About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

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
Postgraduate Institute for Public Health Workers of Ministry of Health of the Khabarovsk region
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.,
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.


  1. Al'bitskiy V.Yu., Baybarina E.N., Sorokina Z.Kh., Terletskaya R.N. Smertnost' novorozhdennykh s ekstremal'no nizkoy massoy tela pri rozhdenii [The mortality rate of infants with extremely low birth weight]. Obshchestvennoe zdorov'e i zdravookhranenie 2010;(2):16 ľ 21. (In Russian).
  2. Baranov A.A., Al'bitskiy V.Yu. Mladencheskaya smertnost': uroki istorii i perspektivy snizheniya [Infant mortality: the lessons of history and the prospects for reducing]. Kazanskiy meditsinskiy zhurnal 2011;92(5):690-694. (In Russian).
  3. Baranov A.A., Al'bitskiy V.Yu. Smertnost' detskogo naseleniya Rossii (tendentsii, prichiny i puti snizheniya) [Mortality in Russian children (trends, causes and ways to reduction)]. Moscow: Soyuz pediatrov Rossii; 2009. 392p. (In Russian).
  4. Baranov A.A., Namazova-Baranova L.S., Al'bitskiy V.Yu., Terletskaya R.N. Zakonomernosti i tendentsii mladencheskoy smertnosti v Rossiyskoy Federatsii [Patterns and trends in infant mortality in the Russian Federation]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2015;23(1):35 ľ 41. (In Russian).
  5. D'yachenko V.G., Chizhova G.V., Rzyankina M.F. Reproduktivnoe zdorov'e naseleniya Dal'nego Vostoka Rossii v usloviyakh rynochnykh reform [Reproductive Health of the Russian Far East population in the conditions of market reforms]. Khabarovsk: RITs źInstitut povysheniya kvalifikatsii spetsialistov zdravookhraneniya Ministerstva zdravookhraneniya Khabarovskogo kraya╗; 2014. 536p. (In Russian).
  6. Mediko-demograficheskie pokazateli Rossiyskoy Federatsii [Health and demographic characteristics of the Russian Federation]. 2014. Sbornik statisticheskikh materialov MZ RF. Moscow: TsNIIOIZ MZ RF; 2014, 269p. (In Russian).
  7. Ofitsial'naya statistika. Naselenie. Khabarovskstat 2001-2005 [Official statistics. Population.Khabarovskstat 2001 - 2005]. [Online] [cited 2016 Apr 22]. Available from: http://habstat.gks.ru/wps/wcm/connect/rosstat_ts/habstat/ru/statistics/population/. (In Russian).
  8. Sen'kevich O.A., V.S. Stupak, Zh.B. Vasil'eva. Mladencheskaya smertnost' v Khabarovskom krae i puti ee snizheniya [Infant mortality in Khabarovsk region and ways of its reduction]. In: Chizhova G.V., Zhmerenetskiy K.V., editors. Dokazatel'naya meditsina ľ osnova sovremennogo zdravookhraneniya [Evidence-based medicine is the base for contemporary healthcare]. Khabarovsk: RITs źInstitut povysheniya kvalifikatsii spetsialistov zdravookhraneniya Ministerstva zdravookhraneniya Khabarovskogo kraya╗; 2015. P. 68-72. (In Russian).
  9. Starodubov V.I., Sukhanova L.P. Reproduktivnye problemy demograficheskogo razvitiya Rossii [Reproductive problems of demographic development in Russia]. Moscow: ID źMenedzher zdravookhraneniya╗; 2012. 320p. (In Russian).
  10. Stupak V.S., Starodubov V.I., Fil'kina O.M. Regional'naya model' profilaktiki perinatal'noy patologii v sub"ekte Rossiyskoy Federatsii s nizkoy plotnost'yu naseleniya [Regional model for preventing perinatal pathology in the subjects of the Russian Federation with a low population density]. Starodubov V.I., editor. Ivanovo: źIvanovo╗; 2012. 468p. (In Russian).
  11. Stupak V.S., Sen'kevich O.A., Kolesnikova S.M., Shumilova I.V. Sostoyanie postneonatal'noy smertnosti v Khabarovskom krae [Post-neonatal mortality in Khabarovsk territory]. Dal'nevostochnyy meditsinskiy zhurnal 2012; (4):112-115. (In Russian).
  12. Tseli tysyacheletiya v oblasti razvitiya, svyazannye so zdorov'em [Millennium Development Goals related to health]. 2005. Doklad Sekretariata VOZ. Copenhagen; 2005, 13p. (In Russian).

Views: 9212

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.

Code:* Code

Last Updated ( Monday, 03 April 2017 )
< Prev   Next >
home contact search contact search