Проблемы организации первичной медико-санитарной помощи сельскому населению на современном этапе

Abstract

In the article, the author conducted an analytical review of the state of primary health care in rural areas at the present stage. In modern socio–economic conditions, health care for the rural population is characterized by limited access to medical care, as well as low efficiency, both medical and social and preventive measures. In the Kyrgyz Republic, the 60.0% of the population are rural, so the organization of medical care for this category of the population is essential for the health–care system of the Republic. Both the Almaty Declaration (1978) and the Astana Declaration of 2018 reaffirm the desire to strengthen primary health care to achieve universal health coverage with key areas: making bold policy decisions to improve people’s health in all areas; Sustainable primary health care; Empowering individuals and the public; Building stakeholder support with national policies, strategies and plans. The development of family medicine allows unloading the health care system and strengthening the prevention of diseases. The PHC approach is fundamental to achieving the overall global goals of universal health coverage and health-related sustainable development goals. The poor state of health of rural residents requires the development of more effective medical care mechanisms aimed at improving the financial, material and human resources of health care. The literary review showed that the optimization of the health care system, especially in rural areas, needs to begin with a primary level of health care to improve the accessibility and quality of health care, while optimizing financial, logistical and human resources.