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in Albania - Instituti i Shendetit Publik

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INTERNATIONAL PUBLIC HEALTH CONFERENCE IN TIRANA, ALBANIAReforms and challenges of post-conflict Kosovohealth systemMustafa Mybera 11Institute of Public Health, Prist<strong>in</strong>e, Kosovo.Before its collapse, Kosovos healthcare system wasan <strong>in</strong>tegrated part of the Former YugoslavRepublics System (known for its relatively welladvancedsystem for at that time). Standstill hadbegun <strong>in</strong> the last decade of the twentieth Centuryas a result of political dis<strong>in</strong>tegration of the formerstate. The enthusiasm of the healthcare professionalsand people of Kosovo that at the end of the conflicthealthcare services would consolidate did not provejust right. Although one can claim that reorganizationof Kosovo healthcare was a serious push (especially<strong>in</strong> the first years after the conflict), the <strong>in</strong>tensity ofdevelopment begun to fall at the latter stages. Whilethe basic legislation for the operation of the currenthealthcare system <strong>in</strong> Kosovo does exist, the ma<strong>in</strong>reason for the reform stagnation is the lack of properimplementation of the laws and measures are not setas to a mean<strong>in</strong>gful system of accountability.Twelve years have passed by s<strong>in</strong>ce the 1999 warconflictand, although Kosovo has made progress<strong>in</strong> many areas, it has not yet consolidated a healthsystem comparable to those of other Europeancountries. Intend<strong>in</strong>g to get out of difficult situation,several healthcare strategic plans have beendeveloped <strong>in</strong> the past decade <strong>in</strong> Kosovo, butattempts <strong>in</strong> this direction have not been particularlyfruitful.This paper describes the actual healthcare complexityof a situation <strong>in</strong> Kosovo, 12 years after the end ofthe 1999 war-conflict. Interconnection and historicalbackground is also looked upon and is described<strong>in</strong> the flow of events. F<strong>in</strong>ally, the description oftransfer competencies from <strong>in</strong>ternationaladm<strong>in</strong>istrators to the local authorities as well as theflow of strategic plann<strong>in</strong>g that took place s<strong>in</strong>ce 1999is also critically analyzed.Keywords: challenges, conflict, Kosovo, reform, reorganization, results.ALBANIAN MEDICAL JOURNAL SUPPLEMENT57

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