Abstract:
In the forth objects of the National Report Millennium Development Goals Report: “New
Challenges - New Objectives” was said to reduce by two thirds, between 1990 and 2015, the under-five mortality rate. In 2003 the official Medical Statistics Reports registered indicators of health of
children under 5-years. During 2002-2008 the MH of RM supported UNICEF implementation National Strategy “Integrated Management Children Illness”. In this period were organized a lot of
researches regarding this topic. In this item was described “Women perceptions of access to health
care”; “Immunization coverage”; “Incidence of Acute infections and Fever and Diarrhea”;
“Breastfeeding and Supplementation”. The research was realized by the base of descriptive
epidemiological, historical methods and meta - analyze previous works. Results During 2001-2007
years was registered a decrease of children population under-5 years with 7, 8 million people. Thus,
in this period children were reduced with 1.32 million people every year. Mortality under-5 years
were contacted 17.8%o in 2003; 14.0%o in 2007 and 14.4%o in 2008. Also, for District - locations were
9.8 in 2007; 10.8 in 2008. And for Municipality- locations were 15.2%o in 2007; 15.5%o in 2008. It
was contested that this indicator didn’t depend on geographical regions but depended on territorial administrative regions. In the structure of children’s causes of death the first were perinataly diseases
(31.7%o); the II were congenitally malformations (30.3%o); III- respiratory illnesses (13.7%o); IV respiratory illnesses (11.7%o). The other indicator of Morbidity/ Incidence under 5-years was
predominated in Municipality- locations in comparison with District-locations. In the previous works
was observed that these indicators are in direct relations. The first positions in incidence structure
were the respiratory illnesses (435.4%o in 2008). There isn’t in the official statistics reports data about
physical behaviour but there is data about result’ prophylactic exam of preschool population. This
indicator is in direct relationship with the morbidity under 5-years. Also, data about physical retard is
in direct relationship with indicators - disability children populations. It is necessary to implement an
indicator for disability of children under 5-years and other indicator of children population under-5
years. Conclusions It’s very important for the improvement of management medical care for children
under-5 years to implement a qualitative indicator of health state of preschool children in the Primary
Medical Care.
