List of Health Reform Projects
American International Health Alliance (AIHA) Health Partnership USAID
Financier Counterpart Region Duration/Budget
United States Agency for International Development (USAID)  Municipal Health Commitee of Samara CityCommitee of Public Health of Saint Petersburg  Khabarovsk Territory, Kurgan oblast, Nizhniy Novgorod oblast, Russian Federation, Sakhalin oblast, Samara oblast, Tomsk oblast  22/11/1999 - 01/01/2001 (ongoing project) 
Objectives:  Increasing of the effectivness and efficacy of the medical services within the primary health care  
Development of quality improvement system in primary care in St. Petersburg
Financier Counterpart Region Duration/Budget
Finland MFA    Saint-Petersburg  01/01/2007 - 31/12/2009 (36 months)
198 010 USD 
Objectives:  The project aims to develop a quality management system with both regional level and institutional level indicators for improving quality of care, especially for cardiovascular diseases, and HIV/AIDS and other STIs. The project also supports the development of a system of evidence-based guidelines for treatment and control of most common diseases. A model of quality improvement in a family medicine office will be created and tested. The project aims to incorporate quality management into the curriculum for residents who are in training for a competence in family medicine at MAPS. Family Medicine Centre at MAPS and Pontonnaya village polyclinic are the pilot sites of the project. The first facility is working under a federal level institution and the second under local city administration.  
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. 
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.
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