Trends and structure of infant mortality in Ukraine.

Abstract

The aim: To establish and study the main trends in mortality of children under 1 year of life in Ukraine, both general and depending on gender, region of Ukraine, place of residence (urban, rural), as well as causes of death. To conduct a comparative analysis of infant mortality rates with some developed countries of the world. Materials and methods. The data of the state statistical reporting for the period 2009–2018 and data of the Institute for Health Metrics and Evaluation for the period 2009–2019 were used as the materials of study. The following research methods were used: a systematic approach and system analysis, epidemiological, biostatistical, medical-statistical methods. Results. The mortality rates of children in the age category up to 1 year of life were analyzed in order to establish: its main trends in Ukraine as compared to the referential countries; features of age, sex, causal and regional structure of mortality rate by analyzing the statistical data of the Ministry of Healthcare and State Statistics Service of Ukraine for 25 regions of Ukraine and the global electronic database of the Institute for Health Metrics and Evaluation. Conclusions. The conducted research indicates the importance of a more detailed analysis of the causes of death by analyzing the structural, functional and organizational processes, in particular, in the obstetric-neonatal service.