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List of Health Reform Projects
Governance of Social Security: Social Insurance, Medical Insurance and Pensions EU
Financier Counterpart Region Duration/Budget
European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis)  Ministry of Labor and Social development of Russian  Russian Federation  01/12/1997 - 31/07/2000 (32 months) 
Objectives:  The major aim of the Project was to establish a consensus on specific topics in the field of social security on the basis of extensive Russian involvement and regular high-level expert policy advice. 
 
Health Care Financing EU
Financier Counterpart Region Duration/Budget
European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis)  Ministry of Health and Social Development of the Russian Federation  Arkhangelsk oblast, Belgorod oblast, Chuvash Republic, Kostroma oblast, Moscow, Yaroslavl oblast  01/01/2000 - 01/01/2002 (ongoing project)
1 250 000 EUR 
Objectives:  The project responded to the request of the Ministry of Health to provide support in reforming health care financing in order to have a more cost effective system. The project provided analyses, recommendations and training. 
 
Health Reform Implementation Project WB
Financier Counterpart Region Duration/Budget
World Bank (WB)  Ministry of Health and Social Development of the Russian FederationMinistry of Finance of the Russian FederationMinistry of Economical Development and Trade of the Russian Federation  Chuvash Republic, Novgorod oblast, Russian Federation  01/01/2001 - 31/12/2005 (60 months)
30 000 000 EUR 
Objectives:  strengthen the capacity of the federal level in policy reform and test and adapt the application of reforms: (1) rationalizing health services (developing strategic approaches to comprehensive restructuring, norms and standards, clinical practice guidelines, best practices, standardization, licensing and accreditation); (2) strength. financial and economic management of health care (building capacity for fin. and econ. analysis, strength. Fin. Manag. at facility level); (3) developing the legisl. base for reform; (4) applying new approaches in two pilot regions. 
 
Health Reform Implementation Project for the Russian Federation WB
Financier Counterpart Region Duration/Budget
World Bank (WB)  Ministry of Health and Social Development of the Russian Federation  Chuvash Republic, Voronezh oblast  18/03/2003 - 30/06/2008 (63.5 months)
30 000 000 USD 
Objectives:  The project will help to determine which changes to scale up and how to do so on the basis of Federal-level guidelines that will be tested at the local level. Strengthening of Federal-level functions will be combined with reforms at the local level, starting with two participating subjects of the Federation - the Republic of Chuvash and the Region of Voronezh.

The Russian health system became highly decentralized in the course of the early 1990s. While Russia's regions have taken a more active role in the sector, many aspects of the relationship between regional and federal levels remain unclear. Also, as a result of limited resources and sometimes outdated practices, the quality of the health care system in Russia needs significant improvement. The old Soviet system emphasized specialists and hospital care, while basic services, such as primary care and preventive measures, were less developed. Now, in a constrained financial environment, it is essential to get the best value for money from the health care system and to make it more responsive to the needs of the population. The Government is providing leadership for this process, in support of which the Health Reform Implementation Project will emphasize high-impact polices and interventions in order to maximize the effects of domestic spending, with a focus on the effectiveness, efficiency and equity of the health system.
  • establish a system of federal regulations required for effective governance and management of the health system;
  • develop and implement strategic approaches to health sector reform in selected regions;
  • strengthen the institutional capacity of the Ministry of Health as a federal executive agency;
  • draw lessons from the implementation of regional programs and disseminate them to other regions;
  • and develop and implement an efficient scheme of restructuring of the health system, with an emphasis on increased access, quality and efficiency of health services that will benefit from direct investment under the project.
 
 
Reform of Health Care Financing EU
Financier Counterpart Region Duration/Budget
European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis)  Ministry of Health and Social Development of the Russian Federation     - date (ongoing project) 
Objectives:  The major aim of the Project was to assist the Ministry of Health in developing robust, flexible and clear methods for the financing of health services and the disbursement of resources to provide a comprehensive, cost effective health service. 
 
Support to Public Health Management EU
Financier Counterpart Region Duration/Budget
European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis)  Ministry of Health and Social Development of the Russian FederationMinistry of Health of the Chuvash RepublicDepartment of public health services of the Yaroslavl OblastFederal Resource and Training Centre  Chuvash Republic, Yaroslavl oblast, Kostroma oblast, Omsk oblast, Republic of Karelia  01/12/1998 - 31/05/2001 (30 months)
2 500 000 EUR 
Objectives:  Aiming to render assistance to increase the effectiveness of HC management in the Russian Federation, the Project pursued the following main objectives:

1. investigation of current HC management practice and identification of related problems;

2. support to implementation of good governance in HC and harmonization of federal with regional strategy;

3. in establishing a strategically oriented management system for the implementation of HC reform;

4. training of HC administration officers of federal and territorial levels in effective HC management and economics. (1) 

 
Support to the Implementation of the Social and Health Care Reforms in the Republic of Karelia EU
Financier Counterpart Region Duration/Budget
European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis)  Ministry of Health of the Republic of Karelia  Republic of Karelia, Russian Federation  07/02/1997 - 06/07/1999 (ongoing project)
1 150 000 EUR 
Objectives:  To develop effective policies, strategies and action plans in the priority issues of the reforms and the project; to enchance collaboration between health and social welfare sectors; to improve strategic and financial management of health and social services; to improve design and implementation of legislation; to improve the system of information gathering , analysis and utilisation; to develop human resource policies enabling appropriate staffing of services; to increase awareness of the reform process among citizens and professionals; tp develop models of primary health care and community-based social welfare. 
 
TB Control Programme in the Russian Federation WHO, DFID, USAID, FINGOV, EU, SIDA
Financier Counterpart Region Duration/Budget
World Health Organisation (WHO)Department for International Development (DFID)United States Agency for International Development (USAID)Government of Finland (FINGOV)European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis)Swedish Agency for International Development (SIDA)  Ministry of Health and Social Development of the Russian FederationMinistry of Justice of the Russian Federation  Russian Federation  01/01/1994 - 31/12/2005 (144 months) 
Objectives:  Coordination of activities and elaboration of policy guidelines for the control of tuberculosis 
 
ZdravReform Program USAID
Financier Counterpart Region Duration/Budget
United States Agency for International Development (USAID)    Russian Federation  01/01/1992 - 31/12/1996 (60 months) 
Objectives:  Программа нацелена на сотрудничество с представителями государственной власти как на федеральном, гак и на местном уровнях, а также руководителями и работниками медицинских учреждений в сфере здравоохранения России Предметом сотрудничества служит разработка, внедрение и оценка новых моделей финансирования, организации и управления здравоохранением Конечной целью проводимых мероприятий является повышение экономической эффективности и качества медицинской помощи при сохранении ее доступности для широких слоев населения. Практическая реализация программы “ЗдравРеформ” осуществлялась в 1994-1996 годах американской компанией “Абт Ассоушиэйтс Инк” на основе контракта с Агентством США по международному развитию