Volume 03 Issue 09-2023
51
American Journal Of Social Sciences And Humanity Research
(ISSN
–
2771-2141)
VOLUME
03
ISSUE
09
P
AGES
:
51-56
SJIF
I
MPACT
FACTOR
(2021:
5.
993
)
(2022:
6.
015
)
(2023:
7.
164
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
ABSTRACT
The article analyzes the issues of renovating the medical institutions of Fergana region with qualified personnel, the
reforms carried out in the way of training and improving their qualifications.
KEYWORDS
Fergana region, medical institutions, medical staff, doctors, nurses, professional development and retraining.
INTRODUCTION
On the eve of independence, the country had a high
demand and need for medical professionals. In turn,
this situation caused personnel problems in places.
This in turn meant that the training of qualified doctors
and secondary medical personnel was one of the
important, most urgent tasks.
During this period, 5,945 qualified doctors worked in
125 hospitals in the Fergana region, which were able to
treat up to 27,000 patients at a time. This is a better
indicator in the Republic than a [1:27].
To bring the provision of specialists in rural medical
institutions to the level of demand, 257 out of 366
doctors sent to the disposal of the Regional Health
Department in 1992 (70 percent) were given a referral
to treatment and preventive institutions in rural areas
for work. In addition, the chief Doctors of 135 rural
outpatient clinics were returned from their positions to
Research Article
ISSUES OF PROVIDING QUALIFIED PERSONNEL TO MEDICAL
INSTITUTIONS OF FERGANA REGION
Submission Date:
September 13, 2023,
Accepted Date:
September 17, 2023,
Published Date:
September 23, 2023
Crossref doi:
https://doi.org/10.37547/ajsshr/Volume03Issue09-08
Abdukhalimov Abdurakhmon Abdumo
‘Minovich
Andijan State Medical Institute Work With Youth, Spirituality And Head Of Education, History Doctor Of
Philosophy (Phd), Associate Professor, Uzbekistan
Journal
Website:
https://theusajournals.
com/index.php/ajsshr
Copyright:
Original
content from this work
may be used under the
terms of the creative
commons
attributes
4.0 licence.
Volume 03 Issue 09-2023
52
American Journal Of Social Sciences And Humanity Research
(ISSN
–
2771-2141)
VOLUME
03
ISSUE
09
P
AGES
:
51-56
SJIF
I
MPACT
FACTOR
(2021:
5.
993
)
(2022:
6.
015
)
(2023:
7.
164
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
direct treatment work. As a result, the provision of
doctors to the villagers improved somewhat. Since
more than 1.5 thousand medical personnel who served
in rural areas have advanced their qualifications, 254
doctors, 220 intermediate medical personnel have
been given the category. Despite this, the total number
of medical personnel of the category was much less in
the Yozyovon, Dangara and Furqat Districts [1:21].
The training of some doctors in the region was carried
out in the form of short-term cycles of 10 days by the
Research Institute of Pediatrics, and not by specialists
from the Institute of professional development of
doctors [2:139].
As of 2002, the supply of doctors in the region was 23.0
per 10,000 inhabitants, compared to 22.6 in 2003. Of
the existing 8,59 medical places in the treatment and
prophylactic monsoons, 7,49 were occupied by
specialists. For every 10,000 residents by region, the
supply of Doctor lovozim was 28.6.
With a seat ratio of 1.4 by region, this figure was higher
than the regional figure in the cities of Fergana district,
Quvasoy and Marghilon, and lower than the figure in
the districts of Sokh, Stone, Furqat, Uzbekistan, Quva,
Dangara and Baghdad.
According to the region, the supply of secondary
medical personnel with lovozymes to every 10
thousand inhabitants was 67.5, which was lower than
the regional figure in the Uchkoprik, Rocky, Baghdad,
Sokh and Beshariq districts.
During the year, 1,214 people qualified, or 18.7% of the
total doctors, and 3,989 or 12.6% of the secondary
medical staff.
Systematic work on improving the qualifications of
doctors of maternity complexes and women's
maternity hospitals providing Perinatal assistance was
carried out, 58 Obstetricians-Gynecologists, 184
pediatricians, 28 neonatologists and 90 general
practitioners from the region took 10-month courses.
Also, during the Year, 1 obstetrician-gynecologist and 1
pediatrician were sent to Kiev in the Ukrainian state for
Advanced Training [3].
In 2009, the supply of physician positions per 10,000
residents by province had decreased to 25.8. This
figure was significantly lower than the regional figure
in Sokh, Baghdad, the Steppe, Yozyovon, Oltiariq,
Oxunboboev,
Dangara,
Uchkoprik,
Buvayda,
Uzbekistan, Quwa, Beshariq, Fergana, Rishton and
Furqat district.
While the supply of Doctor positions with specialists
was 92.1 percent in the region, the cities of Quvasoy,
Fergana, Fergana, Yozyovon, Okhunboboev and Sokh
district were below the regional figure. With a seat
coefficient of 1.5 by region, it was higher than the
regional indicator in the cities of Margilon, Fergana,
Volume 03 Issue 09-2023
53
American Journal Of Social Sciences And Humanity Research
(ISSN
–
2771-2141)
VOLUME
03
ISSUE
09
P
AGES
:
51-56
SJIF
I
MPACT
FACTOR
(2021:
5.
993
)
(2022:
6.
015
)
(2023:
7.
164
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
Fergana, Arkhlag, Yozyovon, Quvasoy, Sokh and
Okhunboboev districts.
With the posts of secondary medical personnel in the
region, the supply to every 10 thousand residents was
61.0, while in Uchkoprik, Uzbekistan, Sokh, Buvayda,
Oltiariq, Baghdad, Tashkent, Yozyovon, Beshariq,
Danghara and Fergana districts it was lower than the
regional figure.
The employment of secondary medical personnel
positions was 99.7 percent for the regional buyer and
0.9 for the seat ratio. This indicator fell below the
established norm of Rishton, Quva, Furqat,
Okhunboboev, Beshariq, Dangara, Rocky, Uzbekistan,
Sixariq districts.
During this period, a total of 163 medical institutes
graduated Bachelor, general practitioners were
recruited to the regional treatment and preventive
institutions.
In order to improve the staffing of treatment and
preventive institutions, first of all, Qvps, measures
were taken to attract young specialists to rural vrchlik
points based on a database on graduates of medical
higher education institutions in the cross section of
cities and districts, and to recruit doctors working in
District Central polyclinics to rural vrchlik points on a
bench basis. As a result of this, the supply of doctors in
rural vrchlik points increased by the region from 79.9%
in early 2009, by the end of the year to 94.3%, including
the lowest supply, on average 25-30% in the districts of
Sokh, Stone, Fergana and Yozyovon.
In all treatment and preventive institutions, the needs
of a narrow range of specialists were analyzed and 61
narrow-range specialists were hired, who graduated
from the clinical residency and master's degree. In
addition, during the year, 62 doctors passed the
specialty, entered the qualification specialty and
continued their activities.
As of the end of the year, 3,713 or 58.4% of total
doctors, and 38.3% of secondary medical personnel had
a qualification Category [4:81].
The provincial Blood Transfusion Service had 40
doctors and was fully staffed. Of these, 8 of the higher
category 10 were Category 1 and accounted for 45
percent. The medical staff numbered 118, of whom 63
were categorised.
The supply of doctors in the region during this period
amounted to 20.6 per 10 thousand residents. This
figure was higher in the cities of Kokand and Margilan,
but 2 times lower than the regional figure in the
districts of Sokh, Fergana, Rocky, Yozyovon, Baghdad
and Qoshtepa.
The number of secondary medical personnel was
36,380, 117.8 per 10,000 inhabitants. This figure was
higher in the districts of Kokand city, Quwa, Furqat and
Rishton, and lower than the provincial figure in the
Volume 03 Issue 09-2023
54
American Journal Of Social Sciences And Humanity Research
(ISSN
–
2771-2141)
VOLUME
03
ISSUE
09
P
AGES
:
51-56
SJIF
I
MPACT
FACTOR
(2021:
5.
993
)
(2022:
6.
015
)
(2023:
7.
164
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
districts of Fergana city, Sokh, Yozyovon and
Uchkoprik.
In 2011, within the framework of the" Health-3 "
project, systematic work was carried out to re-train
doctors operating in district and municipal medical
associations, multidisciplinary polyclinics and family
polyclinics as general practitioners in order to organize
training in special 10-month retraining courses.
There were a total of 6,214 doctors in the treatment-
proiflactic
facilities
in
the
Regional
Health
Administration system, with a supply of 18.8 per 10,000
inhabitants. The districts of sokh, Tashlag, Fergana,
Yozyovon, Qoshtepa, Oltiariq, Baghdad, Beshariq and
Buwayda were included in low-maintenance areas.
During this period, the province had needs in some
areas of expertise. Including 29 psychiatrists, 32
phthisiatrists, 30 radiologists, 18 anesthesiologists-
resuscitators, 11 pathanatoms, 14 endocrinologists, 13
Dermatovenerologists who were critical. But, on the
way to eliminating this Mammo, 1,419 people trained
during the year, or 21.8% of the total doctors. Of the
doctors of the regional treatment and preventive
institutions, 116 received special training in retraining
(specialization) courses.
In
2012,
242
bachelors
(general
doctors,
epidemiologists, dentists) and 28 undergraduates
were distributed to work in regional treatment
proflaktics institutions. Of these, 184 were hired, with
the remainder sent to study (clinical ordinatura and
magsitratura) to continue the education [3].
In 2017, the provision of physician positions with
specialists was lower than the regional figure in the city
of Quvasoy, Yozyovon, Fergana and Qoshtepa
districts, with 92.5 percent in the province. While the
coefficient of seating was 1.4 by region, this figure was
high in the districts of Rocky, Fergana, Sokh, Kotepa
and Sixariq.
With the posts of secondary medical personnel by
region, the supply to every 10 thousand residents was
60.0, while in the districts of Uchkoprik, Tashkent,
Buvayda and Beshariq it was higher than the regional
figure.
The employment of secondary medical personnel
positions was 99.7 percent by region and the seat ratio
was 0.8, which did not reach the regional indicator in
the districts of Quwa, Rishton, Baghdad, Qoshtepa,
Beshariq and Buwayda.
During this period, 42,696 secondary medical workers
were active in the regional medical institutions,
accounting for 117.9 per 10,000 inhabitants. This was
higher than the provincial figure in Kokand city,
Rishton and Quwa districts, and lower in Fergana city,
Uchkoprik and Oltiariq districts.
While the provision of Doctor's positions with
specialists is 92.5 percent in the region, in the districts
Volume 03 Issue 09-2023
55
American Journal Of Social Sciences And Humanity Research
(ISSN
–
2771-2141)
VOLUME
03
ISSUE
09
P
AGES
:
51-56
SJIF
I
MPACT
FACTOR
(2021:
5.
993
)
(2022:
6.
015
)
(2023:
7.
164
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
of Quvasoy city, Yozyovon, Fergana and Qoshtepa, this
figure has fallen significantly from the norm.
The number of medical positions in qvps was 1,606.25
in 2019. The employment rate of medical positions,
being 74.8 percent, did not reach the regional indicator
in the districts of Koshtepa, Yozyovon, Quvasoy,
Fergana.
In the Qvps of the region, the seat coefficient is 1.5,
higher than the regional indicator in the districts of
Quvasoy city, Fergana, Baghdad, Beshariq, Arkhlars
and Uzbekistan. Danghara, Uchkoprik, Qushtepa,
Buwayda, Rishton and Furqat districts had lower rates.
The employment of the positions of secondary medical
personnel was 99.9 percent by region, and the seat
ratio was 0.9.
1,652 of the doctors operating in the regional
treatment and preventive institutions, 5,549 of the
secondary medical personnel had advanced their
qualifications, and as of the end of 2019, 3,846 of the
total doctors had a qualification category of 45.3% of
the secondary medical personnel [3].
In 2022, the number of physician positions at family
physician points was 381.75, with an employment rate
of 84.6%. The provision of physician positions with
specialists was lower in Quvasoy city, Rishton, Fergana
and Sixariq districts, with 84.6 percent in the province.
During the year, 1,265 doctors operating in regional
treatment and preventive institutions, 4,715 secondary
medical personnel, received training. 49.6% of total
doctors, 43.0% of secondary medical personnel had a
qualification Category [3].
In place of the conclusion, it is possible to say that in
the early years of independence in the Fergana region,
the lack of doctors and secondary medical personnel
active in the field of Medicine was one of the main
problems in the system. Due to the scarcity of specialist
medical personnel, no ultrasonic examination,
electrocardiograms and similar medical apparatus
were used in places, especially those brought to rural
doctor's offices. Most doctors with higher education or
secondary specialized medical personnel indicate that
they did not undergo training and retraining courses.
As a result of the reforms carried out in the system
during the years of independence, many medically
qualified personnel activities are established in the
region. Doctors with higher education and secondary
medical personnel underwent Tayta training in
advanced training courses. A narrow range of
specialists were involved in the system.
REFERENCES
1.
State archive of the Fergana region, Fund 1220, list
1, Collection 5, 60.
Volume 03 Issue 09-2023
56
American Journal Of Social Sciences And Humanity Research
(ISSN
–
2771-2141)
VOLUME
03
ISSUE
09
P
AGES
:
51-56
SJIF
I
MPACT
FACTOR
(2021:
5.
993
)
(2022:
6.
015
)
(2023:
7.
164
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
2.
National Archives of scientific and technical and
medical documents of the Republic of Uzbekistan,
m-372-Foundation. List 1, volume 164.
3.
Data from the Department of health of the Fergana
region.
4.
Archives of the administration of the president of
the Republic of Uzbekistan Fergana region
department, Foundation 2048, list 21, Collection 27
