THE ANALYSIS OF THE EFFECTIVENESS OF REGIONALIZATION IN PERINATAL CARE TO WOMEN IN UKRAINE

Authors

  • G. O. Slabkiy PЕ “Ukrainian Institute of Strategic Researches MHС of Ukraine”, Kyiv, Ukraine
  • Yu. Yu. Gaborets PЕ “Ukrainian Institute of Strategic Researches MHС of Ukraine”, Kyiv, Ukraine
  • O. O. Dudina PЕ “Ukrainian Institute of Strategic Researches MHС of Ukraine”, Kyiv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2016.4.7542

Keywords:

perinatal care, monitoring, regionalization, effectiveness, women.

Abstract

Goal of research: to study and analyze the effectiveness of regionalization in perinatal care to women in Ukraine.

Materials and methods. The study of the effectiveness of regionalization in perinatal care was held with the use of the data of State and industry statistics, perinatal audit according to BABIES-МATRICA for the years 2011–2015, monitoring and evaluation of the RAP by the years 2014-2015, SWOT-analysis. Applied methods: statistical and graphical images methods were applied.

Results. Regionalization of perinatal care demonstrated positive results as for the state of women's health. Thus, the level of abortions decreased from 17.0 to 9.8 per 1000 women of fertile age, with the ratio of abortions and live births 1:3.9. There exists the tendency to increasing the share of abortions held with the use of safe methods. The proportion of women with impaired heart (61,0–66,9%) and eclampsia and preeclampsia (78,0–83,0%) who delivered their babies in third-level medical institutions also increased. A tendency to decrease is also registered for such complications as uterine bleeding (18.59% to 18.1%).

Conclusions. The data obtained confirmed the positive effect of regionalization in perinatal care on mothers’ health in Ukraine.

References

Dudina O.O., & Luk`yanchuk, O.V. (2016) Dy`namika stanu reprodukty`vnogo z zdorov'ya naselennya [Dynamіcs of the population reproductive health protection]. Shhorichna dopovid` pro stan zdorov'ya naselennya, sanitarno-epidemichnu sy`tuaciyu ta rezul`taty` diyal`nosti sy`stemy` oxorony` zdorov'ya Ukrayiny`. 2015 – Annual report on the state of health, sanitary and epidemic situation and the performance of the health care system in Ukraine. 2015 (pp. 88–108). – Kyiv [in Ukrainian].

Dudina, O.O., & Gaborecz`, Yu.Yu. (2016) Deyaki py`tannya dostupnosti vy`sokospecializovanoyi pery`natal`noyi dopomogy` v Ukrayini [Some issues of availability of highly-specialized perinatal help in Ukraine]. Ukrayina. Zdorov'ya naciyi. – Ukraine. Health of the Nation, 4 (40), 100–105 [in Ukrainian].

Moiseenko, Р.О. (Eds.). (2012) Nacional`ni pidxody` do vprovadzhennya sy`stemy` regionalizaciyi pery`natal`noyi dopomogy` v Ukrayini [National approaches to the introduction of the system of regionalization of perinatal help in Ukraine]. Kyiv [in Ukrainian].

Osnovnaya dorodovaya, perinatal'naya i postnatal'naya pomoshch' : materialy uchebnogo seminara [The basic prenatal, perinatal and postnatal help: study workshop materials]. (n.d.). medical-diss.com. Retrieved from http://medical-diss.com. [in Russian].

Persha global`na strategiya VOOZ v oblasti reprodukty`vnogo zdorov'ya [WHO first global strategy in reproductive health protection]. (n.d.). whqlibdoc.who.int. Retrieved from http://whqlibdoc.who.int. [in Russian].

Published

2017-03-23

How to Cite

Slabkiy, G. O., Gaborets, Y. Y., & Dudina, O. O. (2017). THE ANALYSIS OF THE EFFECTIVENESS OF REGIONALIZATION IN PERINATAL CARE TO WOMEN IN UKRAINE. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (4). https://doi.org/10.11603/1681-2786.2016.4.7542

Issue

Section

Organization of medical care