scholarly journals DEMOGRAPHIC SITUATION IN RUSSIA: MEDICAL AND SOCIAL ASPECTS

Author(s):  
Marina A. Shurgaya ◽  
S. S Memetov ◽  
T. A Ivanova ◽  
A. F Karaeva ◽  
I. V Lyalina

Since the beginning of the 90s of the last century, significant structural changes in the country’s economy, the transition from a planned economy to a market economy, which was accompanied by a deterioration in the socioeconomic status of the population, took place in Russia. This adversely affected the health of citizens. The health of the population has progressively worsened, life expectancy has declined, the population has been shrinking at an alarming rate. Since 2006, the dynamics of the main demographic indices in Russia is favorable. There is a tendency to reduce the natural decline in population. Life expectancy indices reflecting the state of health of the population and the death rate increased, reached 71.9 years in the general population in 2016 (among women - 77.1 years, among men - 66.5 years). The demographic situation in Russia is characterized by an aging population. In 2014, the contingent of the older generation (33.8 million - 23.0%) prevailed over the children population (24.7 million - 17.2%) and this ratio is maintained as of January 1, 2017: the population of children is 36 685 thousand people (18.3%), working age population accounts of 83 224 thousand people, the elderly - 36 685 thousand people (25%). The increase in life expectancy is associated with a gain in the incidence and disability of the population, among which leading positions of the disease are occupied by the circulatory disorders, malignant neoplasms, diseases of the musculoskeletal system and connective tissue, and a number of infectious diseases. At the same time, the period of life, living with chronic diseases and restrictions in active activity, lengthens. The indices of the morbidity and disability rate of the population are a reflection of both the level of health and the quality of medical and preventive measures, as well as the state of social protection of a person with a health defect. A differentiated approach to the organization of preventive, curative and rehabilitation measures is important, both at the federal and regional and municipal levels of managing the health and social protection system. Health resources of saving technologies should be aimed at realizing an optimistic demographic scenario - an increase in life expectancy with a parallel increase in the number and proportion of years living in conditions of preserved health and activity.

2019 ◽  
Vol 72 (3) ◽  
pp. 442-446
Author(s):  
Zhanetta A. Chornenka ◽  
Tetiana I. Domanchuk

Introduction: The demographic situation in the country is largely due to the state of the economy and reflects the medical and social conditions of the population, which in turn testify to the state of the economy, the health care system, education, culture, and other factors. The aim: Analysis and comparison of the demographic situation in Ukraine with the EU countries, forecast for the future. Materials and methods: The statistical materials of the Center for Medical Statistics of the Ministry of Health of Ukraine 2012-2016 were processed. A medical-statistical analysis of the system’s performance indicators for the five components carried out; an assessment of the performance of the health system according to the WHO approach with certain modifications used. Review: Having analyzed the statistics of the last years in Ukraine, the birth rate in 2017 decreased as compared to 2016, in January-April 2017 there was a natural decrease in the population, while migration processes in Ukraine exceeded immigration beyond its borders. In connection with the antiterrorist operation in the east of the country and the beginning of active hostilities in the region, the population was significantly reduced to 43 million people. Life expectancy has also changed, and today the average life expectancy in Ukraine is 71 years (66 years are men, 75 are women). Conclusions: It is necessary to concentrate efforts on solving current problems - economic birth control, adequate social protection of families with children and the elderly, promoting a healthy lifestyle, ensuring the availability of quality medical care and education, which in turn will ensure an increase in the duration of a full active life.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guru Vasishtha ◽  
Sanjay K. Mohanty ◽  
Udaya S. Mishra ◽  
Manisha Dubey ◽  
Umakanta Sahoo

Abstract Background The COVID-19 infections and deaths have largely been uneven within and between countries. With 17% of the world’s population, India has so far had 13% of global COVID-19 infections and 8.5% of deaths. Maharashtra accounting for 9% of India’s population, is the worst affected state, with 19% of infections and 33% of total deaths in the country until 23rd December 2020. Though a number of studies have examined the vulnerability to and spread of COVID-19 and its effect on mortality, no attempt has been made to understand its impact on mortality in the states of India. Method Using data from multiple sources and under the assumption that COVID-19 deaths are additional deaths in the population, this paper examined the impact of the disease on premature mortality, loss of life expectancy, years of potential life lost (YPLL), and disability-adjusted life years (DALY) in Maharashtra. Descriptive statistics, a set of abridged life tables, YPLL, and DALY were used in the analysis. Estimates of mortality indices were compared pre- and during COVID-19. Result COVID-19 attributable deaths account for 5.3% of total deaths in the state and have reduced the life expectancy at birth by 0.8 years, from 73.2 years in the pre-COVID-19 period to 72.4 years by the end of 2020. If COVID-19 attributable deaths increase to 10% of total deaths, life expectancy at birth will likely reduce by 1.4 years. The probability of death in 20–64 years of age (the prime working-age group) has increased from 0.15 to 0.16 due to COVID-19. There has been 1.06 million additional loss of years (YPLL) in the state, and DALY due to COVID-19 has been estimated to be 6 per thousand. Conclusion COVID-19 has increased premature mortality, YPLL, and DALY and has reduced life expectancy at every age in Maharashtra.


2018 ◽  
pp. 28-40 ◽  
Author(s):  
Maria RIPPA

Introduction. The state of financial provision of social protection at the expense of budgetary funds is an important issue for each state. Purpose. The purpose of the article is to scientifically substantiate the theoretical foundations of social protection of the population and the sources of its financial support. Results. Expenditures on social protection of the population occupy a significant place in the state expenditures of Ukraine. Through the system of social protection during 2010–2016, about 23% of GDP was allocated. A tendency towards a decrease in their share (in 2016 – 18,2%) was revealed. Budget financing takes the lead in the system of sources of financial support. Due to the budget system, 10.8% is distributed, while in the structure of total expenditures of the Consolidated Budget expenditures on social protection and social security make up 59,6%. A comprehensive analysis of the dynamics of volumes and structure of budget financing during 2007–2017 was conducted. A tendency towards annual growth of expenditures on social protection has been established, and it has been found that their growth rates during the investigated period significantly exceeded GDP growth rates. A significant level of centralization is established. Such a situation requires the optimization of budgetary expenditures on social security and social security and the modernization of sources of their financial support. Conclusions. The main vectors for improving the budget financing of social protection and social security in Ukraine are: – decentralization of budget financing of social protection and social security; – provision of social transfers based on the verification of the property and financial status of the recipients; – the targeted nature of social assistance; – monetization of subsidies; – optimization of the state policy in the labor market with a view to its rapid adaptation to structural changes taking place in the economy; since socially-market economy is aimed not only at social protection, but also the creation of such an organizational and economic mechanism that would contribute to reducing the part of the population that needs state paternalistic care (social assistance).


Author(s):  
Volodymyr Dzhuhan ◽  
Ruslana Dzhuhan

The relevance of the article is due to the process of progressive aging of the population, so it requires from society to find new ways to work with the elderly and their needs’ realization. The article characterizes the current state of the category of elderly people in Ukrainian society. It is noted that support for the elderly is provided through a variety of resources, for example, formal and informal support networks, volunteering, the state, family, community, and society in general. The formal support network is implemented through the social policy of the state, which is focused on assisting in ensuring the rights of the elderly to their social protection of constitutional rights and freedoms. The aim of the article is to reveal the peculiarities of the needs’ realization of the elderly through formal and informal support networks. Research methods applied: generalization − to study the formal network of support, which is implemented through the social policy of the state and focused on constitutional rights for the elderly and social protection; analysis − combining and representing connections of individual elements, parties, components of a complex phenomenon and so in the comprehension of the whole in its components’ unity. The directions of reforming the system of social services are aimed at an authoritative legal framework, where social protection of the elderly would be enshrined at the appropriate level. They includ: deinstitutionalisation through the creation of a wide network of services and facilities that can provide quality services in the community; involvement of non-governmental organizations in the provision of social services; approach of social services to the place of residence; decentralization of management processes, financing, location of services; empowering older people to choose services and participate in the process; increasing the effectiveness of the provision of social services through the study of needs at the individual level and within individual administrative-territorial units; introduction of quality improvement technologies, including monitoring, evaluation and control.


Author(s):  
Vorotina Nataliia

Introduction. More than five years in Ukraine is the reform of decentralization of power, an important component of which is financial decentralization. The purpose of this reform is to improve the financial independence of local budgets and strengthening the role of local government. It is in the process of introducing the reform in 2015 in Ukraine was adopted the Law of Ukraine "On Voluntary Association of Territorial Communities", according to which envisages establishing of united territorial communities and the formation of their budgets. As a result of financial decentralization is transferring of significant amount of financial resources to the local level, allowing better fund the needs of the residents of the territorial community. Given this, it is relevant and important, is to research the peculiarities of legal regulation of the formation of the combined budgets of territorial communities in Ukraine and creating of favorable conditions for their financial solvency. The aim of the article. The purpose of this article is to elucidate the role and importance of budgets of the united territorial communities in the budgetary system of Ukraine, revealing features of their legal regulation in the context of financial decentralization, evaluation of methods of achieving their financial viability, development of proposals on improvement of legislation in this area. Results. Amendments to the Budget Code of Ukraine, according to which budgets of the united territorial communities were included to the budgetary system of Ukraine, were adopted in 2015. The basis for mentioned above amendments to the Budget Code of Ukraine was adoption on the eve of the Law of Ukraine "On Voluntary Association of Territorial Communities". The notion of "the united budgets of territorial communities" has been determined in the Budget Code of Ukraine since 2017 as the combined budgets of territorial communities established in accordance with the law and a long-term plan of formation of territories of communities, as well as the budgets of the consolidated territorial communities recognized by the Cabinet of Ministers of Ukraine in the manner prescribed by law. Definition of "capable territorial communities" as territorial communities of villages (settlements, cities) that, through voluntary association, are able to provide, on their own or through the relevant local authorities, an appropriate level of service provision, especially in the fields of education, culture, health, of social protection, housing and communal services, taking into account the human resources, financial support and infrastructure development of the respective administrative-territorial unit, is contained in the Methodology of formation of capable territorial communities. When forming a promising unified territorial community is an important preliminary calculation of its financial viability, which allows you to evaluate the benefits and risks of such associations, to determine the need for additional funds and streamline costs. Methodological recommendations for the calculation of the financial solvency of united territorial community were prepared for the proper assessment of the said ability. It gives the possibility to model the prospective budget of the community, determines the necessity of analysis of reserves to balance revenues and expenditures, and encourages association in financial viable community. Conclusions. As a result of financial decentralization is appearance in the structure of the budget system of Ukraine a new important element – the budgets of united territorial communities. Such the structural changes of budget system are in line with the trends in the developed democratic states of the world, and therefore should be considered as important, progressive and aimed at achieving financial solvency of local self-government. The budgets of the united territorial communities have number of special characteristics of the formation, must be financially solvent, that today is one of the important problems that need to be resolved. One of the main features of formation of budgets of the united territorial communities is that they have direct interbudget relations with the State Budget of Ukraine. To the budgets of the united territorial community (hereinafter mentioned as UTC), in addition to their main income, is credited 60 percent of the tax to incomes of physical persons. The budgets of the UTC, in addition to the cost of exercising self-governing powers, also finance the expenditure delegated by the state. To improve the efficiency to resolve budget issues of united territorial communities it is extremely important to urgently develop of Methodical recommendations on planning and execution of the budget, control the accounting and financial management, and so on. The issues of ensuring the financial viability of UTC budgets are extremely important and need further refinement of the mechanisms to achieve this.


2018 ◽  
Vol 11 (1) ◽  
pp. 401-406 ◽  
Author(s):  
Tengiz Verulava ◽  
Beka Dangadze

Introduction:Investments in healthcare are important in terms of formation of the health capital. The research aims to find out the role of the health capital in economic growth of a country.Methods:This study is based on the secondary sources of data. The study data were obtained from Human Development Report, Ministry of Labor, Health and Social Protection of Georgia. As a proxy indicator for measuring the health capital we used the life expectancy at birth, the general and initial illness rate, the general, maternal and children’s mortality rate, outpatient referral rate, the state expenses on healthcare, the share of state expenditure in total expenditure on health and state expenditure on health as a percentage of the Gross Domestic Product.Results:The average life expectancy has increased in recent 25 years. The maternal and children’s mortality rate have decreased, healthcare expenses have become higher and outpatient referral rate has also become more constant character. All these have a positive influence on the people’s health and country’s economic growth. However, the state expenses on healthcare and outpatient referral rate are far below the European level.Conclusion:As the health capital fulfills significant role in terms of the country’s economic growth in a long-run perspective, it is advisable to promote the development of the primary healthcare system and taking WHO recommendations concerning state healthcare expenses into account.


2021 ◽  
pp. 20-26
Author(s):  
I.Y. Eremina ◽  
A.V. Chuprova ◽  
V.M. Akker

The article examines the current demographic situation in Russia and assesses its impact on the long-term formation of the labor market. The relevance of the chosen topic is explained by the fact that in recent decades the state of the demographic situation in Russia is unsatisfactory. There are a number of features that slow down the development of the state. Firstly, it is a decrease in the population, secondly, the aging of the economically active population, and thirdly, the high mortality rate of men in working age.


2021 ◽  
Vol 2 (42) ◽  
pp. 32-40
Author(s):  
Aigul Orazymbetova ◽  
◽  
Galiya Sultanbekova ◽  

The aim: evaluate the effectiveness of the implemented state programs in the field of healthcare in Kazakhstan. Methods. The paper analyzes 4 state programs for the development of the healthcare system implemented in the years of independence of Kazakhstan and describes preliminary data on the program - "State Program for the Development of Healthcare of the Republic of Kazakhstan for 2020-2025". Results. As a result of the implementation of the state programs "Healthy Nation", the state programs for 2005-2010, "Salamatty Kazakhstan", "Densaulyk", maternal mortality decreased by 3,3 times, infant mortality decreased by 1,7 times, mortality from diseases of the circulatory system almost 3 times, mortality from malignant neoplasms by 1,4 times, mortality from tuberculosis by 8,4 times, as a result, life expectancy increased by 6,96 years and reached 73,18 years. Conclusion. Over the years of implementation of health development programs of the Republic of Kazakhstan, there has been a positive trend in indicators that characterize the health of the population, which in turn contributes to improving the quality and increasing the life expectancy of the country's population. Basic health indicators have been improved and health funding has been increased. However, despite these results, life expectancy and funding remain low compared to other countries. Keywords: state programs, strategic planning, healthcare system, Kazakhstan


2019 ◽  
Vol 31 (5) ◽  
pp. 1539-1543
Author(s):  
Nikolay Katsarski

Demographic security is an aspect of security, which is defined as a sustainable state of the nation, where natural reproduction and population growth is guaranteed and no violent change of self-awareness and national identity is allowed in any form. A broad understanding of security from the point of view of society is formulated as a state of society in which the risks and threats of existence and development are met systematically, are met in all the elements of society. "Demographic security may be the most important element of national security, as it is linked to the nation's" subject "- the people living in the nation state. Obviously, what is the state of demographic security will, to a great extent, be the state of national security of a country. It could be considered "as a state of society in which it is able to accumulate the reproductive power of the population necessary for preserving the nation, ensuring the preservation and development of national integrity and the national identity of the people and communities living in the state. And each of these theories and formulations could only exist if there were separate "demographic units". The importance of demographic status can be compared to whether a nation will exist or not, with the revival or death of a nation. That is why the demographic problem has real repercussions on the whole development of the state. The declining population leads to a weakening in both political and economic terms. The total depopulation of territories leads to a reduction in the working age population, which would mean lack of staff in the most important development areas - education, medicine, police, army. Prerequisites for the security of each country are its internal stability, the existence of a democratic political system, social protection, a developed economy. National security also depends on relations with neighboring countries, on the objective consideration of geopolitical conditions, on optimal participation in deepening integration processes, security is a function of a number of internal and external factors. State security means the existence of an effective mechanism for the management and coordination of the public groups and political forces, as well as the active institutions for their protection. The mentioned structural elements, interacting with the security environment, form conditionally two components of the national security - internal and external.


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