How Uzbekistan rebuilt Soviet‑era EMS
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How Uzbekistan rebuilt Soviet‑era EMS
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When I sat down in Brisbane to record this Before the Hospital conversation with Dr Khikmat Anvarov in Uzbekistan, I expected a discussion about ambulances and equipment. What I heard instead was a thirty‑year story of how Uzbekistan has tried to rebuild emergency care as a national system rather than a collection of services.
For colleagues working on EMS in resource‑constrained systems, this episode offers a rare, first‑hand account from one of the architects of reform – and a reminder that emergency care is built through governance, pathways and people long before the hospital door.
We talk about:
•Why buying more ambulances and equipment is not enough in post‑Soviet and LMIC settings.
•How inter‑district emergency hospitals were designed to serve around one million people each.
•What telemedicine and “expertise travelling faster than the patient” now look like in practice.
•The political and practical realities of long‑term EMS reform in Uzbekistan, and why honest reporting of delays and gaps matters more than perfect metrics.
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Our website: https://emsglobalfoundation.org/