УДК 614.2:616-053.31/.(477.83)(091)

Мета: представити концептуальні підходи до надання неонатальної допомоги населенню на регіональному рівні.
Матеріали та методи. Maтеріалом дослідження слугувала вагома інформація про формування та розвиток підрозділів неонатальної допомоги дитячому населенню Львівської області. Методи дослідження: ретроспективного аналізу, бібліосемантичний та медико-статистичний.
Результати. Представлено важливі кроки у формуванні неонатальної допомоги населенню на регіональному рівні.
Висновки. Аналіз досвіду Львівської області у створенні обласної системи неонатальної допомоги населенню свідчить, що регіональний підхід до комплексного надання медичної допомоги вагітним (роділлям) і новонародженим є дієвим у покращенні результатів такої допомоги у сучасних умовах. Важливими є стратегічне планування медичної допомоги дітям та подальше вивчення існуючих викликів і потреб у тогочасних умовах реформування медичної галузі.
Ключові слова: неонатологічна допомога, перинатальна допомога, стратегічне планування, регіональний підхід, модель,смертність.

Purpose: to present conceptual approaches to the provision of neonatal care to the population at the regional level.
Materials and methods. The material of the study was significant information on the formation and development of neonatal care units for children in the Lviv region. Research methods: retrospective analysis, bibliosemantic and medical-statistical.
Results. Important steps in the formation of neonatal care at the regional level are presented.
Conclusions. The analysis of the experience of Lviv region in creating a regional system of neonatal care shows that the regional approach to the comprehensive provision of medical care to pregnant women in labour and newborns is effective in improving the results of such care in modern conditions. Strategic planning of medical care for children and further study of the existing challenges and needs in the current conditions of healthcare reform are important.
Key words: neonatal care, perinatal care, strategic planning, regional approach, model, mortality.

UDC 614.2-082-055.2-053.31:303.62(477)

Abstract. The current challenges facing Ukrainian society require precise attention to the demographic situation, particularly to a significant decrease in the birth rate in Ukraine, which in recent years has been associated with the COVID-19 pandemic and a full-scale war on its territory.

Purpose. Identify priority areas of the development of neonatological help in Ukraine at the present stage of reforming medical care to the population by using the analysis of the results of the questionnaire for doctors, including health policymakers.

Object and methods. The material of the study was a self-developed questionnaire. The online part of the survey during 2022-2024 involved 410 respondents. The study uses the following methods: system approach and analysis, medical-statistical and sociological methods.

Results. The analysis of the key problems of the system of medical care for mothers and children determined by the respondents showed that the main issue is (and remains) the lack of financial resources to ensure the effective functioning of the health care system from state sources of funding, including mothers and children – 67.16±2.33%. When distributing by importance, respondents emphasized the importance of preparing strategic plans for the functioning of the healthcare system, both at the state and local levels, that included preparation of medical assistance for mothers and children (50,37±2,48% stated that), the highest level of that statement was found amongst people with absent experience in the specialty “Organization and management of health care,” as well as with work experience up to 10 years.

Conclusions. The formation of analytical and strategic processes for planning medical care for mothers and children, as well as further study of existing challenges and needs will allow the implementation of appropriate organizational approaches in medical care for mothers and introducing measures aimed at creating conditions for safe birth and obtaining highly qualified medical care in medical institutions.