Diagnostic centers represented an innovation of the former Soviet medical care system and were introduced in the late 1980's. The main function was to confirm primary diagnosis. Diagnostic centers were established in the main cities of each of the Central Asian republics. The health care situation in Turkmenistan is characterised by the poor condition of many facilities, the general lack of equipment and medicines, and the low level of financing, as well as the low utilisation of facilities and low staff salaries. These conditions were recognised in the Presidential Health Programme of 1995. The elaboration of this Program was developed in the Lukman Health Reform Program of 1997. The main objective of the project for which the Bankable Document was drawn up was to continue strengthening the delivery of quality health care at Velayat level.
To prepare a bankable document for a planned project aiming at the construction of two diagnostic centers, one in Dashovuz and one in Lebap Velayat. The tasks of the expert included:
Comprehensive analysis of the primary and secondary health sector of Turkmenistan
Development of criteria for the selection of the locations for two diagnostic centers in the Dashovuz and the Lebap regions and the justification for the selection
Provision of full technical details as to the building site, the surrounding area, number of hospital beds, and physical facilities including medical equipment
Cost estimates of each of the components
Provision of organisational set-up for a Project Implementation Unit
Suggestion of sustainability measures, such as level of service delivery, maintenance of physical infrastructure, institutional capacity, budgetary provision, user charges, etc.
Indication of necessity for consultancy services for tender document preparation, bid evaluation, award of contract, and supervision of implementation