{gallery}14-01-2019{/gallery}

Today in Scientific center of pediatrics and children's surgery there took place the briefing "About results of Kazakhstan pediatric service during last 10 years".

Speakers of the briefing told about results of pediatric service in Republic of Kazakhstan during last 10 years.

During the briefing Chairman of Scientific center board of pediatrics and children's surgery Sauranbayeva Zhanar Batyrgaliyevna said: "I our state and society health protection of children is one of relevant and most significant problems of health care. Within State program implementation of health care development in RK "Densaulyқ" in 2016-2019 the Ministry of Health RK, the Republican centers, RK OUZO held a number of events which allowed lowering in recent years indicators of child and infantile mortality. For the last ten years the steady tendency to decrease in child mortality almost twice (10.2 on 1000 newborns in 2017) and infantile mortality by 2.6 times is noted (7.9 on 1000 newborns in 2017). In comparison with the countries of Central Asia of the CIS mortality of children in first year of life in RK (7.9 ‰) is lower than the level of indicator of infantile mortality by 1.2 times (across the CIS – 9.3 ‰: Kyrgyzstan – 19.9 ‰; Tajikistan – 11.8 ‰, Uzbekistan – 10.7 ‰; Azerbaijan – 9.8 ‰; Russia – 7.3 ‰).

Are implemented the Road map on introduction of integrated model on increase in efficiency of maternity obstetric service and the childhood in RK, the Coordination council on introduction of integrated model of delivery of health care to children functions. Field meetings of Republican headquarters for acceptance of urgent measures for decrease in maternal and infantile mortality with monitoring of delivery of health care to the children's population in the region will be organized and held. So, in 2018 13 meetings of Republican headquarters with adoption of management decisions are held.

Prenatal diagnostics which allows not only to reveal internal deviations is improved, but also to carry out tactics of maintaining pregnant women, the forecast, to define the place of childbirth taking into account the possible verified defect at an embryo. The lethality of children (till 1 year) from internal deviations in the last 10 years is decreased by 1.5 times. Highly skilled surgeons carry out difficult operations, to children with digestive tract internal deviations, diseases of a gepatobilic system, thoracic area, low-invasive video endoscopic interventions at urological and abdominal pathologies are introduced.

In the republic the children's cardiac service is developing. Today in RK 145 cardiac beds for children with congenital heart diseases and 28 cardiac resuscitation beds for this contingent of patients are organized. Over 2000 open heart operations, including 3-4 levels of complexity and even more than 500 of surgeries are annually performed.

When rendering the surgical help to premature children with a retinopathy good results are received: regress and stabilization of process in 94.7%. Earlier all these children remained disabled people.

The deputy head on pediatrics of scientific center of pediatrics and the nursery of a surgery Gulnar Abdilova noted: "Road maps on improvement of children's oncological and hematologic service in RK and on introduction of new standards of diagnostics and treatment of rare (orphan) diseases at children in RK are implemented. Life expectancy of children with oncological diseases increases, and it is possible to achieve practical recovery from their considerable part. It is reached at the expense of selective intensification of chemotherapy, implementation of program treatment according to the German BFM program, applied more than 20 years in our republic. For today the survival of children with a sharp lymphoblastic leucosis is more than 78% that gets closer to world results. In the leading world centers the survival of children with this disease is 80 - 85%.

Treatment of solid tumors according to modern European programs is performed since 2013, but already according to the analysis of early results of treatment the general survival at separate forms of tumors survival approaches world data: at lymphoma in RK – 80% (world – 83%); at a tumor of kidneys – 82.4% (world 95%); tumors of ovaries and a small egg – 73% (world 75%).

Since 2012 in the republic are carried out 151 transplantations of hematopoietic stem cells at children, the efficiency of Allegany transplantation was 75.3% and autologic is 71%. Issues on diagnostics and providing children with ferment replacement therapy with these diseases from means of the republican budget are resolved. Algorithms of diagnostics and treatment of orphan diseases at children, the patient's route from the initial level to republican institutions are developed".

Sauranbayeva Zhanar Batyrgaliyevna added that these centers are open for dialogue with control center, within the realized road maps on improvement of children's oncological and hematologic service in RK and on introduction of new standards of diagnostics and treatment of rare (orphan) diseases at children in RK. We very closely work and we cooperate with NGO for the solution of general tasks, problems at the children sick with oncohematological and orphan diseases.

Then, the manager of intensive care unit and pathologies of newborns of Scientific center of obstetrics, gynecology and perinatology of MZ RK Gulyaim Baytanatova told about subject of briefing focusing attention that "in the Republic of Kazakhstan the adequate legislative regulatory base is created, there is full a commitment of the Government to provide decrease in child mortality in the country. But there is a current problem - health of the women who are giving birth to small and sick children. Health of newborns the levels of development of incidence, mortality are in close dependence on the state of health of their parents. To us, women with heavy extra genital pathology come to scientific center of obstetrics, gynecology and perinatology and from them deeply premature, small children are born. We render the highly specialized help to these women and newborn children.

 In scientific center of OGP annually on average 3000 and more childbirth, from them about 7% of premature birth, treatment receive about 20% (600) newborns, from them: 13.3% (400) pass on department of pathology of newborns and 6.7% (200) on intensive care unit of newborns. Children with congenital malformations and the pathology demanding surgical intervention are transferred to Scientific center of pediatrics and children's surgery with which closely we cooperate for many years, - emphasized Gulyaim Rakhmetovna in the performance on the subject: "About results of activity of neonatology service of OGP in the last 10 years".

Besides, Gulyaim Baytanatova said: "With implementation of childbirth criteria in RK, 2007, effective prenatal technologies indicators of prenatal mortality considerably improved. For the last 10 years we reduced prenatal mortality from 30 to 5.5, early neonatal mortality decreased from 15 to 3.2, neonatal mortality decreased from 20 to 3.5 ", put emphasis on improvement of indicators of the prenatal period for the last decade.

At a briefing the associate professor children's diseases of neonatology course of S. Asfendiyarov, the doctor-neonatologist of scientific center of obstetrics, gynecology and perinatology of MZ RK Gulmira Altynbayeva noted that life expectancy of premature children in 10 years improved.

Sauranbayeva Zhanar Batyrgaliyevna added a speech of experts of OGP: within the Road map in regions of RK the universal and progressive model of patronage observation at home of newborns and children of early age according to the program of the OUN UNICEF children's fund takes root. The pilot project was implemented in 2017 in the Kyzylorda and Mangystausk regions (as a result the MS indicator in the Kyzylorda region decreased from 9.5 ‰ in 2016 to 8.9 ‰ in 2017, in the Mangystausk region from 9.4 ‰ in 2016 up to 7.9 ‰ in 2017). Introduction of universal and progressive model takes place step by step in regions of the republic.

As a result of the held events within the last decades positive dynamics of decrease in an indicator of infantile mortality in RK is noted, the Millennium development goals and Indicators of the State program of health care development in RK "Densaulyқ" for 2016 - 2019 are achieved.

Also Sevalnikova Tatyana, the child's mother receiving treatment in the 3rd office of children's oncology of OGP made a speech at the briefing: "Since October my child receives treatment in the Center of pediatrics. I want to tell that doctors are very highly specialized here, know their work, and are very attentive. We undergo treatment under the foreign protocol. All conditions for parents - shower cabins, laundries for washing of linen are created; there are an equipped kitchen and all household appliances. If to listen to the doctor, and in time to address for treatment, also to follow all rules on food, on the regime, then the child recovers quicker. The most important - it is necessary to believe that your child will recover".