Baranov A A, Namazova-Baranova L S, Albitskii V Yu, Terletskaia R N
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2015 Jan-Feb;23(1):35-41.
The article presents dynamics and causes of infant and children mortality in the Russian Federation during post-soviet period (1990-2012) in conditions of implementation of demographic policy and reforming of health care system. The data of official statistics of Rosstat (1990-2012) is analyzed. The comparative analysis with similar indicators in countries of European Union was made. The significant decreasing of infant mortality more than twice at the expense of all its components (early neonatal, neonatal, post-neonatal mortality) and because ofalmost all causes (conditions of perinatal period, infectious diseases, respiratory organs diseases, malformations, accidents) is established In the Russian. Federation, the characteristic of this indicator is decreasing of neonatal mortality and mortality and increasing of post-neonatal mortality in contrast with countries of European Union where its decreasing occurs just at the expense of late losses. It is demonstrated that this particularity is conditioned by under-registration of infants died in early neonatal period. The higher level of infant mortality in rural territories is established. However, the gap between urban and rural indicators shortens. In the Russian Federation infant mortality has regional characteristics and the Siberian and Far-East region are the most unfavorable ones. The mortality of children aged before 5 decreases. However, its level is still higher than in countries of European Union. Among causes of death of children in this age group the first places are for external factors and significance of malignant neoplasms increases. Therefore, development of system of mother and child health care in the Russian Federation made it possible to significantly decrease infant and children mortality.