Assessment of the patronage nursing system with equity analysis in Kazakhstan

Highlights

This report provides findings of the Patronage Nursing System assessment in Kazakhstan. The overall purpose of the consultancy was to provide technical assistance to the MoH and UNICEF Country Office (CO) in conducting an assessment of the Patronage Nursing System (PNS), which included the Healthy Baby Rooms system and antenatal/postnatal visiting with social workers at Primary Health Care (PHC) level. The main strengths and weaknesses of the Patronage Nursing System were identified to inform concrete actions and changes to strengthen the system’s quality and coverage, in order to address disparities and inequities in basic mother and child health services. The assessment took place in the wider context of the implementation of a State Program on Health System Development Salamatty Kazakhstan, which includes the establishment of a blended model of medico-social services at PHC level using the Patronage Nursing System. In partnership with the MoH of the Republic of Kazakhstan and the Republican Centre on Health System Development, UNICEF intended to facilitate the PNS assessment with an equity analysis, and sought an international and national consultancy to support implementation.