Building digital health skills in Uzbekistan: training of trainers (ToT) in Tashkent

From 28 September to 9 October 2026, Civitta is delivering a two-week Training of Trainers (ToT) in Tashkent for more than 40 field trainers from across Uzbekistan.

The training is part of the “Support to Digital Reform in the Health Sector – Elektron Salomatlik” project, implemented with the Ministry of Health of the Republic of Uzbekistan and financed by KfW on behalf of the German Federal Ministry for Economic Cooperation and Development (BMZ).

The trainers are physicians, medical educators and digital-health specialists. Once trained, they will deliver the national Basic e-Health Skills programme, which will reach more than 380,000 healthcare workers in public and private facilities in every region of Uzbekistan by 2028.

Since 2024, the project has supported the Ministry of Health in building a shared digital foundation for the health system. The work covers the national Digital Health Platform, the integration of hospital and clinic medical information systems, electronic health records, and international standards such as FHIR, LOINC, SNOMED CT and ICD-10/11.

The project also includes a dedicated people component: building the digital skills that make these systems usable in daily practice. Training is planned for six target groups, from IT specialists and health managers to every healthcare worker in the country. The ToT is the first step in the nationwide training.

The ToT combines short expert input with long practice sessions.

• Week 1: foundations. E-health concepts, information systems and the national Digital Health Platform, health data and international classifications, and cybersecurity and data protection.
• Week 2: practice and delivery. E-health services in everyday medical practice (e-prescriptions, e-consultations, digital referrals, clinical decision support), the legal framework for patient rights and health data, and adult learning and instructional design.

Each day, the trainers turn what they learn into material for the national course. In groups, they draft its modules, design pre- and post-tests, and practice delivering sessions to their peers with structured feedback. In the final days, they prepare their own teaching materials, including recorded video. Estonia’s e-health experience serves as a worked example throughout.

Trainers receive a certificate after full attendance, a practice delivery session and a final assessment. They leave with a full set of materials and join a national network of e-health trainers.

The Basic e-Health Skills programme is a 16-hour blended course: 8 hours online and 8 hours of hands-on, on-site training led by the field trainers. It explains what the national digital health platform is, what it changes in daily work and why it matters. It is designed for doctors, nurses, technicians and administrative staff alike.

The rollout follows a cascade: 4 Civitta international e-health experts train more than 40 field trainers, who then deliver the course in all regions. In this way, international experience becomes the country’s own training capacity.

As implementation consultant, Civitta:

• developed the curriculum concept for the Basic e-Health Skills programme;
• designs and delivers the Training of Trainers;
• provides technical oversight and quality assurance for the nationwide training, including materials, the online platform and on-site delivery;
• monitors and evaluates the programme’s effectiveness together with the Ministry of Health.

We worked closely with the Ministry of Health and its Digital Health Management Unit. The Digital Education Development Center under the Ministry of Digital Technologies is the Service Provider delivering the training nationwide.

After the ToT, the field trainers will begin delivering the Basic e-Health Skills course in the regions. We will continue to provide quality assurance throughout the nationwide rollout until 2028.