Comprehensive characteristics of territorial communities of the mountainous geographical zone as a factor for optimization of activities to preserve and strengthen public health

Abstract

Introduction. In the context of the administrative-and-territorial reform and the reform of the health care system in Ukraine, territorial communities are the basic level for ensuring the preservation and strengthening of public health. Objective: to give a comprehensive characteristic of the territorial community as a basic level of the development health care system in the region to preserve and strengthen the health of the population.Materials and methods. The study was conducted on the base of the Dovzhanska rural territorial community of the Khust district of Transcarpathian region. Materials: passport of the territorial community. Methods: bibliosemantic, of structural-and-logical analysis.Results and their discussion. The Dovzhanska rural territorial community includes eight settlements with a population from 109 to 7,075 residents. In total, 16,575 people live in the community with the following age structure: 22.8% of children, 56.0% of the working-age population and 21.2% of the population over working age. The smallest share is composed by the population aged 15-18 years – 4.8% and 0-6 years – 6.5%.This kind demographic situation is unfavorable. The total length of roads within the community is 144.2 km, of which 70% need major repairs and are conditionally passable in the autumn and spring. On the territory of the community, a communal non-profit enterprise "Dovzhansky Center for Primary Medical Care" is functioning, which includes five outpatient clinics of general practice-family medicine and pharmacies are functioning in three settlements of the community. On the territory of the community, there is a permanent base of emergency medical teams of the Irshava Emergency Medical Care Station. The population of three settlements is deprived of the opportunity to receive not only affordable primary medical care, but also pre-medical care. The population of the community does not have the opportunity to receive affordable dental care, which is classified by the WHO as primary care.Conclusions. The analysis of the comprehensive characteristics of settlements, the structure of the population and infrastructure to ensure life and preserve and strengthen the health of the population indicates low and uneven access of the residents of different settlements of the community to conditions for preserving and strengthening health. The issue of preserving and strengthening the health of the population in the community is not a priority. The situation requires public hearings on this issue and the adoption and implementation of a comprehensive target program to ensure the constitutional rights of the community population to preserve and strengthen health.