Billions of mothers and children
The government approved the budget for the implementation of priority projects from 2017 to 2025 in the health sector. On Tuesday, November 8, passport projects was published on the website of the Cabinet of Ministers. Only the projects the government for eight years, intends to spend RUB 85.2 billion In August this year, the Ministry of health (MoH) asked the government and the President on national projects twice — 182 billion.
Approved to 85.2 billion rubles for national projects most of all, the government plans to spend on improving the quality of medical care for mothers and newborns — 24,7 billion roubles from the Federal budget of 44.4 billion rubles from the budget of Federal Fund of obligatory medical insurance. The money the Ministry of health shall reduce infant mortality, to run multiple perinatal centers and two training institutions for health workers.
Allocated to maternal and newborn 24.7 billion RUB from the Federal budget significantly exceed originally requested amount by the Ministry of health. The Agency asked to take on the project of the Federal budget in 185 times less than the total cash consideration of 133,3 million rubles.
The President of the League of defenders of patients Alexander Saversky refers to a sharp increase in the amount of the national project for mothers and children “populism”. According to him, the budget for the national projects may be further revised. And in fact the direction may not only get more money but also be subject to reduction.
On the second place by quantity of the planned funds is the national project for the development of medical aviation in remote areas. Her from 2017 to 2019 planned 9.9 billion RUB from the Federal budget and 340 million from extrabudgetary sources. This amount is fully consistent with the plans of the Ministry of health.
For the project of Informatization of health planned 5.6 billion rubles. This roughly corresponds to the plans of the Ministry of health. Less the Agency will have only to monitor the market of public procurement and movement of drugs — 0.3 billion RUB is planned to 3 billion rubles.
Without a single national project
The total difference between the requested amount to the Ministry of national projects and the approved plan by the government is approximately two times (85.2 billion rubles, as against 182,2 billion rubles). It is due to the reduction in the number of projects from five to four. It also revoked the direction for the projects improve the quality of care for mothers and newborns.
In the initial plans of the Department in the number of national projects was the development of medical aviation in remote areas, market monitoring, procurement and movement of drugs, Informatization of healthcare, improving the quality of medical care for mothers and newborns (including the extension of the vaccination calendar) and providing industry with highly qualified personnel. In the end the government abandoned the project to ensure industry personnel and not approved the expansion of the calendar of preventive vaccinations.
The battle for the budget
In August of this year, the health Ministry asked the government and the President 182 billion rubles for national projects in public health from 2017 to 2025. Of this amount, for the period from 2017 to 2019, the Agency requested approximately 32 billion rubles In October, the Finance Ministry has prepared a draft Federal budget for 2017-2019, which for this purpose was provided in 52 times less mistabishi estimates — a total of 610 million rubles.
In the end, the Ministry of health is not just defended the budget for the national projects on health, but received 4.2 billion rubles. more. As calculated , according to the government in October passports of projects in 2017-2019 to them from the Federal budget will spend about 36.2 billion rubles After the approval of passports of the Ministry of health sent them to the Ministry of Finance to adjust the budget, said a source in the health Department.