Strategic tasks of countering health risks for the rural population

  • Authors: Kalininskaya A.A.1, Lazarev A.V.1, Shlyafer S.I.2, Balzamova L.A.3, Smirnov A.A.1
  • Affiliations:
    1. N. A. Semashko National Research Institute of Public Health
    2. Federal State Budgetary Institution «Central Research Institute of Organization and Informatization of Health Care of the Ministry of Health of Russia»
    3. IPO GBOU «Samara State Medical University» of the Ministry of Health of Russia
  • Issue: Vol 28, No 4 (2024)
  • Section: Общественное здоровье и организация здравоохранения
  • URL: http://bulleten-nriph.ru/journal/article/view/2800
  • DOI: https://doi.org/10.69541/NRIPH.2024.04.004
  • Cite item

Abstract


Purpose of the study. Develop strategic objectives for countering health risks for the rural population based on an analysis of the medical and demographic situation and morbidity of the rural population.
Methods and materials: analytical, statistical, data from Rosstat and the Federal State Budgetary Institution “TsNIIOIZ” of the Ministry of Health of Russia.

Over all 20 years (2003—2022) of the analysis, the mortality rate of the rural population was higher than that of the urban population; in the covid years (2020—2021) the figures increased, in 2022 they decreased and amounted to 13.8 and 12.6‰, respectively. . The birth rate of the rural population has been decreasing annually since 2013, in 2022 it was 8.8‰, lower than the urban population (8.9‰). The incidence rate (primary) of the rural population (in 2022) was 64755.2 per 100 thousand rural population, lower than in the Russian Federation as a whole (88748.5‰00). Lower rates are associated with poor access to medical care for rural residents. During the pandemic years (2020—2022), the incidence (primary) decreased for all classes of diseases, except for respiratory diseases, while the 2022 indicators did not reach the level of 2019 (pre-Covid year), which is the result of deterioration in preventive and dispensary work with the village population. In 2022, an increase in the pandemic was noted; the incidence rate of COVID-19 in 2020 was 2151.9‰00, in 2021 it increased to 6056.8 and in 2022 it increased to 6144.2‰00. The results of the analysis indicate that the pandemic in the Russian Federation will not weaken in 2022. The ranking of primary incidence rates of COVID-19 by constituent entities of the Russian Federation (2022) showed a difference of 12.1 times, which requires an in-depth analysis of the current situation in the regions of the country. Confronting the challenges and threats associated with coronavirus infection determines the importance of strengthening dispensary work and rehabilitation of patients. At the same time, it is necessary to reform primary health care in organizational terms and in staffing.


About the authors

Aleftina A. Kalininskaya

N. A. Semashko National Research Institute of Public Health

Author for correspondence.
Email: akalininskya@yandex.ru
ORCID iD: 0000-0002-6984-6536

Russian Federation, 105064, Moscow, Russian Federation

Andrey V. Lazarev

N. A. Semashko National Research Institute of Public Health

Email: andrey.v.lazarev@gmail.com
ORCID iD: 0000-0001-6574-7875

Russian Federation, 105064, Moscow, Russian Federation

Sofia I. Shlyafer

Federal State Budgetary Institution «Central Research Institute of Organization and Informatization of Health Care of the Ministry of Health of Russia»

Email: sofy@yandex.ru
ORCID iD: 0000-0002-8028-6111

Russian Federation, Moscow, Russian Federation

Lidiya A. Balzamova

IPO GBOU «Samara State Medical University» of the Ministry of Health of Russia

Email: balzamova.lidiya@mail.ru
ORCID iD: 0000-0002-9526-0416

Russian Federation, Samara, Russian Federation

Alexey A. Smirnov

N. A. Semashko National Research Institute of Public Health

Email: alexsm-v@yandex.ru
ORCID iD: 0000-0002-0275-2893

Russian Federation, 105064, Moscow, Russian Federation

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