In recent decades, the illicit drug problem within Russia's population has become more severe. The threat of drug addiction is not only socially unacceptable but, in general, is fast becoming a major public health problem in Russia. The study objective is to identify factors that determine the availability of support from the state anti-drug policy of Russia, as exemplified by the Khanty-Mansiysk Autonomous District, Yugra. Monitoring of the drug situation, carried out in Khanty-Mansiysk, Yugra in 2014 -2016, provides the background data along with results of a sociological survey of 2000 residents, and input from an expert panel. Indicators of drug-related morbidity in Khanty-Mansiysk, Yugra, are compared with those for the Russian Federation as a whole. Parameters and criteria for providing access to health care for the population are established along with recommendations for the authorities on how to optimize drug treatment for the population. The monitoring not only provides data to identify the vulnerabilities but, with the accumulated positive experience from Russia, also assists those providing drug treatment to the population to focus efforts in alleviating this major social problem. UDC Classification: 364; DOI: http://dx.
Background: In the situation of economic instability, when the problem of financing welfare and other social and healthcare services is aggravated, the importance of raising funds and attracting business investors becomes particularly urgent. Results of recent studies show that a synergistic effect can be achieved by introducing a social impact bond model in collaboration of external investors and health authorities. Projects aimed at improving children’s health in order to prevent subsequent costs in healthcare have been increasingly developed and proposed recently.
Objective: To substantiate and develop a social impact bond aimed at preventing chronic noncommunicable diseases in children based on past experience.
Materials and methods: We reviewed the content of regulations on the development and implementation of social impact bonds in the Russian Federation and examined the system of providing preventive health services for the child population, including overweight and obese children.
Results: We have found that a regulatory framework for testing social impact bonds (SIB) has been already established in the Russian Federation and ten SIBs were implemented in seven constituent entities of the country in 2022. Due to a high prevalence of
overweight and obesity among children in the Sverdlovsk Region and limited opportunities of implementing comprehensive, long-term preventive programs, a SIB for prevention of obesity in children aged 6 to 9 years living in the Sverdlovsk Region has been developed. The regulatory framework for the implementation of the project has been formed, the project passport approved, the targets of the social outcome set, the project implementation mechanism developed, and the participants identified.
Conclusion: The ultimate goal of social impact bonds is not so much the solution of a specific local task, but elaboration of new techniques and mechanisms for their implementation through testing, enabling replication of successful models at the municipal and regional levels, and obtaining an overall cumulative effect from sustainable positive changes.
This research explored the creation of negative perception towards returning travellers in response to the threat of spreading the virus and positive travel behaviour during the relaxation of travel restrictions at the time of the COVID-19 health crisis. The data for research was collected from 530 respondents and analysed using hierarchical multiple regression, confirmatory factor analysis, and the Sobel test of significance. The study results revealed that people had a perception of a high risk of catching COVID-19, which has led to a negative perception of travel during a pandemic. Moreover, malicious travel behaviour reinforced discrimination, while positive travel behaviour reduced the negativity in perceptions of returning travellers but did not spare the returnees from discrimination. Implications for both practice and theory, as well as limitations and future directions are further discussed. Based on research findings, resilience of travel should not limit its focus on just the recovery and health control measures of regions that receive travellers, but also pay close attention to the perceptions of travellers returning home after vacations, so as to avoid social distress and stimulate a continuous growth of the demand for travel. In order to stimulate sustainable travel activity with no negative perception of travel and travellers among resident, maintaining local getaways is recommended.
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