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Sex education unlikely

The government, thus far, has taken a rather middle-of-the-road stance on the issue. Abortions during the first 12 weeks of pregnancy are still freely available in Russia - and cheap. Early-term termination procedures like vacuum aspiration - invented, coincidentally, by Russian scientists in the 1920s and now popularly known as "mini-abortions" - can be scheduled as a quick outpatient procedure for less than $100. Moscow's Yevroklinik advertises mini-abortions on its website for 2,500 rubles.

Yet the government does not promote a policy of public sex education and family planning. The Orthodox Church has been instrumental in driving Russia's anti-abortion lobby, which successfully tightened legal requirements for abortion and their advertisement in 2011, and blocked past bills for introduction of sexual health education in schools.

The church's ongoing influence on politics leaves it unlikely that a more liberal stance is imminent, Sakevich, the HSE demographer, noted. "We don't even dream about a favored policy on family planning with our current conservative leadership," she said.

But continuing to lower the abortion rate - and increase Russia's birthrate - while maintaining freedom of women's choice requires additional education and government support. A reproductive health survey published in May, done by Rosstat in partnership with the United Nations Population Fund, found that a high proportion of women (13 percent) still use unreliable birth control methods like withdrawal, and many do not have access to professional counseling on family planning.

The lack of sex education and training in Russia leaves something to be desired, but the increasingly widespread use of effective birth control has regardless changed the face of Russian demographic trends.

"We have what we have," Yerofeyeva said. "It is no longer possible to say that Russia has a culture of abortion."

"Problems of Regionalizing the Program "Drug Provision for High-Cost Diseases" and Civilian Control in Health Care"

by Moskovskiye Novosti & The Moscow News at 21/05/2013 16:37

May 31, at 3:00 p.m. in the Steklyanny (Glass) Hall, RIA Novosti, 4, Zubovsky boulevard, Moscow,

A press conference organized by Moskovskiye Novosti, The Moscow News and the The All-Russian Patients Union on the topic: "Problems of regionalization of the program "drug provision for high-cost diseases" and civilian control in health care."

According to Federal Law № 323-FZ of the Russian Federation "About bases of health protection of citizens in the Russian Federation," the function for the purchase of medicines for high cost diseases is expected to pass to the regions of the Russian Federation in 2014, providing funding through subventions to the federal budget.

Today, there are considerable difficulties in the redistribution of functions from the federal center to the regions, for example, the federal subsidy wage increase for those who work in the health sector, shows the unpreparedness of regions to the duties imposed on them.

According to The All-Russian Patients Union, a similar fate may befall the program "7 high-cost diseases," which should not be allowed in any case.

The All-Russian Patients Union questions the effective use of budget funds if such expensive medicines are purchased not on centralized auctions, but on thousands of regional auctions or tenders.

Such fracturing will inevitably lead to higher prices for these medications, as a result of which additional government funding or reduction of dosage of essential medicines prescribed to patients will be needed.

If we proceed from the experience of previous attempts of regionalizing subsidized drug coverage, we can assume that the program will face failed auctions, and bidders who disagree with the results of the auction may exhibit claims and initiate legal and other proceedings which will most likely suspend the supply of contracts or signing of contracts.

Considering the specifics of severe diseases included in the abovementioned program, delays and interruptions in drug provision could erase billions of dollars of government spending over the previous period. The achieved effect of therapy will be reduced to a minimum, and patients can lose their lives. In this case, we will not find who to blame - everything will be "according to the Law"...

An appeal to the President of the Russian Federation Vladimir Putin to draw public attention to the problem will be published before the press conference.

Speakers:

- Jan Vlasov – co-chairman of the All-Russian Patients Union, president of the All-Russian public organization of disabled people - patients with multiple sclerosis;

- Yuri Zhulev – co-chairman of the All-Russian Patients Union, president of the Russian Society of Hemophilia;

- Alexander Saversky – president of the All-Russian public organization “League of advocates for patients”;

- Rosa Yagudina – professor, head of the department of drug supply and pharmacoeconomics of the I.M. Sechenov First Moscow State Medical University;

- Timofei Nizhegorodtsev – head of social control and trade of the Federal Antimonopoly Service of Russia.

Representatives of the following organizations have also been invited to participate in the event:

- Ministry of Health;

- The State Duma of the Russian Federation;

- Roszdravnadzor;

- Federal Antimonopoly Service of the Russian Federation;

- Representatives of the societies of patients.

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