COVID-19 Döneminde Özbekistan'ın Karşılaştığı Güçlükler ve Uygulamaları

Tüm dünyada olduğu gibi, koronavirüs hastalığı 2019 (coronavirus disease 2019, COVID-19) pandemisi, Özbekistan'ın sağlık sistemi ve ekonomisi üzerinde benzeri görülmemiş bir etkiye yol açmıştır. Kaynak yetersizliği, sağlık sisteminin işleyişindeki yavaşlık ve uzun bürokratik karar alma süreçleri, olumsuz etkiyi arttırmıştır. Pandeminin yapısından kaynaklanan belirsizlikler ve sürekli değişkenlikler dolayısıyla, tüm yönetsel kademelerde etkinlik sağlanamamıştır. Yatak sayısındaki yetersizlik, tıbbi malzeme kısıtı ve sağlık çalışanlarındaki yetersizlik nedeniyle tüm sağlık sistemi çökme noktasına gelmiştir. Özbek hükümetinin ekonomik iyileşme ile kötüleşen sağlık sistemi harcamaları arasında iyi bir denge sağlamak için oldukça kapsamlı stratejik planlara ihtiyacı vardır. Pek çok Bağımsız Devletler Topluluğu (BDT) ülkesinden farklı olarak Özbekistan, COVID-19 pandemisinin ülkede etkili olduğu gerçeğini inkar etmemiştir. Ancak veri paylaşımındaki yetersiz şeffaflık, bilginin doğruluğu hakkında şüphelerin artmasına yol açmaktadır. Zaten uzun yıllardır ekonomik ve sosyal hayatta önemli sorunlarla boğuşan Özbekistan’ın, pandeminin de kötüleştirdiği sağlık sektörü başta olmak üzere, enflasyon ve işsizlik gibi sorunlarla mücadele etmek ve makroekonomik performansını güçlendirmek için orta ve uzun vadeli girişimlere ve yabancı yatırımlar ile dış yardımlara ihtiyaç duyacak gibi görünmektedir.

Challenges and Responses of Uzbekistan During COVID-19

Like the rest of the world, the coronavirus disease 2019 (COVID-19) pandemic showed anunprecedented impact on healthcare system and economy of Uzbekistan. Due to lack ofresources, stalled organizational agility and highly bureaucratic decision making, thehealthcare system of Uzbekistan did not perform optimally. From the top to the bottomdecision-making and path dependent strategies were adopted that were ineffective due tovolatile and uncertain nature of pandemic. The whole system collapsed because of lack of beds,medical supplies and personal protective equipment (PPE) for healthcare workers. The Uzbekgovernment needs strategic plans to keep a fine balance between the economic recovery andspending on deteriorating healthcare system. Unlike many Commonwealth of IndependentStates (CIS) countries Uzbekistan didn’t deny the existence of COVID-19 in the country.However lack of transparency in data dissemination creates doubts of the intent and accuracyof the information. Uzbekistan would have to apply medium and long-term initiatives andforeign assistance to strengthen the macroeconomic structure and to fight with the inflationand unemployment.

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  • 1. Gleason G, Baizakova K. COVID-19 in the Central Asian Region: National responses and regional implications. Connections QJ. 2020;19(2):101-14.
  • 2. gazeta.uz [Internet]. Gazeta.uz. Wuhan residents banned from leaving city due to coronavirus. [Cited: 2021 Feb 2]. Available from: https://www.gazeta.uz/ru /2020/01/23/coronavirus/.
  • 3. Bayesheva D, Boranbayeva R, Turdalina B, Fakhradiyev I, Saliev T, Tanabayeva S, et al. COVID19 in the paediatric population of Kazakhstan. Paediatr Int Child Health. 2020;[Epub ahead of print]. doi: 10.1080/20469047.2020.1857101.
  • 4. Li H, Liu SM, Yu XH, Tang SL, Tang CK. Coronavirus disease 2019 (COVID-19): current status and future perspectives. Int J Antimicrob Agents. 2020;55(5):105951.
  • 5. Balakrishnan VS. COVID-19 response in Central Asia. Lancet Microbe. 2020;1(7):e281.
  • 6. gazeta.uz [Internet]. Gazeta.uz. Coronavirus COVID19: statistics for Uzbekistan and the world. [Cited: 2021 Feb 3]. Available from: https://www.gazeta.uz/ru /coronavirus-stat/.
  • 7. gazeta.uz [Internet]. Gazeta.uz. First case of coronavirus registered in Uzbekistan. [Cited: 2021 Feb 2]. Available from: https://www.gazeta.uz/ru/2020/03/15/covid/.
  • 8. gazeta.uz [Internet]. Gazeta.uz. What measures have been taken in Uzbekistan against coronavirus. The main thing. [Cited: 2021 Feb 3]. Available from: https://www.gazeta.uz/ru/2020/03/15/measures/.
  • 9. uzedu.uz [Internet]. Ministry of Public Education of the Republic of Uzbekistan. Holidays are announced in all schools of Uzbekistan. [Cited: 2021 Feb 3]. Available from: https://www.uzedu.uz/ru/16-martdantatil-elon-qilinadi.
  • 10. apnews.com [Internet]. McDonald J. China builds hospital in 5 days after surge in virus cases. [Cited: 2021 Feb 3]. Available from: https://apnews.com/ article/beijing-health-coronavirus-pandemic-wuhanchina-c555525ecdaea032b6d1bc1ec2894513.
  • 11. curenttime.tv [Internet]. Current Time. A hospital for coronavirus infected with 10 thousand beds is being built in Uzbekistan. [Cited: 2021 Feb 3]. Available from: https://www.currenttime.tv/a/uzbekistancoronavirus-novaya-bolnitsa/30574327.html.
  • 12. podrobno.uz [Internet]. Uzbekistan News. In Uzbekistan, hostels of universities and colleges will be converted into quarantine centers. Quarantine zone in Urtasaray will accept only arrivals from abroad. [Cited: 2021 Feb 3]. Available from: https://podrobno.uz/cat /obchestvo/v-uzbekistane-obshchezhitiya-vuzov-ikolledzhey-pereoboruduyut-v-karantinnye-tsentrykarantinnaya-zo/?sphrase_id=1151110.
  • 13. gazeta.uz [Internet]. Gazeta.uz. In Tashkent - “yellow” level of quarantine (all regions). [Cited: 2021 Feb 3]. Available from: https://www.gazeta.uz/ru/2020/05/06/ regions/.
  • 14. gazeta.uz [Internet]. Gazeta.uz. What Uzbeks were stocking up on because of coronavirus. [Cited: 2021 Feb 3]. Available from: https://www.gazeta.uz/ru/ 2020/03/28/markets/.
  • 15. podrobno.uz [Internet]. Uzbekistan News. Mandatory wearing of a mask in public places is introduced in Uzbekistan. Fines are stipulated for her absence. [Cited: 2021 Feb 3]. Available from: https://podrobno.uz/cat/ obchestvo/v-uzbekistane-vvoditsya-obyazatelnoenoshenie-maski-v-obshchestvennykh-mestakh-za-eeotsutstvie-pred/?yrwinfo=1585037718745201- 343384120385410293993406-sas3-5909.
  • 16. kun.uz [Internet]. Kun.uz. Average monthly salary in Uzbekistan announced. [Cited: 2021 Feb 3]. Available from: https://kun.uz/en/news/2020/04/25/averagemonthly-salary-in-uzbekistan-announced.
  • 17. podrobno.uz [Internet]. Uzbekistan News. During the quarantine in Uzbekistan, fines of more than $ 4.5 million were issued, [Cited: 2021 Feb 3]. Available from: https://podrobno.uz/cat/obchestvo/za-vremyakarantina-v-uzbekistane-vypisali-shtrafy-bolee-chemna-4-5-milliona-dollarov-sanepidemnadz/.
  • 18.ritmeurasia.org [Internet]. Stolpovsky O. COVID-19 in Uzbekistan. Chronicle of events in a pandemic. [Cited: 2021 Feb 3]. Available from: https://www.ritmeurasia. org/news--2020-08-12--covid-19-v-uzbekistane.- hronika-sobytij-v-usloviah-pandemii-50378.
  • 19. kabar.kg [Internet]. Kabar. Man commits suicide in Uzbekistan in quarantine center. [Cited: 2021 Feb 3]. Available from: http://en.kabar.kg/news/mancommits-suicide-in-uzbekistan-in-quarantine-center/.
  • 20.review.uz [Internet]. Review.uz. How is Uzbekistan fighting the pandemic? [Cited: 2021 Feb 3]. Available from: https://review.uz/post/kak-uzbekistan-boretsyas-pandemiey.
  • 21. Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, et al. The socio-economic implications of the coronavirus pandemic (COVID-19): A Review. Int J Surg. 2020;78:185-93.
  • 22. podrobno.uz [Internet]. Uzbekistan News. “In five months we went into a deep minus.” How business is coping with the consequences of the coronavirus epidemic. [Cited: 2021 Feb 3]. Available from: https://podrobno.uz/cat/obchestvo/za-pyat-mesyatsevmy-ushli-v-glubokiy-minus-kak-biznesspravlyaetsya-s-posledstviyami-epidemii-koron/.
  • 23. gazeta.uz [Internet]. Gazeta.uz. How True Are Official COVID-19 Statistics? [Cited: 2021 Feb 3]. Available from: https://www.gazeta.uz/ru/2020/09/23/covid-stat/.
  • 24. worldbank.org [Internet]. The World Bank. GDP growth (annual %) - Uzbekistan. [Cited: 2021 Feb 3]. Available from: https://data.worldbank.org/indicator/ NY.GDP.MKTP.KD.ZG?locations=UZ.
  • 25.sputniknews.ru [Internet]. Sputnik. Vaccination against COVID-19 in Uzbekistan - what you need to know. [Cited: 2021 Feb 3]. Available from: https://uz.sputniknews.ru/infographics/20210128/158 86502/Vaktsinatsiya-ot-COVID-19-v-Uzbekistane-- chto-nado-znat.html.
  • 26.sputniknews.ru [Internet]. Sputnik. How is vaccination carried out in Uzbekistan - an expert’s answer. [Cited: 2021 Feb 3]. Available from: https://uz.sputniknews.ru society/20210112/15771110/Kak-osuschestvlyaetsyavaktsinatsiya-v-Uzbekistane---otvet-eksperta.html.