Resource provision of the obstetric and gynecological care system of the Kyrgyz Republic

Introduction. Since gaining independence, the Kyrgyz Republic has experienced major changes in the healthcare system related to reduced cost financing, deteriorating infrastructure and the quality of medical services provided. The healthcare system has been refocused on high-quality primary medical care, and the number of hospital organizations has significantly decreased. Maintaining and strengthening the health of mother and child has become one of the priorities in the new socio-economic conditions. The available medical and demographic indicators against the background of transformations in the country’s medical industry determine the need to assess the resource provision of obstetric and gynecological care in the country. The purpose of the study: to conduct a comparative analysis of the resource provision of the obstetric and gynecological care system to assess the availability of medical care to the female population of the Kyrgyz Republic from 2012 to 2023. Materials and methods. The analysis of the basic indicators presented in the statistical collections of the National Statistical Committee of the Kyrgyz Republic was carried out: sections population and healthcare (dynamic tables) from 2012 to 2023, as well as a structural and organizational analysis of medical organizations in Kyrgyzstan providing medical care to the female population, with an assessment of resource availability in the provision of medical care in the field of “obstetrics and gynecology”. The following research methods were used: content analysis, statistical and analytical generalization. Results. The organization of medical care in the Kyrgyz Republic is influenced by socio-economic factors and geographical features of the country. During the analyzed period, the average annual number of permanent residents of women in the country increased, and the availability of gynecological beds decreased significantly, due to a reduction in clinic services and the transfer of the main burden of medical care to primary health care. The decrease in the provision of maternity beds is less pronounced. There is a centralization of medical care for the purpose of rational use of resources. Against the background of ongoing reforms, the Kyrgyz state has managed to achieve a reduction in maternal and infant mortality rates. Conclusion. The analysis of the effectiveness indicators of obstetric and gynecological care in the Kyrgyz Republic indicates sufficient provision of gynecological and maternity beds, effective use of the bed stock, appropriate placement of medical organizations according to the levels of obstetric and gynecological care in the country and the rational distribution of obstetrician-gynecologists and midwives. The available resources of the obstetric and gynecological care system in the country indicate the availability of medical care to the female population, given the positive dynamics of maternal and infant mortality rates during the study period.

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