r ally . ▁All ▁health care ▁personnel ▁were ▁employed ▁by ▁the ▁state , ▁and ▁private ▁practice ▁was ▁not ▁allowed . ▁ ▁Current ▁health care ▁system ▁ ▁After ▁independence ▁in ▁ 1 9 9 1 ▁the ▁health care ▁system ▁of ▁A zer ba ij an ▁confront ed ▁economic ▁difficulties ▁and ▁therefore , ▁quality ▁and ▁access ▁to ▁medical ▁service ▁decl ined . ▁The ▁trad itions ▁inherited ▁from ▁Sem ash ko ▁model ▁still ▁remain ▁in ▁health ▁structure ▁of ▁the ▁country . ▁Government ▁is ▁trying ▁to ▁address ▁the ▁problems ▁faced ▁by ▁health care ▁sphere ▁of ▁the ▁country ▁with ▁implementing ▁different ▁re forms , ▁projects ▁and ▁getting ▁support ▁from ▁international ▁organizations . ▁Health care ▁system ▁in ▁A zer ba ij an ▁has ▁been ▁impro ving ▁in ▁recent ▁years ▁with ▁the ▁support ▁of ▁World ▁Bank . ▁New ▁medical ▁establish ments ▁are ▁constructed , ▁upgrad ed ▁medical ▁equipment ▁is ▁provided ▁and ▁medical ▁staff ▁is ▁trained ▁in ▁the ▁framework ▁of ▁the ▁projects . ▁ ▁Public ▁health care ▁ ▁However , ▁there ▁are ▁significant ▁improvements ▁in ▁health care ▁system ; ▁A zer ba ij ani ▁society ▁suff ers ▁from ▁in efficient ▁and ▁under fund ed ▁public ▁health care . ▁Public ▁hosp it als ▁are ▁run ▁by ▁the ▁state ▁and ▁medical ▁care ▁is ▁offered ▁free ▁of ▁charge ▁for ▁A zer ba ij ani ▁residents . ▁Ped iat ric ▁and ▁adult ▁poly cl in ics ▁offering ▁out pat ient ▁services ▁and ▁special ized ▁clin ics / h osp it als ▁offering ▁in pat ient ▁services ▁are ▁the ▁public ▁facilities . ▁These ▁establish ments ▁are