The project aimed at improving local public health care facilities in order to increase the appeal of areas inhabited by the German minority groups in West Siberia. During a first assessment mission two EPOS experts identified deficits in the field of staff training, drug supply, medical equipment, maintenance of physical infrastructure. A concept for short term and mid term interventions was designed and implemented by EPOS. The short term interventions aimed at coping with the most urgent problems. Mid term interventions focused on human resources development and introduction of modern approaches in healthcare to increase sustainability. The project successfully collaborated with other projects and initiatives in the Russian Federation (Tacis, World Bank, WHO etc.) through a network EPOS provided.
The project operated in three regions and was divided into three phases: Phase I (including Altaj, Novosibirsk and Tomsk) aimed at the establishment of an organisational unit for project implementation at the district hospital in Novosibirsk and initiated a consumers cooperative society in Novosibirsk in order to ensure a cost efficient, and adequate supply of drugs and medical consumables. Ambulances, drugs and consumable kits to cover the basic demand in health facilities of villages and small towns were procured and, medical equipment and suitable teaching materials were provided. In phase II (including Altaj and Novosibirsk) professional education and training courses in endoscopy, ultrasound examinations and out-patient nursing services, were carried out and experts assisted in establishing a medical equipment maintenance firm. Phase III (only Altaj) focused on health promotion (including stress reduction, health promoting schools, CVD prevention) and assistance in hospital management (financial and personnel management, hospital information system) and out-patient nursing services. Consulting services on training facilities, compilation of learning and information material, and assistance in teaching methods for in-service training courses were provided. In January 1999 EPOS initiated an anti TB-programme according to the DOTS-strategy of the WHO which included training and the provision of medical equipment (binocular microscopes etc.).