Kaztalovskaya Central district hospital is working on achieving the final results of the state program for the development of healthcare "Densaulyk" for 2017-2021. An effective management system and health planning are aimed at increasing the average life expectancy and developing a healthy lifestyle.

The medical organization has a 24-hour hospital for 50 beds, a district polyclinic for 260 visits per shift with a day hospital for 30 beds, 4 outpatient clinics with day hospitals for a total of 41 beds, 3 paramedic and obstetric centers and 12 medical centers.

The Central district hospital employs 27 doctors and 111 secondary health workers, of which 11 doctors and 64 secondary health workers have a qualification category. The indicator of availability of medical personnel is -18.4 and average health workers - 75.9 per 10 thousand population.

The hospital is constantly working to improve the knowledge of doctors and secondary medical workers at the bases of the medical Academy named after M. Ospanov, institutes for advanced training of doctors in Astana, West Kazakhstan medical College, as well as in distance learning.

In 2019, a total of 15 doctors and 66 secondary medical workers were trained and improved.

Today, much attention is paid to strengthening the implementation of regionalization of perinatal care, the introduction of effective technologies in maternity care, and postnatal care for newborns.

In 2019, there are no medical professionals who have specialized in new perinatal technologies and newborn care at the OPC training center. At the training center of the West Kazakhstan medical College and away cycle on the basis of the district hospital according to IMCI trained 26 nurses.

The hospital is equipped with such diagnostic equipment as a fluorography machine, stationary and mobile x-ray machine, universal ultrasound machine, FGS, 12-channel ECG machine, stationary mammograph, VEM, Smad, HOLTER, spirometer, ELISA for testing for sexually transmitted infections, automatic hematological and biochemical analyzers, analyzer for determining glycosylated hemoglobin, Gene Xpert device for determining MT in sputum. There is also a mobile Medical complex and a mobile dental complex "Stomkar-U" to serve the population of the southern regions.

In the treatment of patients both in the hospital and in the polyclinic, physiotherapy is widely used on UHF devices, magnetic therapy infrared laser device "RIKTA", KUF, ultrasound inhaler "Vulkan", ultrasound therapy device "Sonoplus", darsanval, electrophoresis and electroplating device "Potok-Br", diodynamic current treatment device "Tonus-Br", low - frequency physiotherapy device Amplipuls-5 br, apparatus-magnet mit-MT, electroson, massage, exercise therapy. The hospital has a centralized oxygen supply.

The hospital also has 1 ambulance reanimobile and 1 vacuum car, and 2 new ambulance vehicles were allocated in 2019.

Today, the availability of medical equipment and medical devices is 88%.

All this combined to improve the main health indicators

populations.

In the conditions of the PCV, which we switched to on October 1, 2012, it became possible, in addition to financing by state order, to have an additional source of income in the form of paid services. In 2019, the revenue for paid services amounted to 5873.3 thousand tenge.

Demographic situation in the service area:

- there is an increase in the total mortality of the population by 2.3 per 1000 population – from 6.1 in 2018 to 8.4 in 2019.

- increase in the birth rate per 1000 population - from 16.8 in 2018 to 17.7 in 2019.

- decrease in the rate of natural population growth per 1000 population-from 10.7 in 2018 to 9.3 in 2019.

- reduction of the primary morbidity rate of the population based on 100 thousand. population – from 54799.1 in 2018 to 51563 in 2019

Life expectancy increased by from 72.2 in 2018 to 72.6 in 2019.

Infant and maternal mortality are the most important indicators of social well-being.

No cases of maternal mortality were registered in 2018-2019. The infant mortality rate in 2019 is 11.5 (3 cases), in 2018 - 4.0 (1 case). Perinatal mortality in absolute numbers: 6 cases ( in 2018

- no., the perinatal mortality rate per 1000 live and dead births is 22.6.

Structure of perinatal mortality: antenatal mortality – 4 cases, intranatal mortality-1 case (stillbirth rate per 1000 births - 18.8), early neonatal mortality (in the first 0-6 days) – 1 case (indicator - 3.8).

Deaths from injuries and accidents decreased from 74.8 in 2018.

(11 cases) to 41.0 in 2019 (6 cases).

The incidence of active tuberculosis per 100 thousand population remains at the same level: in 2019 - 34.2 (5 cases) and in 2018 - 34.0 (5 cases).

The death rate from tuberculosis per 100 thousand population in 2019 is 13.6 (2 cases), in 2018 - no.

The incidence of cancer per 100 thousand population in 2019 - 205.2 (30 cases), in 2018 - 170.1 (25 cases), of which in the advanced stage in 2019 - 4 cases (indicator - 13.3), in 2018 - 4.1 (1 case). Mortality from cancer per 100 thousand population in 2019 - 116.3 (17 cases), in 2018 - 74.8 (11 cases); 5-year survival rate in 2019 - 49.5% (51 people), in 2018 - 44% (44 people).

During the year, screening examinations of the adult population were conducted to detect diseases of the circulatory system, diabetes, glaucoma,cancer and precancerous conditions of the breast and cervix,

colorectal cancer and screening tests for early detection of diseases in children under 18 years of age.

Only covered screening examination in 2019 – 3993 people,

of them patients – 226 (5,6%), rehabilitation – 212 (93.8%) are made at

"D" records from among the identified patients, 226 (100%).

The CRH hospital provides emergency and planned inpatient care for therapeutic, surgical, pediatric, obstetric and gynecological, palliative and infectious profiles.

In 2019, a total of 1,604 patients were treated in the hospital, 11,885 bed days were spent, and the average duration of treatment for 1 patient was 7.4 days. Bed work was – 237.7; bed turnover – 32.1; hospital mortality – no.

As part of the implementation of the NSS, an increase in the number of patients who received inpatient replacement care was achieved – from 4,749 cases in 2018 to

4942 cases in 2019, thereby reducing the hospitalization of patients in round-the-clock hospitals from 1651 cases in 2018 to 1604 cases in 2019.

Since July 2010, the portal of the Bureau of hospitalization has been implemented within the framework of the ENS.

In 2019,a total of 2,085 patients were sent to the CRH hospital through the Portal,

to regional institutions – 293, in Astana - 3, in Almaty - 4.

Since 2012, as part of the drug supply reform, the rights of patients to receive medicines free of charge have been expanded and the availability of pharmacies has been expanded. During 2019, a total of 12938 free prescriptions were issued for 45 names of diseases to 2241 patients in the amount of 96,840,821.09 tenge.

State order of a medical organization for 2019:

- day hospital – 5034 cases

- round – the-clock hospital-1596 cases

- day hospital (phthisiological profile) - 57 cases..