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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  
 
Canada-Russia Initiative in Nursing (CRIN) CIDA
Financier Counterpart Region Duration/Budget
Canadian Agency of International Development (CIDA)    Chelyabinsk oblast, Chita oblast, Chuvash Republic, Ivanovsk oblast, Khanti-Mansyiskiy autonomous region, Leningrad oblast, Moscow, Moscow oblast, Republic of Tatarstan, Rostov oblast, Saint-Petersburg, Samara oblast, Sverdlovsk oblast, Tambov oblast, Tyumen oblast  01/01/2005 - 31/12/2008 (48 months)
4 300 000 USD 
Objectives:  CRIN has been developed to assist Russian Ministry of Health (MoH) and Russian Nurses Association (RNA) in establishing systemic regulatory networks to provide for improved nursing care and enhanced role of nurses as key elements of the country's health care restructuring strategy aimed at effective use of resources and more pronounced shift to primary health. CRIN will affect the nursing community of the entire country by introducing new national educational standards, standardized clinical procedures and organizational models as critical components of quality assurance. It will also introduce new standards and models in such areas as professional development, health promotion, family nursing, palliative and geriatric nursing. Three Canadian partners: Grant MacEwan College, Canadian Nurses Association and Capital Health Authority (Edmonton, Alberta) will share Canadian expertise and best practices in the above areas.

The specific of objectives of the project are:
1)To develop and implement in 7 presidential okrugs gender sensitive regulatory, organ-izational and educational frameworks for a nursing quality control system that includes clinical standards/guidelines for nursing practice and national standards in post-diploma nursing education;
2)To enhance the role of national and regional nursing associations as professional ac-creditation bodies to develop and administer independent accreditation tests for nurs-ing schools and health care facility as a vital element of quality assurance.
3)To expand the role of nurses as gender sensitive primary health care providers 
 
Care for and counselling of HIV patients as a tool against the epidemic TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Saint-Petersburg  01/11/2002 - 31/12/2004 (26 months)
3 957 500 SEK 
Objectives:  The project aims at setting up a joint teaching programme lead by a project group in which the Swedish members will be nurses representing HIV care and hospital hygiene and similar competency from Russia. The project group will recruit suitable trainers, design a teaching programme and oversee the implementation. It is aimed that the programme will be made available to head-nurses in above mentioned groups of nurses obligating them to spread their knowledge in their home district. Russia has the most rapidly raising HIV incidence in the world. At the end of 2002, there is estimated to be about 1 miljon HIV-positive Russians, most of them infected through intravenous drug use (IDU). There is no sign of any slowing-down. Most Russian health care workers (HCWs) are still unaccustomed to dealing with HIV-positive patients. The situation is very similar to the situation existing in Sweden 15 years ago. The problems include concern about own personal safety (often expressed also by spouses of the HCWs), lack of care routines, and inexperience in talking to patients about protecting others.

In Sweden, there exists a large group of nurses with decade-long experience in care for HIV patients. Many members in this group have expressed their willingness to participate in a programme to share this experience with their Russian counterparts. Comments The present rapid spread of HIV infection in Russia is leaving much of the health care staff behind due to experience and skill. In many ways, the situation is similar to Sweden in the mid 80s. A wish has been expressed by representatives from the Russian nurses collective that Swedish nurses could share their experience and knowledge on a larger scale. This knowledge would include care routine, knowledge of counselling and hospital hygiene, but also focus on preventive aspects of carefully informing already HIV- positive patients about measures not to infect others. 
 
Программа постдипломного образования для главных медицинских сестер по специальности руководство и управление сестринским делом в условиях реформирования системы здравоохранения на Северо-Западе России
Financier Counterpart Region Duration/Budget
Ministry of Health and Care Services of Norway  Архангельский областной центр повышения квалификации специалистов со средним медицинским образованием  Arkhangelsk oblast  17/05/2008 - 01/11/2009 (ongoing project) 
Objectives:  Приобретение знаний и навыков в сфере руководства и управления сестринским делом, необходимых для проведения реформ здравоохранения. 
 
Улучшение качества преподавания при повышении квалификации медсестер в Архангельской области
Financier Counterpart Region Duration/Budget
Council of Ministers of Northern countries  Архангельский областной центр повышения квалификации специалистов со средним медицинским образованием  Arkhangelsk oblast  01/01/1995 - 01/01/2009 (ongoing project) 
Objectives:  1.Улучшение качества преподавания в системе непрерывного образования медсестер. 2.Переподготовка преподавателей сестринского дела.