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Evaluation of the Efficiency of Regional Health-Preserving Educational Space Formation

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Evaluation of the Efficiency of Regional Health-Preserving Educational Space Formation PUBLIC HEALTH AND HEALTH CARE DOI: 10.15838/esc/2014.5.35.19 UDC 37.01:613(470.12), LBC 51.240.0(2Rus-4Vol) © Kasimov R.A., Razvarina I.N. Evaluation of the efficiency of regional health-preserving educational space formation Riza Akhmedzakievich KASIMOV Ph.D. in Pedagogy, Director, State Healthcare Institution “Vologda Oblast Center for Medical Prophylaxis” (9, Mira Street, Vologda, 160001, Russian Federation, [email protected]) Irina Nikolaevna RAZVARINA Senior Research Assistant, Federal State-Financed Scientific Institution the Institute of Socio-Economic Development of Territories of the Russian Academy of Sciences (56A, Gorky Street, Vologda, 160014, Russian Federation, [email protected]) Abstract. The article is devoted to the urgent problem of preserving children’s health. The author presents detailed characteristics of health-preserving educational space formation. It is regarded as a complex multilevel and multispectral system. The article defines the principles, methods, mechanisms of the health-preserving process on the municipal level. The subject of research includes the background, conditions and resources of health-preserving educational space formation. The participants of educational process (students, teachers, parents) and representatives of local authorities are the object of the research. The study aims to evaluate the efficiency of health-preserving educational space formation within various conceptual and methodological approaches and the degree of involvement of the municipal authorities. 222 5 (35) 2014 Economic and social changes: facts, trends, forecast PUBLIC HEALTH AND HEALTH CARE R.A. Kasimov, I.N. Razvarina In the course of the experiment the author tests the method of estimating the models of regional health- preserving educational space formation and healthy lifestyle training, developed by the author. The article pays considerable attention to the justification of choosing the optimal strategy within the implementation of health preserving technologies on municipal level. It shows the crucial role of constructive inter-agency cooperation between the education system, health care and the authorities for effective and productive activities in this sphere. Key words: children’s health, health-preserving educational space, a comprehensive systematic and synergetic approach, health-preserving activity, inter-agency cooperation. The federal target program of education authorities in the process of children’s health development for 2011–2015 sets the most maintenance. Under the Federal Law of important task to improve the education September 24, 2003, no. 131-FL “On quality by means of preservation and pro- general principles of organization of local motion of health and implementation of self-government in the Russian Federation” health saving forms and technologies in the the authorities should create favorable pedagogical process. Nowadays the health conditions for comprehensive development of minor citizens is one of significant and life activity of children. It requires indicators of the state welfare. interagency cooperation of all actors In this regard, the quantitative and qua- interested in this activity at the level of litative characteristics of the physical and municipality. psychological state of children reflect the real Therefore, since 2004 the Vologda Oblast situation of the state of children’s health [1, 5, has been conducting an experiment to test a 9, 10, 11]. The demographic crisis and decline model assessing the effectiveness of regional in living standards that occurred in Russia in health saving educational space (RHSES) the 1990s (tab. 1) had a negative impact on all with different levels of the municipality’s indicators of children’s health. In 2000–2010 involvement in this process. general morbidity of the population aged The Vologda Oblast consists of 26 0–14 increased by 31% in the country and municipalities and 2 urban districts. Within by 38% in the Vologda Oblast [2, 3]. the framework of existing programs the Today the regulatory support of health following municipalities take active part in maintenance of pupils is presented by a wide the RHSES formation: Vologdsky District, range of legislative acts of all levels. The main Cherepovetsky District, Kirillovsky District, provisions of health saving in this category of Velikoustyugsky District, Gryazovetsky the population are reflected in Article 41 of District, Kharovsky District, Vozhegodsky the RF Federal Law of December 29, 2012, District, Totemsky District, Nyuksensky No. 273 [8]. District, Nikolsky District, Tarnogsky It is very important to involve education District, Chagodoshchensky District, departments, medical institutions and local Kaduysky District. Economic and social changes: facts, trends, forecast 5 (35) 2014 223 Evaluation of the efficiency of regional health-preserving educational space formation Table 1. Natural movement of the population in the Vologda Oblast (VO) and the Russian Federation (RF) Population*, Total fertility rate, Overall mortality rate, Natural decrease (increase), Year thousand people ‰ ‰ ‰ RF VО RF VО RF VО RF VО 1990 147 969.4 1 354.1 13.4 13.4 11.2 12.0 2.2 1.4 1992 148 538.2 1 352.5 10.7 10.2 12.2 13.1 -1.5 -2.9 1995 148 375.8 1 336.2 9.3 8.7 15.0 16.4 -5.7 -7.7 1999 147 214.8 1 304.7 8.3 8.0 14.7 16.1 -6.4 -8.1 2000 146 596.9 1 295.0 8.7 8.8 15.3 16.0 -6.6 -7.2 2001 145 976.5 1 284.5 9.0 9.4 15.6 17.4 -6.6 -8.0 2002 145 306.5 1 272.7 9.7 10.1 16.2 18.4 -6.5 -8.3 2003 144 648.6 1 261.4 10.2 10.4 16.4 19.8 -6.2 -9.4 2004 144 067.3 1 250.8 10.4 10.7 16.0 19.1 -5.6 -8.4 2005 143 518.8 1 240.4 10.2 10.5 16.1 18.8 -5.9 -8.3 2006 143 049.6 1 230.4 10.4 10.9 15.2 17.1 -4.8 -6.2 2007 142 805.1 1 222.8 11.3 11.6 14.6 15.9 -3.3 -4.3 2008 142 742.4 1 217.0 12.1 12.0 14.6 16.3 -2.5 -4.3 2009 142 785.3 1 211.2 12.4 12.4 14.2 16.2 -1.8 -3.8 2010 142 849.5 1 204.8 12.5 12.5 14.2 16.8 -1.7 -4.3 2011 142 960.9 1 199.9 12.6 13.0 13.5 15.7 -0.9 -2.7 2012 143 201.7 1 197.4 13.3 14.0 13.3 15.1 -0.02 -1.1 * Yearly average Sources: Edinaya mezhvedomstvennaya informatsionno-statisticheskaya sistema [Unified Interdepartmental Statistical Information System]. Available at: http://www.fedstat.ru/indicator/data.do; Estestvennoe dvizhenie naseleniya v razreze sub”ektov Rossiiskoi Federatsii za yanvar’–dekabr’ 2012 goda [Natural Movement of the Population in in the Subjects of the Russian Federation in January–December 2012]. Available at: http://www.gks.ru/free_doc/2012/demo/edn12-12.htm Vozhegodsky District and Kharovsky We single out the main components of District are selected for the experiment. They the RHSES development: legal, socio- have typical economic activity, demographic pedagogical, information (figure). and administrative structures (the admi- The RHSES development levels are nistrative centers of the greater part of dist- classified on the basis of the analysis of ricts are small towns). In the future it will be national, regional and foreign concepts and possible to extend the results to all territorial strategies for protecting and promoting public units of the region. health. 224 5 (35) 2014 Economic and social changes: facts, trends, forecast PUBLIC HEALTH AND HEALTH CARE R.A. Kasimov, I.N. Razvarina Components of formation of regional health saving space COMPONENTS OF RHSES FORMATION Legal Socio-pedagogical Information Criterion: Criterion: Criterion: Criterion: development development of the structures, coverage of students, teachers amount of information of the RHSES implementation of HLS and parents by preventive about healthy lifestyles normative-legal base program activities in MM Indicators: Indicators: Indicators: number Indicators: number number of HE number of coordinating of events in medical institutions, of social and outdoor concepts, strategic, bodies of MPC, MPCR, educational institutions, number advertising on TV, radio, annual plans,PC number of HPS, PHPE of trained HLS in the press Legend: HLS – healthy lifestyle, MPC – medical prevention centers, MM – mass media, MPCR – medical prevention consulting rooms, HE – health establishments, HPS – health promotion schools, PC – prevention centers, PHPE – preschool health promotion establishments. The efficiency of formation of health Therefore, we require such indicators, saving educational space is assessed on the which could reveal the dependence of this basis of the analysis of its components process efficiency on the specific measures dynamics. taken by the RHSES subjects. The state statistics institutions monitor The evaluation criteria and indicators of one of the main indicators of the efficiency its development should be quite informative, of RHSES formation, a level of health. transparent, covering the full range of the However, it can not give information about analyzed data. In this regard, the level the performance of the target technologies of formation of regional health saving implementation. educational space should be evaluated Economic and social changes: facts, trends, forecast 5 (35) 2014 225 Evaluation of the efficiency of regional health-preserving educational space formation according to the following indicators: institutions have not developed the programs high, average and low. This rating will protecting children’s health. allow us to analyze the effectiveness of Let us note that at the regional, municipal this process comprehensively, taking into and local levels the experiment was preceded account all components. The level of the by the implementation of the package plan RHSES development was determined by that had promoted the health saving processes the coefficients assessing the effectiveness in these areas: of legal, socio-pedagogical and information – in accordance with the Vologda Oblast criteria and indicators by comparing the Governor Decree “On the concept of long- obtained results [4].
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