Туберкулез и болезни лёгких (Dec 2014)
The targets and indicators of Russia’s state public health program up to 2020
Abstract
Studying the targets and indicators of the Public Health Development Program up to 2020 concerning antituberculosis (anti-TB) care to the population may lead to the conclusion that they may be fulfilled in the Russian Federation as a whole. The difficulties in fulfilling the indicators are associated with the low level of tuberculosis detection in a number of subjects of the Russian Federation; the continuing development of the HIV epidemic; the inadequate development of bacteriological diagnosis of the drug sensitivity of the tuberculosis pathogen to anti-TB drugs; the nonuniform funding of anti-TB measures in the subjects of the Russian Federation – the annual financing per tuberculosis patient differs by 40 times, including that of the purchase of anti-TB drugs by 63 times. Having no federal financial assistance in purchasing reserve anti-TB drugs and consumables for microbiological tests, it is impossible to diagnose multidrug resistance and to cure patients with multidrug-resistant tuberculosis at the expense of the budgets of the Russian Federation’s subjects.
