http://zdravinform.ru/
List of Health Reform Projects
A step toward Establishment of LTSC in Kandalakshа region TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Murmansk oblast  15/01/2003 - 15/01/2004 (12 months)
24 000 EUR 
Objectives:  The first cases of HIV were registered in Kandalakshi region in year 2000. Since this period totally 225 cases are diagnosed in the city. The morbidity rate is the highest in the North-West district of Russian Federation. The main group of HIV+ persons are IDU's - 88%. Almost 90% of infected persosn are are in the age of 15-25. It becomes evident that more and more case are registered among the women, and if in the beginning of Epidemic the ratio of infected man to women was 4:1, now it is 2:1. MOst of them are also drug usres and commersial sex workers. The purpose of the project is to reduce HIV spread among IDU's and commercial sex workers in Kandalakshi city. 
 
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. 
 
Counteracting HIV/AIDS epidemic among drug-users: study visits for penitentiary services’ and non-governmental organisations’ representatives from the Baltic countries (Poland) TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Arkhangelsk oblast, Kaliningrad oblast, Murmansk oblast, Republic of Karelia, Saint-Petersburg  01/02/2003 - 30/03/2004 (14 months)
60 000 EUR 
Objectives:  The project involves the series of study visits, training and apprenticeship sessions, and technical advising sessions intended for representatives of penitentiary institutions and non-governmental organisations working in the field of HIV prevention and drug demand reduction. Lead applicant: The MONAR Association, non-governmental organisation Polish Project Partners: The POMOST Association, non-governmental organisation The Central Administration of the State Prison Service The National AIDS Centre The overall objectives of the project include: Support in desinging and introducing HIV/AIDS prevention programs in the penitentiary system and in the open environment in the target region, where HIV/ AIDS epidemic dynamic is high and the number of drug-addicted young people is constantly growing Contribute to establishing of cooperation between the governmental (penitentiary services) and non-governmental sectors in the target region Strengthening of the third sector capacity in the target region Sharing the Polish experience in the sphere of counteracting drug-use and spread of HIV/AIDS and in cooperation between the different sectors: governmental, non- governmental and private Increasing awareness of HIV/AIDS and HIV-related problems among the administrative bodies representatives – decision-makers. The project immediate purposes are: -Draw attention of penitentiary systems’ administration to problems of drug addiction in prisons -To help introduce HIV/AIDS prevention programs adjusted to the local conditions, -To help introduce HIV/AIDS prevention and drug-addiction treatment programs in penitentiary system -To help introduce prevention and therapeutic methods through training of a core group professional staff who are able to train other staff and volunteers in up-to-date methods and approaches. 
 
Cross actions between the STD Clinic in Archangels and the Olafia Clinic in Oslo TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Arkhangelsk oblast  15/01/2002 - 31/12/2003 (23.5 months)
23 700 EUR 
Objectives:  (no information received) 
 
Development of Clinical Guidelines for Primary Health Care Doctors in Women's Health (including CCD, STD's and reproductive health) TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Saint-Petersburg  01/10/2001 - 30/04/2003 (19 months)
48 746 EUR 
Objectives:  (no information received) 
 
Development of the curriculum and distant learning program on control of communicable diseases for PHC professionals (CME courses) and general public TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Saint-Petersburg  09/11/2001 - 31/10/2002 (12 months)
20 000 EUR 
Objectives:  (no information received) 
 
GTZ BACKUP Initiative GTZ
Financier Counterpart Region Duration/Budget
The Deutsche Gesellschaft für Technische Zusammenarbeit (GTZ) GmbH  SPID Info SvyasKhabarovsk Association for Family PlanningHumanitarian Project, Nonprofit organization, Novosibirsk, Russia   Khabarovsk Territory, Moscow, Novosibirsk oblast  01/01/2002 - 01/01/2007 (ongoing project)
350 000 EUR 
Objectives:  Support to governmental and nongovernmental organizations in selected regions to take advantage of the opportunities provided by global initiatives in the field of HIV/AIDS, tuberculosis and malaria, especially the Global Fund.  
 
Health and protection for women involved in prostitution in St.Petersburg TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Saint-Petersburg  15/06/2002 - 31/12/2003 (18.5 months)
65 000 EUR 
Objectives:  Establishing out reach work and drop-in center for women inwolved in prostitution in St.Petersburg.  
 
Healthy Neighbors - Murmansk (Russia) and Kirkenes (Norway) TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Murmansk oblast  01/11/2001 - 01/12/2002 (ongoing project)
100 000 EUR 
Objectives:  Establish the preliminary network nessesary for planning workshops on infection control in health care settings in Murmansk and Kirkenes and getting base line data for monitoring future interventions.

Target Group: Emploees at Murmansk Tuberculosis Hospital and Kirkenes Sykehus as well as responsible administrative

 
 
Implementation of infectious disease surveillance measures to prevent the spread of mycobacteria TB in health facilities of the city of Ivanovo. CRDF, USAID
Financier Counterpart Region Duration/Budget
U.S. Civilian Research & Development Foundation (CRDF)United States Agency for International Development (USAID)  State health facility “Regional anti-tuberculosis dispensary”  Ivanovsk oblast  01/09/2002 - 31/12/2004 (28 months)
203 874 USD 
Objectives:  Implementation of the infectious disease surveillance measures, including administrative control, engineering surveillance of environment and respiratory protection of personnel at institutions with high degree of TB spread risk  
 
Improve in communicable disease control in rural areas of the Republic of Karelia under conditions of shifting of primary health care to general practice TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Republic of Karelia  01/01/2002 - 31/12/2003 (24 months)
370 000 EUR 
Objectives:  (no information received) 
 
Improvement of the prevention and control of STIs in St. Petersburg TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)  St.-Peterburg STI Clinics  Murmansk oblast, Saint-Petersburg  12/06/2002 - 30/12/2004 (30.5 months)
200 000 EUR 
Objectives:  Background: STI diagnosis and management in St Petersburg are suboptimal, morbidity rates due to STI high. In 1999-2001, the project "STIs in Leningradskaya Oblastj: problem estimation, enhancement of diagnostic quality and management" was run. As the result, we established STD management group, supported clinical and laboratory teaching center, implemented patient management standards and performed small prevalence studies. We are convinced that the experience we gained and network we established gives us all prerequisites to elaborate it on the city of St Petersburg as well. Objectives: To reduce the transmission of STIs in St Petersburg with special emphasis on young people and high risk population Immediate objective: To support centers for STI diagnosis and prevention, to develop working methods through collaboration, networking, provision of material and transfer of knowledge Indicators: numbers of centers and working groups established, laboratories and clinics supported, course attendance, materials printed, target group/people tested - quarterly reports by the working activity coordinators and half- and yearly reports by the project coordinator. Relationship with the health plan for the control of HIV/AIDS/STI: project plans are accepted by the Health Committee

Home page: http://www.medsci.uu.se/klinbakt/stigup 
 
Intervention to improve antibiotic use in Children Infectious Disease Hospital no 5, St. Petersburg TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Saint-Petersburg  01/01/2002 - 01/07/2003 (ongoing project)
16 000 EUR 
Objectives:  Improvement of practice of use of antibiotics in children's infectious hospital of №5 cities of St.-Petersburg 
 
Microbial resistance in clinically relevant bacteria in Arkhangelsk TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Arkhangelsk oblast  20/02/2002 - 31/12/2004 (34.5 months)
244 000 EUR 
Objectives:  Rendering assistance in construction of bacteriological laboratory on the basis of infectious clinic in Arkhangelsk, with the purpose of data acquisition on stability to antibiotics 
 
Prevention and control of communicable diseases in North West Russia EU
Financier Counterpart Region Duration/Budget
European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis)  Ministry of Justice of the Russian FederationMinistry of Health and Social Development of the Russian Federation  Leningrad oblast, Pskov oblast, Saint-Petersburg  01/06/2003 - 31/05/2005 (24 months)
2 500 000 EUR 
Objectives:  The project is supported the FSIN (Federal Service for Execution of Punishments) and the Ministry of Justice in the designing and the implementation of a comprehensive strategy to curb and prevent the spread of communicable diseases in prisons and penitentiary institutions in North West Russia. It involved training of relevant personnel of the penitentiary institutions, promotion of health prevention strategies regarding AIDS and TB as well as other communicable diseases. It also raised awareness of high-risk populations on diseases. 
 
Project "13 plus"- To prevent sexually transmitted infections including HIV\AIDS and unwanted pregnancies among young people in ST.Petersburg, Russia TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Saint-Petersburg  01/02/2003 - 31/03/2004 (14 months)
6 400 000 SEK 
Objectives:  A particulary exposed group in Russian society is young people. HIV/AIDS and other sexually transmitted infections (STI) and also abortions are prevalent to a large extent. To reach young people via youth friendly services (youth clinics) and sex education at schools are therfore important. The overall objectives are to prevent sexually transmitted infections including HIV/AIDS and unwanted pregnancies among young people in St Petersburg. Partial objectives are: develop four youth clinics and use the knowledge and experience of the already established youth clinics to supervise staff; create an academic postgraduate course for youth clinic staff, establish a reliable distribution of contraceptives and condoms so young people have access to cheap and safe preservatives, create a basic course for medical and school staff about sexual health, create an academic method course for school staff, participate in an exchange of ideas about safe sex in existing programme at summer camps, influence massmedia about the importance of sexual education, co-operate with NGOs about the importance of sex education for young people. Implemenation of the project: In St Petersburg, Public Health and Education Committee, in Stockholm, Stockholm County Council in close collaboration with Stockholms Aids Preventive Programme (Lafa) and Swedish Association for Sexuality Education (RFSU). Contact person in St Petersburg:project co-ordinator Natalia Vorobyeva. E-mail natsan@mail.rcom.ru Project manager in St Petersburg, Anatolij Simachodsky, head of Department of Maternal Health, Public health Committee, St Petersburg 
 
PROMOTING A STRATEGIC RESPONSE TO TB -- TREATMENT AND CARE FOR VULNERABLE POPULATIONS IN THE RUSSIAN FEDERATION GF
Financier Counterpart Region Duration/Budget
The Global Fund to Fight AIDS, Tuberculosis and Malaria (GF)    Russian Federation  01/12/2007 - 30/11/2010 (36 months)
40 000 000 USD 
Objectives:  1.To improve early TB detection and treatment rates for low income and marginalized populations in the civilian sector 2.To improve early detection and treatment rates for multi-drug resistant tuberculosis MDR-TB 3.To improve early TB detection and treatment rates in the prison system 4.To improve interagency cooperation in TB control 5.To build capacity for TB prevention and care for people living with HIV/AIDS  
 
Quality improvement in prevention of socially dangerous infections (SSI) (STIs, Tb, HIV/AIDS, Hepatitis) in primary health care TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Arkhangelsk oblast, Murmansk oblast, Republic of Karelia  01/01/2003 - 31/12/2003 (12 months)
100 000 EUR 
Objectives:  (no information received) 
 
STD: Prevention through Education TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Saint-Petersburg  01/10/2001 - 30/04/2003 (19 months)
50 000 EUR 
Objectives:  (no information received) 
 
STIs in Leningradskaja oblast: problem estimation, enhancement of diagnostic quality and patient management TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Leningrad oblast, Saint-Petersburg  12/06/2002 - 30/12/2004 (30.5 months)
164 000 EUR 
Objectives:  To support centers for STI diagnosis and prevention, to develop working methods through collaboration, networking and provision of material and transfer of knowledge  
 
Support for local hepatitis B Control Development in Ivanovo EU
Financier Counterpart Region Duration/Budget
European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis)  Public Foundation of the 1st Ivanovo City Hospital  Ivanovsk oblast  01/09/2002 - 28/02/2003 (6 months)
100 000 EUR 
Objectives:  Development of methodologies for the prevention and control of Hepatitis B development of Health partnership with governmental and NGO sector. 
 
Technical assistance to infectious disease control activities USAID
Financier Counterpart Region Duration/Budget
United States Agency for International Development (USAID)      01/01/1998 - 31/12/2008 (132 months) 
Objectives:  This activity supports priority areas identified by the Health Committee of the U.S.-Russian Commission on Economic and Technological Cooperation. Through a PASA with DHHS, USAID supports technical assistance, training, and information exchange in the priority areas of infectious diseases (tuberculosis, HIV/AIDS and sexually transmitted diseases (STDs).  
 
The ConTact Bus. Murmansk Russia TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Murmansk oblast  10/12/2002 - 01/12/2003 (ongoing project)
29 200 EUR 
Objectives:  1. Reduce the rate of HIV cases among the commercial sex workers in Murmansk 2. As well as create the informational network for them and to provide medical services for such women. 
 
The Murmansk Bus of Trust TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Murmansk oblast  01/12/2001 - 02/12/2002 (ongoing project)
42 200 EUR 
Objectives:  Regular training of addicts to ways of protection against virus infections at introduction of drugs. 
 
The third Baltic region conference TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Arkhangelsk oblast, Kaliningrad oblast, Murmansk oblast, Republic of Karelia  11/09/2003 - 13/09/2003 (0 months)
7 000 EUR 
Objectives:  (no information received) 
 
Transportation of sputum samples to study resistance to anti-TB drugs in Ivanovskaya region CRDF, USAID
Financier Counterpart Region Duration/Budget
U.S. Civilian Research & Development Foundation (CRDF)United States Agency for International Development (USAID)    Ivanovsk oblast  01/01/2002 - 01/01/2003 (ongoing project)
8 716 USD 
Objectives:  Organize the system of transportation of sputum samples to study resistance to anti-TB drugs among all the patients with cultural-positive active TB in Ivanovskaya region. 
 
We and Tomorrow. Cooperation between the Novgorod and Orebro regions TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Novgorod oblast  01/09/2002 - 31/08/2005 (36 months)
236 400 EUR 
Objectives:  A cooperation project between the Dept. of Public Health and Social Medicine, Цrebro County Council and The Folk High School of Veliky Novgorod. Indicators: The reasons for the project are the rapidly increasing numbers of HIV-infected young persons, increasing numbers of other sexually transmitted diseases and high rates of unwanted pregnancies. Negative attitudes and lack of support to HIV-infected persons. Limited sex education in schools. Limited knowledge among health care workers as well as people in general. General objectives: Invent the epidemiological situation. Develope a long term prevention programme for sexual health together with the russian authorities. Create an education model for key persons and special groups. Build network and encourage partnership between different sectors in society. Use the Folk High School as a centre for education and information. Support infected persons and their families. Develope youth services STI care and family planning, using model and experiences from "Projekt 13" in St. Petersburg. Increase the awareness among the population in the area of the ongoing epidemic and its consequenses for individuals and society. 
 
Workshop for workers in low-treshold counceling sites for IDUs TFBS
Financier Counterpart Region Duration/Budget
Task Force on Communicable Disease in the Baltic Sea Region (TFBS)    Arkhangelsk oblast, Kaliningrad oblast, Murmansk oblast, Republic of Karelia, Saint-Petersburg  22/09/2003 - 25/09/2003 (0 months)
14 000 EUR 
Objectives:  (no information received) 
 
Антибиотикорезистентность важных бактерий человека на территории Архангельской области: количество, механизмы и молекулярная эпидемиология.
Financier Counterpart Region Duration/Budget
Barents Health Care Programme  Arkhangelsk Regional hospital  Arkhangelsk oblast  01/09/2004 - 01/09/2008 (ongoing project)
60 000 USD 
Objectives:  1.Изучить чувствительность антибиотиков, распределение определяющих антибиотикорезистентности. 2.Исследовать структура населения в отношении патогенных бактерий человека (S. aureus, Enterobacteriaceae, N. gonorrhea and S. pneumonia) в Архангельской области.