Despite the country’s strong health system, maintaining quality services outside big cities has suffered in recent years as a consequence of weakening investment in the sector. The country also has a high incidence of chronic diseases and an exceptionally high percentage of people with chronic ailments who require long-term care.

In Kadamjay, a stunning but harsh region of southwestern Kyrgyzstan, accessing healthcare is challenging, even without the threat of COVID-19, as the long distances can make it difficult for people to reach health centres. Medications for children under five and pregnant women are free in Kyrgyzstan, but most people have to dig into their own pockets for medicines, as few people are covered by health insurance. With limited opportunities to earn a living and low incomes, many people simply cannot afford to get the treatment they need.

For the past four years, MSF has been providing medical assistance in Kadamjay, where rates of some chronic diseases are among the highest in Kyrgyzstan. Working closely with the Ministry of Health, our teams support district health authorities in the screening, diagnosis and prevention of ailments including diabetes, hypertension and anaemia, which is particularly widespread among children.

To improve screening and diagnosis for a range of chronic diseases, investment in laboratory capacity has been necessary. Our teams have renovated and repaired existing medical equipment and have trained Ministry of Health staff in the practical use of diagnostic equipment such as ultrasounds and cold coagulators, as well as in adhering to standard treatment guidelines.