Tuberculosis control in Samara Oblast, Russia: institutional and regulatory environment

Coker, R. J., Rechel, B., Drobniewski, F., Samyshkin, Y., Balabanova, D., Kuznetsov, S., Fedorin, I., Melentsiev, A., Marchenko, G., Zakharova, S. and Atun, R. (2003) Tuberculosis control in Samara Oblast, Russia: institutional and regulatory environment. International Journal of Tuberculosis and Lung Disease, 7 (10). pp. 920-932. ISSN 1815-7920

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SETTING: Tuberculosis control programme in Samara Oblast, Russia, funded in part by the government of the United Kingdom. OBJECTIVE: To identify and evaluate institutional and regulatory influences as well as incentives and disincentives that might be amenable to change in the promotion of the DOTS strategy. DESIGN: Multidisciplinary situational analysis through in-depth interviews of stakeholders and review of official federal and oblast documents. RESULTS: Interpretation of traditional notification data is complex because classification and reporting systems differ from World Health Organization principles. Regulations governing financing encourage lengthy hospitalisations and interventions, and provide few incentives to shift policy to ambulatory care. CONCLUSION: Accurate comparability of epidemiological trends and programmatic successes requires equivalent classification and reporting systems. If the DOTS strategy is to be sustainable, changes to financing systems will be needed.

Item Type: Article
Uncontrolled Keywords: sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: EPrints Services
Date Deposited: 25 Nov 2010 11:12
Last Modified: 18 Mar 2024 17:30

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