How Russia is Improving Public Health and Education – The Borgen Project

Russia is a country located in Eastern Europe and Northern Asia. Russia is one of 10 nations that the World Bank has recognized for the greatest improvements to public health and education over the last decade. This improvement in human capital has had positive implications for the country’s economic and social prosperity. Here is some information about public health and education in Russia.

Improvements in Health

Russia has made strides in improving public health care since the collapse of the Soviet Union. In the 1990s, the country’s health care system was underfunded and lacked resources, which resulted in many people being unable to receive treatment for common illnesses. In the 30 years since, Russia has vastly reformed and improved this system. Here are three ways that Russia amended its healthcare system.

1. Quality Improvement Methodology – U.S. and Russian Federal officials worked together with the Quality Assurance Project (QAP) to implement quality improvement methods in doctor’s offices and hospitals, some examples being increased focus on patients, teamwork and use of data. Officials sought to set attainable and realistic goals for improvement that the country could fulfill in the foreseeable future.
2. Increased Health Financing – Officials sought to direct more money into the health care system, using several methods including establishing payroll taxes for employers and private financing through commercial companies. In addition, the financing of health care was decentralized to regional and local levels to decrease strain on the national budget. Furthermore, larger cities used voluntary health insurance as a way for employers to purchase access to higher-level facilities.
3. Pharmaceutical Reforms – Several reforms have emerged to better regulate pharmaceutical prices and production. For example, vital and essential drug lists set products at a fixed price at the federal level. This management of drug prices has increased medicinal accessibility for low-income Russians.

These measures have had several implications for overall public health improvements. Several previously common ailments have drastically decreased in prevalence. For example, pregnancy-induced hypertension, which occurred among 43.8% of women in 1998, is only present among 5.6% of women presently. In addition, better use of resources has cut costs for medical treatment of several conditions; hypertension treatment costs, for example, have decreased by 41% since the 1990s. In the future, Russia’s health care system will continue to develop with focuses on further increasing accessibility and developing primary healthcare.

Improvements in Education

Russia has demonstrated a strong education system, and the quality of education is continually improving as enrollment in higher education increases. Here are three improvements that Russia has made to its education system.

1. State Education Strategy – Russia’s education system has incorporated a standardized curriculum, including clear milestones, implementation metrics and an action plan. This regularity has improved the quality of education nationwide by establishing the same educational expectations across all regions. In addition, the organization of two ministries, the Education Ministry and the Science and Higher Education Ministry, have improved the management of the quality of secondary and higher education.
2. Increase in Higher Education Enrollment – From 2013 to 2017, enrollment in Russian universities increased by 40%. In addition, Russia boasts about 200,000 international students, a figure which expectations have determined could triple in the coming years. Furthermore, higher education in Russia is more affordable than Western higher education, increasing access to education for those in rural regions and low-income communities.
3. Private Education Reform – In recent years, Russia has experienced an increase in investment in private education, with more wealthy Russians sending their children to private schools with Western-style curriculums. In accompaniment with this, teachers have been moving to Russia from other countries to teach in these schools, many coming from Britain in particular to teach English curriculums. Along with this, Russia has been cracking down on private institutions pushing ideologically irresponsible messages, limiting access to fraudulent or incomplete educations.

These measures have drastically improved the overall quality of education in Russia, which has led to increased expected years of schooling and improvements in secondary school enrollment. An overall better-educated population will be more productive in the long-term, as they will be able to transition into a competitive job market more easily and produce greater economic outcomes.

Conclusion

Education quality is strong in Russia and performance expectations are high. Health outcomes, however, are a work in progress, with Russia’s public health quality lying below the global average. Improvements in this sector will not only allow this gap to reduce but will also increase the quality of Russia’s human capital.

According to Renaud Seligmann, the World Bank Country Director in Russia, “Human capital contributes greatly to improving economic growth in every country. Investments in knowledge and health that people accumulate during their lives are of paramount concern to governments around the world.” By increasing the quality of public health and education in Russia, the country is making an investment in its population for years to come, guaranteeing that future generations will have longer life expectancies and educational attainment than those that came before them.

– Natasha Cornelissen
Photo: Flickr