NIBR engelsk 2007-20:nibr eng 11 mm rygg 11-12-07 11:32 Side 2 NIBR Report 2007:20 NIBR Report 2007:20 Holm-H Jørn Holm-Hansen, Aadne Aasland and Larisa S. Malik a nsen/A a Health and Social affairs sl a n d /M in Norway and Russia a lik The cooperation evaluated Norwegian Institute for Urban and Regional Research He (NIBR) is an interdisciplinary, a social science sentre for urban lth and regional research. The Institute a has a national responsibility to n pursue social science research on d environmental issues and works Soci internationally in the field of urban and regional research in an Other research areas concern Norwegian Institute a environmental and developmental cultural difference and conflict, for Urban and l Aff perspective. necessary conditions for sustainable Regional Research development on national and P.O. Box 44, Blindern a NIBR carries out studies and international basis, and studies N-0313 OSLO irs in Norw factfinding work for the related to development cooperation Telephone: +47 22 95 88 00 Research Council of Norway in developing countries. Telefax: +47 22 60 77 74 and other clients, primarily e-mail: [email protected] central and local government NIBR has sixtyfive researchers administrations, in the areas of: who are qualified in the fields An institute in the • Public administration of sociology, political science, Environmental Research a y • Governance and democracy economy, demography, Alliance of Norway a • Planning architecture, civil engeneering and n • Welfare and living conditions d land-use planning. A large proportion R • Regional analysis of NIBR´s researchers have PHDs and u • Population and private professorial level qualifications ssi sector studies and expertise. a Health and Social Affairs in Norway and Russia tjorn-20_ny.pdf 1 23-01-08 08:32:01 Other publications from NIBR in English: NIBR Report 2005:16 The Transferability of Policy Instruments How environmental policy instruments strike roots in Russia and Latvia NIBR Report 2005:4 The Foster Familily Project in Murmansk A review of SOS Children’s Villages Norway’s foster family project in Murmansk region NIBR Report 2003:1 Orphans in Russia Policies for family-like alternatives You can order the report from NIBR at the cost of NOK 250,- pluss postage. NIBR P.O.Box 44, Blindern N-0313 Oslo Phone: +47 22 95 88 00 Fax +47 22 60 77 74 e-mail [email protected] tjorn-20_ny.pdf 2 23-01-08 08:32:01 Jørn Holm-Hansen, Aadne Aasland and Larisa S. Malik Health and Social Affairs in Norway and Russia The cooperation evaluated NIBR Report 2007:20 tjorn-20_ny.pdf 3 23-01-08 08:32:01 Title: Health and Social Affairs in Norway and Russia The cooperation evaluated. Author: Jørn Holm-Hansen, Aadne Aasland and Larisa S. Malik NIBR Report: 2007:20 ISSN: 1502-9794 ISBN: 978-82-7071-705-7 Project number: O-2507 Project name: Helse Russland Financial supporter: Norwegian Ministry of Health and Care Services Head of project: Jørn Holm-Hansen Abstract: This report evaluates the Cooperation Programme on Health and Related Social Issues in the Barents Region and under the Northern Dimension Partnership in Public Health and Social Wellbeing 2002 – 2006. The overall picture of the programme operation is positive. Many projects run into the same type of problems related to misunderstanding the Russian context. Each project deals with the problems on their own, learning how to cope individually and the hard way. Summary: English and Norwegian Date: December 2007 Pages: 206 Price: NOK 250,- Publisher:: Norwegian Institute for Urban and Regional Research Gaustadalléen 21, Box 44 Blindern 0313 OSLO Telephone (+47) 22 95 88 00 Telefax (+47) 22 60 77 74 E-mail: [email protected] http://www.nibr.no Printed by: Nordberg A.S. Org. no. NO 970205284 MVA © NIBR 2007 tjorn-20_ny.pdf 4 23-01-08 08:32:01 1 Preface This report evaluates the cooperation between Norway and Russia on health and social affairs, more precisely the Cooperation Programme on Health and Related Social Issues in the Barents Region and the Northern Dimension Partnership in Public Health and Social Wellbeing. The evaluation was commissioned by the Norwegian Ministry for Health and Care Services, and was carried out within a framework of seven man-weeks. Field visits were made to Northern Norway, Murmansk, Arkhangelsk, Petrozavodsk and Petersburg. The research was done by a team of researchers, two of them from the Norwegian Institute for Urban and Regional Research (Oslo), and one from the Pomor State University (Arkhangelsk). The team was headed by Jørn Holm-Hansen. Jørn Holm-Hansen wrote chapters 1, 3, 4, 5, 6.5,.6.6, 7 and the appendices of the report. Aadne Aasland was in charge of the electronic survey and wrote chapter 2. Larisa S. Malik wrote most of chapter 6. The project team was assisted by Aleksandra Wacko, Renate Schau Holm-Hansen and Marina Nore. The team would like to thank all interviewees for sharing their time, information and insights. Also the respondents of the electronical survey deserve thanks.Thanks to Inger Balberg, who has contributed to the technical editing of this report. Oslo, December 2007 Arne Tesli, Research Director NIBR Report 2007:20 2 Table of Contents Preface ..................................................................................................1 Tables....................................................................................................4 Figures ..................................................................................................5 Summary...............................................................................................7 1 Introduction.................................................................................10 2 Programme portfolio and a web-based survey............................13 2.1.1 Distribution of respondents............................................15 2.1.2 Programme portfolio ......................................................17 3 Results achieved..........................................................................39 3.1 What is a result?.............................................................39 3.2 What is the intervention logic? ......................................40 3.3 What are the results? ......................................................40 3.4 Conclusion .....................................................................42 4 Four case studies.........................................................................43 4.1 Case: The Norwegian Institute of Public Health (NIPH)............................................................................43 4.1.1 Presentation of individual projects and project packages.........................................................................48 4.1.2 Summing up ...................................................................54 4.2 Case: Psychiatry Tromsø................................................55 4.2.1 Presentation of the single projects..................................56 4.2.2 Summing up ...................................................................58 4.3 Case: Bergen municipality – Public Health Authority...60 4.3.1 Summing up ...................................................................64 4.4 Case: New Beginning and the Norwegian Saami Mission...........................................................................65 4.5 Presentation of single projects .......................................66 4.6 Summing up ...................................................................68 4.7 Conclusion .....................................................................69 5 Project leaders’ suggestions for programme improvement.........72 5.1 Experiences with the system of project grants...............72 NIBR Report 2007:20 3 5.2 Russian and Norwegian project leaders on the potential improvement of their own activities................75 5.3 The view of Russian regional authorities.......................75 6 Developments in Russia and future priorities .............................77 6.1 The state of Russian health ............................................77 6.2 The quality of life...........................................................78 6.3 National priority programmes ........................................80 6.4 Demographical policy and child welfare .......................81 6.5 Other relevant developments..........................................83 6.6 Conclusions – current challenges...................................84 7 Conclusions and recommendations.............................................87 7.1 Conclusions....................................................................87 7.2 Recommendations..........................................................92 Appendix 1 Intervention logic and results of all projects under the programme ...............................................................98 Appendix 2 List of interviewees......................................................165 Appendix 3 Project address list .......................................................169 NIBR Report 2007:20 4 Tables Table 2.1 Survey respondents by country ......................................15 Table 2.2 Survey respondents by age group ..................................16 Table 2.3 Survey respondents by role in the project ......................16 Table 2.4 Year of start-up of projects ............................................17 Table 2.5 What kind of organisation do/did you represent in the collaboration project?...........................................19 Table 2.6 Planned duration of projects...........................................21