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

R. J. Coker; B. Rechel; F. Drobniewski; Y. Samyshkin; D. Balabanova; S. Kuznetsov; I. Fedorin; A. Melentsiev; G. Marchenko; S. Zakharova; R. Atun

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

R. J. Coker, B. Rechel, F. Drobniewski, Y. Samyshkin, D. Balabanova, S. Kuznetsov, I. Fedorin, A. Melentsiev, G. Marchenko, S. Zakharova, R. Atun

Norwich Medical School

Research output: Contribution to journal › Article

43 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	920-932
Number of pages	13
Journal	International Journal of Tuberculosis and Lung Disease
Volume	7
Issue number	10
Publication status	Published - 2003

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This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

https://www.ingentaconnect.com/content/iuatld/ijtld/2003/00000007/00000010/art00003

Cite this

Coker, R. J., Rechel, B., Drobniewski, F., Samyshkin, Y., Balabanova, D., Kuznetsov, S., Fedorin, I., Melentsiev, A., Marchenko, G., Zakharova, S., & Atun, R. (2003). Tuberculosis control in Samara Oblast, Russia: institutional and regulatory environment. International Journal of Tuberculosis and Lung Disease, 7(10), 920-932. https://www.ingentaconnect.com/content/iuatld/ijtld/2003/00000007/00000010/art00003

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

abstract = "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.",

author = "Coker, {R. J.} and B. Rechel and F. Drobniewski and Y. Samyshkin and D. Balabanova and S. Kuznetsov and I. Fedorin and A. Melentsiev and G. Marchenko and S. Zakharova and R. Atun",

year = "2003",

language = "English",

volume = "7",

pages = "920--932",

journal = "International Journal of Tuberculosis and Lung Disease",

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publisher = "International Union against Tubercul. and Lung Dis.",

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Coker, RJ, Rechel, B, Drobniewski, F, Samyshkin, Y, Balabanova, D, Kuznetsov, S, Fedorin, I, Melentsiev, A, Marchenko, G, Zakharova, S & Atun, R 2003, 'Tuberculosis control in Samara Oblast, Russia: institutional and regulatory environment', International Journal of Tuberculosis and Lung Disease, vol. 7, no. 10, pp. 920-932. <https://www.ingentaconnect.com/content/iuatld/ijtld/2003/00000007/00000010/art00003>

TY - JOUR

T1 - Tuberculosis control in Samara Oblast, Russia: institutional and regulatory environment

AU - Coker, R. J.

AU - Rechel, B.

AU - Drobniewski, F.

AU - Samyshkin, Y.

AU - Balabanova, D.

AU - Kuznetsov, S.

AU - Fedorin, I.

AU - Melentsiev, A.

AU - Marchenko, G.

AU - Zakharova, S.

AU - Atun, R.

PY - 2003

Y1 - 2003

N2 - 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.

AB - 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.

M3 - Article

VL - 7

SP - 920

EP - 932

JO - International Journal of Tuberculosis and Lung Disease

JF - International Journal of Tuberculosis and Lung Disease

SN - 1027-3719

IS - 10

ER -