5.3.5. The main barriers to health care remain the disparity in the burden of health care expenditure on the real possibilities of budgetary financing, the weak development of the health insurance system, the low involvement of the private sector in health care, the unacceptably low level of remuneration of medical personnel, the gap between the state program for training medical professionals and the current conditions of the sector, as well as significant obsolete infrastructure. Goal and vision 5.3.1. The goal is to make health care a country's competitive advantage, having a tangible and measurable impact on the duration and quality of life for all Kyrgyz people. The society in the person of citizens and patients will actively participate in the formation of priorities for the protection and promotion of health and clearly determine its share of responsibility for the health of the nation. In health issues, an intersectoral approach has been strengthened, which regards safety and security from threats to the health of the entire human environment as a top priority. Prevention and prevention of diseases are becoming the most important principle, allowing to reduce expenses and improve the basic indicators. The Public Health Service and the Public Health Services System of the Kyrgyz Republic will be updated, modernized and provided with competent human potential. Modernization of the public health service is aimed at providing cost-effective and efficient services with the joint and active support of all stakeholders and partners. The main condition will be a clear distribution of functions for monitoring health and wellbeing in all aspects of disease prevention, protection and promotion of public health. 5.3.2. A reporting system for planning, organizing, providing, assessing quality and safety, efficiency of health services based on the needs of the population and with its active involvement and responsibility has been built up. Strengthened the role of the Ministry of Health of the Kyrgyz Republic in regulating the planning and delivery of health services. The Mandatory Medical Insurance Fund under the Government of the Kyrgyz Republic carries out strategic purchases of quality public health services guaranteed by the state. The private sector will compete with state service providers, and the Government will ensure the long-term functioning of public-private projects. In the health care system, through the reform of the principles and mechanisms of financing, it is necessary to achieve sustainable resource provision so that doctors and medical personnel receive decent wages, and informal payments are a thing of the past as a motivation or survival factor. Along with the development of public health, the health sector needs to effectively eradicate corruption at all levels (patient care, procurement) and improve the accountability of fulfilling assigned tasks. An equitable distribution of primary health care, its universal quality and accessibility for the most vulnerable groups should be ensured. 5.3.3. Through rigid optimization, measurement of results, accountability and efficiency increase, limited funds are received as a priority in critical and protected 36