CHARACTERISTICS OF TERRITORIAL AVAILABILITY OF PRIMARY AND PRE-MEDICAL CARE FOR THE RURAL POPULATION OF MOUNTAINOUS AND SUBMONTANE ZONE OF RESIDENCE

Authors

  • I. M. Rohach Uzhhorod National University, Uzhhorod, Ukraine
  • D. V. Danko Uzhhorod National University, Uzhhorod, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2019.4.10945

Keywords:

mountainous and submontane zone, rural population, pre-medical and primary medical care, territorial availability

Abstract

Purpose: to carry out a comprehensive assessment of the territorial availability of primary and pre-medical care for the rural population of the mountainous and submontane zone of Transcarpathian region.

Materials and Methods. Materials of research: data from the State and sectoral statistical reports for the year 2018. Methods of research: medical-and-statistical method and the method of structural-and-logical analysis.

Results. 503.1 thousand people live in 349 villages of mountainous and submontane zones of Transcarpathian region. The length of roads reaches 3814.0 km, 342.9 (8.99 %) km of which have asphalt coating, and 1107.0 (29.02 %) km in winter and spring and autumn period are conditionally travelable. In the submontane zone in terms of administrative territories the distance from the district center to the most remote village ranges from 24.5 km in Svaliava to 70 km in Tiachiv district. In Tiachiv district 20 km are conditionally travelable in spring, winter and autumn. This means that in this period of a year it is complicated, if necessary, to reach the abovementioned villages for emergency medical care teams and provision of hospitalization of sick persons.

In the mountainous geographical zone in terms of administrative territories the distance from the district center to the most remote village ranges from 29 km in Mizhhiria to 51 km in the Volovets district. Of the total number of roads 26.12 % are conditionally travelable in spring, winter and autumn.

173 obstetric stations and 157 family medical outpatient clinics have been opened for providing pre-hospital care.

In the submontane area for the provision of primary health care for 371.8 thousand of rural constant inhabitants 108 family outpatient clinics were opened with the level of provision 2.90 outpatient clinics per 10 thousand population.

In the mountainous area to provide primary health care to 131.3 thousand of rural constant inhabitants 49 family outpatient clinics were opened with the level of provision 3.73 outpatient clinics per 10 thousand people.

Conclusions. The results obtained indicate low level of territorial availability of primary and pre-medical care for the rural population of mountainous and submontane area of Transcarpathian region.

Author Biography

I. M. Rohach, Uzhhorod National University, Uzhhorod, Ukraine

DM (Medicine), professor, head of the department of social medicine and hygiene of Uzhhorod National University

References

(2008). Doklad o sostoyanii zdravookhraneniya v mire, 2008 g. Pervichnaya mediko-sanitarnaya pomoshch – segodnya aktualneye, chem kogda-libo [World Health Report 2008. Primary health care is more relevant today than ever]. Zheneva: WHO. Retrieved from: http://www.who.int/whr/2008/whr08_ru.pdf. [in Russian].

Lekhan, V.M., Nadutyi, K.O., & Slabkyi, H.O. (2011). Innovatsiini pidkhody do zabezpechennia dostupnosti pervynnoi medyko-sanitarnoi dopomohy silskomu naselenniu [Innovative approaches to ensuring the availability of primary health care to the rural population]. Ukraina. Zdorovia natsii – Ukraine. The Nation’s Health, 3 (19), 86-91 [in Ukrainian].

(2015). Natsionalna stratehiia reformuvannia systemy okhorony zdorovia v Ukraini na period 2015-2020 rokiv [National strategy for reforming the health care system in Ukraine for the period 2015-2020]. Retrieved from: http://healthsag.org.ua/strategiya/ [in Ukrainian].

Matiukha, L.F., Hoida, N.H., & Slabkyi, H.O. (2011). Otsinka efektyvnosti orhanizatsii ta nadannia pervynnoi medyko-sanitarnoi dopomohy [Evaluation of the efficiency of organization and provision of primary health care]. Kyiv: MOZ, DU “UISD MOZ Ukrainy”, NMAPO im. P.L. Shupyka, Mizhnar. nauk.-navch. tsentr informtekhnolohii ta system NAN Ukrainy i MON Ukrainy. Ukrainian Medical Dental Academy [in Ukrainian].

Matiukha, L.F., Lekhan, V.M., & Hoida N.H. (2011). Poriadok orhanizatsii nadannia medychnoi dopomohy ta zabezpechennia marshrutiv patsiienta likarem zahalnoi praktyky – simeinym likarem pry riznykh klinichnykh stanakh ta zakhvoriuvanniakh [The order of organization of rendering medical care and providing routes of the patient by a general practitioner – a family doctor in different clinical conditions and diseases]. Kyiv: MOZ Ukrainy; NMAPO im. P. L. Shupyka, UISD, Dnipropetrovska DMA, Zaporizka MAPO, Chernivetske UOZ [in Ukrainian].

(2018). Postanova KMU „Pro zatverdzhennia Poriadku realizatsii derzhavnykh harantii medychnoho obsluhovuvannia naselennia za prohramoiu medychnykh harantii dlia pervynnoi medychnoi dopomohy na 2018 rik” vid 25.04.2018 r. № 407 [CMU Resolution “On Approval of the Procedure for Implementation of State Guarantees of Public Health Care under the Program of Medical Guarantees for Primary Care for 2018” of 25.04.2018 No. 407]. Retrieved from: https://www.apteka.ua/article/458646 [in Ukrainian].

Slabkyi, H.O. (2018). Rozvytok merezhi zakladiv okhorony zdorovia zahalnoi likarskoi praktyky – simeinoi medytsyny. Rozvytok pervynnoi medychnoi dopomohy na zasadakh simenoi medytsyny [Development of a network of general practice – family medicine. Development of primary care on a family medicine basis]. Kyiv [in Ukrainian].

Kvitashvili, O. (2015). (Ed.). Shchorichna dopovid pro stan zdorovia naselennia, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy za 2014 rik [Annual Report on the State of Health of the Population, the Sanitary and Epidemic Situation and the Results of the Health Care System of Ukraine, 2014]. Kyiv [in Ukrainian].

Shafranskyi, V.V. (2016). (Ed.). Shchorichna dopovid pro stan zdorovia naselennia, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy. 2015 rik [Annual report on the state of health of the population, the sanitary-epidemic situation and the results of activity of the health care system of Ukraine. 2015]. Kyiv, MOZ Ukrainy, DU “UISD MOZ Ukrainy” [in Ukrainian].

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Published

2020-03-17

How to Cite

Rohach, I. M., & Danko, D. V. (2020). CHARACTERISTICS OF TERRITORIAL AVAILABILITY OF PRIMARY AND PRE-MEDICAL CARE FOR THE RURAL POPULATION OF MOUNTAINOUS AND SUBMONTANE ZONE OF RESIDENCE . Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (4), 30–35. https://doi.org/10.11603/1681-2786.2019.4.10945

Issue

No. 4 (2019)

Section

Organization of medical care

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