ANALYSIS OF THE INTEGRAL EFFICIENCY OF MEDICAL AID FOR NEWBORN IN UKRAINE

Abstract

Introduction. Preservation of life and quality of health of newborns is an urgent problem for formation of the future of society and mankind, defense capability, labor reserve and intellectual potential of the country. The fundamental basis for the formation and maintenance of health of newborns is the existence of eff ective health care systems. Objective information about the eff ectiveness of medical care of newborns and its dynamics is the basis for evaluation of achievement of planned results and development of necessary medical organizational technologies. The aim of the study is to analyze and evaluate the integrated eff ectiveness of medical care for newborns in Ukraine at the national and regional levels.Material and Methods. In order to carry out the research, statistical reporting materials on the activities of health care institutions providing medical care to mothers and newborns in all periods of their development for 2018, 2022 were used. The analysis of the integral eff ectiveness of medical care for newborns was carried out using a modifi ed model of the fi nal results of health care institutions. I with the calculations of coeffi cients of comprehensive assessment (CCA) and coeffi cients of achievement of normative values (CANV) of individual indicators with their gradation from high (0,8-1) to low (0,1-0,49) levels. The methods of system approach, bibliographic, statistical data processing and graphical representation are applied.Results. A comprehensive study of the integrated eff ectiveness of medical care for newborns at the national and regional levels conducted at the population level showed a suffi cient, above- average level of achievement of results CCA 0.75 in 2018 and 0.76 in 2022) without clear geological patterns in 2018 and signifi cant diff erences in 2022. – From a high level of CCA (0.82-0.94) in Volyn, Zakarpattia, Ivano- Frankivsk, Lviv, Mykolaiv, Ternopil, Kharkiv and Khmelnytsky regions to a low level of CCA (0.41 and 0.35) in Donetsk and Kherson regions. The study of the main indicative indicators of the eff ectiveness of medical care for newborns in 2022 proved a suffi cient achievement. The normative values of coverage of newborns by screening programs, BCG vaccination, survival and mortality rates of newborns, neonatal transfer index (CANV =0.96, 0.82, 0.94, 0.82 and 0.76, respectively). The most problematic indicators of medical care for newborns with low and below- average levels of the coeffi cient of achievement of results, which are signifi cantly associated with the deterioration of the health of pregnant women and the course of childbirth, are the frequency of low weight, sick newborns (CANV = 0.48, 0.51) and the frequency of transmission of HIV infection from mother to child (CANV = 0.4), which is associated with the fullapplication of an eff ective 4-component strategy for prevention of HIV transmission from mother to child.Conclusions. A toolkit for integral assessment of the eff ectiveness of medical care for newborns as a measure of viability and health quality of the off spring at all stages of ontogenesis has been developed. makes it possible to ensure on a unifi ed basis objective assessment and monitoring of it as a whole, by region and by individual indicators with the subsequent development of measures to infl uence the identifi ed problems and their implementation in the activities of maternal and child health care. The model of integral eff ectiveness of medical care of newborns is a pilot project and has dynamic properties, therefore, in the future, when the normative values of indicators of comprehensive assessment are reached, their revision is planned.