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LONG-TERM INFANT MORTALITY AS INDICATOR OF SOCIAL AND ECONOMIC DEVELOPMENT OF THE KHABAROVSK TERRITORY Print
Monday, 06 March 2017

DOI: 10.21045/2071-5021-2017-53-1-10

Stupak V.S.1, Senkevich O.A.2, Komarova Z.A.2
1
Postgraduate Institute for Public Health Workers of Ministry of Health of the Khabarovsk region
2
Medical University " Far Eastern State Medical University" of the Russian Federeation Ministry of Health, Khabarovsk

Contacts: Olga Senkevich, e-mail: senkevicholga@ya.ru
Information about authors:
Stupak V.S.,
http://orcid.org/0000-0002-8722-1142
Senkevich O.A., http://orcid.org/0000-0003-4195-2350
Komarova Z.A., http://orcid.org/0000-0002-4054-1675
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract. Significance. Infant mortality indicates social and economic development of the area, effectiveness of social policy, access to health care as well as welfare and health, including child health. Infant mortality refers to health and social problems and affects life expectancy, reduces the number of active working age population resulting in economic loss of the society and the state. Qualitative indicators of effective implementation of activities in healthcare are child morbidity and mortality; they are higher in the Khabarovsk Territory compared to other federal districts.

The purpose of this study was to conduct a comparative analysis of infant mortality rates in the Khabarovsk Territory from the historical perspective.

Methods: comparative analysis of major medical and demographic indicators from the historical perspective.

The object of the study was a cohort of children born alive and died within the first year of life in the Khabarovsk Territory in 2000 ľ 2015. The heart of the problem is that for a long time the Khabarovsk Territory has been taking the lead in terms of infant mortality rates among all Russian federal districts; its current rates of infant mortality in urban and rural areas are subject to significant variations.

Results: the Khabarovsk Territory has set up a three-level system of mother and child care delivery (during pregnancy and childbirth) according to principles of territoriality and prevention with the leading role of the Regional Perinatal Center as a third-level obstetric facility that implements modern high-tech perinatal technologies. Such approach to preventing infant deaths turned out to be effective.

Conclusions: Infant mortality rates in the Khabarovsk Territory in 2015 reached its historical low and for the first time ever was lower the average Russian ones adding up to 6.4% per 1000 live births with the target of 10.5%. Efforts and complex technologies were mainly focused on addressing urgent situations (obstetrics, neonatal emergency care, intensive care, neonatal nursing, and surgery for congenital malformations). Infant mortality decreased 2.7 times in comparison with the 2000 rates and almost twofold compared to the 2013 rates.

Keywords. Infant mortality; early neonatal and neonatal mortality; mother and child health; Khabarovsk Territory.

References.

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