Libakova N.M. Healthcare management for for the indigenous peoples of Central Siberia (based on the Krasnoyarsk Region study)

Abstract: The subject of this research is the current state of health care in areas where indigenous peoples of the Krasnoyarsk region live. The traditional way of life of the indigenous peoples is closely tied to domestic reindeer herding, hunting, fishing, gathering plants, and currently does not provide sufficient opportunities to receive quality health care services. Based on field research results, critical reviews in science literature, as well as statistical data analysis the author studies ways to solve this problem, and reveals possible prospects for improving the quality of health care management for the indigenous population of the Krasnoyarsk region. The author employed his own field research experience in the compact settlements of the indigenous peoples in 2010-2015. In his analysis the author used statistical data, as well as the positions of leading healthcare management specialists for indigenous peoples of Russian Federation. The main contribution of the author is the preparation of a series of recommendations which found are reflected in the study's conclusions. Those recommendations are meant for state authorities in the regions of Russia where indigenous peoples reside, as well as for municipal authorities of the northern settlements of the Krasnoyarsk region. The success of the healthcare program for indigenous peoples will be determined by how much will the social and cultural specifics of those peoples be taken into account, including their traditions of self-government.

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