Observation of Children of the Newborn Period in Childrens Polyclinic

INTRODUCTION: Primary health care is a fundamental element in protecting the health of the children’s population. This article presents a literature review on the problems of providing medical care to children of the first month of life. One of the main stages in an integrated approach to observation of children is the antenatal protection of the fetus, which is provided primarily by childrens clinics through prenatal patronage. To date, at this stage, there is still lack of coordination in the work of womens clinics and childrens clinics. After the discharge of newborns, prenatal care is replaced by home care for newborns, which is realized by both a doctor and a district nurse and represents a complete system with an integrated approach to appropriate examinations. Observance of the frequency of both prenatal and primary patronages, which is regulated by the federal normative acts, is ensured by the professional level of district pediatricians and district nurses, as well as by the appropriate provision of the primary link with personnel. Lack of specialists in medical organizations providing primary health care to children is reflected in the increased burden on the medical and nursing staff. According to the research conducted in different regions of the Russian Federation, the number of population attached to a health locality, often significantly exceeds the recommended standard of 800 people per one locality. All this leads to non-standardized loads on the staff, and has a significant impact on the quality of medical care provided. This, in turn, leads to dissatisfaction of the patients legal representatives with the availability, quality and completeness of the medical care provided. CONCLUSION: The presented information, based on the data of the literature review devoted to the quality of medical care for children of the first month of life in childrens polyclinics, is aimed at optimizing the conditions for improving affordable and high-quality medical care, improving the health of the child population, reducing infant mortality.