EMPLOYEE STAFF IN HEALTHCARE INSTITUTIONS IN THE REGION OF PUBLIC HEALTH INSTITUTION – SHTIP FOR 2021

The aim of the research: To give an account of the development of the health network in the area of thePHI - Shtip, a complete review of the employed health workers and health associates, as well as the administrativeand technical staff and, based on the demographic data according to the 2021 census, to give an assessment of thestandards with the provided staff in the separate activities of primary and secоndary health care.Researchmethodology: The Report on the organizational structure, personnel and equipment of the health facilities (form no.3-00-60), which the health facilities submit to the Public Health Center once a year, served as a source of data. Thedata are presented in tables and graphs, where the staff is shown by profile and professional training.Results of theresearch: The network of health institutions in the area of the Center for Public Health - Shtip for 2021 was providedby a total of 194 health institutions, of which 8 public health institutions and 186 private health institutions. The totalstaff in all health institutions was 1360 employees, of which 316 were doctors (23.2%) – of which 175 werespecialists, 88 were dentists and specialist dentists (6.4%), 70 were pharmacists and specialist pharmacists (5.1%).22 health workers (1.6%), 661 health workers with high, short cycle tertiary education and intermediate professionaldegrees (48.6%), 50 health workers with lower professional degrees (3.6%), as well as 153 administrative andtechnical workers ( 11.2%). A standard of 280 inhabitants per 1 doctor, 1006 inhabitants per 1 dentist was achieved.As well as 1265 inhabitants for 1 pharmacist, which represent very good standards for these activities. The ratio ofhealth workers with high, short cycle tertiary education and intermediate professional to/doctors is 2.0 on average.According to the Decree on the network of health care facilities at the level of primary health care, more teams (76)than the stipulated standard (70) teams work in the activity of general medicine, and more teams (12) than thestipulated norm (9) work in the activity of children's health care team. The norm for the activity of gynecology andobstetrics (health care of women) has been observed and amounts to 13 teams. These calculated norms at the levelof the area were obtained according to the basic demographic characteristics for the given age group according tothe Population Census 2021.Conclusions: The network of health institutions at the district level of the Center for Public Health - Shtip is wellspread, among other public and health care institutions that provide primary and secondary health care to thepopulation. We have a deficit of teams at the level of primary health care in dental practice, while at the level ofsecondary health care there is a smaller number of doctors, doctors in anesthesiology and resuscitation, physicalmedicine, medical biochemistry and microbiology.Recommendations: It is necessary to maintain the existing network of health facilities and to provide it withappropriate professional staff and to maintain and improve the standards in primary and secondary health care. It isalso necessary to enable closer access to health care for the population in the municipality of Karbinci through theopening of a general medical and dental office, because according to the 2021 census there is a sufficient number ofresidents who meet the existing norm.