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List of Health Reform Projects
Development of model for joint participation in preparation of the Plan for development of City Public health services. EU
Financier Counterpart Region Duration/Budget
European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis)  Department of public health and public health services of Administration of the city of Izhevsk.  Republic of Udmurtiya  01/01/2001 - 31/05/2001 (5 months)
99 130 EUR 
Objectives: 
 
Health Care 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 Federation  Moscow  01/01/1999 - 01/01/2001 (ongoing project)
2 750 000 EUR 
Objectives:  The project provided structure analysis and training to the staff of the MoH. 
 
Health Care Reform Pilot Project CIDA
Financier Counterpart Region Duration/Budget
Canadian Agency of International Development (CIDA)  Ministry of Health and Social Development of the Russian FederationMinistry of Health of the Chuvash RepublicNorth South GroupCanadian Bureau for International Education (CBIE)  Chuvash Republic, Moscow  01/01/2001 - 31/12/2004 (48 months)
2 200 000 EUR 
Objectives:  The project is an integral component of a multi-donor initiative in support of the WB’s US$ 30 mln Health Reform Implementation Project. The objective of this project is to assist Russia in developing a national health care reform strategy by formulating standards and guidelines to accelerate the expansion of primary care and improve the cost-effectiveness of emergency, diagnostic and hospital services.The outcome would be an improvement in the quality, accessibility and financial sustainability of health services.Canadian professional services will be utilized to assist in the finalization and implementation of health services reform in the Chuvash Republic, one of the two pilot regions, and provide advice in a selected number of federal level health policy reform issues. 
 
Health Reform Implementation Project WB
Financier Counterpart Region Duration/Budget
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 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.
 
 
Health Reform Pilot Project WB
Financier Counterpart Region Duration/Budget
World Bank (WB)    Kaluga oblast, Moscow, Russian Federation, Tver oblast  01/01/1998 - 31/12/2003 (72 months)
66 000 000 EUR 
Objectives:  Achieve improvements in the quality and efficiency of health care and in reproductive and cardiovascular health outcomes in two pilot oblasts sufficient to make decisions about national adoption of specific reform measures/ the project consists of four parts: two independent sub-projects, each consisting of a package of reform measures to be undertaken in a participating oblast; one component to strengthen national and regional training programs in Family Medicine; and one component to monitor, evaluate, disseminate and replicate project results. 
 
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. 
 
Professional Medical Associations OSI, DFID
Financier Counterpart Region Duration/Budget
Open Health Institute/Open Society Institute (OSI)Department for International Development (DFID)    Moscow, Saint-Petersburg  01/01/2000 - 31/12/2002 (36 months)
145 000 EUR 
Objectives:  Strengthening the Role of Professional Medical Associations in attestation of health professionals, Development of evidence-based guidelines and standards (11 projects) 
 
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. 
 
Support to Independent Living, Social Integration and Employment of Persons with Disabilities in the City of St. Petersburg
Financier Counterpart Region Duration/Budget
Finland MFA    Saint-Petersburg  01/01/2008 - 31/12/2010 (36 months)
99 760 USD 
Objectives:  The project key results during 2008-2010 will aim at preparing a needs assessment concerning capacity building of experts; 
 
Support to Primary Health Care Strategy Development in the Russian Federation 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  Moscow  01/08/2003 - 31/10/2004 (15 months) 
Objectives:  (no information received) 
 
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) 

 
Supporting the development of the system of primary health care institutions at the federal and municipal levels 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  Lipetsk oblast, Tyumen oblast  12/01/2006 - 12/07/2009 (42 months)
4 500 000 EUR 
Objectives:  (no information received) 
 
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 
 
ZdravReform Program USAID
Financier Counterpart Region Duration/Budget
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  
 
Демонстрационный пилотный проект MSF-B
Financier Counterpart Region Duration/Budget
Medecins Sans Frontieres (MSF-B)  Health Department of Kemerovskaya oblastГУЗ "Областной клинический противотуберкулёзный диспансер", Кемерово  Kemerovo oblast  01/06/2002 - 01/06/2003 (ongoing project) 
Objectives:  Продемонстрировать последовательность проведения мероприятий, необходимых для успешного внедрения стратегии по контролю над туберкулезом, рекомендованной Всемирной Организацией Здравоохранения (ВОЗ), что позволит снизить заболеваемость и смертность от туберкулеза. 
 
Детская онкология, ступень 1
Financier Counterpart Region Duration/Budget
Клиника для детей и подростков. Университетская больница Северной Норвегии г. Тромсе  Arkhangelsk regional children’s hospital  Arkhangelsk oblast  01/01/2006 - 01/01/2010 (ongoing project) 
Objectives:  Улучшить здоровье людей, страдающих онкологической патологией, а также повысить качество их жизни. 
 
Подготовительный проект интерсекторального сотрудничества в области управления здравоохранением EU
Financier Counterpart Region Duration/Budget
European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis)  Administration of S-PetersburgCommitee of Public Health of Saint Petersburg  Saint-Petersburg  01/11/1997 - 30/04/1998 (6 months)
100 000 EUR 
Objectives:  (no information received) 
 
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. 
 
Разработка новой модели управления здравоохранением Самарской области АЙРЕКС
Financier Counterpart Region Duration/Budget
Совет по международным исследованиям и обменам (АЙРЕКС), США  ГУЗ "Самарский информационно-аналитический центр МИАЦ"ООО НПК "Генезис знаний", СамараИнститут проблем управления сложными системами Российской академии наук, Самара (ИПУСС РАН) Iowa Hospital Education and Research Foundation (IHERF)    03/03/2003 - 03/03/2004 (ongoing project)
2 490 000 RUB 
Objectives:  Разработка новой модели управления здравоохранением, построенной на основе холистического подхода к управлению здравоохранением и использования мультиагентных технологий