Health systems in transition : Uzbekistan

2.1 Overview of the health system
Based on managerial and regulatory functions as well as accountability, the 
state-run health system falls into three distinct hierarchical layers: the national 
(republican) level, the 
viloyat
 (regional) level, and the 
tuman
 (district) or city 
level (Fig. 2.1). The highest hierarchical layer is formed by the Ministry of 
Health and other national institutions. The private sector is still small and 
mainly comprises pharmacies, physicians working in small practices, and 
institutions involved in health care delivery or the production and supply of 
pharmaceuticals or medical equipment (President of Uzbekistan, 1998, 2007c).
Fig. 2.1
Overview of the health system  
Note
: *Dispensaries are medical facilities charged with screening for, identifying and managing specific conditions or groups of 
conditions. They were an integral part of secondary and tertiary health care before the dissolution of the Soviet Union and are still 
in place in many former Soviet countries.