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Completed work in the field of healthcare

About the main indicators of the work done in the field of medical care of the population in the Aral interdistrict hospital for 9 months of 2022.

The company operates a central hospital with 140 beds, a dispensary for nervous diseases with 40 beds, the Saksaul rural hospital with 25 beds, round-the-clock hospitals with 230 beds. district polyclinic, 3 rural polyclinics, 11 outpatient clinics, 1 paramedic - obstetric center, 36 medical centers.
For 9 months of 2022, the population according to the register of the attached population (RPN) amounted to 72872, of which adults - 42633, adolescents-3912, children under 14 years of age - 26327.
Medical services to the population of the district are provided by an interdistrict hospital, a district polyclinic, 1 rural hospital, 3 rural polyclinics, 11 outpatient clinics, 1 paramedic - obstetric station, 36 medical posts.
In total, 139 doctors and 687 secondary medical workers work in the medical and preventive organizations of the district. In the reporting year, 7 doctors and 7 secondary medical workers were attracted to the district as young specialists, of which 2 doctors and 4 secondary medical workers are located in the regions, currently the coverage of doctors is 82.1%.

As for the demographic indicators of the district

In 9 months of 2021, 1,633 children were born, the birth rate was 23.1 ppm, in 9 months of 2022, 1,396 children were born, the birth rate was 19.1. The birth rate decreased by 4.0 ppm compared to 9 months last year.
The natural increase was 17.8 ppm for 9 months of 2021 and 14.9 ppm for 9 months of 2022.

Those who showed up for a general appointment with a doctor for 9 months of 2021 - 31448, those who showed up for a general appointment with a doctor for 9 months of 2022 - 319290.

The total number of registered diseases for 9 months of 2021 was 51507, including 30676 registered for the first time, for 9 months of 2022 the total incidence was 50521, the first registered incidence was 30106.

We will focus separately on socially significant diseases;

For diseases of the circulatory system in 9 months of 2022, 1020 were detected for the first time, that is, the indicator was 1399.7. (For the first time in 9 months of 2021, the number of registered diseases was 922, per 100 thousand population - 1303.2)
For the first time identified patients with acute myocardial infarction (AMI) for 9 months of 2022, 12 patients were identified indicator - 16.5 (2021 - 19 - 26.9)
(ONMC) for the first time identified patients with acute cerebrovascular accident for 9 months of 2022, 130 patients were identified indicator -178.4 (2021 - 102, 14.2)

For 9 months of 2022, 52 (71.3) oncological diseases were detected. (For 9 months of 2021 - 57, per 100 thousand population - 80.5),
In 2022, 25 patients were identified at stages 2, the indicator was 48.1%, in 2021 36 patients were identified, the indicator was 61.8%. According to stage IV, 5 cases were registered in 9 months of 2022, the indicator was 9.6%, in 2021-3 cases, the indicator was 5.5%
The 5-year survival rate for 9 months of 2022 was 57.6, in 2021 - 53.8.

If 29 (39.8) tuberculosis patients were registered for the first time in 9 months of 2022, then 27 patients (38.2) were registered in 9 months of 2021. 25 patients with pulmonary tuberculosis, 4 extrapulmonary. Of the 25 registered patients with pulmonary tuberculosis, 12 share tuberculosis bacillus (in 2021, 11 patients share TT). If in 2021 3 patients (1 teenager, 2 children) were registered, then this year 3 teenagers (10.0) were registered for 9 months. If in 2021 7 patients were registered with lung eruption, this year 4 patients (16.0) were registered.
Fluorographic coverage of the population: 9-month plan for 2022 27032, of which 27283 (100,9). From the high-risk group: plan-2591, coverage 2645 (102.0). The Fg method revealed 36 patients, including 19 patients from the high-risk group.
For 9 months of 2022, 208 patients with coronavirus infection (COVID – 19) were registered. Of these, 47 cases were registered among children aged 0 to 14 years, among adolescents - 2 cases, the remaining 159 patients were identified among adults.
Out of 208 patients with clinical symptoms (symptomatic)-60.

By total mortality
Total mortality for 9 months of 2021 – 372 inhabitants, mortality was 5.2%, for 9 months of 2022 - 309 inhabitants, mortality was 4.2%. Compared with 9 months of 2021, the total mortality rate this year decreased by 1.0 ppm.
Maternal mortality for 9 months of 2022 was recorded - 1 cases, the indicator was - 71,6. For 9 months of 2021, 1 maternal mortality was registered, the indicator was - 61.2.

The number of children under the age of 1 who died in 9 months of 2021 was 13 (7.9), in 9 months of 2022 - 11 children, the indicator was 7.9.

Mortality due to diseases of the circulatory system for 9 months of 2022 amounted to 66 cases, per 100 thousand population - 90.6 (for 9 months of 2021 -86 people died, the indicator was 121.5).
Mortality from malignant neoplasms decreased in 2021 - by 35, per 100 thousand population - by 49.5, in 2022 - by 29,39,8.

Mortality from tuberculosis has not occurred in 2 years.

From coronavirus infection (COVID-19)-2 patients died in 9 months of 2022, the indicator is 2.7 ppm. And in 9 months of 2021, 16 patients died - 22.6.


About the main indicators of the work done in the field of medical care of the population in the Aral interdistrict hospital for 6 months of 2022.
 
The company operates a central hospital with 140 beds, a dispensary for nervous diseases with 40 beds, the Saksaul rural hospital with 25 beds, round-the-clock hospitals with 230 beds. district polyclinic, 3 rural polyclinics, 11 outpatient clinics, 1 paramedic - obstetric center, 36 medical centers.
For 6 months of 2022, the population according to the register of the attached population (RPN) amounted to 73415 people, of which adults-42882, adolescents-4054, children under 14 years of age-26479.
Medical services to the population of the district are provided by an interdistrict hospital, a district polyclinic, 1 rural hospital, 3 rural polyclinics, 11 outpatient clinics, 1 paramedic - obstetric station, 36 medical posts.
In total, 139 doctors and 687 secondary medical workers work in the medical and preventive organizations of the district. In the reporting year-2 doctors, 13 average medical workers were attracted to the district as young specialists, of which 1 doctor, 10 average medical workers are located in the regions, currently the coverage of doctors is 82.1%.
In the field of medicine, 1 doctor - candidate of medical sciences, 25-Excellent Student of Healthcare of the Republic of Kazakhstan and 5-holder of a badge For contribution to healthcare, 3-Veteran of labor work in the district.
In 2022, out of 139 doctors, 76 have qualification categories – 54.7%, including the highest category -35 (25.2%), category I - 31 (22.3%), category II-18 (12.9%),
Out of 687 middle-level medical workers-401 have 58.3% of qualification categories, including The number with the highest category is 274-39.9%, with category I - 72 – 10.4%, With category II-55-8.0%.
A number of works have been carried out on the issues of providing healthcare professionals of the district, improving their qualifications. 20 doctors, 74 secondary medical workers were trained in advanced training courses.
If we talk about the demographic indicators of the district, 997 children were born in 6 months of 2021, the birth rate was 14.1 ppm, 917 children were born in 6 months of 2022, the birth rate was 12.5. The birth rate decreased by 1.6 ppm compared to 6 months last year.
The total mortality rate for 6 months of 2021 was 214 people, the mortality rate was 3.0%, for 6 months of 2022 - 200 people, the mortality rate was 2.7%. Compared to 6 months of 2021, the total mortality rate this year decreased by 0.3 ppm. For 6 months of 2022, -1 maternal mortality , the indicator is 102.9.
The natural increase was 11.1 ppm for 6 months of 2021 and 9.8 ppm for 6 months of 2022.
Who showed up for a general appointment with a doctor for 6 months of 2021 -187148, who showed up for a general appointment with a doctor for 6 months of 2022 -214872.
The total number of registered diseases for 6 months of 2021 was -34962, including -19779 registered for the first time, 35348 registered for 6 months of 2022, 20487 registered for the first time.
We will focus separately on socially significant diseases;
For diseases of the circulatory system for 6 months of 2021, the number of newly registered diseases was 657, 930.9 per 100 thousand population, 655 for 6 months of 2022, that is, the indicator was 892.2.
Mortality due to diseases of the circulatory system for 6 months of 2022 was 39 cases, per 100 thousand population -53.1 (for 6 months of 2021 -44 people died, the indicator was 62.3).
Malignant neoplasms were registered for 6 months of 2021 - 43, per 100 thousand population (60.9), for 6 months of 2022-36 (48.9). Mortality from malignant neoplasms decreased in 2021 - by 29, per 100 thousand population - by 41.1, in 2022 - by 18, 24.5.
The number of first-time registered tuberculosis patients for 6 months of 2021 was -20 (28.3), for 6 months of 2022 - 16 (21.7), tuberculosis mortality for 2 years was also not noted.
The number of deceased children under the age of 1 year for 6 months of 2021 was -9 (9.0), for 6 months of 2022 – 8 children, the indicator is 8.7.
The work carried out in order to improve the quality of the health care of the district and achieve the target indicators
* Protection of maternal and child health, daily monitoring of the data of the register of pregnant women and women of reproductive age and prevention of maternal and infant mortality.
* Identification of socially significant diseases, including diseases of the circulatory system, cancer, tuberculosis in the early stages, prevention of their complications and mortality.
* Wide and effective use of inpatient beds by repurposing them, increasing day hospital beds.
* Conducting screening surveys of target population groups, monthly and quarterly monitoring.
* Prevention of complaints with maximum improvement of the internal audit service and patient support.
* Achieving an increase in the proportion of planned hospitalization of patients with inpatient treatment.
* Provide full input of all data into daily programs, working according to the programs of the automated information system.

About the main indicators of the work done in the field of medical care of the population in the Aral interdistrict hospital for 3 months of 2022

The company operates a central hospital with 140 beds, a 40-bed dispensary for nervous diseases, a 25-bed Saksaul rural hospital, and 230-bed round-the-clock hospitals. district polyclinic, 3 rural polyclinics, 11 outpatient clinics, 1 paramedic - obstetric center, 36 medical centers.
For 1 month of 2022, the population according to the register of the attached population (RPN) was 73042, of which adults-42608, adolescents-3979, children under 14 years-26455.
Medical services to the population of the district are provided by an interdistrict hospital, a district polyclinic, 1 rural hospital, 3 rural polyclinics, 11 outpatient clinics, 1 paramedic - obstetric station, 36 medical posts.
In total, 139 doctors and 687 secondary medical workers work in the medical and preventive organizations of the district. In the reporting year-2 doctors, 13 average medical workers were attracted to the district as young specialists, of which 1 doctor, 10 average medical workers are located in the regions, currently the coverage of doctors is 82.1%.
In the field of medicine, 1 doctor - candidate of medical sciences, 25-Excellent Student of Healthcare of the Republic of Kazakhstan and 5-holder of a badge For contribution to healthcare, 3-Veteran of labor work in the district.
Of the 139 doctors in 2021, 76 had qualification categories – 54.7%, in 2020 76 doctors had qualification categories-54.7%, including the highest category - 35 (25.2%), 2020-35 (25.2%), category I-31 (22.3%), 2020-31 (22.3%) of category II - 18 (12.9%),
in 2020-18 (12.9%) Of 687 middle-level medical workers-401 have 58.3% (in 2020 365 -53.1%) of qualification categories, including the highest category-274 - 39.9% (in 2020 268-39, 1), category I-72 - 10.4% (in 2020 56-8,2), category II-55-8,0% (41-6,0% in 2020).
A number of works have been carried out on the issues of providing healthcare specialists of the district, improving their qualifications. 20 doctors, 74 secondary medical workers were trained in advanced training courses.
If we talk about the demographic indicators of the district, 479 children were born in 3 months of 2021, the birth rate was 6.8 ppm, 482 children were born in 3 months of 2022, the birth rate was 6.6. The birth rate increased by 0.2 ppm compared to 3 months of last year.
The total mortality for 3 months of 2021 was 86 people, the mortality rate was 1.2% 0, 97 people died in 3 months of 2022, the mortality rate was 1.3% 0. Compared with 3 months of 2021, the total mortality rate this year increased by 0.1 ppm.
The natural increase was 5.6 ppm for 3 months of 2021 and 5.3 ppm for 3 months of 2022.
The total number of arrivals at the doctor's appointment for 3 months of 2021 is 86410, the total number of arrivals at the doctor's appointment for 3 months of 2022 is 100318.
The total number of registered diseases for 3 months of 2021 was -18181, including -10207 for the first time registered diseases, for 3 months of 2022 the total incidence was 17,840, for the first time registered diseases -10212.
We will focus separately on socially significant diseases;
For diseases of the circulatory system for 3 months of 2021, the number of newly registered diseases was 298, per 100 thousand population - 407.9, for 3 months of 2022 – 309, that is, the indicator was 423.0.
Mortality due to diseases of the circulatory system for 3 months of 2022 was 21 cases, per 100 thousand population - 28.7 (-20 people died in 3 months of 2021, the indicator was 27.3).
Malignant neoplasms were registered for 3 months of 2021 - 19, per 100 thousand population (27.1), for 3 months of 2022-18 (24,6). Mortality from cancer in 2021 decreased by 13, per 100 thousand population - by 17.7, in 2022 - by 9 12.3.
The number of first-time registered tuberculosis patients for 3 months of 2021 was -6 (8.2), for 3 months of 2022 - 7 (9.5), tuberculosis mortality for 2 years was also not noted.
The number of children under the age of 1 who died in 3 months of 2021 was 3 (6.3), in 3 months of 2022 - 6 children, the indicator was 12.4.
The work carried out in order to improve the quality of the health care of the district and achieve the target indicators
* Protection of maternal and child health, daily monitoring of the data of the register of pregnant women and women of reproductive age and prevention of maternal and infant mortality.
* Identification of socially significant diseases, including diseases of the circulatory system, cancer, tuberculosis in the early stages, prevention of their complications and mortality.
* Wide and effective use of inpatient beds by repurposing them, increasing day hospital beds.
* Conducting screening surveys of target population groups, monthly and quarterly monitoring.
* Prevention of complaints with maximum improvement of the internal audit service and patient support.
* Achieving an increase in the proportion of planned hospitalization of patients with inpatient treatment.
* Provide full input of all data into daily programs, working according to the programs of the automated information system.
About the main indicators of the work done in the field of medical care of the population in the Karelian interdistrict hospital for 12 months of 2021
 
The company operates a central hospital with 140 beds, a dispensary for nervous diseases with 40 beds, the Saksaul rural hospital with 25 beds, round-the-clock hospitals with 230 beds. district polyclinic, 3 rural polyclinics, 11 outpatient clinics, 1 paramedic - obstetric center, 36 medical centers.
For 11 months of 2021, the population according to the register of the attached population (RPN) amounted to 70568 people, of which adults-41206, adolescents-3817, children under 14 years - 25545, women of fertile age-14332.
Currently, the population of the district is served by 143 doctors and 685 middle-level medical workers, of which 67 doctors and 270 middle-level medical workers at the primary health care level are engaged in preventive, screening and therapeutic work of identified patients.
The indicator of medical provision of the district hospital is 20.5 per 10,000 people of the population.
91 (63.6%) doctors have qualification categories, including the highest -39 (27.2). Category I-34 (23.7%), category II-18 (12.5%).
Mid-level medical workers have qualification categories - 401 (58.4%), including the highest category - 274 (39.9), category I - 72 (10.5), category II-55 (8.0).
If we talk about the demographic indicators of the district, 1940 children were born in 12 months of 2020, the birth rate was 27.7 ppm, 2015 children were born in 12 months of 2021, the birth rate was 28.5. The birth rate increased by 1.2 ppm compared to 12 months last year.
The total mortality for 12 months of 2020 was 560 people, mortality-8.0% 00, for 12 months of 2021-523 people, mortality-7.4% 0. Compared with 12 months of 2021, the total mortality this year was 0.6 ppm.
The natural increase was 19.7 ppm for the 12 months of 2020 and 21.1 ppm for the 12 months of 2021.
The total number of arrivals at the doctor's appointment for the 12 months of 2020 is 312563, the total number of arrivals at the doctor's appointment for the 12 months of 2021 is 347554.
The total number of registered diseases for the 12 months of 2020 was -67399, -40427 were registered for the first time, -60480 for the 12 months of 2021, -36667 were registered for the first time.
We will focus separately on socially significant diseases;
For diseases of the circulatory system for 12 months of 2020 -1221, per 100 thousand of the population, the indicator was 1742.5, for 12 months of 2021 -1083, that is, the indicator was -1515.6.
Mortality due to diseases of the circulatory system for 12 months of 2021 amounted to 118 cases, per 100 thousand population -167.2 (for 12 months of 2020 - 103, the indicator was 147.0).
The incidence of malignant neoplasms for 12 months of 2020 was 96, per 100 thousand population (137.0), for 12 months of 2021 -172 (144.0). Mortality from cancer in 2020 -47, per 100 thousand population - 67.2, in 2021 - 46, the indicator increased to 64.0.
The incidence of tuberculosis in the 12 months of 2020 was 38 (54.2), in the 12 months of 2021 - 32 (45.4), mortality from tuberculosis in 2 years was also not noted.
The number of deceased children under the age of 1 year for 12 months of 2020 was 28 (14.4), for 12 months of 2021 - 19 children, the indicator is 8.9.
The work carried out in order to improve the quality of the health care of the district and achieve the target indicators
* Protection of maternal and child health, daily monitoring of the data of the register of pregnant women and women of reproductive age and prevention of maternal and infant mortality.
* Identification of socially significant diseases, including diseases of the circulatory system, cancer, tuberculosis in the early stages, prevention of their complications and mortality.
* Wide and effective use of inpatient beds by repurposing them, increasing day hospital beds.
* Conducting screening surveys of target population groups, monthly and quarterly monitoring.
* Prevention of complaints with maximum improvement of the internal audit service and patient support.
* Achieving an increase in the proportion of planned hospitalization of patients with inpatient treatment.
* Provide full input of all data into daily programs, working according to the programs of the automated information system.
Information about the activities of the Aral Interdistrict Hospital to provide medical care to the population of the district for 9 months of 2021

The company operates a central hospital with 140 beds, a dispensary for nervous diseases with 40 beds, the Saksaul rural hospital with 25 beds, round-the-clock hospitals with 230 beds. district polyclinic, 3 rural polyclinics, 11 outpatient clinics, 1 paramedic - obstetric center, 36 medical centers.
For 9 months of 2021, the population according to the register of the attached population (RPN) amounted to 70744, of which adults-41444, adolescents-3980, children under the age of 14 - 25320. women of fertile age-14,857.
Currently, the population of the district is served by 142 doctors and 687 middle-level medical workers, of which 67 doctors and 270 middle-level medical workers at the primary health care level are engaged in preventive, screening and therapeutic work of identified patients.
If we talk about the demographic indicators of the district, 1440 children were born in 9 months of 2020, the birth rate was 20.6 ppm, 1633 children were born in 9 months of 2021, the birth rate was 23.1. The birth rate increased by 2.5 ppm compared to 9 months of last year.
The natural increase was 14.1 ppm for 9 months of 2020 and 17.8 ppm for 9 months of 2021.
The total mortality rate for 9 months of 2020 was 452 residents, the mortality rate was 6.5% 0, 372 residents died in 9 months of 2021, the mortality rate was 5.3% 0. Compared to the 9 months of 2020, the total mortality rate this year decreased by 1.2 ppm.
Of the total mortality of working age for 9 months of 2021 - 99 people, which is 26.6% of the total mortality. (In 2020, the working age is 99, the indicator is 21.9%), which is 4.7% more than last year.
Of them for 9 months of 2021 at home died 275 people, which is 73.9% of the total mortality (in 2020 died 381 resident and amounted to 84.3 percent).
In 2021, the number of deaths in the hospital amounted to -85 what is 22.9% of the total mortality (in 2020, the number of deaths in the hospital amounted to 70, the rate was 15.5%). At the same time, in 2021, there were 12 deaths in another place (an indicator of 3.2%). cases.
Among the men who died in 9 months of 2021 -204 (indicator 54.8%) women -168 (indicator -45.2%).
Analysis of causes of death:
At the 1st place of 86 patients died from diseases of the circulatory system, the rate per 100 thousand population to 121.6. (In 2020 died of 85 residents, the rate-121,9).
On the 2 place in 56 patients with diseases of the nervous system, the rate per 100 thousand population-79,2. (In 2020 died in 54 patients, the rate -77,5). During the examination, it was found that the basis for this indicator are deviations caused by degenerative changes in the nervous system among the elderly and the elderly.
On the 3rd place this year, 35 cases of malignant neoplasms were registered, which amounted to 49.5 per 100 thousand population. (IN 2020 -45, the indicator is 64.5).
At the same time, in other cases, the mortality rate in 2021 was -50, per 100 thousand population -70.7. (IN 2020, -63 residents died, the indicator is -90.4).
Among the deceased with another case to the causes of death; Mechanical asphexia, Respiratory Disorder Syndrome in novorodny, Congenital heart attack anomaly careless, Other cases of specified death to breathing, Instant death and death ended by a court decision.
The number of deceased children under the age of 1 year for 9 months of 2020 was 18 (12.5), for 9 months of 2021 – 13 children, the indicator is 7.9.
The facts of total infant mortality as a result of pathoanatomic examination were registered as infectious diseases with 2 cases of this infant mortality, 7 - perenatal period, 4 - birth defect.
Of the 13 deceased children aged 0 to 1 years, 2 died in the regional perinatal center, 3 – in the Aral interdistrict hospital and 7 - in the maternity hospital of the Aral interdistrict Hospital, as well as 1 - in the regional children's hospital.
In order to prevent infant mortality and maximize the improvement of their health, a meeting of the headquarters established under the regional health department is held every week on Wednesday in a selector mode.
Maternal mortality is not registered even at the age of 2, and the work done gives its results.
To reduce the overall mortality rates, screening examinations are carried out qualitatively from year to year, taking into account 100% of the "D" identified patients, work is being done to improve their health with treatment in day and scheduled round-the-clock hospitals.

Information about the activities of the Aral Interdistrict hospital to provide medical care to the population of the district for 6 months of 2021
 
As part of the interdistrict hospital, there is a round-the-clock hospital with 230 beds, including a psychoneurological dispensary -40, rural hospitals: in the village of Saksaulsk -25. 3 rural polyclinics, 11 VA, 1 FAP and 36 medical centers.
 
According to the RPN, the number of residents of the serviced territory is -70569, of which adults – 39824, teenagers - 5491, children under 14 years of age -25254.
 
The population of the district is provided with medical care by 143 doctors and 687 SMRs, of which 67 and 270 are engaged in providing primary health care, respectively. The indicator of the provision of doctors per 10,000 population is 20.5.
 
91 doctors (63.6) have qualification categories, of which the highest is 39 (27.2), the first is 34(23.7), the second is 18 (12.5). SMR-in total, there are 365 categories (41.0%), of which the highest is 268 (39.0), the first is 56(8.1), the second is 41(5.9).
 
The birth rate for 6 months of 2021 is 14.1 per 1000 population (2020-13.6). This indicator has been increased by 0.5% compared to last year.
 
The total mortality rate for 6 months of 2020 is -2.9%0, and in 2021 -2.9%0
 
The indicator of natural growth for 6 months of 2020 is 10.7, and for 6 months of 2021 it is 11.2, increased by 0.5% 0 .
 
Visits to doctors for 6 months of 2020 are 151606, and for 6 months of 2021, respectively, 184708.
 
The disease was registered: for 6 months of 2020, a total of 35148, initially-20734, for 6 months of 2021, a total of 34937, initially-19755.
 
BSK-the disease was registered initially for 6 months of 2020 -727 (1045.8), for 6 months of 2021 -657 (931.0). Mortality in 2020 - 45 (64.7), in 2021 - 42 (59.5).
 
Oncological diseases: initially registered for 6 months of 2020 -42 (60.4), for 6 months of 2021 -39 (55.3), mortality in 2020 -26 (37.4), in 2021 -28 (39.6).
 
Tuberculosis: it was registered initially for 6 months of 2020 -20 (28.8), and for 5 months of 2021 -20 (28.3). No deaths were registered in 2020-2021
 
Infant mortality for 6 months of 2020 is-10-10.4 %0, 2021 - 9-9.0%0, reduced by 1.4%0 . During the reporting period, no cases of Meterin mortality were registered.
 
To improve the quality of medical care and achieve the best target indicators, it is necessary to carry out the following measures:
 
- Pay special attention to the protection of the health of children and women, monitor the register of pregnant women and women of fertile age on a daily basis, prevent cases of infant and maternal mortality.
 
- Earlier detection of socially significant diseases (BSC, oncological pathology, tuberculosis), to prevent their late diagnosis and mortality.
 
- Re-profiling of the hospital bed fund, effectively use and increase the beds of the day hospital.
 
- To conduct high-quality and effective screening examinations of the population with monthly and quarterly monitoring.
 
- To intensify the work of the internal audit and the patient support service, to prevent cases of unfounded complaints from the population.
 
- Increase the proportion of hospitalization in the hospital as planned.
 
- Continue working on the KIIS program, introduce basic data into the relevant programs.
Information about the activities of the Aral Interdistrict Hospital to provide medical care to the population of the district for 3 months of 2021
 
In total, 16 complaints were received by the Aral interdistrict hospital in the first quarter of 2020, the patient support and internal audit department was analyzed, four were satisfied, and twelve were clarified. Seven medical workers received disciplinary sanctions in the form of a" warning". In order to improve the quality of medicine provided to the population, polyclinics of the PHC level were replenished with doctors of the younger generation. In order to improve the treatment and diagnostic measures for circulatory disorders, which are one of the most pressing problems, a Holter monitor was conducted, a new training of an ultrasound specialist was started, and ultrasound of the heart vessels and the brain and neck were performed as planned. The city of Almaty has been replenished with a specialist cardiologist who has completed a residency at the Research Institute of Cardiology and Internal Diseases. In order to fully ensure the dispensary registration of patients by the council of specialists, from March 2021, specialists of a narrow link with a mobile medical complex are sent to all localities. Applications for free medicines "for the provision of medicines and medical products within the guaranteed volume of free medical care and in the system of compulsory social health insurance, including for the provision of certain categories of citizens with certain diseases (conditions), medicines provided free of charge and (or) at a discount at the outpatient level, the list of medical products and specialized medical products", by Order of the Minister of Health of the Republic of Kazakhstan dated August 29, 2017 No. 666.
 
In total, for the first quarter of 2021, 10 applications were received in writing (including 2 applications, 8 applications). These applications and appeals were analyzed and resolved in the audit department:
 
-2 provided with medicines at the request of the patient.
 
-2 according to the patient's application, the documents were submitted to the MSEC in accordance with the legislation, to resolve the issue of assigning disability.
 
- Explanatory work was carried out on 1 citizen who applied for the use of funds accumulated under the OSMS system for her child.
 
-2 patients received timely medical care.
 
2 medical workers were given measures for the shortcomings they made in the course of their work.
 
The problems that still remain relevant cause difficulties in obtaining planned medical care in a timely manner due to late payment of mandatory health insurance premiums, the lack of the "insured"status. Operational situations are provided in a timely manner within the framework of the GOBMP.
Information about the activities of the Aral Interdistrict Hospital to provide medical care to the population of the district for 12 months of 2020
 
As part of the interdistrict hospital, there is a round-the-clock hospital with 230 beds, including a psychoneurological dispensary-40, rural hospitals: in the village of Saksaulsk-25. 3 rural polyclinics, 11 VA, 1 FAP and 36 medical points.
 
According to the RPN, the number of residents of the served territory is -70071, of which adults - 41296 teenagers-3860, children under 14 years of age -24915.
 
The population of the district is provided with medical care by 143 doctors and 685 SMRs, of which 67 and 270, respectively, are engaged in providing primary health care. The rate of provision of doctors per 10,000 population is 20.5.
 
79 doctors (55,2) have qualification categories, of which the highest-31(21,6), the first-31(21,6), the second -17 (11,8). SMR – all have categories 281 (41,0%), of which the highest 187(27,3), the first -51(7,4), the second – 43 (6,2).
 
The birth rate for 12 months of 2020 is 27.7 per 1000 population (2019-26.3). This indicator is increased by 1.4% compared to last year.
 
Total mortality rate for 12 months of 2019 -6.7%0, and in 2020 -8.0%0
 
The indicator of natural growth for 12 months of 2019 -19.6, and for 12 months of 2020-19.7, increased by 0.1%0 .
 
Visits to doctors for 12 months of 2019 are 336982, and for 12 months of 2020, respectively, 312563.
 
The disease was registered: for 12 months of 2019, a total of 67257, primary -41904, for 12 months of 2020, a total of 67399, primary-40427.
 
BSK-the disease was registered primarily for 12 months of 2019 -1466 (2136.0), for 12 months of 2020 -1221 (1742.5). Mortality in 2019 - 70 (102.0), in 2020 - 103 (147.0).
 
Oncological diseases: registered primarily for 12 months of 2019 -98 (123.5), for 12 months of 2020 -96 (137.0), mortality in 2019 -43 (62.7), in 2020 -49 (69.9).
 
Tuberculosis: registered initially for 12 months of 2019 -47 (68.5), and for 12 months of 2020 -38 (54.2). No deaths recorded in 2019-2020
 
Infant mortality for 12 months of 2019 is-14-7.7 %0, 2020-28-14.4%0, increased by 6.7% 0 . During the reporting period cases materinskoy mortality is not registered.
 
To improve the quality of medical care provided and achieve the best target indicators, the following activities should be carried out::
 
- Pay special attention to protecting the health of children and women, monitor the register of pregnant women and women of fertile age on a daily basis, and prevent cases of infant and maternal mortality.
 
- Early detection of socially significant diseases (BSC, onco pathology, tuberculosis), to prevent their late diagnosis and mortality.
 
- Re-profiling of the hospital bed stock, effectively use and increase the beds of the day hospital.
 
- Conduct high-quality and effective screening examinations of the population with monthly and quarterly monitoring.
 
- To intensify the work of internal audit and patient support services, to prevent cases of unfounded complaints from the public.
 
- Increase the proportion of hospitalization in the hospital as planned.
 
- To continue work on the CMIS program to implement the underlying data in the appropriate program.

Information about the activities of the Aral District Hospital to provide medical care to the population of the district for 9 months of 2020
 
As part of the interdistrict hospital, there is a round-the-clock hospital with 230 beds, including a psychoneurological dispensary-40, rural hospitals: in the village of Saksaulsk-25. 3 rural polyclinics, 11 VA, 1 FAP and 36 medical points.
According to the RPN, the number of residents of the served territory is -69717, of which adults -41156 teenagers-3771, children under 14 years of age -24790.
The population of the district is provided with medical care by 143 doctors and 685 SMRs, of which 67 and 270, respectively, are engaged in providing primary health care. The rate of provision of doctors per 10,000 population is 20.5.
64 doctors (45.5) have qualification categories, of which the highest is 25 (17.5), the first is 28(19.4), the second is 11(7.6). SMR-total have categories 156 (22.8), of which the highest 114 (16.6), the first -32(4.7), the second-10 (1.5).
The birth rate for 9 months of 2020 is 20.6 per 1000 population (2019-19.8). This indicator is increased by 0.8% compared to last year.
Total mortality rate for 9 months of 2019 -4.6%0, and in 2020 -6.5%0
The indicator of natural growth for 9 months of 2019 -15.2, and for 9 months of 2020-14.1, decreased by 1.1% 0 .
Visits to doctors for 9 months of 2019 are 234448, and for 9 months of 2020, respectively, 226073.
The following diseases were registered: for 9 months of 2019 -50387, primary -30765, for 9 months of 2020 – 49952, primary-30537.
BSK-the disease was registered primarily for 9 months of 2019 -7193 (10502,8), for 9 months of 2020 -6446 (9245,9). Mortality in 2019-50 (73,0), in 2020-85 (121,9).
Cancer: registered initially for 9 months 2019 -370 (540,3), 9 months 2020 -390(559,4), mortality in 2019 -25 (36,5) in 2020, -45 (64,5).
TB: was initially for 9 months 2019 -106 (154,8), and for 9 months 2020 -70 (100,4). No deaths were recorded in 2018-2019
Infant mortality for 9 months of 2019 is-8-5.9%0, 2020-18-12.5%0, last year (increased by 6.6%0). During the reporting period cases materinskoy mortality is not registered.
To improve the quality of medical care provided and achieve the best target indicators, the following activities should be carried out::
- Pay special attention to protecting the health of children and women, monitor the register of pregnant women and women of fertile age on a daily basis, and prevent cases of infant and maternal mortality.
- Early detection of socially significant diseases (BSC, onco pathology, tuberculosis), to prevent their late diagnosis and mortality.
- Re-profiling of the hospital bed stock, effectively use and increase the beds of the day hospital.
- Conduct high-quality and effective screening examinations of the population with monthly and quarterly monitoring.
- To intensify the work of internal audit and patient support services, to prevent cases of unfounded complaints from the public.
- Increase the proportion of hospitalization in the hospital as planned.
- To continue work on the CMIS program to implement the underlying data in the appropriate program.

Information about the activities of the Aral Interdistrict Hospital to provide medical care to the population of the district for 6 months of 2020
 
As part of the central district hospital, there is a round-the-clock hospital for 230 beds, including a psychoneurological dispensary-40, rural hospitals: in Kambash-10 beds. SSMP, 3 rural polyclinics, 11 VA, 1 FAP and 36 medical centers. According to the RPN, the number of residents of the served territory is 68516, including adults 41250 teenagers-3547, children under 14 years of age-24719.
The population of the district is provided with medical care by 143 doctors and 685 SMRs, of which 67 and 270, respectively, are engaged in providing primary health care. The rate of doctors per 10 000 population is 18.9.
65 doctor (45,5) have qualification categories, of which the highest is 25 (17,5), the first – 28 (19,4), the second – 11 (7,6).
SMR – all categories -156 (22,8), of which the highest -114 (16,6), first -32(4,7), the second – 10(1,5).
 
The birth rate for 6 months of 2020 is 13.6 per 1000 population (2019-12.4).
 
Total mortality rate for 6 months of 2019 -3.0%0, and in 2020 -2.9%0
The indicator of natural growth for 6 months of 2019 -9.5, and for 6 months of 2020-10.7, increased by 1.2%0 .
Visits to doctors for 6 months of 2019 -165514, and for 6 months of 2020, respectively, 151606.
The disease was registered: for 6 months of 2019, total -35722, primary -21253, for 6 months of 2020, total-35148, primary-20734.
BSK-the disease was registered initially for 6 months of 2019 -1244 (1824.3), for 6 months of 2020 -727 (1045.8). Mortality in 2019 -48 (70.4), in 2020-45 (64.7).
 
Cancer: registered initially for 6 months of 2019-47 (68,9), for 6 months in 2020-42 (60,4), mortality in 2019 -13 (19,1), in 2020 -26 (37,4).
TB: was initially for 6 months of 2019 -34 (49,9), and for 6 months 2020 -20 (20.8 per). No deaths recorded in 2019-2020
Infant mortality for 6 months of 2019 is-6-7.1 %0, 2020 10-10, 4%0 . During the reporting period cases materinskoy mortality is not registered.
 
To improve the quality of medical care provided and achieve the best target indicators, the following activities should be carried out::
- Pay special attention to protecting the health of children and women, monitor the register of pregnant women and women of fertile age on a daily basis, and prevent cases of infant and maternal mortality.
- Early detection of socially significant diseases (BSC, onco pathology, tuberculosis), to prevent their late diagnosis and mortality.
- Re-profiling of the hospital bed stock, effectively use and increase the beds of the day hospital.
- Conduct high-quality and effective screening examinations of the population with monthly and quarterly monitoring .
- To intensify the work of internal audit and patient support services, to prevent cases of unfounded complaints from the public.
- Increase the proportion of hospitalization in hospitals in a planned manner.
- To continue work on the CMIS program to implement the underlying data in the appropriate program.

Information about the activities of the Aral Interdistrict Hospital to provide medical care to the population of the district for 3 months of 2020
 
 
On the work done in the field of providing medical services to the population for 3 months of 2020 in the Aral interdistrict Hospital in accordance with the state program of the Republic of Kazakhstan for 2020-2025
The company includes a central hospital with 140 beds, a neurological dispensary with 40 beds, Saksaul with 25 beds, Kambash Rural Hospital with 10 beds, as well as hospitals with 240 beds. District polyclinic, 3 rural polyclinics, 11 polyclinics, 1 obstetric and gynecological polyclinic, 36 medical centers.
According to the approved population register for 3 months of 2020, the population is 69034, including adults-40916, adolescents-3509, children under 14 years-24609.
Currently, the population of the area is 143 of 692 medical physician and mid-level providers, including 67 doctors and 270 nurses are engaged in the prevention of diseases at primary health care level, coverage of screening examinations, treatment and rehabilitation of patients.
The coverage of the district hospital by doctors is 18.9 per 10,000 people.
24 doctors (17.5%) have qualification categories, including the highest category - 11 (8.0). Category I - 8 (5.8%), Category I - 5 (3.6%).
There are 115 (16.7%) qualified categories of middle - level health workers, including the highest category - 81 (11.8), I category - 27 (3.9), II category-7 (1.0) .
If we talk about the demographic indicators of the district for 3 months of 2019, 365 children were born, the birth rate was 5.4 ppm, then for 3 months of 2020, 387 children were born, the birth rate was 5.6.The birth rate increased by 0.2 ppm compared to 3 months of last year.
The total mortality for 3 months of 2019 was 97 cases, the mortality rate was 1.4%, the mortality rate for 3 months of 2020 was 103 cases. Compared to 3 months of 2019, the total mortality rate this year increased by 0.1 ppm.
The natural increase for 3 months of 2019 was 4.0 ppm, for 3 months of 2020-4.1 ppm, the increase was 0.1 ppm.
The total number of people who applied for a doctor's appointment for 3 months of 2019 -78352, for 3 months of 2020 -83807
The total number of registered patients for 2 months of 2019 -19670, of which for the first time registered -11973, for 3 months of 2020 the total incidence -19149, for the first time registered -11348.
For socially significant diseases separately: for diseases of the circulatory system for the first time in 3 months of 2019, 589 were registered, the indicator per 100 thousand population-867.4, for 3 months of 2020 -323, the indicator - 467.9.
For diseases of the circulatory system, the mortality rate this year was 25, per 100 thousand population-36.8 (for 3 months of 2019-29 people, the indicator was 42.7).
The number of registered cases of cancer for the first time in 3 months of 2019 was 25 thousand people (36.8), for 3 months of 2020 - 21 (30.4). Cancer mortality in 2019 - 7.7 per 100 thousand people, in 2020-13 indicators 19.2.
The number of cases of tuberculosis registered for the first time in 3 months of 2019 was -19, for 3 months of 2020 -14, and for 3 years there were no deaths from tuberculosis.
The number of deceased children under the age of 1 year for 3 months of 2019 - 2 children, for 3 months of 2020-3 children.
Work to improve the quality of district health care and achieve target indicators
* Monitor the state of health of the mother and child, data from the register of pregnant women and women of reproductive age and prevent maternal and infant mortality.
* Identification of socially significant diseases , including the circulatory system, malignant neoplasms, tuberculosis in the early stages, prevention of their complications and mortality.
* Wide and effective use of inpatient beds by repurposing, multiplying day hospital beds.
* Conducting screening examinations of target population groups, conducting monthly and quarterly monitoring.
* Avoid complaints aimed at maximizing the improvement of the internal audit service and patient support.
* Achieving an increase in the proportion of planned hospitalization of patients for inpatient treatment.
* Provide full input of all data into daily programs with the implementation of work on the programs of the automated information system.

Information about the activities of the Aral Interdistrict Hospital to provide medical care to the population of the district for 12 months of 2019
 
As part of the central district hospital, there is a 24-hour hospital with 240 beds, including a psychoneurological dispensary-40, rural hospitals: in the village of Saksaulsk-25, in Kambash-10 beds. SSMP, 3 rural polyclinics, 11 VA, 1 FAP and 36 medical centers. According to the RPN, the number of residents of the served territory is 68,632, including adults 40,816 teenagers-3,421, children under 14 years of age-24,395.
 
The population of the district is provided with medical care by 143 doctors and 692 SMRs, of which 67 and 270, respectively, are engaged in providing primary health care. The rate of provision of doctors per 10,000 population is 18.9.
 
24 doctors (17,5) have qualification categories, of which the highest-11(8,0), the first -8(5,8), the second -5(3,6). SMR – all have categories 115 (16,7), of which the highest 81 (11,8), the first -27(3,9), the second – 7(1,0).
 
The birth rate for 12 months of 2019 is 26.2 per 1000 population (2018-25.5). This indicator remained at the same level compared to last year.
 
The total mortality rate for 12 months of 2018 -5.8%0, and in 2019 -6.7%0
 
The indicator of natural growth for 12 months of 2018 -19.7, and for 12 months of 2019-19.5, increased by 0.2%0 .
 
Visits to doctors for 12 months of 2019 are 309482, and for 12 months of 2018, respectively, 336013.
 
The disease was registered: for 12 months of 2019, a total of 68989, primary-42103, for 12 months of 2018, a total of 68774, primary-42179.
 
BSK-the disease was registered primarily for 12 months of 2019 -1466 (2136.0), for 12 months of 2018-1677 (2463.3). Mortality in 2019 is 70 (102.0), in 2018 - 75 (110.2).
 
Oncological diseases: registered primarily for 12 months of 2019 -96 (139.8), for 12 months of 2018-85 (108.0), mortality in 2019 -25 (36.4), in 2018 -37 (54.4).
 
Tuberculosis: registered initially for 12 months of 2019 -47 (68.4), and for 12 months of 2018 -47 (69.0). No deaths were recorded in 2018-2019
 
Infant mortality for 12 months of 2019 is -14 (7.7) %0, 2018 16 (9.2% 0) last year . During the reporting period cases materinskoy mortality is not registered.
 
To improve the quality of medical care provided and achieve the best target indicators, the following activities should be carried out::
 
- Pay special attention to protecting the health of children and women, monitor the register of pregnant women and women of fertile age on a daily basis, and prevent cases of infant and maternal mortality.
 
- Early detection of socially significant diseases (BSC, onco pathology, tuberculosis), to prevent their late diagnosis and mortality.
 
- Re-profiling of the hospital bed stock, effectively use and increase the beds of the day hospital.
 
- Conduct high-quality and effective screening examinations of the population with monthly and quarterly monitoring .
 
- To intensify the work of internal audit and patient support services, to prevent cases of unfounded complaints from the public.
 
- Increase the proportion of hospitalization in hospitals in a planned manner.
 
- To continue work on the CMIS program to implement the underlying data in the appropriate program.
Дата публикации
19 февраля 2020
Дата обновления
09 октября 2026
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