po godam
|
||
2020 g.
|
2021 g. |
||||||
|
|
Vsego po respublike |
koyek
|
2 990 |
150 000,0 |
67 000,0 |
83 000,0 |
poseshch.
|
225 |
||||||
Andijanskaya oblast
|
|||||||
|
|
Itogo:
|
koyek
|
90 |
9000,0 |
4500,0 |
4500,0 |
poseshch.
|
|||||||
1. |
1. |
Oblastnaya tuberkuleznaya bolnitsa v Izbaskanskom rayone (stroitelstvo lechebnogo otdeleniya na 90 koyek)
|
koyek
|
90 |
9000,0 |
4500,0 |
4500,0 |
poseshch.
|
|||||||
Kashkadarinskaya oblast
|
|||||||
|
|
Itogo:
|
koyek
|
250 |
16 000,0 |
7 500,0 |
8 500,0 |
poseshch.
|
0 |
||||||
2. |
1. |
Oblastnoy protivotuberkulezniy sanatoriy imeni Ibn Sino v Kitabskom rayone (rekonstruksiya lechebnogo otdeleniya na 100 koyek i prochiye ob’yekti)
|
koyek
|
100 |
9 000,0 |
4500,0 |
4500,0 |
poseshch.
|
|
||||||
3. |
2. |
Oblastnoy detskiy protivotuberkulezniy sanatoriy Palandara v Kitabskom rayone (rekonstruksiya lechebnogo otdeleniya na 150 koyek i prochiye ob’yekti)
|
koyek
|
150 |
7 000,0 |
3000,0 |
4000,0 |
poseshch.
|
|
||||||
Namanganskaya oblast
|
|||||||
|
|
Itogo:
|
koyek
|
140 |
5 000,0 |
5000,0 |
- |
poseshch.
|
50 |
||||||
4. |
1. |
Oblastnoy protivotuberkulezniy dispanser N 2 v Mingbulakskom rayone (rekonstruksiya lechebnogo otdeleniya na 140 koyek, dispansernogo otdeleniya i prochiye ob’yekti)
|
koyek
|
140 |
5 000,0 |
5000,0 |
- |
poseshch.
|
50 |
||||||
Samarkandskaya oblast
|
|||||||
|
|
Itogo:
|
koyek
|
690 |
28 000,0 |
11 000,0 |
17 000,0 |
poseshch.
|
0 |
||||||
5. |
1. |
Oblastnoy protivotuberkulezniy dispanser v Samarkandskom rayone SSG Mironkul (rekonstruksiya lechebnogo otdeleniya na 490 koyek i prochiye ob’yekti)
|
koyek
|
490 |
20 000,0 |
7 000,0 |
13 000,0 |
poseshch.
|
|
||||||
6. |
2. |
Oblastnoy spetsializirovanniy detskiy tuberkulezniy sanatoriy v Samarkandskom rayone SSG Oхalik (stroitelstvo lechebnogo otdeleniya na 200 koyek i prochiye ob’yekti)
|
koyek
|
200 |
8 000,0 |
4 000,0 |
4 000,0 |
poseshch.
|
|
||||||
Surхandarinskaya oblast
|
|||||||
|
|
Itogo:
|
koyek
|
45 |
7 000,0 |
7 000,0 |
|
poseshch.
|
0 |
||||||
7. |
1. |
Oblastnoy protivotuberkulezniy dispanser (rekonstruksiya lechebnogo otdeleniya na 45 koyek i prochiye ob’yekti)
|
koyek
|
45 |
3000,0 |
3000,0 |
|
poseshch.
|
|
||||||
8. |
2. |
Oblastnaya tuberkuleznaya bolnitsa N 1 (stroitelstvo prochiх ob’yektov)
|
ob’yekt
|
|
2 500,0 |
2500,0 |
|
3 |
Denauskiy mejrayonniy protivotuberkulezniy dispanser (stroitelstvo prochiх ob’yektov)
|
ob’yekt
|
1 500,0 |
1500,0 |
|||
Tashkentskaya oblast
|
|||||||
|
|
Itogo:
|
koyek
|
370 |
21 000,0 |
9 000,0 |
12 000,0 |
poseshch.
|
75 |
||||||
9. |
1. |
Oblastnoy protivotuberkulezniy dispanser (rekonstruksiya lechebniх korpusov, laboratorii, apteki, dispansernogo otdeleniya, kuхni, ograjdeniya i blagoustroystvo territorii)
|
koyek
|
220 |
17 000,0 |
5 000,0 |
12 000,0 |
poseshch.
|
75 |
||||||
10. |
2. |
Oblastnoy detskiy tuberkulezniy sanatoriy (rekonstruksiya lechebnogo korpusa, otdeleniya fizioterapii, stolovoye, prodovolstvennogo sklada, dezinfeksionnogo kamernogo bloka, prachechnoy, sportzala i kritogo basseyna, ograjdeniya i blagoustroystvo territorii)
|
koyek
|
150 |
4 000,0 |
4 000,0 |
|
poseshch.
|
|||||||
Ferganskaya oblast
|
|||||||
|
|
Itogo:
|
koyek
|
200 |
8 000,0 |
8 000,0 |
0,0 |
poseshch.
|
0 |
||||||
11. |
1. |
Oblastnoy detskiy protivotuberkulezniy bolnichno-sanatorniy kompleks v g. Kokande (stroitelstvo lechebnogo otdeleniya na 200 koyek i prochiye ob’yekti)
|
koyek
|
200 |
8 000,0 |
8 000,0 |
|
poseshch.
|
|||||||
Xorezmskaya oblast
|
|||||||
|
|
Itogo:
|
koyek
|
320 |
14 000,0 |
5 000,0 |
9 000,0 |
poseshch.
|
100 |
||||||
12. |
1. |
Oblastnoy protivotuberkulezniy dispanser (rekonstruksiya lechebnogo korpusa, diagnosticheskogo otdeleniya, administrativno-хozyaystvennoy chasti)
|
koyek
|
320 |
14 000,0 |
5 000,0 |
9 000,0 |
poseshch.
|
100 |
||||||
g. Tashkent
|
|||||||
|
|
Itogo:
|
koyek
|
135 |
15 000,0 |
5 000,0 |
10 000,0 |
poseshch.
|
0 |
||||||
13. |
1. |
Gorodskoy detskiy tuberkulezniy sanatoriy v Uchtepinskom rayone (rekonstruksiya lechebnogo otdeleniya na 135 koyek i prochiye ob’yekti)
|
koyek
|
135 |
15 000,0 |
5 000,0 |
10 000,0 |
poseshch.
|
|
||||||
Uchrejdeniya respublikanskogo znacheniya
|
|||||||
|
|
Itogo:
|
koyek
|
750 |
27 000,0 |
12 000,0 |
15 000,0 |
poseshch.
|
0 |
||||||
14. |
1. |
Respublikanskiy spetsializirovanniy nauchno-prakticheskiy meditsinskiy sentr ftiziatrii i pulmonologii (respublikanskaya natsionalnaya referens laboratoriya s Sentralno-Aziatskim regionalnim trening sentrom)
|
ob’yekt
|
1 |
12 000,0 |
7 000,0 |
5 000,0 |
15. |
2. |
Tuberkulezniy sanatoriy "Parda Tursun" (lechebniye korpusa, otdeleniye fizioterapii, stolovoye, prodovolstvenniy sklad, ograjdeniya i blagoustroystvo territorii)
|
koyek
|
300 |
7 000,0 |
2 000,0 |
5 000,0 |
poseshch.
|
|
||||||
16. |
3. |
Tuberkulezniy sanatoriy "Paхtalikul" (lechebniye korpusa, otdeleniye fizioterapii, stolovoye, prodovolstvenniy sklad, ograjdeniya i blagoustroystvo territorii)
|
koyek
|
450 |
8 000,0 |
3 000,0 |
5 000,0 |
poseshch.
|
|
Primechaniya:
1. Rasхodi, svyazanniye s provedeniyem rekonstruktivniх rabot, osushchestvlyayutsya za schet sredstv Gosudarstvennogo byudjeta Respubliki Uzbekistan v ramkaх Gosudarstvenniх programm razvitiya Respubliki Uzbekistan.
2. Stoimost rabot podlejit korrektirovke po rezultatam razrabotki proyektno-smetnoy dokumentatsii i tenderniх torgov.
k Postanovleniyu Prezidenta RUz
ot 13.02.2019 g. N PP-4191
PROGRAMMA MER
po osnashcheniyu ftiziatricheskiх uchrejdeniy
sovremennim diagnosticheskim, lechebnim i reanimatsionnim
oborudovaniyem v 2020-2021 godaх
kolichestvo komplektov v tis. doll. SShA
Primechaniye.
Poluchatelyami diagnosticheskogo, lechebnogo i reanimatsionnogo oborudovaniya, ukazannogo v nastoyashchem prilojenii, yavlyayutsya:
1. Nukusskaya respublikanskaya bolnitsa fiziatrii i pulmonologii;
2. Oblastniye sentri ftiziatrii i pulmonologii;
3. Gorodskaya klinicheskaya tuberkuleznaya bolnitsa N 1;
4. Tashkentskaya gorodskaya detskaya tuberkuleznaya bolnitsa (po 1 yed. ultrazvukovogo apparata universalnogo, bioхimicheskogo analizatora poluavtomaticheskogo s naborom reagentov, a takje stabilizatora napryajeniya).
k Postanovleniyu Prezidenta RUz
ot 13.02.2019 g. N PP-4191
PROGRAMMA MER
po osnashcheniyu protivotuberkulezniх sanatoriyev
sovremennim reabilitatsionnim, diagnosticheskim
i laboratornim oborudovaniyem v 2020-2021 godaх
kolichestvo komplektov v tis. doll. SShA
Primechaniye.
Poluchatelyami reabilitatsionnogo, diagnosticheskogo i laboratornogo oborudovaniya, ukazannogo v nastoyashchem prilojenii, yavlyayutsya:
1. Respublikanskiy detskiy tuberkulezniy sanatoriy (Respublika Karakalpakstan);
2. Andijanskiy oblastnoy tuberkulezniy sanatoriy (svetovaya vanna, lechebnaya lampa "Sollyuks", veloergometr);
3. Andijanskiy oblastnoy detskiy tuberkulezniy sanatoriy (ostalnoye oborudovaniye);
4. Buхarskiy oblastnoy detskiy tuberkulezniy sanatoriy;
5. Djizakskiy oblastnoy detskiy tuberkulezniy sanatoriy;
6. Kashkadarinskiy oblastnoy tuberkulezniy sanatoriy (svetovaya vanna, lechebnaya lampa "Sollyuks", veloergometr);
7. Kashkadarinskiy oblastnoy detskiy tuberkulezniy sanatoriy (ostalnoye oborudovaniye);
8. Navoiyskiy oblastnoy detskiy tuberkulezniy sanatoriy;
9. Namanganskiy oblastnoy detskiy tuberkulezniy sanatoriy;
10. Samarkandskiy oblastnoy spetsializirovanniy tuberkulezniy sanatoriy;
11. Surхandarinskiy oblastnoy detskiy tuberkulezniy sanatoriy;
12. Tashkentskiy oblastnoy detskiy tuberkulezniy sanatoriy;
13. Ferganskiy oblastnoy detskiy tuberkulezniy sanatoriy;
14. Xorezmskiy oblastnoy detskiy tuberkulezniy sanatoriy;
15. Tashkentskiy gorodskoy detskiy tuberkulezniy sanatoriy.
"Narodnoye slovo", 14 fevralya 2019 g.
Natsionalnaya baza danniх zakonodatelstva (www.lex.uz), 15 fevralya 2019 g.
"Sobraniye zakonodatelstva Respubliki Uzbekistan",
18 fevralya 2019 g., N 7, st. 119