[The certain aspects of organization of medical care of women in period of pregnancy and delivery in the Republic of Bashkortostan].

Health protection of women of reproductive age is a priority direction of state policy. In protection of reproductive health of women no small importance is played by development of organization of primary medical sanitary care and specialized medical care of women during pregnancy and delivery. The study was carried out in the Republic of Bashkortostan and covered period of 2017-2021. It was established that the number of women of fertility age decreased up to 3,9% that became one of causes of reduction of birth rate from 12.1‰ to 9.8‰ respectively. At that, the level of maternal mortality increased up to 8.9 times (from 4.1 to 36.8 per 100,000 born alive). In 2021, out of 37,775 women who completed their pregnancy, 99.3% were examined by therapist and only 92.2% passed such an examination prior to 12 weeks of their pregnancy. On the gestation period of 11-4 weeks, 91.3 % of pregnant women were subjected to ultrasound examination of fetus with detection of maternal serum markers and 94.4% of pregnant women were examined at the 19-21 weeks of pregnancy. Among pregnant women, rate of diseases and pathological conditions that preceded or developed during pregnancy slightly increased. Increasing of morbidity of anemia, diseases of endocrine system, including diabetes mellitus, was noted. The deterioration of particular indicators of organization of medical care of women according to profile "obstetrics and gynecology" occurred during period of COVID-19 pandemic. The implementation of three-level system of organization of medical care resulted in significant reduction of number of obstetric and gynecological hospital beds.

[The influence of social economic factors on level of morbidity of psoriasis among adult population of the Republic of Bashkortostan].

THE PURPOSE OF THE STUDY: To assess the social economic factors of development of morbidity of psoriasis in adult population within a separate region as exemplified by the Republic of Bashkortostan. MATERIALS AND METHODS: The non-linear dynamic prognostic regression model with panel data was applied to establish role of social economic factors in development of morbidity of psoriasis in adult population. The model-based indicator is rate of total adult morbidity of psoriasis in 51 municipalities and 7 urban districts in 2014-2018. The factor space was generated by ten groups. THE RESULTS: The regression coefficients (elasticity) were obtained for every group of social economic factors. With increasing of factor of harmful emissions into atmosphere by 100.0%, morbidity of psoriasis in all municipalities can increase on average by 7.0% (elasticity coefficient -0.07). With increasing of economic well-being and incomes of population by 1.0%, a decrease of morbidity of psoriasis by 1.55% is possible. With changing of number of workers employed in harmful production by 100.0%, morbidity of psoriasis in adult population decreases on average by 3.9% (elasticity coefficient -0.39). The specific number of unemployed population (the unemployed, pensioners) and factor of social psychological stress in society turned out to be insignificant. The elasticity factor of level of support of population with public health resources was 0.08. At theoretical opportunity of increasing health care resources up to 100.0%, morbidity of psoriasis in adult population of municipalities can increase on average by 8.0%. CONCLUSION: The overall morbidity of psoriasis in adult population of the Republic of Bashkortostan is positively affected by economic development of municipality and level of urbanization. The unfavorable environmental factors have impact negatively. The increasing of volume of health care resources (provision of population with medical personnel, number of beds of day-and-night and daytime stay, capacity of polyclinic institutions, etc.) may result in increasing of morbidity of psoriasis in municipalities as consequence of increased accessibility of medical care. The study results can be applied in planning health care within the framework of medical care support of patients with chronic dermatitis in the Republic of Bashkortostan.