Policy responses for Russian Federation - HSRM

Russian Federation

Policy responses for Russian Federation

2.2 Workforce

The Russian Federation has a large health workforce albeit with some shortages in certain specializations and in remote and rural territories.

On 15 July, Deputy Prime Minister Golikova reported that 131,000 doctors, 272,000 nurses, and 63,000 of junior medical staff were involved in COVID-19 treatment, care and prevention (http://government.ru/news/40023/). On 5 May, Health Minister Murashko reported an additional 31,000 emergency service drivers, 41,000 students and 5,000 volunteers had been mobilized (http://kremlin.ru/events/president/news/63303). The Minister of Health Mikhail Murashko said on 19 January 2021 that over 600,000 healthcare workers across the country have been mobilized to provide coronavirus infection care (https://rg.ru/2021/01/19/minzdrav-bolee-600-tysiach-medikov-privlecheny-k-lecheniiu-bolnyh-s-covid.html).

All healthcare facilities have been required to share their list of doctors and nurses. From the end of April 2020, students in their fourth and fifth year of medical studies have been mobilized. As necessary, the involvement of military doctors is also possible (in the 17 infectious disease centres built by the Ministry of Defence, see Section 2.1). In Moscow region, medical military reservists and retired medical military personnel have been actively encouraged to strengthen staff capacity in Moscow hospitals. In Moscow, 4,500 medical university and college students have been mobilized to strengthen medical staff capacity.

From 15 April to 15 September (extended from initial deadline of 15 July), bonuses are being paid to employees involved in the COVID-19 emergency response: health workers and employees of secondary and tertiary care hospital, including, since 29 May private hospitals, non-medical staff and social workers (http://static.government.ru/media/files/KXdpgHkWkaBTqJhwBjtsQGxVrG3sERhF.pdf), as well as municipal social workers from 27 June (http://static.government.ru/media/files/yfoJkAiseU7t9RkVVyQZDSMA4SmikSfR.pdf). In Moscow from 23 June, bonuses are also paid to healthcare workers in outpatient municipal CT centres. The bonuses range from 20–100 % of the regular monthly wage, exempt from tax, and are made in direct payments, and still valid during sick leave (details of the breakdown and amount of bonuses provided by Prime Minister Mishustin on 6 July are available here: http://government.ru/news/39971/). Lump sum payments for health workers who contract COVID-19 at work and their families are provided by the Federal Government (http://kremlin.ru/events/president/news/63369) and some regional Governments (St Petersburg http://publication.pravo.gov.ru/File/GetFile/7800202004210002?type=pdf) (see Section 4.1). Holiday pay and compensation for unused holidays for health workers involved in the fight against COVID-19 was provisioned from the Federal Reserve Fund in July (http://government.ru/news/40100/). In February 2021, three billion Rubles were allocated from Moscow city budget for additional payments to healthcare workers involved in COVID-19 care (https://www.mos.ru/mayor/themes/18299/7148050/).

According to Government Decree #1191 of 6 August 2020, a preferential procedure for the formation of retirement experience will apply for medical workers working with coronavirus patients. Service during the epidemic will count for double the time (http://static.consultant.ru/obj/file/doc/post_110820.pdf).

Intensive information updating and training was provided to a large number of medical doctors in particular in February and March, and later in response to the outbreak in Dagestan (see Section 2.1). A total of 1.4 million healthcare staff were trained on COVID-19 (http://kremlin.ru/events/president/news/63303). Video materials with trainings courses on treatment, specialized care, infection prevention and control have been uploaded with MoH approval on the portal for continuous medical education and are aimed to increase skills of various specialists.  A unique telephone number for getting consultation from the federal reference centres (see Section 3.1) was introduced to support clinical decision-making by medical professionals alongside telemedicine solutions.

On 30 October 2020, the Ministry of Health launched a series of webinars for medical workers on the management and treatment of patients with COVID-19 at the Federal Remote Consultative Centre of the Sechenov First Moscow State Medical University (https://minzdrav.gov.ru/news / 2020/10/30/15298-nachalas-seriya-federalnyh-vebinarov-dlya-vrachey-so-vsey-strany).

At the simulation centre of the Voronovskoye Moscow Clinical Center for Infectious Diseases, 400 doctors and nurses have received special training to work with coronavirus patients. Exercises on a robot patient allow for performance assessment in an environment as close as possible to the work environment. During the training, medical care is practiced in accordance with the requirements of epidemiological safety (https://mosgorzdrav.ru/ru-RU/news/default/card/4561.html).

The health and well-being of health professionals have also been in the focus. A task force has been set up, headed by the Chief National Psychiatrist, to provide consultations and support to prevent burnout and provide psychological support. All health workers are having a weekly test for COVID-19, and MOH has developed guidelines for COVID-19 post-exposure prophylaxis and protocols for preventive treatment of health workers (https://www.rosminzdrav.ru/news/2020/04/14/13716-mihail-murashko-zaschita-medpersonala-eto-obyazannost-i-vazhneyshiy-prioritet-dlya-rukovoditeley-medorganizatsiy). The Prime Minister requested that Regional Governors conduct an assessment of available PPE reserves for health workers for 3 June and immediately formulate a request for replenishment, whenever necessary, to the Ministry of Industry and Trade (http://government.ru/news/39812/)