Article Text

STAGES OF INTRODUCTION OF CRITERIA FOR BIRTH DEAD AND ALIVE UNDER RECOMMENDATIONS FROM THE WHO IN THE REPUBLIC OF UZBEKISTAN
  1. Z S Sultanova1,
  2. K Jadgarova2,
  3. R S Dzubatova3,
  4. I I Ivasiv
  1. 1Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan,
  2. 2Ministry of Health of Republic of Uzbekistan, Tashkent, Uzbekistan,
  3. 3Research Institute of Pediatrics of Republic of Uzbekistan, Tashkent, Uzbekistan,
  4. 4USAID, UNICEF

Abstract

Introduction The Ministry of Health of the Republic of Uzbekistan with the support of the Government have incurred obligations regarding performance towards the Convention on the Rights of the Child. In 2003 a pilot region began introduction of the international criteria for birth dead and alive under recommendations from the WHO. Also, clinical support has begun for primary reanimation of newborns under the recommendation of the WHO. At this stage the instruction, methodical recommendations and the training program for 3 days have been approved.

Results In the pilot region 319 medical workers have been trained. Further, the pilot has extended to the city of Tashkent. In two pilot regions it has been ascertained that extremely small body weight accounts for 1.5% of all children born. However, research has shown that a relative density of deceased newborns is in a larger weight category. Hence, the criteria was defined by rescue of this category of children not demanding high technology. On this occasion the interdepartmental commission (Ministry of Health, Ministry of Justice, Ministry of Work, State Committee of Statistics) worked. As a result of offers presented to the Government and according to the order of Ministry of Health, stage-by-stage training in other regions was proposed. For 5 years now, across the whole country, over 3000 medical workers have been trained.

Conclusions Introduction of the international criteria for birth dead and alive promotes authentic statistics and a decrease in infantile death rate. Research in 2001 gave this parameter as 52.0 and in 2007 as 48.0.

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