ORGANIZATION OF MEDICAL CARE FOR CHILD POPULATION IN THE RYAZAN REGION IN CONDITIONS OF DEMOGRAPHIC RISKS

Demographic processes in the regions significantly influence peculiarities of organization and planning of medical care. The Ryazan region is a long-established area of Russia with regressive type of reproduction of the population. Demographic situation in the region is characterized by a low birth rate and a high mortality rate leading to decline in the population. Thus, there is a high share of population older than the working age (29.8%), reduced share of the population of the working age (54.7%) and an insignificant share of children and teenagers (15.5%). Nevertheless, in the period from 2014 to 2016 a positive tendency was noted to increase in birth rate, in the total fertility rate (in 2014 this parameter was 1.595, by 2016 it increased to 1.703), and to reduction in infant mortality (in 2014 it was 6.3 deaths per 1000 births, in 2015 – 6.2, in 2016 – 4.5) which was 25% lower than that in Russian Federation and 19% lower than in the Central Federal Region. In these conditions of high importance is organization of medical care for child population. In the Ryazan region three-level system of rendering medical care for children is introduced. This system permits to realize differentiated approach to diagnostics and treatment in medical organizations taking into account their structure, bed capacity, the level of equipment and provision with medical personnel, and to reduce infant and children mortality.