Postgraduate education: the role of the partners in preparation of Masters of Public Health and Health Management at the Uzbekistan National School of Public Health

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• Postgraduate education the role of the partners
  in preparation of Masters of Public Health and
  Health Management at the Uzbekistan National
  School of Public Health

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• Uzbekistan Uzbekistan, in the ancient cradle
  between the Amu-Darya and Syr-Darya rivers, is
  the most historically fascinating of the Central
  Asian republics. Within it are some of the oldest
  towns in the world, some of the Silk Road's main
  centres and most of the region's architectural
  splendours. Uzbekistan occupies the heartland of
  Central Asia, sharing a border with all the other
  'Stans', which is one of the reasons why it
  considers itself the most important of the former
  Soviet Central Asian republics, and why it is
  increasingly fulfilling the role of regional
  gendarme.

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• Full country name Republic of UzbekistanArea
  447,400 sq km (172,700 sq mi)Population 25.8
  millionCapital city Tashkent (pop 2.5
  million)People 80 Uzbek, 5.5 Russian, 5
  Tajik, 3 Kazakh, 2.5 Karakalpak, 1.5
  TatarLanguage Uzbek, RussianReligion 88
  Muslim (mostly Sunnis), 9 Eastern
  OrthodoxGovernment RepublicPresident Islam
  Karimov
• GDP US59.2 billionGDP per head
  US2,500Annual growth 1Inflation 40Major
  industries Textiles, food processing, machine
  building, metallurgy, natural gas, cotton,
  vegetables, fruits, grain, livestockMajor
  trading partners Russia, Ukraine, Europe, CIS,
  Czech Republic

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Education System of Uzbekistan
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• BACKGROUNDTashkent, Uzbekistan Chicago,
  Illinois (1992-2000)
• Hospital Partnership
• Areas of Focus Neonatology, Perinatology,
  Pharmacy Services, Women's Health
• The Partners
• US Partners The University of Illinois at
  Chicago (UIC) Medical Center is a major teaching
  institution that includes the UIC Hospital. UIC's
  Division of Neonatology is a WHO Collaborating
  Center in Neonatal and Perinatal Medicine.
• NIS Partners The Second Tashkent State Medical
  Institute (TashMI II) is one of the ten largest
  hospitals in the NIS and is the largest medical
  facility in Central Asia, providing a full range
  of inpatient and outpatient services in all
  disciplines. TashMI II is a major teaching
  facility, offering practical medical and nursing
  education for students from throughout Uzbekistan.

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• Partnership Objectives
• Hospital and Clinic Administration
• Expose hospital administrators and those managing
  outpatient programs to principles and practices
  of health care management and assist them in
  implementing measures to improve the efficiency
  and effectiveness of their health facilities and
  services.

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• Partnership Objectives
• Nursing Development and Education
• Expose Uzbek nurses and their supervisors to the
  model of nursing care as practiced in the US.
  Promote the professional development of nurses in
  Uzbekistan through the establishment of
  nursing-specific journals and a professional
  association.Assist in the development of
  education programs to prepare Uzbek nurses to
  assume expanded roles. Provide guidance in the
  restructuring of the formal education of nurses
  and promoting higher education (college or
  university-level) for nurses.

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• Partnership Objectives
• Medical Education
• Promote improvements in the medical education of
  physicians, preparing them to function within a
  reformed health system which places greater
  emphasis on primary care and more adequate
  preparation of specialists.
• Restructure the education system for medical
  students.
• Improve testing procedures and the means of
  assessing the level of knowledge and skills
  gained by students during the educational
  process.
• Improve graduate medical education and continuing
  education programs for physicians.

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• BACKGROUNDSeptember, 1995 December, 1998 AIHA,
  AUPHA
• Participation of the faculty in regional
  workshops Health Services Management, Health
  Care System Financing organized by American
  International Health Alliance (AIHA) and the
  Association of University Programs in Health
  Administration (AUPHA). 

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• BACKGROUNDDecember, 1998 December, 2000
  British Council, DFID, REAP
• Partnership with School of Management, Imperial
  College, University of London in Health
  Management for Development and implement a new
  area for training in Health Management in the
  undergraduate and postgraduate medical curricula,
  to train a new cadre of clinicians (and managers
  through short professional development courses)
  with know-how and skills in health management
  needed for the efficient management of the health
  system.

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• BACKGROUNDDecember, 1998 December, 2000
  British Council, DFID, REAP
• Strong and effective links were established
  between the partner institutions in areas of
  continued support for programme development and
  implementation activities, information exchange,
  development and supply of teaching materials, as
  well as personal communications.
•  Faculty exchanges have taken place in the
  Project. Four Imperial medical students
  undertaking the Intercalated BSc Degree in
  Management visited Uzbekistan (self-financed) to
  research health reforms. They undertook
  collaborative research with staff from TashMI-2
  and made presentations to faculty and students.

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• BACKGROUNDDecember, 1998 December, 2000
  British Council, DFID, REAP
• The following teaching programmes were developed
  according to the National Standard of Medical
  Specialties that was designed and approved by the
  Ministry of Education and Ministry of Health
• Management and leadership programme. This
  programme includes lectures 20 hours, practical
  lessons 40 h., tutorials 24 h., self-directed
  work 6 h total 90 hours. The programme is
  designed for high qualification nurses.
•  Marketing of medical services. This programme
  includes lectures 10h, practical lessons 30 h,
  project 20 hours, self-directed work 2 hours
  total 62 hours. The programme is designed for
  higher qualification nurses.
• Management and leadership in health service
  settings. This programme includes lectures 24
  hours, practical lessons 50 hours, seminars 36
  hours, individual work with teacher 30 hours,
  self-directed study 15 hours total 155 hours.
  The programme is designed for nurse-managers.
• Management and leadership in medical care
  planning. This programme includes lectures 32
  hours, practical lessons 43 hours, seminars 36
  hours, individual work with teacher 30 hours,
  self-directed study 15 hours total 156 hours.
  The programme is designed for nurse-managers.
• Marketing and management of procurement activity.
  The programme includes lectures 29 hours,
  practical lessons 41 hours, seminars 36 hours,
  individual work with teacher 25 hours,
  self-directed study 12 hours total 125 hours.
  The programme is designed for nurse-managers.
• Entrepreneurship. The programme includes
  lectures 20 hours, practical lessons 32 hours,
  seminars 24 hours, individual work with teacher
  25 hours, self-directed study 10 hours total 120
  hours. The programme is designed for
  nurse-managers.
• New techniques in human resource management. The
  programme includes lectures 14 hours, practical
  lessons 26 hours, seminars 12 hours, individual
  work with teacher48 hours, self-directed study 22
  hour total 122 hours.

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• BACKGROUNDDecember, 1998 December, 2000
  British Council, DFID, REAP

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• BACKGROUNDSeptember, 1999
• Elective course on Management and Marketing of
  Health Care Services for the Department of High
  education nurses

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September, 2000 September, 2001

• Curricula development, texts of lectures and
  materials for the practical lessons and seminars
  for the Master Course on PH and HM.

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October, 2000, 2001 and 2002

• Participation of the Staff at the XXII(Aarhus,
  Denmark), XXIII (Hortobagy National Park,
  Hungary) and XXIV (Zagreb, Croatia), XXV
  (Granada, Spain) Annual Conferences of ASPHER
• The Second Tashkent State Medical Institute
  Member of ASPHER (September, 2001)

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September, 2001

• The Department of Public Health and Health
  Management was established
• Average age 35 years
• Senior Lecturers, PhD 3
• Assistant to Professor 4.
• Master Students of Second year 7
• Master Students of First year 3
• Master Students of different Specialties
• Students of the 7th Level of the Medical Faculty
• Students of the 5th Level of the
  Medical-Preventive Faculty
• Students of the 1st 2nd and 3 Levels of the High
  Education Nurses Department

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MPH Courses
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December, 2002

• Partnership with University of Kentucky on Health
  Management Education

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Programme of the Conference Introduction of EBM
Principles into Educational and Scientific
process and into Clinical Practice.

• Epidemiology is the basis of EBM.
• Factors influencing on making decisions in
  medicine.
• Methodology of medical investigations.
• Analysis and use of basic epidemiological
  findings.
• Mistakes in investigations and how to get rid of
  it?
• Use of basic epidemiological findings.
• Adaptation of methods of descriptive statistics
  in medicine.
• Analytical statistics as an instrument of
  conclusive medicine.
• Standardization in medicine.
• Analytical statistics.
• Critical reading of publications.
• Assessment of medical technologies.

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School of Public Health

• Decree N 99 (03.03.2004) of the Ministry of
  Public Health
• Translation of the textbook The New Public
  Health into Uzbek

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Plans for the future

• Curriculum development MPH
• Staff training
• LRC
• Short Courses
• Distance leaning in PH and HA
• Translation of the textbook The New Public
  Health into Uzbek