Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot252510.32687/0869-866X-2026-34-1-135-140Научная статьяTHE RESOURCE SUPPORT AND MANPOWER POTENTIAL OF THE HEALTH CARE SYSTEM OF THE KYRGYZSTAN STATENaizabekovaS. D.KasymovaR. O.BaitovaG. M.TulenbaevaA. D.The International University of Kyrgyzstan, 720001, Bishkek city, Kyrgyz RepublicThe Kyrgyz-Russian Slavic University named after B. N. Yeltsin, 720000, Bishkek city, Kyrgyz Republic2102202634113514021022026Copyright © 2026,2026The health care system of the Kyrgyz state, in conditions of market and transition economy, underwent significant changes, including reform of primary health care and peopleware. However, becoming of the primary care system over past three decades regarding provision of full-fledged accessibility of health care system to population brought no significant changes into situation both in whole country and Bishkek. The purpose of the study was to analyze problems of training medical personnel to provide primary health care organizations and to develop ways to solve them. The study uses data from the National Statistical Committee of the Kyrgyz Republic and the database of the Republican Center for Electronic Health. The estimated indicators of the population provision with medical personnel in the country and Bishkek during the sovereign period of the country were evaluated. The obtained materials were processed using statistical and analytical methods. In the post-Soviet period, fundamental health care reforms took place. The Semashko model underwent complete restructuring with emphasis on development of primary health care that resulted in decreasing of the number of medical organizations, especially district hospitals. However, ratio between sectors of primary, secondary and hospital had no changes against the background of reduction of the number of physicians in health care system, especially at primary level that affected quality of medical services for population. The medical education system constantly undergoes transformation without consideration of world practices and does not meet needs of health care due to absence of mechanisms of intersectoral cooperation under planning of medical personnel training. The current resource situation of the healthcare system associated with the optimization of medical organizations and human resources, shows a deterioration in the availability of medical care to the population both in the whole country and in the metropolitan area. The reforms implemented over the past three decades were insufficient, as there was a lack of sustainable planning policies by organizations to strengthen the primary care system and priorities for training medical personnel and sustainable financing of the health sector. The modern resource condition of health care system related to optimization of medical organizations and human resources potential points out to deterioration of accessibility of medical care of population on national level and in conditions of metropolitan city. The implemented reforms turned out incomplete since there were no sustainable policy of planning primary health care system and priorities in medical humn resources training. Also sustainable financing of health care system was absent. The primary health care and its human resources support are be considered as main subsystem of state health care that plays leading role in facilitating and accessing medical care in interests of health of countrys citizens. At that, effective mechanisms of intersectoral cooperation on sufficient investment are to be created to optimize primary health care and entire health care system, taking into account regional characteristics and the needs of population.public healthhealth carereformsmedical personnelfinancingpopulation healthздравоохранениемедико-санитарная помощьреформымедицинские кадрыфинансированиездоровье1.Касымов О. Т., Абдикаримов С. Т., ред. Руководство по общественному здравоохранению: монография. Бишкек; 2012. 272 с.2.Задворная О. Л., Семенков Н. Н., Зелинская Д. И., Исполатовская Э. О., Никовская М. И., Кузнецов А. И., Кашишан Е. С. Пути оптимизации кадрового обеспечения системы здравоохранения в условиях реформирования. В кн.: Последипломное медицинское образование на современном этапе. М.: Изд. дом «М-Вести»; 2000. С. 426—33.3.Franco C. M., Lima J. G., Giovanella L. Primary healthcare in rural areas: access, organization, and health workforce in an integrative literature review. Cad. Saude Publica. 2021;37(7):e00310520. doi: 10.1590/0102-311X003105204.Semenova Yu., Lima L., Salpynov Zh., Gaipov A., Jakovljevic M. Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review. Heliyon. 2024;10 (8):e29550.5.Sydykova A., Muratalieva E., Ismailov M., Lima J. M., Rechel B. Kyrgyzstan: Health System Review 2022. Health Systems in Transition. 2022;24(3). Режим доступа: https://iris.who.int/bitstream/handle/10665/363175/9789289059237-eng.pdf?sequence=16.Чоюбекова Г. А., Садамкулова К. И. Подготовка и востребованность медицинских кадров в Кыргызской Республике: состояние и критический анализ. Вестник КГМА им. И. К Ахунбаева. 2019;(5-6):37—43.7.Смит Б. Е. Семейная медицина — правильный ли выбор для Кыргызстана? Вестник КГМА им. И. К Ахунбаева. 2011;(3):62—70.8.Fonken P., Bolotskikh I., Pirnazarova G. F., Sulaimanova G., Talapbek Kyzy S., Toktogulova A. Keys to Expanding the Rural Healthcare Workforce in Kyrgyzstan. Front. Public Health. 2020;8:447. doi: 10.3389/fpubh.2020.004479.Мукеева С. Т. Проблемы семейной медицины Кыргызстана. Вестник КГМА им. И. К. Ахунбаева. 2012;(1):135—43.10.Laatikainen T., Inglin L., Chonmurunov I., Stambekov B., Altymychева A., Farrington J. L. National electronic primary health care database in monitoring performance of primary care in Kyrgyzstan. Prim. Health Care Res. Dev. 2022;23:e6. doi: 10.1017/S146342362200001911.Ismailov A. A., Karataeva A. M., Bashirov M. B., Sarbaeva G. O. The results of analysis of assessment of quality of medical care in the Kyrgyz Republic. Problems of Social Hygiene, Public Health and History of Medicine. 2024;32(5):1013—6. doi: 10.32687/0869-866X-2024-32-5-1013-101612.Rechel B., Sydykova A., Moldoisaeva S., Sodiqova D., Spatayev Y., Ahmedov M., Robinson S., Sagan A. Primary care reforms in Central Asia — On the path to universal health coverage? Health Policy Open. 2023;5:100110. doi: 10.1016/j.hpopen.2023.10011013.Brimkulov N., Louton L., Sydykova S., Vinnikov D., Imanalieva F. Morbidity in the Mountainous Province of Kyrgyzstan: Results from a Population-Based Cross-Sectional Study. High Alt. Med. Biol. 2017;18(4):338—42. doi: 10.1089/ham.2017.004614.Mukhanova G., Tultabaev S. Relevance of Improving Human Resource Management in the Organization of Primary Healthcare. J. Health Devel. 2020;4(39):31—9.15.Migliore A., Vicari N., Turk E., Sucu R. Driving policy dialogue on health technology assessment in Eastern Europe and Central Asia: reporting from an initiative of Health Technology Assessment International. Int. J. Technol. Assess. Health Care. 2025;41(1):e12. doi: 10.1017/S026646232500006616.Skela-Savič B., Mambetova A., Giachino M., Heller O., Zimmermann K., Orozalieva G., Rustamova B., Zhusupbekova N., Lab B. Understanding of and attitudes towards nursing education reform at medical colleges in Kyrgyzstan: A mixed-method study. Int. Nurs. Rev. 2025;72(1):e12982. doi: 10.1111/inr.1298217.Orozalieva G., Loutan L., Azimova A., Baroffio A., Heller O., Lab B., Mambetova A., Mambetalieva D., Muratalieva E., Nendaz M., Savoldelli G., Vu N. V., Beran D. Reforms in medical education: lessons learnt from Kyrgyzstan. Glob. Health Action. 2021;14(1):1944480. doi: 10.1080/16549716.2021.194448018.Endalamaw A., Khatri R. B., Erku D., Zewdie A., Wolka E., Nugatu F., Assefa Y. Barriers and strategies for primary health care workforce development: synthesis of evidence. BMC Prim. Care. 2024;25(1):99. doi: 10.1186/s12875-024-02336-119.Llop-Gironés A., Azhymambetova G. K., Asanova A. K., Salomuddin Y., Boynazarova M. H., Raupov F. O., Zholzhanova N. U., Ruzdenova N. B., Tojiboyeva G. S., Salikhodjayeva R. K., Langins M. Building health systems resilience in Central Asia through nursing and midwifery: evidence to inform policy action. Hum. Resour. Health. 2024;22(1):82. doi: 10.1186/s12960-024-00964-320.Еремина М. Г., Ковалев Е. П., Кром И. Л., Еругина М. В., Липчанская Т. П. Врачебный кадровый потенциал региональной системы здравоохранения: риски и возможности развития. Социология медицины. 2021;20(2):21—5. doi: 10.17816/socm10096621.Kuhlmann E., Falkenbach M., Brînzac M. G., Correia T., Panagioti M., Rechel B., Sagan A., Santric-Milicevic M., Ungureanu M. I., Wallenburg I., Burau V. Tackling the primary healthcare workforce crisis: time to talk about health systems and governance-a comparative assessment of nine countries in the WHO European region. Hum. Resour. Health. 2024;22(1):83. doi: 10.1186/s12960-024-00965-222.Руголь Л. В., Сон И. М., Гажева А. В., Михайлова Ю. В., Бантьева М. Н. Проблемы кадровой обеспеченности в аспекте доступности и качества первичной медико-санитарной помощи. Профилактическая медицина. 2019;22(1):49—56.