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Lorenzo C, Azat B, Nurdin S, Aidilet O, Gulzada M, Talant S, Mauro M, Daniela LT. Sleep medicine in the Kyrgyz Republic: past, present and future. J Clin Sleep Med 2024. [PMID: 38602060 DOI: 10.5664/jcsm.11156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/12/2024]
Abstract
As in many other low and middle income countries (LMICs) around the world, sleep disorders in the Kyrgyz Republic remain mostly undiagnosed and untreated. This article aims to describe the current state of practice of sleep medicine in the Kyrgyz Republic from the perspective of local and international healthcare workers who are active in the field and to propose a strategy to challenge the status quo. After interviewing local primary care and specialist doctors, we identified 3 major barriers to the practice of sleep medicine in the Kyrgyz Republic and namely education and training, financial constraints and infrastructure and equipment. We then propose a multistep strategy to improve the current situation based on 3 pillars: knowledge sharing, implementation research activities and policy changes. We conclude that despite being at its early days and facing major challenges, sleep health in the Kyrgyz Republic is being recognized as a priority by healthcare workers in the field and now requires attention at local and government level. Also, north-south academic partnerships represent an effective tool for knowledge sharing and should be further incentivized.
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Affiliation(s)
- Cirri Lorenzo
- Lane Fox Unit/Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, King's College London, London, UK
- Swiss-Kyrgyz Research Initiative on Sleep Health, Bishkek, Kyrgyz Republic
- Neurocenter of the Southern Switzerland, University of Italian Switzerland, Lugano, Switzerland
| | - Bolotbek Azat
- National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyz Republic
- Swiss-Kyrgyz Research Initiative on Sleep Health, Bishkek, Kyrgyz Republic
| | - Shakiev Nurdin
- National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyz Republic
- Swiss-Kyrgyz Research Initiative on Sleep Health, Bishkek, Kyrgyz Republic
| | - Omuralieva Aidilet
- National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyz Republic
- Swiss-Kyrgyz Research Initiative on Sleep Health, Bishkek, Kyrgyz Republic
| | - Mirzalieva Gulzada
- National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyz Republic
- Swiss-Kyrgyz Research Initiative on Sleep Health, Bishkek, Kyrgyz Republic
| | - Sooronbaev Talant
- National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyz Republic
- Swiss-Kyrgyz Research Initiative on Sleep Health, Bishkek, Kyrgyz Republic
| | - Manconi Mauro
- Neurocenter of the Southern Switzerland, University of Italian Switzerland, Lugano, Switzerland
| | - Latshang Tsogyal Daniela
- Dept. of Respiratory and Sleep Medicine, Cantonal Hospital of the Grisons, Teaching Hospital of the University Zurich, Chur, Switzerland
- Swiss-Kyrgyz Research Initiative on Sleep Health, Bishkek, Kyrgyz Republic
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