Ministry of Labour, Health and Social Affairs

Invest in Georgian

Health System

Major Directions in Health Reform

–Updated infrastructure

– Comprehensive Health Information System

– Efficient and effective management of public funds

– Sufficient human resources

– Protection of the patient’s rights

2

Georgia Demographic and health status TrendsOverall health Status in Georgian fell following independence and only began to recover at the beginning of the 21st Century.

Although still high by international comparison, maternal mortality rates have improved from 55.1/100 000 live births in 1995 to 14.4 in 2008 and for infant mortality from 41/1000 live births in 1990 to 26 in 2008 respectively.

Cardiovascular diseases are leading cause of mortality, accounting for 55.2% followed by malignancies at 10.8%. Average life expectancy has decreased from 72.9 years (1990) to 70.3 in 1995, but rose again to 76.9 years in 2010 (men 73.6 and women 80.6 years) Life expectancy is higher than the WHO Europeans Region average of 75.0 years.

Georgian Health Care System - Growing Industry

252 296 338 436 551 651 830 1 114 1 089

7.8%

8.7% 8.5% 8.5% 8.6% 8.4% 8.2%8.7%

10.1%

7.0%

7.5%

8.0%

8.5%

9.0%

9.5%

10.0%

10.5%

11.0%

0

200

400

600

800

1 000

1 200

1 400

1 600

1 800

2 000

2001 2002 2003 2004 2005 2006 2007 2008 2009

Total Health Care Expenditures (mill USD) THE as % of GDP

Source: MoLHSA

Trends of Public Health Expenditures

14%14%

15%16%

20%

22%

18% 21%23%

1.1% 1.2% 1.3% 1.3% 1.7% 1.8%1.5% 1.8% 2.3%

6.1% 6.3% 6.7%5.4% 6.0% 5.7%

4.2% 4.9% 6.2%

0

50

100

150

200

250

300

350

400

450

500

2001 2002 2003 2004 2005 2006 2007 2008 2009

state health care expenditures (mill USD)

state health care expenditures as % of Total health Expenditure

State health care expenditures as % of DGP

State health care expenditure as % of State Budget

Source: MoLHSA

Building up / renovating infrastructure for 102 hospitals throughout the country

Creating more than 8000 new bed-capacity

Re-shaping Primary Health Care system on regional, district and village level

Strengthening pre-hospital care

Updating standards and licensing system for health facilities

Private ownership and management of the hospitals

6

Infrastructure

Government investments – 22 hospitals Private insurance companies – 46 hospitals Other private donors (Canada, UK, Israel, Poland, Czech

Republic) – more 10 hospitals 103 million USD International donors(USAID, WB) – 4 hospitals Small, medium-size and large hospitals with 20% of

high-tech bed capacity by April 2012 overall 2 Billion GEL investment in health sector

7

Infrastructure

Infrastructure

8

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