Regional aspects in assessment of performance and effectiveness of the risk-based model for control and surveillance activities in provision of sanitary-epidemiological wellbeing of the population

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UDC: 
614.3/4
DOI: 
10.21668/health.risk/2024.2.03.eng
Authors: 

E.V. Kovalev1,2, М.Ya. Zanina1,2, А.V. Motskus2, S.А. Musienko2, М.S. Mashdieva2

Organization: 

1Federal Service for Surveillance over Consumer Rights Protection and Human Wellbeing, Rostov Regional Office, 17 18th Liniya St., Rostov-on-Don, 344019, Russian Federation
2Rostov State Medical University, 29 Nakhichevanskii Av., Rostov-on-Don, 344022, Russian Federation

Abstract: 

This research is relevant since it is important to assess performance and effectiveness of activities performed by Rospotrebnadzor bodies and organizations in RF regions.

The aim of this study was to assess performance and effectiveness of control and surveillance activities performed by a territorial office of Rospotrebnadzor given the current reduction in scheduled inspections.

Control and surveillance activities performed by the Rospotrebnadzor Rostov Regional Office in 2023 were selected as the research object. They were aimed at improving the quality of the environment for the region population and indirectly at reducing population incidence and mortality associated with exposures to harmful risk factors represented by ambient air, water, and soil pollution etc.

The study was accomplished relying on methodical instruments developed by the Federal Scientific Center for Medical and Preventive Health Risk Management Technologies and approved by the RF Chief Sanitary Inspector. The basic methodology establishes rules for calculating economic losses associated with population mortality and incidence (children, working age population and population older than working age) caused by environmental exposures. Calculations were based on the results of instrumental measurements of the environment quality in cities in the Rostov region and the results of scheduled and off-schedule control activities performed by the Rospotrebnadzor Rostov Regional Office in 2023.

It was established that control and surveillance activities performed by the Service managed to prevent approximately 1760 deaths and more than 152.4 thousand diseases, which could actually occur should the Service fail to perform its regulatory actions. The total prevented economic losses equaled approximately 2.1 billion rubles in 2023. Economic effectiveness was established relying on prevented losses of the gross regional product and equaled 7.25 rubles per 1 spent ruble in 2023 prices.

There are several promising trends in the scientific and methodical support provided by practical activities performed by Rospotrebnadzor. They include development and implementation of methodical approaches to assessing effectiveness of prevention activities; searching for new approaches to assessing performance and effectiveness of other activities accomplished by the Service (licensing, registration of new and hazardous chemicals and products, etc.).

Keywords: 
Rospotrebnadzor, control and surveillance activities, environment, mortality, incidence, economic losses, performance, effectiveness
Kovalev E.V., Zanina М.Ya., Motskus А.V., Musienko S.А., Mashdieva М.S. Regional aspects in assessment of performance and effectiveness of the risk-based model for control and surveillance activities in provision of sanitary-epidemiological wellbeing of the population. Health Risk Analysis, 2024, no. 2, pp. 32–43. DOI: 10.21668/health.risk/2024.2.03.eng
References: 
  1. Manzoor A. A Look at Efficiency in Public Administration: Past and Future. SAGE Open, 2014, vol. 4, no. 4, pp. 1–5. DOI: 10.1177/2158244014564936
  2. Grandy C. The “efficient” public administrator: Pareto and a well-rounded approach to public administration. Public Administration Review, 2009, vol. 69, no. 6, pp. 1115–1123. DOI: 10.1111/j.1540-6210.2009.02069.x
  3. Kislyakov A.S., Chernysheva T.K. On the efficiency and performance of federal executive authorities. Gosudar-stvennaya vlast' i mestnoe samoupravlenie, 2019, no. 10, pp. 26–29. DOI: 10.18572/1813-1247-2019-10-26-29 (in Russian).
  4. Yuzhakov V.N., Dobrolyubova E.I., Spiridonov A.A. Methodological approaches to the assessment of state control and inspection system by the citizens as its beneficiaries. Vestnik Rossiiskogo universiteta druzhby narodov. Seriya: Sotsiologiya, 2019, vol. 19, no. 2, pp. 337–351. DOI: 10.22363/2313-2272-2019-19-2-337-351 (in Russian).
  5. Sheburakov I. Development and implementation of key performance indicators at the regional level. Gosudarstvennaya sluzhba, 2014, no. 5 (91), pp. 85–90 (in Russian).
  6. Hak M., Devčić A. Measuring the Efficiency of the State Administration Through the Key Performance Indicators. European Scientific Journal, 2016, sp. ed., pp. 128–138.
  7. Surilov M. Podkhody k otsenke effektivnosti publichnogo upravleniya: analiz i perspektivy razvitiya [Approaches to as-sessing the efficiency of public administration: analysis and development prospects]. Trendy i upravlenie, 2017, no. 3, pp. 92–103 (in Russian).
  8. Chazova I.Yu., Israilov M.V. Estimation of efficiency of state authorities' activity. Vestnik Udmurtskogo universiteta, 2019, vol. 29, no. 6, pp. 776–785. DOI: 10.35634/2412-9593-2019-29-6-776-785 (in Russian).
  9. Belev S.G., Mamedov A.A., Moguchev N.S., Tischenko T.V. International experience in assessing the long-term budgetary impact of programs at the federal, regional and municipal level. Moscow, 2016, 76 p. DOI: 10.2139/SSRN.2812132 (in Russian).
  10. Aidinov G.T., Pravdyukova E.A., Sofyanikova L.V. O podgotovke k perekhodu na byudzhetirovanie, orientirovannoe na konechnyi rezul'tat [On preparing to the transition to results-based budgeting]. Sanitarnyi vrach, 2008, no. 3, pp. 63–64 (in Russian).
  11. Kleyn S.V., Nikiforova N.V., Vekovshinina S.A. Aassessing influence exerted by ambient air pollution on public health in the Russian Federation. Siberian Journal of Life Sciences and Agriculture, 2023, vol. 15, no. 5, pp. 306–321. DOI: 10.12731/2658-6649-2023-15-5-943
  12. Beyer K.M.M., Namin S. Chapter 12 – Chronic environmental diseases: burdens, causes, and response. In book: Bio-logical and Environmental Hazards, Risks, and Disasters (Second Edition). In: R. Sivanpillai, J.F. Shroder eds. Elsevier, 2023, pp. 223–249. DOI: 10.1016/B978-0-12-820509-9.00030-7
  13. Zaytseva N.V., May I.V., Balashov S.Yu. Medical and biologic parameters of the population health state in conditions of inhabitancy complex natural-technogenic pollution. Izvestiya Samarskogo nauchnogo tsentra Rossiiskoi akademii nauk, 2009, vol. 11, no. 1–6, pp. 1144–1148 (in Russian).
  14. Luzhetskiy K.P., Ustinova O.Yu., Vandysheva A.Yu., Vekovshinina S.A. The disorders of physical development of children residing in the conditions of low-level contamination of the atmospheric air and drinking water by metals (lead, manganese, nickel, chrome, cadmium) on the example of the Perm Region. Gigiena i sanitariya, 2017, vol. 96, no. 1, pp. 70–75. DOI: 10.18821/0016-9900-2017-96-1-70-75 (in Russian).
  15. Klimov P., Basilaia M. Estimation of atmospheric air pollution and health risk for Rostov-on-Don population. Science Almanac of Black Sea Region Countries, 2017, vol. 10, no. 2, pp. 46–51. DOI: 10.23947/2414-1143-2017-10-2-46-51
  16. Popova A.Yu., Bragina I.V., Zaitseva N.V., May I.V., Shur P.Z., Mitrokhin O.V., Goryaev D.V. On the scientific and methodological support of the assessment of the performance and effectiveness of the control and supervision activity of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing. Gigiena i sanitariya, 2017, vol. 96, no. 1, pp. 5–9. DOI: 10.18821/0016-9900-2017-96-1-5-9 (in Russian).
  17. Popova A.Yu., Zaytseva N.V., May I.V., Kiryanov D.A. Methodological approaches to the calculation of actual and prevented as a result of the control and supervisory activities, medical-demographic and economic 95 losses, associated with the negative impact of environmental factors. Gigiena i sanitariya, 2015, vol. 94, no. 7, pp. 95–99 (in Russian).
  18. Zaitseva N.V., May I.V., Klein S.V., Kiryanov D.A. Methodological aspects and results of estimation of demographic loss associated with harmful influence of environment factors and preventive activities of Rospotrebnadzor in regions of the Russian Federation. ZNiSO, 2018, no. 4 (301), pp. 15–20. DOI: 10.35627/2219-5238/2018-301-4-15-20 (in Russian).
  19. Istorik O.A., Kiryanov D.A., Tsinker M.Yu. Opredelenie effektivnosti kontrol'no-nadzornoi deyatel'nosti organov i organizatsii Rospotrebnadzora v Leningradskoi oblasti na osnove rascheta predotvrashchennykh ekonomicheskikh poter' ot smertnosti i zabolevaemosti naseleniya, assotsiirovannykh s negativnym vozdeistviem faktorov sredy obitaniya [Determination of the effectiveness of control and surveillance activities of Rospotrebnadzor bodies and organizations in the Leningrad region based on the calculation of prevented economic losses from population mortality and morbidity associated with the negative impact of environmental factors]. Aktual'nye voprosy obespecheniya sanitarno-epidemiologicheskogo blagopoluchiya naseleniya na urovne sub"ekta Federatsii: materialy mezhregional'noi nauchno-prakticheskoi internet-konferentsii. In: A.Yu. Popova, N.V. Zaitseva eds. Perm, 2017, pp. 29–45 (in Russian).
  20. Mehantiev I.I., Masaylova L.A., Tsinker M.Yu., Lastochkina K.S. The evaluation of efficiency of Rospotrebnadzor’s control supervision activity based on the risk estimation of medical demographic losses exemplified by the Voronezh region. Nauchno-meditsinskii vestnik Tsentral'nogo Chernozem'ya, 2017, no. 70, pp. 95–99 (in Russian).
  21. Roy N., Mishina E. Demographic indicators as indicators of the efficiency of public administration. New economy, business and society. Collection of materials from the April scientific and practical conference of young scientists. Novaya ekonomika, biznes i obshchestvo: sbornik materialov aprel'skoi nauchno-prakticheskoi konferentsii molodykh uchenykh ShEM, nauchnoe elektronnoe izdanie. In: A.B. Kosolapov ed. Vladivostok, 2017, pp. 833–838 (in Russian).
  22. Zaitseva N.V., Kiryanov D.A., Tsinker M.Yu., Kostarev V.G. Methodical approach to the investigation of reserves in performance and management in the system of Federal Service for Surveillance over Consumer Rights Protection and Human Well-Being (Rospotrebnadzor) as according to prevented health losses in the population of the Russian Federation. Gigiena i sanitariya, 2019, vol. 98, no. 2, pp. 125–134. DOI: 10.18821/0016-9900-2019-98-2-125-134 (in Russian).
  23. Buletova N.E., Zolotko T.A. On assessing the efficiency of executive authorities in achieving the national development goals. Aktual'nye problemy ekonomiki i prava, 2020, vol. 14, no. 4, pp. 733–750. DOI: 10.21202/1993-047X.14.2020.4.733-750 (in Russian).
Received: 
03.05.2024
Approved: 
14.06.2024
Accepted for publication: 
24.06.2024

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