PROBLEM ISSUES OF PREVENTIVE WORK OF PRIMARY CARE INSTITUTIONS

Abstract

Introduction. The article is devoted to the problematicissues of preventive work of primary care institutions.The purpose of the study: is to analyze the effectivenessof preventive areas of work of primary care physicians.Material and methods. The implementation of thevolume of preventive vaccinations for 2018-2020, theresults of preventive examinations of children has beenstudied. A survey of medical workers and parents of childrenon the effectiveness of preventive work was carried out.Results. Irregular delivery of vaccines (from 35% to78% for all groups of immunological drugs) significantlyaffected the implementation of preventive vaccinations,which decreased compared to previous years. Theuncertainty of the health workers themselves about thesafety of vaccines, which is the case with family doctors(65.33 ± 2.92 %) and their nurses (51.24 ± 2.53 %), remainsproblematic. Examples of successful prevention work arethe increase in the number of children under 6 monthsof age who were exclusively breastfed (74.3 %) and thecommitment of parents to breastfeeding (83.5 - 85.5 %).Conclusions. The problematic issues of preventivework are lack of time, lack of vaccines, low prestige ofpreventive work and lack of material incentives. From30.6% of parents at pediatricians to 41.7% of parentsat family doctors are dissatisfied with the amount ofinformation received from medical workers.