Hospitals / Healthcare providers
There are a number of different types of hospitals and healthcare clinics in use. They include:
Rural Health Posts – These offer basic health checks and facilities including routine examinations, immunizations and minor injuries. They cover a population of about 4,000 people.
Health Centres – These cover larger rural populations of approximately 7,000 people and offer a range of primary care services. They are able to perform minor surgeries and are normally staffed by a team of nurses in conjunction with a paediatrician, a therapist and a midwife/gynaecologist.
Urban Polyclinics – These provide services which are normally considered general practice and include screening, treatment for chronic illnesses and on-going care. Depending on their size, urban polyclinics would also house approximately 3-4 specialists from fields such as cardio, oncology and obstetrics.
Special Focus Polyclinics – This is where paediatricians and specialist ambulatory paediatric care treat children up to the age of 19.
Pharmacies
The Russian Federation has an estimated 17,500 pharmacies, of which 23% belong to regional governments, 60% to municipal authorities and 17% are privately owned. There are also about 50,000 pharmaceutical kiosks. Pharmaceuticals are provided for inpatients by the hospital, while outpatients must purchase them.
While the availability of drugs has increased through imports, drug affordability has fallen and many Russians are unable to purchase necessary medications (17.8% of the population were below the poverty line in 2006). While efforts have been made by the government to set margins for wholesale and retail prices, enforcement of the regulations by local governments is extremely patchy, with widely variable prices found across the regions.
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