Turkmenistan has reformed and developed the field of national healthcare, giving it a status of the multipurpose system of social protection. Large-scale work is carried out in Turkmenistan for health protection of people. The national system of health protection, which has reached the level of world standards, progressively develops.
On the principle of family medicine, the service in urban and rural polyclinics has improved. Owing to the successful implementation of the State Program "Health", the incidence rate among citizens of all ages has been reduced.
The following have been developed and adopted: regulatory documentation for evaluation of medical services and treatment and diagnostic capabilities of treatment and prevention centers, Single register of medical services according to the level of hospitals, etc. Modern clinical protocols of diagnostics and treatment of diseases on different directions of medicine have been developed.
According to the Resolution of the President of Turkmenistan on Improvement of Medical Service to the Population of October 5, 2017, new edition of the Provision on order of Contract on voluntary medical insurance as well as regulatory legal documentation on the state guarantee of health protection of the citizens and provision of special groups of population with free medical services have been elaborated and adopted.
In health-care centers in Turkmenistan introduced electronic document management.Natural and climatic, mud cure, balneological sanatoriums of the country are effectively used, where all conditions for restoring health of the Turkmen citizens and foreign citizens are created. More than 50 types of collections and teas made on the basis of plants growing on Turkmen soil have been introduced into practice.
It should be noted that recently the requirements for drinking water have radically changed. In the country, at the direction of the Head of the state Gurbanguly Berdimuhamedov, new plants for the production of purified drinking water were put into operation, which had a direct impact on the health of the population and led to the exclusion of a number of diseases.
Great attention is paid to the integrated work on the protection of land, water resources, atmospheric air, and the improvement of the ecology of the territory of Turkmenistan, close to the Aral Sea.
An important part of public health policy is to consistently implement a strategy to reduce the morbidity of the population. Turkmenistan ranks first in carrying out immunization activities, occupying a leading position in the region in terms of availability of vaccines and immunization. In Turkmenistan, the vaccination is free.
The Program “Saglyk” (“Health”) is being implemented step by step through a strategy lowering morbidity. Turkmenistan, wholly or partly got rid of many kinds of diseases. In order to prevent diseases associated with a lack of iron in human body, Turkmenistan, in close cooperation with foreign partners, implemented a number of major projects for the enrichment of food products, particularly flour and salt. Annually in our country the number of purchased vaccines against influenza is steadily increasing.
Intensive work on fighting with diseases such as malaria, measles and rubella is being conducted in the country. Turkmenistan is the owner of the international certificate of World Health Organization on the elimination of measles and rubella. The country has the lowest ever record in tuberculosis. The result of the successful international partnership for prevention and prevention of HIV infection is the fact that Turkmenistan is among the few countries where HIV infection and AIDS have not been spread.
From 1st July 2017 year, sale of wide spectrum of antibiotics based on doctor’s prescription has been arranged in the government pharmacies. Owing to this, the conditions for reduction of the diseases resistant to medicine, for correct use of medicine by the citizens only after consultation with the doctor and according to the prescription will be made.
The country is taking systematic measures to develop various areas of public health. In July 2018, President Gurbanguly Berdimuhamedov approved three new programs at once: National Programme of protection of psychic health of the population for 2018 – 2022, National Programme of prevention of harmful impact of alcohol for 2018 – 2024 and National Strategy of improvement of physical activity of the population for 2018 – 2025.
There are 122 hospitals in the country. Most of them were erected in the countryside.
A part of the health care system is to build a state policy in the realization of policy goals for maternal and child health. The widespread establishment of health centers “Maternity and Childhood” (“Ene Mahri”), opening and active work of the scientific and clinical center of maternal and child health care, the successful implementation of national programs on breastfeeding and anemia control were highly appreciated by the major international organizations. From 2014 year Turkmenistan is on the way of reducing perinatal morbidity and mortality, preventing maternal losses by implementing the program of regionalization of perinatal care.
Assessment method of infant’s development according to international standards has been introduced to mother and child health protection. In 2017 year, neonatal screening for the diagnostics of birth defects and their efficient treatment has been arranged in maternity departments of medical facilities of Turkmenistan. Based on their results, a group of specialists carried out analytical work, the purpose of which is to help identify the most common congenital malformations in the future. A work plan has been prepared for the prevention and treatment of hearing loss in children, diabetes mellitus.
In the spring of 2018, WHO experts familiarized with the introduction of the early child development and early intervention system into practice and held a 4-day seminar for Turkmen pediatricians and scientists specializing in this field at the Scientific and Clinical Center for Mother and Child Health.
At the fourth session of the Mejlis of the sixth convocation, held on December 1, 2018, the Draft Law of Turkmenistan “On Prevention of Harmful Impact of Alcohol” was adopted.
The agitation and propaganda actions on the prevention of various diseases and the introduction of the principles of a healthy lifestyle are carried out. All hospitals have health schools; the algorithms of prevention and efficient treatment of non-infectious diseases have been developed and implemented.
Reforming the domestic healthcare sector, taking into account the world's advanced achievements, is one of the priority areas of state policy. A concrete work is carried out to strengthen its material and technical base, particularly, by introducing modern medical equipment of leading foreign manufacturers.
According to the requirements of the World Health Organization, national model for prevention and treatment of non-infectious diseases has been formed; explanatory work among the population including by mass media are regularly held under coordination of information center. The objectives set out in National program of the implementation of the WHO Framework Convention on Tobacco Control in 2017 - 2021 were also steadily and successfully solved. In addition, the Government of Turkmenistan financed the project "Implementation of the provisions of the Ashgabat Declaration - the liberation of Europe from tobacco smoke."
For study of the world practice, working trips have been organized to participate in various conferences and training seminars of foreign countries. One of the forms of fruitful cooperation that has successfully proven itself over the years is the partnership of the Ministry of Health and Medical Industry of Turkmenistan with the German organization Senior Experten Service (German Foundation for International Cooperation “Service of Senior Experts” - SES). In 2018, about forty German professors visited Ashgabat as a whole, who are invited to improve the qualifications of Turkmen doctors and study the best European medical practice.
A roundtable with WHO experts on the formation of a national early intervention platform was also held at the UN Office in Turkmenistan as part of a program of the Ministry of Healthcare, implemented with the participation of the UNICEF, which will identify early childhood development problems.
On March 5-6, 2018, the 7th Turkmen-German health forum was held in Berlin, where the results of bilateral cooperation in the field of practical medicine were discussed, new directions for the future were considered. Particular attention was paid to issues of orthopedics, including pediatric, and physiotherapy.
In March-April 2018, the STEPS study was conducted to assess the activities in the field of the prevention of non-communicable diseases in accordance with the proposal of the World Health Organization among the population of Turkmenistan.
On September 26 and 27, the Turkmen delegation participated in high-level meetings on tuberculosis elimination and noncommunicable disease prevention at the 73rd session of the UN General Assembly in New York.
Research among the population of Turkmenistan on the prevalence of smoking gave the lowest indicator in the European region, which proves the effectiveness of the work on tobacco control carried out in the country.
It is important to note, successfully ended in Ashgabat II WHO European High-Level Conference on Non-Communicable Diseases “Meeting non-communicable disease targets to achieve the Sustainable Development Goals in Europe”.
As part of the implementation of large-scale conversion programs in all regions of the country, in recent years, including in 2018, modern clinics and scientific-clinical centers have been built and continued to be built, various medical and sanatorium-type institutions have been reconstructed, not inferior in equipment and range of services offered to world analogue.
Scientific and clinical center of eye diseases and Training Dental Centre of the State Medical University, internal disease hospitals in Mary get started in the country in 2017. International Endocrinology and Surgery Centre was also opened in Ashgabat.
In accordance with the National Rural Program, in many villages and etraps there were erected health houses, medical complexes.
In 2018, a children's hospital in the city of Mary, Avaza innovative sanatorium, a vertical well on the territory of which is supplied from a depth of 600 meters from a natural source iodine-bromine mineral water, as well as the largest in the country and the largest in Central Asia multi profile hospital in Turkmenabat were put into operation.
Modern sanatoriums in Bagabat settlement of Ak Buhday etrap of Ahal province and in Garlyk settlement of Koytendag etrap of Lebap province next to natural spring Gaynar Baba and International Burn Centre in Ashgabat are under construction.
A great gift to the residents of Ahal velayat on the eve of the New Year was two new medical clinics that opened in the middle of December in the administrative center of the Kaahka etrap and the village of Hurmant Gokje of the Geokdepe etrap.
In order to further develop the health sector, provide the population with specialized medical and cosmetological services, and continue the construction of modern medical facilities, on October 11, 2018, President Gurbanguly Berdimuhamedov signed a Decree on the construction of the International Medical and Aesthetic Center in Ashgabat.
In November, construction began on an infectious diseases clinic for 200 places in the Geokdepe etrap of the Ahal velayat, which is being built as part of a large-scale project to build a new administrative center of this region of the country.
The achievements of modern Turkmen medicine were demonstrated at the International exhibition “Health 2018” on July 20-22 in Ashgabat, within the framework of which a thematic scientific conference, as well as a session on the creation of a Regional Platform for Improving Nutrition for the Countries of Central Asia and the Caucasus were held.
Thus, the actively developing infrastructure of the domestic health care system, international cooperation in this field, the training of highly qualified medical personnel is a multifaceted field of activity that occupies a prominent place in the foreign and domestic policy of President Gurbanguly Berdimuhamedov, whose main goal is the well-being of the people whose health is the country's wealth.