THE LAW REGULATION OF ANTI-TUBERCULOSIS ACTIVITIES AT THE REGIONAL LEVEL

Abstract

The article presents the results of analysis of condition of normative legal base regulating anti-tuberculosis care support in the Russian Federation and at the level a single subject of Federation (the Smolensk region). The significant alterations in legislation are emphasized related to means of prevention, diagnostic and chemotherapy of tuberculosis in modern conditions. The necessity of systematic monitoring of epidemiological situation with tuberculosis is demonstrated not only a national scale but also on the level of every region to provide a successful straggle with disease. The health care institutions fill in reporting forms of Federal statistical monitoring and forms of sectoral statistical accounting regulated by the Ministry of health of the Russian Federation. The main directions of state policy are determined concerning pharmaceutical support of particular groups of population, including state guarantee of medical care support of patients with tuberculosis. The economic aspects are considered related first of all to supporting of accessibility of pharmaceuticals purchasing by health care institutions and buying in directly by population. This is implemented by means of organization of financing of pharmaceutical support and state regulation of prices of pharmaceuticals included into list of vitally needed and most important pharmaceuticals that, according decree of the Government of the Russian Federation includes anti-tuberculosis medications. The analysis of characteristics of financing of ant-tuberculosis activities, including at the level of a single region, permitted to establish a number of problems during purchase of anti-tuberculosis medications encountered by subjects due to budget limitations. In particular, a significant financial load was established in particular regions related to purchasing anti-tuberculosis medications needed for treatment of tuberculosis with drug resistance of agent. The projects and programs regulated by legislative base implementing within the framework of struggle with tuberculosis in the Russian Federation and on the level of single subjects of Federation.