Состояние врачебной части медико-санитарной службы в сельских районах Акмолинской и Семипалатинской областей Степного края (1890-е — 1917 г.)

Abstract

Based on published and unpublished sources the article analyzes the state of the health care system in the rural areas of Akmola and Semipalatinsk Regions of the Steppe Governor-General's Office at the turn of the 19th-20th centuries. After the activation of the resettlement movement the peasants settled the rural areas in the steppe actively, which led to the division of areas into medical districts and the creation of a system of rural-medical care. Doctors, medical assistants, and midwives began to provide medical care in county towns. In the course of their work, they encountered a number of problems, among which was the question of the discrepancy between the salary and the duties performed. These difficulties affected the quality and quantity of medical personnel in the rural areas of the Steppe Territory, where the staffing issue was acute. In addition, the situation related to the material and technical equipment of medical institutions remained difficult, since the lack of the necessary number of hospitals had a negative impact on the quality of medical care received by the residents.