The accrued problems require radical revision of approaches toward health care management. The Address of the Head of State for 2005 states that the health sector requires serious change to improve the health care management systems, health financing, health care delivery system, the health care legal regulative base, statistics and computerization, optimization of reporting as well as efficient utilization of financial resources and mandatory decentralization of procurement.

The Program sets out a package of required economic, social, organizational and other measures directed toward the development of accessible, quality, socially oriented and efficient health care system of the Republic of Kazakhstan.

Solidarity-based joint responsibility of the state and the population for health;
2. Reform and development of the health care delivery system;
PHC reform creating a foundation for the efficient health care system;
Development of rural health care;
Ensuring sanitary and epidemiological well-being;
Health promotion and prevention of diseases;
Inter-sectoral approach to health protection of the population;
3. Improvement of the health management system:
Rational delineation of functions and authority;
Improvement of the health care services quality management system;
Development of competition within the health care system;
Major approaches to improving the health finance system;
Increase efficiency of state regulations in relation to drug circulation;
An integral health information system;
4. Protection of maternal and child health;
5. Improvement of prevention, diagnostics, treatment and rehabilitation of diseases that take a large toll on society; development of medical research and science;
6. Training and retraining of health staff.

The reform was an absolute need under present circumstances, objectives seem to be slightly over-ambitious esp. in relationship to timing and capacity of Health sector staff. MoH could have been referring to various consulting groups to help re-engineer the system, unfortunately it is not a practice.