The de facto authorities of South Ossetia are unable to effectively manage the public sector. Despite the help received within the framework of the occupation policy of the Russian Federation, the de facto self-government and republican institutions of the Akhalgori region are facing systemic problems and cannot perform their functions. The health care sector is particularly problematic.

The Akhalgori hospital is facing acute personnel problems and, accordingly, low quality of service. Despite the visit of the de facto minister of health from Tskhinvali, Thomas Jigkaev, who left relevant instructions to the local doctors and promised support, the hospital's leadership is having difficulty taking responsibility in the face of financial and staff shortages. Monika Jioeva, the chief doctor of the Akhalgori hospital's inpatient unit, left her position at her own will, which made the situation in the inpatient unit even more difficult. The inpatient unit cannot receive citizens in need of services. Patients who want to be treated in the hospital are refused to be admitted. In order to change this situation, the chief doctor decided that ambulance doctors should not only bring patients to the hospital, but also continue to care for them in the hospital. However, in order not to be overburdened, ambulance doctors do not bring patients to the hospital. In case of emergency, patients are sent to Tskhinvali.

The lack of professional staff in the health care sector forces the hospital administration to employ people with minimal qualifications and no education in the relevant field, which is also a sign of alleged corruption and nepotism. For example, a person who does not have the appropriate education works as a laboratory assistant in the Akhalgori hospital. Employees registered as medical personnel not only do not meet the relevant requirements of education and qualifications, but also do not go to work.

Locals are afraid that if the director of Akhalgori hospital cannot deal with this situation, Tskhinvali may fire not only the staff who are formally registered in the workplace and do not perform their duties, but also those who are the main axis of the hospital.

Considering that the population of the de facto republic of South Ossetia, and Akhalgori in particular, is cut off from the rest of Georgia, it will become increasingly difficult to meet their basic requirements due to the complex epidemic situation and other problems in the health sector. Against this background, it is important that citizens seeking medical assistance have access to the services of the Georgian health care sector.