T.P.Sabgayda ¹, N.B.Pavlov^2
1 - Federal Public Health Institute , Moscow
² - City stomatologic polyclinic, Nizhnevartovsk

The goal of the work is the analysis of efficiency of health preventive measures on the base of the existing data of statistical reporting.

Results of activity of the Centers for health prevention have been analyzed in comparison with dynamics of population mortality caused by preventable reasons for the period of 2005-2009 in the subjects of the Russian Federation. The study have been made with using the data of official state statistics on population mortality(¹Ñ51), activity of the Centers for health prevention (¹170), as well as activity of health care facilities and medical personnel (¹47).

The decrease in mortality caused by preventable reasons in the Russian population registered after 2005 is correlated with an improvement in population social and economic well-being rather than with facilitating preventive function of public health services. Death cases caused by preventable reasons have made 56.4 % among men in the ages from 5 till 65 and 53.3 % in women of the same ages. The preventable mortality has decreased by 28.1 % in men and 26.3 % in women since 2005. The coefficients of correlation between preventable mortality and real available monetary incomes of the population during 2003-2009 have been 0.98 for men and 0.99 for women. A reduction in preventable mortality rate was registered together with an increase in morbidity close to all-Russia indicators in the subjects of the Russian Federation where the number of preventive programs and projects realized by the Centers for health prevention was high.

Resource provision and activity of the Centers for health prevention was essentially decreased during the period examined. The number of Centers has been reduced by 29.8 %, the number of staff employment by 18.9 %; employment of medical personnel by 8.4 %; volume of actually received resource provision by 97.4 %. The number of researches aimed at studying the population information awareness about risk factors of noncommunicable diseases was decreased by 76.6 %, study of sanitary culture of the population – by 52.9 %, study of behavioral risk factors of noncommunicable diseases – by 41.6 %. The number of health promotion services provided to the population has decreased in four times and more , the number of consultations carried out– in 1.9 times, the number of patients in the Centers for health prevention – in 2.8 times.

Thus, the results of the analysis have shown that the statistical reporting data have not been used: a disparity in the data given in various tables of the reporting forms testify to an absence of verification of the information. The objects and tasks of the Centers for health prevention are interpreted over a wide range, they are overloaded with functional duties.

Key words: efficiency of health preventive measures; indicators of preventive activity; primary prevention; preventable mortality; verification of statistical reporting data; prevalence of morbidity risk factors.

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