ОБЩЕРОССИЙСКАЯ ОБЩЕСТВЕННАЯ ОРГАНИЗАЦИЯ ИНВАЛИДОВ-БОЛЬНЫХ РАССЕЯННЫМ СКЛЕРОЗОМ

Performance of PwMS RPO in 2006-07: ‘How is steel tempered?’

(a letter to friends)

The alterations the Russian society has undergone within the last 20 years have appeared a heavy burden on the shoulders of ordinary people. It was especially difficult for people stricken by Multiple Sclerosis (MS). First, they would not be able to get authentic information about adequate treatment for MS, then, they would not be able to get necessary medicines because of their soaring prices and the difficulties of time required for the healthcare to re-organize.

For some 15 years, voluntary organizations of people with MS (PwMS) in Russia have been working incessantly and actively to advocate the Constitutional right of persons with MS to live. Since then, the number of regional MS societies has grown from 4 to 48, and the total number of members in MS organizations from 76 reached 35,572 people. In 2001, the PwMS RPO was established that has housed all these organizations. The main goal of the PwMS RPO is to create auspicious legal environment for regional MS societies to work effectively. The mission is to advocate Constitutional rights of persons with MS in Russia.

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PwMS RPO BACKGROUND

 The All-Russian Public Organization of Disabled People with Multiple Sclerosis (PwMS RPO) was established in 2001 (№4034 registered on 3 May 2001, General State Register Number: 1027700508791) at the First Congress of the representatives of PwMS from 48 Russian regions (representing the interests of about 70,000 disabled people with MS). Osadchikh, Anatoliy Ivanovich was elected to the office of the Chairman of the Organization; Vlasov, Jan Vladimirovich was appointed to the office of the Director General.

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PROVISION About Plenipotentiary Public Experts

I. General provisions

1. The plenipotentiary public expert is an official, who shall represent the interests of the All-Russian Public Organization of Disabled People with Multiple Sclerosis within the respective Constituent of the RF.

2. The plenipotentiary public expert shall be appointed to, or released from, the office by the Director General of the All-Russian Public Organization of Disabled People with Multiple Sclerosis.

The plenipotentiary public expert shall be immediately subordinated by the Director General of the All-Russian Public Organization of Disabled People with Multiple Sclerosis and accountable to him/her.

The plenipotentiary public expert shall be appointed to the office for a tenure determined by the Director General of the All-Russian Public Organization of Disabled People with Multiple Sclerosis but not exceeding the tenure of the Director General of the All-Russian Public Organization of Disabled People with Multiple Sclerosis.

3. The plenipotentiary public expert in his/her work shall be governed by the Constitution of the Russian Federation, federal laws, orders and instructions of the Director General of the All-Russian Public Organization of Disabled People with Multiple Sclerosis.

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SOCIETY IN 2007-09



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  The PwMS RPO remains a stable independent and self-financing structure. In 2008 alone, the Society has won two big grants of the Public Chamber of the Russian Federation:

1. IT-Technologies as Means to Rehabilitate Disabled People, and

2. Enhancing Accessibility of Rehabilitation Services for the Disabled.

Good governance as well as experienced and efficient staff at the Society play the key role in implementing the projects successfully.

**
  The activities of the Institution of Plenipotentiary Public Expert, which the Society established in order to, among other things, develop the register of Russian people with MS, made it possible not only to nearly double the number of those to receive high-priced treatment, but also to contribute most actively to continuation of financing of the National Project Health'. This will guarantee the provision of people with MS with medicines in future, taking into account all those who need them.

**
  Advocating rights of people with MS on the federal level meets support of vigorous activities of Society's regional branches that work in, for instance, governmental public commissions. PwMS RPO representatives in the city of Samara in collaboration with other all-Russian organizations of disabled people and local governments resolve issues of improving the quality of life of unprotected communities including people with MS in the coming years.

**
  Pursuing social integration of people with MS, the PwMS RPO holds recreational events. Members of the Society get together and conduct fancy-dress balls, competitions, quizzes, music events, outings, and, interestingly, sportive competitions. At functions like these, people with MS not only demonstrate their talents and creative potential, which is so beneficial for their self-esteem, but also make friends and just find each other.

**
  Members of the Society find each other and get married! In understanding how important and essential it is for anybody to have his or her own family, the Society is proud indeed to be such a significant social link in people's relations. This, as well as other things, gives all reasons to claim that an MS person's life must and does go on.

**
  The activities of the Institute of Plenipotentiary Public Expert, which the Society established in order to, among other things, develop the register of Russian people with MS, made it possible not only to nearly double the number of those to receive high-priced treatment, but also to contribute most actively to continuation of financing of the National Project 'Health'. This will guarantee the provision of people with MS with medicines in future, taking into account all those who need them.

**
  The PwMS RPO assists and supports the establishment of specialized neurological centres. Some of the centres have shown themselves to good advantage, which contributed to the influx of people with MS from remote regions. People with MS receive not only medical help and after-care, but also skills to effectively manage disease symptoms in everyday life.
  For instance, hippotherapy is increasingly successfully used in MS. Members of the Society benefit a lot from its therapeutic effectiveness that oftentimes goes beyond all expectations.

JUST FACTS
- The PwMS RPO has established 28 MS consulting offices. 14 new branches joined the PwMS RPO. The Organization trained 72 Plenipotentiary Public Experts on PR-technologies, non-profit activities, legal basics to advocate patients rights.
- The PwMS RPO conducted 5 expert training schools for the Districts of Siberia, Urals, Moscow and S.-Petersburg (in all, there are 7 Federal Districts in Russia). This activity is to cover other Districts (for instance, the Southern Federal District).
- 80 neurologists have got further education in dealing with PwMS in training schools the PwMS RPO conducted (2008-2009).
- The PwMS RPO participated in 16 sessions of the Duma (Parliament Lower Chamber) and in 3 sessions of the Federation Council (Parliament Upper Chamber).
- The PwMS RPO is constantly in cooperation with the Ministry of Health and Social Development; the PwMS RPO is in the office of the Ministry Council.
- The PwMS RPO and the RosZdravNadzor (the Federal Service on Surveillance in Healthcare and Social Development) have a joint council to provide quality assistance to PwMS.
- The PwMS RPO participated in 2 sessions of the Government and in 1 session of the President.
- The PwMS RPO conducted 3 all-Russian actions, in which 1,500-9,000 people took part:
  1) sociological poll on the quality of life of PwMS;
  2) sociological poll on fulfillment of the state programme of PwMS provision;
  3) signing in support for the draft law submitted to the Duma in March, 2009. (The law name is 'About pharmaceutical support for people with severe chronic diseases'. The draft law suggests introducing legal regulation for relations that emerge in providing pharmaceuticals for people with chronic diseases such as heritable deficit of blood clotting factors; Willebrand disease, cystic fibrosis (mucoviscidosis), hypopituitarism (pituitary nanism), other disorders of lipids accumulation (Gaucher's disease), malignant reoplasms of lymphoid, of blood-forming and related tissues (myeloleukemia and hemoblastoses), multiple sclerosis, as well as conditions after organ/tissue transplantations.)
- The PwMS RPO conducted 8 Round Tables with media (in Moscow, S.-Petersburg, Samara, Ulyanovsk, Khabarovsk) on 12 TV-channels, 3 of which are federal ones (i.e. transmitted throughout Russia). The PwMS RPO gave interviews to the BBC Russian Service, Radio Europe Plus, Radio Megapolis, Radio Silver Rain' (Serebryany Dozhd).
- The PwMS RPO published both scientific papers and scientific recommendations for MS professionals.
- 5 press-conferences were conducted together with Deputies of the State Duma, Federation Council, Public Chamber of the RF, Public Council of the President of the RF Administration in order to forbid stopping the federal financing for the MS programme. (2007)
- The PwMS RPO made the first ever in Russia frame contract with the Federal Service on Surveillance in Healthcare and Social Development in the RF (RosZdravNadzor) about joint activities on+ (2007)
- The PwMS RPO established the Institute of Plenipotentiary Public Expert at the Federal Service on Surveillance in Healthcare and Social Development in the RF. (2008)
- The PwMS RPO co-works in the development and implementation of regional lists of PwMS entitled to get high-priced pharmaceutical support at the expense of the federal budget in 54 regions of the RF. (2008)
- The PwMS RPO entered the European Multiple Sclerosis Platform (EMSP) at the European Union Department for Social Development in May, 2008.
- With the participation of the PwMS RPO, the RF Government and State Duma appropriated money for the treatment of people with chronic disabling diseases (Programme of 7 Nosologies) to the amount of 33 billion rubles (|730 million) annually over 2008-2010. For 2009, the allocated sum was augmented to be 37 billion rubles (|818 million). (2008)
- The PwMS RPO is engaged in establishing the MS nurse service. The office of MS nurses will include management of PwMS. MS nurses are part-time employees. Today, 77 MS nurses work in the Russian Federation. (since 2008)
- The PwMS RPO carries out the programme of support for pharmaceutical manufacturers. (2009)
- The PwMS RPO contributed to the increase of provision of PwMS with DMDs by 20% (i.e. by 7.2 billion rubles) in 2009.
- The Organization's web site is developing. Its resources are constantly replenished; its forum welcomes PC-users and it has a page for readers in English.
- There are hotlines for patients today. Using these, patients can telephone and leave a complaint in a relevant Moscow agency about unsatisfactory services.
- The Organization has engaged in setting up a hospice service and advocating healthy lifestyle.
- The PwMS RPO started cooperation with the manufacturer of popular brand mineral water.

 
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