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Article: MIGRATION AND REMITTANCES.

& Article: Migration and Development: Creating regional labor market and labor migrants circulation as response to regional market demands.

From the article “MIGRATION AND REMITTANCES “ I found out a database of Migration in Eastern Europe and the CIS is large by international standards. It said that Russia is home to the second largest number of migrants in the world after the United States; Ukraine is fourth after Germany; and Kazakhstan and Poland are respectively ninth and tenth. 15 percent or more of the populations of Armenia, Albania, Georgia, Kazakhstan, and Tajikistan migrated permanently, many of them the better-educated and younger elements of society. Kazakhstan, the main receiving country in Central Asia, has no agreements with its Central Asian neighbors except for an agreement with the Kyrgyz Republic on the labor activities and the social protection of labor

migrants working in the agricultural sector in the border areas.

The second article “Migration and Development: Creating regional labor market and labor migrants circulation as response to regional market demands” is no full of data about Kazakhstan. But I found some information about migration from Kazakhstan in comparison with other European countries. It said that: Help develop the financial system: provide another mean of income to banks, provide new customers for banks’ deposit, loan and insurance products and allow banks to raise capital through the securitization of future remittances (Brazil, Egypt, El Salvador, Guatemala, Kazakhstan, Mexico and Turkey).

 

 

Source: http://abiev.kz/3678-v-akorde-boyatsya-utechki-mozgov.html

Article: In Akorda fear of leakage of "brains"

 

Votes: 0

26/07/2012, 06:57

Secretary of State of Kazakhstan Mukhtar Kul-Muhammed during the meeting at the Ministry of Health expressed concern that the most qualified medkadry can escape to foreign clinics. Because of the "inadequacy" of their labor wages. Thus, the "Ak Orda" first recognized that physicians in the country are meager compared with their foreign counterparts money.

 

The meeting began with comments to the department leadership assignments, which were given to the Ministry of Health: Recall that Nazarbayev spoke about the need for shared responsibility of patients for their own health, their own insurance in the event of failure of treatment without a medical error or negligence and ignorance of pharmaceutical population to self-medicate.

 

Learning from the experience of others

 

Minister Salidat Kairbekova beginning with the last - illiterate patients.

 

- The big question - adoption of measures to improve the "drug literacy" of the population, - she said. - We have studied the positive experience of the UK and Germany on drug provision, including public awareness and drug formulary. Will be developed and implemented mechanisms to increase public awareness on the use of drugs "- Kairbekova repeated what was already said at a cabinet meeting last week.

 

Also, she said, will focus on a number of prescription medications and the patient's responsibility to obtain medicinal aid.

 

- This will create a consultative and educational centers for responsible self-medication and the rational use of medicines to the population, as well as monitoring center of research and analysis of the pharmaceutical market, prices, side effects, rational use of medicines. News of the region and the cities of Astana and Almaty to intensify this work, including through the center of a healthy lifestyle.

 

The Minister switched from literacy to literacy physicians.

 

- To ensure a systematic approach to the construction industry's human resources policy, ensuring the provision of quality health care services, developing a concept of human resources for health - said the Minister of Health. - In the framework of the concept in line with the international experience provides for the establishment of the Observatory of the health workforce, the main function of which will be to coordinate the work on effective personnel policy: The observatory will be established as a coordinating center for data collection, analysis, planning, forecasting demand for human resources for health.

 

In addition, according to Kairbekova to 2015 in all regions of Kazakhstan on the basis of medical colleges open simulation centers for medical students. And for them to impose the same verification procedures qualifications - will deal with National Center for evaluation of knowledge and skills, with a branch office in Almaty. In this case, to assess the skills and knowledge base will be used teaching and clinical centers of all six state medvuzov that "will improve the professional competencies and reduce the likelihood of medical errors."

 

Hour surveillance?

 

With regard to joint and several liability for the health of patients, there is a complete picture yet: before the meeting of journalists were given a press release, which indicated - the Ministry of Health, "and the Ministry of Labour and Social Welfare started the development of effective mechanisms for joint liability of the citizen for their own health through the address social assistance. "

 

"For example, to increase the responsibility of the Ministry of pregnant women has social benefits subject to timely appear (before 12 weeks gestation) registered and regular check-ups," - says the release.

 

This idea reporters tried to clarify the vice-minister of health Bayzhunusov Eric, who noted that the manual for the timely registration shall not replace public assistance for the child, and an additional charge for it.

 

- We offer in addition to the existing types of incentive payments to increase the part: if a woman up to 12 weeks will be on account of medical rules, and within 9 months will fully adhere to the doctor's prescription.

 

But to answer the question of the size of such a loss allowances, explaining that it is "yet seen." Even funnier was his explanation of how it will encourage patients to joint and several liability for your health:

 

- Here we give free drugs to patients with hypertension, asthma, and whether to give them these drugs, if he smokes, because then they become useless? If people have money for cigarettes and alcohol, then he has the money to buy the drugs, - the vice-minister.

 

Accordingly, those who do not smoke, stay of previous recipients of benefits. I wonder just how the Ministry of Health is going to determine smoking asthmatic or not? He did before going to the doctor and the patient can no cigarettes, and then went out of the office, smoke half a pack (if in asthma, of course, such a thing is possible).

 

A feeling that the recipients of free drugs through the state is going to set clock surveillance - something looks like a short story by Stephen King "Corporation" Quit Smoking ", where a kind-hearted people to help to give up nicotine that monitored the" object "of 24 hours a day, and smoked cigarette after kidnapping his relatives or the smoker deprived of any part of the body... Consoles only that while all this is - no more than the Ministry of Health wishes to all of these ideas will be developed before the end of the year, and then put to the court the government and Acorda.

 

How to Attract Investors

 

At the present time the leadership of the Ministry of Health with concern the need to attract more investors to the sector.

 

- Today, the region would need to involve private investors, including foreign investment and the construction of health facilities and the further management - said the Minister of Health Kairbekova. - The local executive bodies should take the initiative to attract private investment - after the government shifted its problem is on the shoulders of governors.

And it will not let her find investors withdrew from the State Secretary Mukhtar Kul-Muhammed.

 

- It is a building of a coherent national strategy for economically viable investment in health. This is necessary in order to avoid future chaotic construction and equipping of hospitals - Kul-Muhammed said, looking at Kairbekova. - It is also necessary to develop a program of compensation to investors, and at rates that would adequately cover the investment only if they come into the industry, - he added.

 

After that, it became clear that Acorda very concerned about the possibility of a brain drain from Kazakhstan to foreign medical clinic.

 

- I believe that the nine cutting-edge medical centers, which are built in Astana, can really compete with any western clinics: is impressive numbers, and I want to voice them, - he began to steal up to the problem of distance. - For example, a bone marrow transplant in the western clinics worth 175,000 dollars, and such complex operation in Kazakhstan is 100 thousand, kidney transplantation in the west stands of 30 thousand dollars, we have a total of 14 thousand dollars. And the quality of these operations at the same level as in western clinics, used the same equipment, this year, our surgeons planned to hold 12,900 operations stenting vessels of the heart, and, judging by the pace at which today are you this year can easily surpass the plan.

 

- This is a very good performance! But I want to know, given that the rates for these operations specified in Kazakhstan, much less our surgeons get a proper adequate wages and remuneration? - He turned to the representatives of the Ministry of Health and medical institutions.

 

Volunteered to meet the chairman of the Board of JSC "National Medical Holding" Elzhan Birtanov, who reported that the clinic operates individual salaries. There are cases when doctors are 700-750 thousand tenge.

 

- Today, the average salary of a doctor in the National Medical Holding makes about 160 thousand tenge, the average salary of a nurse - about 90 thousand tenge. Compared with salaries in the health sector around 10-15% higher, - he explained. - We have created a plan, and we have an annual indicator to increase salaries of health care workers to the European level.

 

Hearing this, the state secretary erupted warning tirade against the Ministry of Health:

 

- I just want to warn you that if the labor surgeon will not adequately assessed, it is not far off brain drain, - he said. - Then they can easily go to any clinic and get the western ten times more. So if we say that we are building a market economy, and introduce market mechanisms in all areas, they should be implemented and in health. All the more so in law no limits. If, for example, foreign managers who work in the oil industry, are several times larger than our domestic because they have higher qualifications, so it should be in the health sector - said Kul-Muhammed.

 

Doctors also clinics in Kazakhstan, to his knowledge, and so is not enough.

 

- The country is often referred to the shortage of medical staff in the health sector today employs more than 65,000 physicians, at the same time lack of over 5000 people. The result is a high load of doctors - stated Secretary of State. - However, it is no secret that our doctors often do non-core functions, which could take the average medical staff. It is important not only to increase the number of secondary health care workers, but also to raise their status and professional qualification.

 

- Rethinking the need for medical personnel associated with the nature of the use of health care resources - he poured idea of ​​the tree. - It is known that in Kazakhstan, the average length of stay in hospital for more than twice the figure in the leading European countries and the U.S.. It should be expected that the optimization of bed turnover will inevitably lead to a reduction of the numerical requirements of medical staff - he made an unexpected conclusion of his tirades.

 

Indeed, what we doctors when self is in our blood, and the Internet provides unlimited opportunities to experiment with your own body?

 

- Previously, of course, the patient received the necessary information and advice directly from a physician: the Internet was not the medical books were not quite available - hit the memories Kul-Muhammed. - And they believed the doctor's words, and realized that this is the only true solution. Today you have a lot of competitors. Free access to health information enables citizens to make reasonable inferences about the needs of the health and objectively select the truly sought after professionals and competitive medical organizations. Therefore, you must not only be extremely careful, but in the ultra-precise diagnosis and medical prescriptions, - concluded the Secretary of State.

 

... Overall, a very logical left the ending - in the light of a separate paragraph in the article Nazarbayev on the need to improve drug literacy: spacey doctors now do not know what to do - whether to prohibit patients crawl on social networks, which provides a wealth of advice on self-treatment, most of which give non-specialists, or arrange with each individual patient, breathe deeply medical freedom in global web, scientific consultation. And most importantly, Acorda seems she does not know what she wants, what causes a commotion and confusion in our ministries, who are used to go only system and only on orders from above...


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