Оцінка стану репродуктивного здоров'я жіночого населення Закарпатської області в сучасних умовах

Abstract

Introduction. The demographic crisis in Ukraine is a socio-medical problem caused by: socio-economic factors; the consequences of the COVID-19 pandemic, which continues in conditions of war; a decrease in the total fertility rate against the background of somatic and gynecological pathology; the increase in the specific weight of reproductive losses; high level of maternal and infant mortality. Goal. To analyze the dynamics of reproductive health indicators of the female population of the Transcarpathian region for 5 years. Determine the priority directions for improving the situation in the region. Materials and methods. Analysis and statistical processing of data by region for 2018-2022. Conclusions of the commission of the health care department on the analysis of cases of maternal and perinatal mortality. The results of a sample survey of the female population. Research results and their discussion. The reasons for the deterioration of reproductive health and the structure of morbidity among women of reproductive age and adolescent girls are determined. The most urgent problems are the increase in miscarriages, high rates of oncogynecological morbidity, the increase in the level of maternal mortality against the background of the consequences of the COVID-19 pandemic, chronic extragenital pathology. When analyzing cases of maternal and perinatal losses, deficiencies in the provision of assistance were revealed. The results of the survey indicate a low level of sanitary education. Two international projects aimed at improving the quality of medical services and perinatal care were launched in the region. Conclusions. Analysis of reproductive health indicators of the female population shows negative trends and requires further development and implementation of effective measures to improve the situation. The implemented medical reform is imperfect in terms of: monitoring; coordinated work of the primary and secondary links of assistance; quality of training of specialists and improvement of their qualifications.