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"About the programs and actions implemented in rural areas in health sector"

Date of an event: Sep. 8, 2020

Meeting "About the taken measures aimed at the complex development of rural territories"

T.Yu. Bykovskaya, Minister of Health of the Rostov region

Dear Vasily Yuryevich! Colleagues!

In the area for rendering primary health care to country people 184 medical out-patient clinics and 27 district police officers of hospitals are kept all 1013 by medical and obstetrical center and FP (485 medical and obstetrical centers and 528 FP). FAPy and medical out-patient clinics were not closed in areas since 2009. In the area at first at the expense of regional means, and since 2019 and with federal joint financing replacement FAPOV, FP and VA on modular is made. It is a component of the national Health care project.

Within realization regional the component "Development of primary health care" of the national Health care project in 2019 at the expense of means of the federal budget created 1 new medical and obstetrical center, in 2020 3 medical and obstetrical centers and 2 medical out-patient clinics will be replaced.

Besides at the expense of means of the regional budget the replacement not less than 113 medical assistant's, medical and obstetrical centers and medical out-patient clinics in 2019-2022 in rural settlements of the Rostov region will be made:

    in
  • 2019 the replacement 17 medical assistant's, medical and obstetrical centers and 4 medical out-patient clinics is made;
  • in
  • 2020 the replacement 36 medical assistant's, medical and obstetrical centers (including 2 medical and obstetrical centers of the Aksay district, contracts for which replacement are signed in 2019) and 8 medical out-patient clinics is made (including local hospitals, modular policlinics);
  • in
  • 2021 the replacement 24 medical assistant's, medical and obstetrical centers and 3 medical out-patient clinics will be made.
  • in
  • 2022 the replacement 13 medical assistant's, medical and obstetrical centers and 8 medical out-patient clinics will be made

Along with it we carried out a lot of work on increase in availability of rendering the medicinal help to residents of villages, prolitsenzirovana practically all FAPy that allowed to organize on them sale of medicines and to defuse social tension in issues of provision of medicines.

For 2018-2019 to residents of rural settlements numbering up to 100 people the possibility of receiving primary health care with application of mobile medical and diagnostic complexes is created. In total in the area it purchased and put into operation in two years of 8 such complexes. With application of these complexes not only surveys on departures in the remote sparsely populated farms and villages, but also vaccination performance, diagnostic tests is carried out. With application of complexes in 2019 8247 people, in the current year 4892 persons are examined.

The Ministry of Health of area deals with a problem of increase in availability of rendering high-quality medical care for inhabitants of rural territories long ago.

Since 2009 in the area the mobile medical and diagnostic Diabetes module successfully functions. In 11 years of work more than 16 thousand patients are examined. Since 2018 one more such module purchased.

Modules 2 times a month leave in the territory of the area. In 2019 it is examined-1536 the person, 2020-621 patients, these are practically not 8, but 4 months of work because in connection with a situation on spread of new coronavirus infection the departures were temporarily limited and work after a break since 01.08.2020 is begun.

Doctors are a part of crew of the module: endocrinologist, ophthalmologist, nephrologist, neurologist. Patients receive comprehensive examination directly at the place of residence.

Several words about shots in the village.

In the Rostov region the Territorial Doctor and Territorial Paramedic programs successfully are implemented. Since 2012 within the Territorial Doctor program to healthcare institutions of rural territories there arrived 847 doctors. Within the Territorial Paramedic program for last 2 years 42 paramedics found a job. As a result security with doctors of rural territories increased from 12.1 to 15.2 by 10 thousand population, experts are staffed with newcomers 34 medical assistant's and medical and obstetrical centers, 8 crews of emergency medical service.

THANKS FOR ATTENTION!

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