| List of Health Reform Projects | |||
| Governance of Social Security: Social Insurance, Medical Insurance and Pensions | EU | ||
| Financier | Counterpart | Region | |
| 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 | |
| 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 |
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 | |
| 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 | |
| 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 |
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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.
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| Reform of Health Care Financing | EU | ||
| Financier | Counterpart | Region | |
| 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 | |
| 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 |
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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) |
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| Support to the Implementation of the Social and Health Care Reforms in the Republic of Karelia | EU | ||
| Financier | Counterpart | Region | |
| European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis) | Ministry of Health of the Republic of Karelia | Republic of Karelia, Russian Federation |
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 | |
| 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 | |
| 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 | |||