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Mother with newborn

Photo by Kim Ethier

QAP began work in Russia in 1998 to improve the quality of healthcare in several clinical areas and create a cadre of QA professionals in the Russian Federation. In Phase I, quality redesign and improvement activities demonstrated significant clinical improvements in neonatal respiratory distress syndrome, pregnancy-induced hypertension, and arterial hypertension in pilot sites in Tver and Tula Oblasts. During Phase II, these improved systems of care were scaled up to the entire oblast. In Phase III, begun in 2002, the quality improvement methodology is being scaled up nationwide through five national improvement collaboratives.

QAP Activities

  • Support national institutions in managing improvement collaboratives in the following clinical areas:
    • Arterial Hypertension (20 teams)
    • Maternal and Neonatal Care. Topics: Pregnancy Induced Hypertension, Neonatal Respiratory Distress Syndrome (11 teams working on one or both topics)
    • Secondary Prevention of Cardiovascular Diseases. Topics: Diabetes Mellitus, Ischemic Heart Disease, Hypertension, and Hyperlipidemia (9 teams, all working on all the topics)
    • Maternal and Child Health. Topics: Anemia in pregnancy, Premature Births (in Maternity Hospitals), Infant Growth Monitoring, Breastfeeding, and Neonatal Jaundice (5 teams working on one or more topics)
    • Other Conditions. Topics: Bronchial Asthma, Chronic Obstructive Pulmonary Disease, Depression, and Breast Cancer (3 teams working on one or more topics)
  • Direct a Master Class for all Directors, trainers, and other quality improvement professionals to learn and discuss how to run projects, share best practices for trainings, and receive further training on current methods and theory.


  • Ministry of Health of the Russian Federation
  • Central Public Health Research Institute (
  • Tver Oblast Department of Health
  • Tula Oblast Department of Health
  • Tver State Medical Academy
  • Sechenov First Moscow Medical Academy
  • Evidence-Based Center (Moscow)
  • Women and Infant Health Project
  • Partners in Health
  • World Health Organization
  • Agency for Healthcare Research and Quality, US Department of Health and Human Services


  • Twenty-three oblasts are participating in the five collaboratives. Each collaborative involves 10-15 oblasts (with some oblasts participating in more than one collaborative).

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The Quality Assurance Project (QAP) is funded by the U.S. Agency for International Development (USAID) under Contract Number GPH-C-00-02-00004-00.