Monitoring and Evaluation Strategy. Den Sooluk National Health Reform Program (2012-2016)

Package of indicators for monitoring The National Health Care Reform Program "Densooluk"2012-2016

Kyrgyzstan has been a pioneer in strengthening monitoring and evaluation in the health sector. A health system monitoring instrument was first developed in 2002, and continuously revised to match new sector programs. The annual preparation of the instrument has been institutionalized in the MOH, in the Department of Strategic Planning and Health Reforms which is responsible for its preparation and presentation at the joint annual reviews. In addition, health system studies on various topics are conducted. An annual work plan of studies is developed by the MOH. Findings of sector monitoring and policy studies are channeled to the policy development process and to sector dialogue and coordination primarily through the JAR´s.    
M&E strategy for Den Sooluk is built on past achievements of the current M&E system while ensuring that it is fully synergistic with the new paradigm presented in Den Sooluk. Key objectives of Den Sooluk Program are to improve population health in four priority areas (CVD, MCH, TB, and HIV) and remove health system barriers (in public health, individual service delivery, financing, human resources, medicines, and governance) in order to scale up core services and achieve expected health gains.     
The Den Sooluk M&E strategy is based on four pillars which jointly will provide a full picture of implementation progress. The four pillars include:
(i)    M&E indicator package based on routine and annually monitored data,
(ii)    regular coverage studies assessing progress with expanding core services,
(iii)    health system studies ordered by the MOH/MHIF looking into progress and obstacles in removing key health system barriers, and
(iv)    large scale household and patient surveys.  

Review of public expenditures on health care in the Kyrgyz Republic