Better Outcomes through Health Reforms in the Russian Federation : The Challenge in 2008 and Beyond

The purpose of this discussion paper is to discuss selected health challenges in the Russian Federation, focusing on outcomes, expenditures and options for policy and institutional reforms in the health care system. The areas covered in the paper draw on recent studies and reports, and take into account lessons derived from the implementation of the World Bank-funded Health Reform Implementation Project (HRIP) at the federal level and in the Chuvash Republic and the Voronezh Oblast-the pilot regions of the project, over the 2005-2007 period