UNDP supports enhancement of quality of services for lonely elderly and PWDs

Sep 29, 2016

The issues of social protection and support to vulnerable population were in the focus of social policy of Uzbekistan from early 90th. In particular adopted in May 28 of 1991 Resolution of Cabinet of Ministers #145 «About additional measures on social protection of lonely pensioners» established a number of benefits together with the set of goods provided to lonely elderly for free. This decision played particular role for maintenance of living standards of the most vulnerable part of population to overcome economic hardship after collapse of former Soviet Union.

In the following years the government step by step improved relevant regulations in line with demands of population and available resources. The Resolution of the Cabinet of Ministers #237 dated by August 2015 «On measures for further improvement of targeted social protection of elderly and persons with disabilities» has established new mechanism of needs assessment and improvement of service provision for lonely elderly and PWDs. According to the new regulation the set of goods every month provided to lonely elderly for free was extended from 9 to 15 items and the total value of good was increase almost four times. After adoption of the new regulation the amount of people included in the list for home based social service provision was increased on 25% and the amount of people receiving set of free goods was increased to 15%.

Quantitative growth of service provision was followed by measures to improve and ensure quality of provided services. In order to ensure required level of services the new Standards of home based social services for lonely elderly and PWDs are now being introduced. These standards establish state requirements for home based services offered by social service providers. The new normative will establish quality assurance rules for the entire system of service provision including access to buildings, quality of needs assessment, quality of communication and interaction between the client and service provider, quality of organization management, requirements for security and protection of rights of clients as well a service providers, service provider staff education and training level, monitoring and evaluation.

Standards were developed in the framework of the joint project «Improving quality of social service delivery for persons with disabilities and lonely elderly people in Uzbekistan» between the Ministry of Health, Ministry of Labour and UNDP. They were introduced for pilot implementation on a seminar held on August 24 in Tashkent for the staff of social assistance departments of healthcare management units of Tashkent city and Tashkent region.

  • In 2016 it has some of 358 thousand people live in Zangiota district inhabitants. Among them some of 31000 are retired and some of 3200 persons with disabilities. Some of 100 elderly are lonely or living alone and receive state support and social services. Every year some of 350 persons with disabilities are supplied with rehabilitation means.
  • Mirabad district is located in the heart of Tashkent city. It is relatively small district with 130 thousands inhabitants including 19400 on retirement and some of 2100 persons with disabilities. Some of 60 lonely and living alone elderly are getting support and home based social services. Some of 50 means of rehabilitation were given to the needed PWDs in year 2016.

Issues of implementation of new standards were discussed on two followed seminars organized by district level healthcare departments with UNDP assistance: on September 9 in Zangiota district of Tashkent region and on September 23 in Mirabad district of Tashkent city. Seminars were devoted to discussion of issues of implementation of new regulation and quality assurance measures basing on review of concrete examples and best local practices.

Seminar participants critically reviewed issues of documents turnover, potential client identification, client needs assessment and documenting of cases for lonely elderly and PWDs. Particular attention was given to the issues of improvement of case management, client mapping and organizational development.

Exchange of best practices raised lively discussion. A number of lonely elderly and PWDs were invited and participated on discussions in order to provide clients views on quality of services. Their feedbacks allowed concluding that social service departments of Zangiota and Mirobod districts maintain high quality of services with great attention to the needs of lonely elderly and PWDs. Representatives of other districts received advices and examples of best practices applicable for implementation on their workplaces.

It was noted that regular implementation of such events will make great contribution into improvement of overall staff and management quality and will allow to maintain provision of unified standard of high quality services for lonely elderly and people with disabilities in all districts of Tashkent region and can be further replicated nationwide. 

 

 

Mirabad district is located in the heart of Tashkent city. It is relatively small district with 130 thousands inhabitants including 19400 on retirement and some of 2100 persons with disabilities. Some of 60 lonely and living alone elderly are getting support and home based social services. Some of 50 means of rehabilitation were given to the needed PWDs in year 2016.

 

 


 

 

Mirabad district is located in the heart of Tashkent city. It is relatively small district with 130 thousands inhabitants including 19400 on retirement and some of 2100 persons with disabilities. Some of 60 lonely and living alone elderly are getting support and home based social services. Some of 50 means of rehabilitation were given to the needed PWDs in year 2016.

 

 


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