TENDENCIES OF INFANTILE AND CHILD MORTALITY IN THE CONDITIONS OF IMPLEMENTATION OF THE MODERN STRATEGY OF DEVELOPMENT OF HEALTH CARE OF THE RUSSIAN FEDERATION

Cover Page


Cite item

Full Text

Abstract

Development of maternity and childhood protection service is one of the priorities of the Ministry of Health of the Russian Federation. The strategy for its development is included in the National plan of action for the benefit of children formulated according to the international documents on the rights of a child. The preservation of life and health of children under 5 years has been identified as an important strategic task for preserving life and health of the population as a whole. Tendencies of mortality in children under 5 years and infant mortality as a part of the data had been studied basing on the analysis of Federal State Statistics Service of the Russian Federation and World Bank data bases. It is shown that the reduction in mortality of children under 5 years occurred in all age periods. The level of infant mortality decreased significantly to the same extent due to neonatal and post-neonatal mortality. The leading causes for mortality in children under 5 years in general and infant mortality in particular are certain conditions originating in the perinatal period and congenital malformations which slow further reduction of the mortality in children in this age group. Significant reasons for death in children aged 1−4 years are injuries, poisonings, and oncologic diseases. The reserves of infant and child mortality reduction are found in implementation of prenatal and preimplantation diagnostics and «Prenatal consultation» organizational model; broader screening for congenital and hereditary metabolic diseases in the neonatal period including the most common nosological forms of rare (orphan) diseases; expansion of the National Vaccination Calendar; improvement of quality of prehospital medical care to children under the age of 1 year; further development of specialized, rehabilitative, and medical-social support.

About the authors

A. A. Baranov

National Scientific and Practical Center of Children’s Health

Email: baranov@nczd.ru
ORCID iD: 0000-0002-3874-4721

MD, PhD, Dr Med Sci?Academician Of  RAS, Director.

SPIN-код: 3570-1806

mso-fareast-font-family:Calibri; mso-bidi-font-family:""; mso-fareast-language:EN-US;} p.MsoListParagraphbullet3\.gif, li.MsoListParagraphbullet3\.gif, div.MsoListParagraphbullet3\.gif {mso-style-priority:34; mso-style-unhide:no; mso-style-qformat:yes; mso-style-type:export-only; margin-top:0cm; margin-right:0cm; margin-bottom:0cm; margin-left:36.0pt; margin-bottom:.0001pt; mso-add-space:auto; text-align:justify; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-fareast-font-family:Calibri; mso-bidi-font-family:""; mso-fareast-language:EN-US;} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-size:10.0pt; mso-ansi-font-size:10.0pt; mso-bidi-font-size:10.0pt; mso-ascii-font-family:Calibri; mso-fareast-font-family:Calibri; mso-hansi-font-family:Calibri;} @page Section1 {size:612.0pt 792.0pt; margin:2.0cm 42.5pt 2.0cm 3.0cm; mso-header-margin:36.0pt; mso-footer-margin:36.0pt; mso-paper-source:0;} div.Section1 {page:Section1;} -->

 

Russian Federation

L. S. Namazova- Baranova

National Scientific and Practical Center of Children’s Health

Email: namazova@nczd.ru
ORCID iD: 0000-0002-2209-7531

MD, PhD, Dr Med Sci, Member Correspondent Of  RAS, Director Of Scientific Research Institute Of Pediatrics.

SPIN-код: 1312-2147

Russian Federation

V. Yu. Albitsky

National Scientific and Practical Center of Children’s Health

Email: Albicky@nczd.ru
ORCID iD: 0000-0001-9645-3415

MD, PhD, Dr Med Sci, Professor, Project Leader Of laboratory Of Social Pediatrics

Russian Federation

R. N. Terletskaya

National Scientific and Practical Center of Children’s Health

Author for correspondence.
Email: rterletskaya@mail.ru
ORCID iD: 0000-0001-6313-3810

MD, PhD, Dr Med Sci, Professor, Project Leader Of laboratory Of Social Pediatrics.

SPIN-код: 1761-4180 

 

Russian Federation

References

  1. Государственный доклад о реализации государственной политики в сфере охраны здоровья за 2015 год. ― М., 2016. [The state report on realization of state policy in the sphere of health protection for 2015. Moscow: 2016. (In Russ).] Доступно по: http://www.transfusion.ru/2016/08-03-3.pdfСсылка активна на 03.09.2017.
  2. Баранов А.А., Альбицкий В.Ю., Терлецкая Р.Н., Зелинская Д.И. Многоуровневая система оказания медицинской помощи детскому населению // Вопросы современной педиатрии. ― 2014. ― Т.13. ― №2 ― С. 5–10. [Baranov AA, Al’bitskii VYu, Terletskaya RN, Zelinskaya DI. Multilevel system of medical care to children’s population. Current pediatrics. 2014;13(2):5−10. (In Russ).] doi: 10.15690/vsp.v13i2.967.
  3. Баранов А.А., Намазова-Баранова Л.С., Альбицкий В.Ю., Терлецкая Р.Н. Закономерности и тенденции младенческой и детской смертности в Российской Федерации // Проблемы социальной гигиены, здравоохранения и истории медицины. ― 2015. ― Т. 23. ― №1 ― С. 35–41. [Baranov AA, Namazova-Baranova LS, Albitskii VYu, Terletskaia RN. The regularities and tendencies of infant and children mortality in the Russian Federation. Problemy sotsial’noi gigieny, zdravookhraneniya i istorii meditsiny. 2015;23(1):35−41. (In Russ).]
  4. Альбицкий В.Ю., Терлецкая Р.Н. Младенческая смертность в Российской Федерации в условиях новых требований к регистрациирождения. Вып. 19. ― М.: ПедиатрЪ; 2016. ― 88 с. [Al’bitskii VYu, Terletskaya RN. Mladencheskaya smertnost’ v Rossiiskoi Federatsii v usloviyakh novykh trebovanii k registratsii rozhdeniya. Vol. 19. Moscow: «Pediatr»; 2016. 88 p. (In Russ).]
  5. Барашнев Ю.И. Перинатальная неврология. ― М.: Триада-Х; 2011. ― 672 с. [Barashnev YuI. Perinatal’naya nevrologiya. Moscow: Triada-Kh; 2011. 672 p. (In Russ).]
  6. Намазова-Баранова Л.С., Деев И.А., Кобякова О.С., и др. Особенности соматической патологии у детей с низкой, очень низкой и экстремально низкой массой тела при рождении в различные возрастные периоды жизни // Бюллетень Сибирской медицины. ― 2016. ― Т.15. ― №4 ― С. 140–149. [Namazova-Baranova LS, Deev IA, Kobyakova OS, et al. Features of somatic pathology in children with low, very low and extremely low birth weight at different ages of life (review of the world literature). Bulletin of the Siberian medicine. 2016;15(4):140−149. (In Russ).] doi: 10.20538/1682-0363-2016-4-140-149.
  7. Wilson-Costello D, Friedman H, Minich N, et al. Improved survival rates with increased neurodevelopmental disability for extremely low birth weight infants in the 1990s. Pediatrics. 2005;115(4):997–1003. doi: 10.1542/peds.2004-0221.
  8. Баранов А.А. Основные направления перестройки службы охраны материнства и детства // Медицина. ― 1988. ― №9 ― С. 5–10. [Baranov AA. Main directions of reorganization of security service of motherhood and childhood. Meditsina. 1988;(9):5−10. (In Russ).]
  9. Стародубов В.И., Баранов А.А., Альбицкий В.Ю., Иванова А.Е. Детская смертность как объект изучения социальной медицинской географии // Российский педиатрический журнал. ― 2005. ― №5 ― С. 4–6. [Starodubov VI, Baranov AA, Albitsky VYu, Ivanova AYe. Child mortality as a subject of a study of social medical geography. Russian journal of pediatrics. 2005;(5):4−6. (In Russ).]
  10. Баранов А.А., Альбицкий В.Ю., Устинова Н.В. Состояние, проблемы и перспективы организации медико-социальной помощи детям //Российский педиатрический журнал. ― 2013. ― №3 ― С. 4–6. [Baranov AA, Albitsky VYu, Ustinova NV. Status, problems and prospects of the organization of medical and social care for children. Russian journal of pediatrics. 2013;(3):4−6. (In Russ).]
  11. Организация трехуровневой системы медико-социальной помощи детям в трудной жизненной ситуации. Методические рекомендации,утвержденные Минздравом РФ 25 мая 2017 г. ― М.; 2017. [Organizatsiya trekhurovnevoi sistemy mediko-sotsial’noi pomoshchi detyam v trudnoi zhiznennoi situatsii. Methodological recommendations approved by the Ministry of Health of the Russian Federation on May 25, 2017. Moscow; 2017. (In Russ).]

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2017 "Paediatrician" Publishers LLC



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies