The GOVERNANCE of the health system with regard to COVID-19 relates to pandemic response plans and the steering of the health system to ensure its continued functioning. It includes emergency response mechanisms, as well as how information is being communicated, and the regulation of health service provision to patients affected by the virus.
An operational crisis team was set up in February to manage anti-epidemic measures including testing, quarantine etc. The crisis team is chaired by deputy prime minister Tatiana Golikova and her deputy Dr Anna Popova, the Chief Sanitary Doctor. A National Coordination Council was set up on 14 March 2020, to coordinate all actions at federal, regional and municipal levels. It is headed by the Prime Minister and the deputy chair is the Mayor of Moscow. It gathers representatives of all governmental sectors and reports to the President (http://government.ru/news/39151/). This was followed by setting up the Coronavirus Monitoring and Information Centre under the Coordination Council to monitor social, economic, industry indicators, and the availability of consumer and medical goods.
The Federal Council Working Group was set up on 16 March. It gathers all governors plus the Operational Crisis Team and is chaired by the Mayor of Moscow.
Rospotrebnadzor (and its regional branches) is responsible for coordinating epidemiological surveillance, testing and international reporting of cases and deaths through IHR (2005).
On 31 March, a bill allowed the Government to declare high alert or state of emergency on the whole Russian territory or any of its parts, and to establish special rules in this respect. Regions were also granted the right to determine the scope of physical distancing measures that will be implemented according to their assessment of the local epidemiological situation and in line with the nationwide paid leave (see Section 1. 2).
In early June, several intergovernmental processes were launched to draw lessons from the crisis. Rospotrebnadzor together with the Ministry of Defence, the Federal Medical and Biological Agency, the Presidential Administration and other federal authorities will submit proposals to the Government for the development and strengthening of the sanitary and epidemiological service. (http://government.ru/news/39813/). In addition, a joint audit of all normative acts adopted in the fight against COVID-19 (including decrees of the Moscow Mayor) will be conducted by the Ministry of Justice, the Ministry of Health, Rospotrebnadzor, the Government of Moscow and the expert legal community, with a particular focus on the provisions most affecting the rights and interests of citizens (http://government.ru/news/39812/).
Successful health care delivery practices during the COVID-19 outbreak were adopted in a decree about the provision of medical care during health emergencies. The decree acknowledges the possibility of re-profiling hospitals; assigning, with adequate training, any health worker (including pharmacists) to the treatment and care of patients; issuing sick leave certificates and renewing or correcting prescriptions for ongoing treatment in electronic format. The decree also reaffirms the need to follow interim medical procedures for prevention diagnosis and treatment issued by the Ministry of Health (http://government.ru/news/39981/).