The presented work is a continuation of the research of a wide range of risk factors for the health of preschool children on the regional cohort monitoring materials. The aim of this stage is to study the impact of some factors concerning the organization of medical care on children’s health and development in the intrauterine period from birth to six years of age. The article uses general scientific (literature analysis, study and generalization of data, comparison, synthesis, induction, deduction, classification) and empirical (measurement, questionnaires, observation, comparison) research methods. The information base is sample data of prospective cohort monitoring in five waves: 1998, 2001, 2004, 2014, and 2020. The scientific novelty of the work consists in assessing the strength and directionality of factors associated with insufficient organization of medical care for pregnant women and young patients on specific adverse child health outcomes. We revealed that low provision of pregnant women with medicines increases the risk of child’s underdevelopment at one year of age and weight deficit at 6 years of age, and lack of access to consultative medical care of narrow specialists increases the risk of putting the child on the dispensary register at 6 years of age. Difficulties in acquiring medicines in the first year of an infant’s life increase the likelihood of stunted development, reduced health group at an early age, and deviations in body weight and physical development at age 6. Lack of access to consultations of narrow specialists at the age of 1, 3 and 6 years is associated with more frequent morbidity, impaired physical and neuropsychological development, risk of chronic diseases and placement on the dispensary register. Insufficient equipment of a medical facility and lack of financial resources of a family for paid assistance more than doubles the risk of dispensary observation of a child for a chronic disease. Therefore, the problems of staffing of women’s clinics, perinatal centers and children’s polyclinics, as well as the supply of pregnant women and children with free medicines and medical supplies, require special attention and early resolution to protect the child population’s health
Keywords
child health, risk factor, pregnancy, consultative medical care, availability of doctors, availability of medicines, child development, dispensary registration, weight deficit, health group