THE RESULTS OF FINANCIAL MONITORING OF TB CONTROL ACTIVITIES AND MAIN FUNDS OF TB ORGANIZATIONS IN THE RUSSIAN FEDERATION IN 2018
Aim: To revise the methods of calculation of per capita funding rates related to TB control activities, and monitor the rates related to funding of TB control activities and the state of main funds of TB institutions. Based on a single statistical observation form, we analyzed the rates of dynamic funding of TB control activities from different sources, the state and the update of the main funds of TB institutions. The total amount of funding was compared to the data from different countries provided by the WHO global database. The amount of funding for TB control activities in the Russian Federation was 94.5-93.1 billion roubles, or 1450.7 billion USD, which was more than in any other country. This allowed rapid reduction of TB incidence. The inclusion of antiretroviral drugs in the calculation of per capita funding rates in some Russian regions accounted for a 3-5% error. The methods currently used for per capita funding calculation did not consider discrepancies in medical care costs in different regions, which made an illusion of favourable funding of the Far East regions. In 2018 we observed unprecedented growth of salaries and other payments to health personnel, especially physicians. At the same time, updating of the main funds decreased resulting in the wear of equipment and vehicles. The share of TB control activities funding by the Russian Federation Subjects increased, since they were responsible for payments to health personnel. In order to harmonize the Russian and international definitions of the rate: "funding of TB control activities", it was recommended to introduce a system of financial monitoring of TB control activities without consideration of antiretroviral drugs, since it had resulted in overestimating TB control activities funding in the Russian Federation by 1.8%. The calculation of per capita funding rates by the Russian Federation Subjects should use the differentiation coefficient. Underfunding of updating the main funds of TB institutions resulted in high wear of equipment and vehicles, which could negatively influence TB control in general.