A sociological analysis of socio-humanitarian sphere in the North Caucasian region: the state of medicine in Dagestan

A sociological analysis of socio-humanitarian sphere in the North Caucasian region: the state of medicine in Dagestan
// Pathways to Peace and Security. 2018. no 1(54) Special Issue: Humanitarian Challenges, Humanitarian Support and Human Protection in Armed Conflicts. Edited by Ekaterina Stepanova, . P. 207-222


DOI: 10.20542/2307-1494-2018-1-207-222

Sokolov, Denis 
Independent researcher (независимый исследователь)
denis_sdv@yahoo.com  



Abstract

The health care system in Dagestan has distinctive features that are related both to the peculiarities of the Dagestani society and to post-Soviet reforms of public health system. The phenomenon of medical dynasties limits access to the profession for young specialists and may worsen the quality of the services provided. At the same time it is the family ties that help ordinary citizens to get access to health care services and help young professional to find work. In rural areas, it is also common that the head of local health care institution is appointed by “jamaat” – an informal representative body of power in the community. Despite modernization of the health care system that follows Russia’s overall state model, traditional “tukhum” still serves as a reliable insurance system in Dagestan. 


Keywords

Dagestan, health care system, private practice, pharmacological market, clan system, corruption, “jamaats”, “tukhum” 


For citation:

Sokolov D. A sociological analysis of socio-humanitarian sphere in the North Caucasian region: the state of medicine in Dagestan. Pathways to Peace and Security, 2018, no 1(54) Special Issue: Humanitarian Challenges, Humanitarian Support and Human Protection in Armed Conflicts. Edited by Ekaterina Stepanova, , pp. 207-222. DOI: 10.20542/2307-1494-2018-1-207-222