AVAILABILITY AND RATIONAL USE OF MEDICINES IN UZBEKISTAN: A NEW CHALLENGE FOR THE HEALTHCARE SYSTEM
Abstract
This article analyzes current issues related to access to medicines in Uzbekistan, their economic accessibility, and their rational use. The main idea of the article is that modern medicine is determined not only by the doctor and the hospital, but also by the patient receiving the necessary medicine on time, according to the correct prescription, and at an acceptable price. Despite the fact that the coverage of healthcare services in Uzbekistan has been expanding in recent years, all necessary medicines are still not fully covered, population costs remain high, and regional differences in drug supply and rational use remain. At the same time, the introduction of new legal and organizational mechanisms for the reimbursement system for medicines in 2024 testifies to the beginning of a new stage in this field.
Keywords
Uzbekistan, medicines, accessibility, prescription culture, reimbursement, primary health care, antibiotic resistance, pharmaceutical policy
References
- WHO European Observatory. Health systems in action: Uzbekistan. 2024. (OBS)
- WHO Europe. Uzbekistan moves to improve medicine affordability at primary health-care level. 26 November 2024. (World Health Organization)
- World Bank. Accelerating Progress Towards Universal Health Coverage (UHC) in Uzbekistan: A Proposal for a National Health System Strategy 2030. 2025. (World Bank)
- World Bank. Uzbekistan Public Expenditure Review. 2022. (World Bank)
- WHO Europe. Helping countries ensure equitable access to affordable medicines. (World Health Organization)
- World Health Organization. Health Systems in Action: Uzbekistan – Key Insights. Copenhagen: WHO European Observatory; 2024. (OBS)
- World Bank. Health System Improvement Project in Uzbekistan (Implementation Report). Washington, DC: World Bank; 2020. (World Bank)
- World Health Organization. Health Systems in Action: Uzbekistan (Full Report). Geneva: WHO; 2021. (Iris)
- World Bank. Out-of-Pocket Health Expenditure Data for Uzbekistan. World Bank Open Data; 2025. (The World Bank)
- European Observatory on Health Systems and Policies. Uzbekistan Health Financing and Access Challenges. WHO Europe; 2024. (P4H Network)
- World Bank. Uzbekistan Public Expenditure Review in Health Sector. Washington, DC; 2022. (P4H Network)
- IntechOpen. Advantages and Challenges of the Healthcare System in Uzbekistan. 2023. (IntechOpen)
- World Bank. National Health System Strategy Development for Uzbekistan. 2025. (World Bank)
- Times of Central Asia. Primary Healthcare 2030: Uzbekistan’s Shift to Prevention. 2026. (The Times Of Central Asia)
- World Bank. Universal Health Coverage and Health System Reform in Uzbekistan. 2025. (World Bank)