Public Health Care
The Vologda Oblast Government emphasizes the importance of promoting health as well as treating illness. Preventive health services such as health education, and the responsibility that individuals have for their own health play a major part in this. While great progress has been made in eliminating infectious diseases such as poliomyelitis and tuberculosis, there is still scope for greater success in controlling the major causes of early mortality and disability.
Today all district centres have their own hospitals with modern medical equipment. In case of emergency physicians have aeroplanes and helicopters at their disposal. The workers of big industrial companies have their own medical centres in addition to the state medical institutions.
According to the RF Constitution, everyone shall have the right to health protection and medical aid. Medical aid in state and municipal health establishments shall be rendered to individuals gratis, at the expense of the corresponding budget, insurance contributions, and other proceeds.
The Russian government launched a so-called national projects plan that aims to improve four sectors of Russian life, including health care. In 2006 a national project “Health” was launched to improve the country’s healthcare system through improved funding and healthcare infrastructure. This plan helped equip hospitals and clinics of the Vologda Region with advanced, high-end equipment and ambulance systems, build new medical centres, as well as launch vaccination programs and free health checks. One of the focuses was made on salary increase of medical staff working in the primary care as well as their wider training programmes. The project was initiated by the Russian President Vladimir Putin and coordinated by the President Office.
Priorities, objectives and tasks of development of public health care in the Vologda Region are worked out within the framework of long-term development strategy in accordance with the decrees of the President of the Russian Federation dated from May 7, 2012 № 597 "On measures concerning realization of state social policy", № 598 "On improvement of state policy in the sphere of healthcare", № 606 "On measures of implementation of demographic policy of the Russian Federation”, Strategy of socio-economic development of the Vologda Region for the period until 2020 approved by decree of the Vologda Oblast Government № 739 dated from June 28, 2010, and the State program of development of public health care in the Russian Federation approved by decree of the RF Government.
The documents contain the main priorities of the healthcare development according to the federal legislation and in particular it stipulates the competences of the executive and legislative authorities.
The competence of the executive bodies of the Vologda Oblast Government in health protection of citizens is:
- to develop and implement policies on health protection of citizens;
- to form a government public healthcare system of the Vologda Region;
- to ensure the development and logistical support of Vologda Oblast’s public healthcare institutions and social protection institutions;
- to ensure and monitor the quality of healthcare to citizens in the Vologda Region;
- to coordinate the activities of public healthcare institutions;
- to develop special programmes in the field of health protection of citizens;
- to implement special programmes in the field of health protection of citizens in the Vologda Oblast;
In 2013 the state program "Development of health of the Vologda Region for 2014-2020” was developed. The objective of the state programme is efficiency growth of the healthcare system and provision of quality and accessible healthcare services according to the following principles:
- Development of the joint regional policy of health maintenance;
- Maintenance of the state healthcare system;
- Strategic planning and sustainable development of the healthcare sector.
Currently the health care system of the Vologda Oblast is represented by 98 institutions, where about 30 000 people work. The number of doctors and paramedics remains sufficiently high to ensure the provision of adequate treatment - 3780 doctors and 12043 paramedics and nurses.
In 2013 the Vologda Oblast successfully completed the implementation of the programme aiming to modernize public health care system in 2011-2013, the total amount of financing amounted to RUR 5.2 billion. As a result of it, 66 medical institutions of the Vologda Region were renovated, 1333 units of medical equipment were purchased. The emergency medical car-fleet was also upgraded, with 135 emergency vehicles shipped to the Vologda Oblast over the last two years.
The programme aiming to modernize public health care system in 2011-2013 had the same priorities as the national project “Health”, i.e.: primary healthcare development (including training of GPs, salary increase to the medical staff, provision of modern equipment to policlinics), provision of transport for ambulances and emergency call services, prevention measures of HIV and hepatitis B and C, vaccination of the population and provision of hi-tech medical services.
As for demography, there is a strong positive dynamics in the region. Over the last three years the mortality rate decreased from 16.8 in 2010 to 15.0 in 2013 per 1,000 population. The birth rate increased by 10.4% and amounted to 13.8 in 2013 per 1,000 population (in 2010 - 12.5 per 1000 population).
Preventive medicine is also being developed in the Vologda Oblast. Its goal is to protect, promote, and maintain health and well-being and to prevent disease, disability, and death.
The main objectives of the public healthcare system in the Vologda Oblast are the following:
- Reduction in morbidity and disability;
- Reduction in infant mortality and pregnancy complications;
- Women's and children's health promotion;
- Improving the life quality and average life span;
- Increase in birth rate.