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MEDICO-SOCIAL ASSESSMENT OF REASONS AND RISK FACTORS OF INFANT MORTALITY RATE (ON THE EXAMPLE OF THE OMSK REGION)


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Abstract

The index of the infant mortality rate (IMR) is the integrated index of the quality of life, social and economic wellbeing of the society. In the Omsk region over the period of 2004-2013 there was noted the decline of IMR index by 34,5%. In 2012 there was recorded the specific gain of IMR by 38,9% in comparison with 2011 caused by the transition to new criteria of live birth. For the purpose of the study of medico-social factors of risk for the infant mortality occurrence in the Omsk region the factorial analysis was executed. The sample volume for the studied and control group accounted of 225 observations respectively. The performed factorial analysis allowed to reveal eight medico-social factors of risk for infant mortality. In a total generality of factors the greatest contribution is made by a neonatal factor (22,0%), on the second place there are medical factors (12,5%), the third place is taken by an obstetric factor (10,8%). Results of research of the signs filling factors allowed to develop a number of the organizational actions directed on the decrease in IMR.


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