List of Health Reform Projects
Cost Effectiveness of TB Control in the RF DFID
Financier Counterpart Region Duration/Budget
Department for International Development (DFID)  WHO  Ivanovsk oblast, Kemerovo oblast, Orel oblast, Samara oblast  01/01/2002 - 31/12/2002 (12 months)
409 750 EUR 
Objectives:  To identify the most cost effective method to treat TB in Russia. Assessment; Evaluation; Dissemination of results. 
Health Care Quality Assurance Project USAID
Financier Counterpart Region Duration/Budget
United States Agency for International Development (USAID)  Health Department of Tula oblastHealth Department of Tver oblast  Russian Federation, Altay Territory, Arkhangelsk oblast, Ivanovsk oblast, Kostroma oblast, Moscow oblast, Murmansk oblast, Primorsk Territory, Republic of Buratiya, Republic of Karelia, Republic of Tatarstan, Sakha Republic (Yakutiya), Samara oblast, Sverdlovsk oblast, Tula oblast, Tver oblast, Ulyanovsk oblast, Volgograd oblast  01/09/1998 - 30/04/2004 (68 months) 
Objectives:  ·Tangible results of the first phase of the Quality Assurance project included evidence-based clinical guidelines, redesigned systems of care, and quality monitoring in the three clinical areas: hypertension, pregnancy induced hypertension, and neonatal respiratory distress syndrome in Tulskaya and Tverskaya oblasts. ·

Improved prevention and treatment practices led to a 90% decrease in hospitalizations for hypertension, the leading cause of death in Tula region.·

In Tver region the changes led to 63% reduction in neonatal mortality from respiratory distress, the principal cause of death for newborns. ·

Improved systems of care markedly reduced costs, particularly in pregnancy-induced hypertension in Tver.·

Russian Minister of Health Yuriy Shevchenko opened a conference in Moscow in July 2000; then-Secretary of the U.S. Department of Health and Human Services Donna Shalala launched the second phase of the project.·

The quality assurance approach has extended to all appropriate health facilities in the two regions and is now a model for nationwide application. ·

Clinical areas to be added during the second phase include: pediatric tuberculosis care and early detection and care of breast cancer in Tverskaya Oblast; and treatment of depression in general practitioner settings in Tulskaya Oblast.·

The June 2001 National Policy Seminar on Improving Health Care Quality produced a draft Policy Document on Quality Assurance. 
Improving Health in North West Russia: North West Health Replication Project 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, Kaliningrad oblast, Leningrad oblast, Moscow, Murmansk oblast, Russian Federation  30/04/2001 - 31/07/2003 (27 months)
2 000 000 EUR 
Objectives:  The major aim of the Project is to consolidate useful outcomes from previous projects and programmes in the health sector and replicate successful components of these in selected pilot regions of Arkhangelsk, Kaliningrad and Murmansk. 
Primary Health Care Development EU
Financier Counterpart Region Duration/Budget
European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis)  I.M. Sechenov Moscow Medical Academy (ММА)  Belgorod oblast, Moscow oblast  28/10/2002 - 31/12/2004 (26 months)
3 000 000 EUR 
Objectives:  Assisting in establishing legal and economical frameworks for the development of a sustainable Primary Health Care system based on Family Medicine model in the Russian Federation; Defining the scope of services for the Family Medicine model; Establishing training systems and curricula supporting the implementation of the Family Medicine model; Implementing the new model in selected pilot regions. 
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)