Across Russia, the deep socio-economiccrisis of the 1990s and early 2000s provided fertile groundfor the spread of Tuberculosis (TB). Indeed, as noted,'people who were already living very precariously sawtheir real incomes drop by 25 percent to 30 percent at atime when government spending was also falling.' As aresult, social and health conditions deteriorated, and TBspread rapidly. Russia also had one of the highest rates ofimprisonment in the world that, coupled with adverseconditions in prisons, increased the risk of TB, HIV andother infectious diseases among prisoners. The Project wasdesigned in accordance with the federal targeted socialdisease prevention and control program (2002-2006). About 80percent of project funds were allocated for TB control withthe goal of contributing to a leveling-off or reduction inmorbidity, mortality and transmission of TB. The projectcovered 79 of the 83 regions across the vast Russianterritory - from the Baltic Sea to the Pacific Ocean,strengthening both the civilian and prison health systems.
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