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Quo vadis SANEPID? A cross-country analysis of public health reforms in 10 post-Soviet states

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  • Maier, Claudia B.
  • Martin-Moreno, José M.

Abstract

Background The public health systems of the post-Soviet states have evolved from the san-epid system, which dominated public health practice throughout the former Soviet Union. Since independence, reforms have taken different directions. This article provides a cross-country comparison of public health reform processes and contents in 10 post-Soviet states.Methods The study is descriptive and comparative, based on a literature review of the major health databases, the Health Systems in Transition (HiT) volumes and grey literature. Search terms included terms on public health, the san-epid services and organizational reforms in one or several post-Soviet states.Results Public health reforms have varied greatly: some countries have preserved the san-epid structure, some have built structures in addition to the san-epid system, and others have set up a new public health infrastructure. Traditional "functions" of the former san-epid system, such as vaccination, are still more advanced, while health promotion and intersectoral collaboration are less developed.Conclusion Critical self-evaluation, implementation of performance measurement and rigorous external research will prove essential in identifying strengths and weaknesses of past reforms and learning for the future.

Suggested Citation

  • Maier, Claudia B. & Martin-Moreno, José M., 2011. "Quo vadis SANEPID? A cross-country analysis of public health reforms in 10 post-Soviet states," Health Policy, Elsevier, vol. 102(1), pages 18-25, September.
    • Handle: RePEc:eee:hepoli:v:102:y:2011:i:1:p:18-25
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    1. Djibuti, Mamuka & Rukhadze, Natia & Hotchkiss, David R. & Eisele, Thomas P. & Silvestre, Eva A., 2007. "Health systems barriers to effective use of infectious disease surveillance data in the context of decentralization in Georgia: A qualitative study," Health Policy, Elsevier, vol. 83(2-3), pages 323-331, October.
    2. Michael Borowitz & Rifat Atun, 2006. "The unfinished journey from Semashko to Bismarck: health reform in Central Asia from 1991 to 2006," Central Asian Survey, Taylor & Francis Journals, vol. 25(4), pages 419-440.
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