STUDYING THE ATTITUDE OF GYNAECOLOGISTS AND FAMILY DOCTORS TOWARDS THE PRACTICAL IMPLEMENTATION OF MODERN APPROACHES TO THE PREVENTION OF REPRODUCTIVE HEALTH DISORDERS IN UKRAINE

Abstract

Abstract. The relevance is due to the expediency of constantly improving medical and preventive care aimed at preserving and strengthening the reproductive health of the population in Ukraine, taking into account the emerging challenges and threats of a rapid decrease in population. The purpose of the study is to highlight the results of a sociological study of the awareness of general practitioners, family doctors, and gynecologists on the organization of prevention of reproductive health disorders, to clarify their attitudes and opportunities for implementing modern preventive strategies for preserving and strengthening reproductive health in everyday practice. Materials and methods. The sociological study was conducted in several stages (the first concerned the study of the opinions of family doctors, the second, gynecologists) using specially developed instruments (“Questionnaire to assess the awareness of gynecologists on the organization of prevention of reproductive health disorders” and “Questionnaire to assess the awareness of general practitioners-family doctors on the organization of prevention of reproductive health disorders”). Preliminary calculation of the required representative number of respondents for the planned sociological study in Ivano-Frankivsk region allowed planning a survey of 240 family doctors and 180 gynecologists. The research methods included: sociological research, medical and statistical analysis. Results. The generalized results of the sociological study revealed that the majority of gynecologists do not consider preventive work (78.9 ± 1.16%) as the main activity in their work, and in their opinion, family doctors should be engaged in this (91.7 ± 1.16%). The majority of family doctors (81.7±1.32%) agree that preventive work is the main activity in their daily practice. It turned out that both LZP-SL and gynecologists have the knowledge necessary to conduct preventive diagnostic examinations of reproductive health (51.7 ± 2.42% and 62.2 ± 2.42%, respectively), while striving to continue to improve their knowledge on the formation and preservation of reproductive health (56.25 ± 2.48% and 48.9 ± 2.48%, respectively). A significant number of both LLP-SL and gynecologists (60.4 ± 2.26% and 50.0 ± 2.4%, respectively) expressed the opinion that the efforts of the medical industry alone are insufficient to implement a strategy to overcome negative demographic trends. The vast majority of respondents in both groups (LZP-SL 98.3 ± 1.14%, gynecologists 98.9 ± 1.14%) supported the relevance of measures to preserve and strengthen reproductive health, especially in the current conditions of the difficult demographic situation in Ukraine. There was unanimous support for the idea of adopting an appropriate (state or regional) program with the introduction of a state intersectoral comprehensive approach to solving the problem of preserving and strengthening the reproductive health of the population at the regional level (95.4 ± 1.16% and 97.8 ± 1.14%, respectively) to participate in the activities of this program. The majority of family doctors and gynecologists of Ivano-Frankivsk region demonstrate their willingness to join the implementation of an inter-sectoral comprehensive approach to solving the problem of preserving and strengthening the reproductive health of the population at the regional level (95.4 ± 1.16% and 97.8 ± 1.14%, respectively). Conclusions. The results of the sociological study revealed that the majority of physicians, despite their knowledge of the risk factors for the formation of reproductive health disorders, are convinced that the efforts of medical specialists alone to improve the reproductive health of the population and the negative demographic trends of depopulation are extremely insufficient. The willingness of two groups of respondents to join the activities of a substantiated and adopted regional program for the preservation and strengthening of the reproductive health of the population was high (95.4 ± 1.16% and 97.8 ± 1.14%, respectively).