the impact of national strategies for preserving reproductive health on the improvement of the demographic situation in Ukraine

Анотація

Strategic documents on reproductive health (RH) determine the priority of this component of the general state of the population health in any country, as well as through separate targeted measures – the impact on demographic trends. In particular, measures to respect woman’s rights to protect her health, to exercise reproductive rights, to give birth to a healthy child in decent conditions, and to provide access to preventive and medical-diagnostic technologies.The health status of the population, especially its positive trends, in turn affects the provision of favorable demographic prospects of the country and is an important component of the formation of its demographic potential.The objective: to study the dependence of the state of the population RH in Ukraine on the influence of program strategic measures on its main indicators.Materials and methods. Bibliosemantic, analytical, statistical and conceptual methods were used during the research. The research period is 2002–2023.Results. According to the results of the conducted research on the trends in the state of RH in women in Ukraine, it was established that it has an unsatisfactory character in terms of its main indicators: against the background of positive changes sexually transmitted infections are quite common; regulation of the birth rate in the country takes place by terminating unwanted pregnancies; the unsatisfactory state of health of pregnant women affects the health and life of newborns; the negative dynamics of complicated births and their adverse consequences lead to maternal and infant losses.The social and economic situation of women in Ukraine, the unsatisfactory state of health care and the level of women’s well-being and their integration into social and political and economic life (Ukraine currently ranks 117th place among 177 countries in the world) lead to an annual decrease in the birth rate and negative demographic trends.The results of the study on the presence and impact of domestic strategies on improving the RH state showed that they have not been developed in Ukraine today, despite the recommendations of ratified international strategic documents. Moreover, the analyzed domestic strategies for influencing the RH state with sufficient state funding and political support of power structures in 1995–2015 proved their effectiveness in achieving positive trends both in terms of RH indicators and demographic processes.Conclusions. The conducted research indicates the need to develop a domestic cross-sectoral strategic document at the national level with comprehensive reproductive health protection measures and conditions for its implementation in order to improve the demographic prospects of Ukraine.

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