Pediatrics

doi: 10.25005/2074-0581-2019-21-4-603-609
THE STRUCTURE OF DISEASES THAT CAUSED DISABILITY AMONG CHILDREN IN THE CITY OF DUSHANBE

M.P. Nosirova, D.I. Inomzoda, M.D. Yodgorova, Z.K. Umarova

Department of Family Medicine № 2, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: To analyze the dynamics and structure of the morbidity that caused disability in children living in Dushanbe.

Methods: Summary reports provided by the City’s Informational Department and Medical Statistics of Dushanbe (medical form № 31) for 2014-2018 were retrospectively analyzed.

Results: The analysis showed that there is a tendency to increase from year to year those who are on the dispensary account. There is a close correlation (r=0.95; p<0.005) between children under observation and children taken on dispensary records with the first established disability. The largest number (more than a third) of children with disabilities falls on the third age corridor (age 5-9 years) with a tendency to increase. The first place in the structure of diseases of children aged 1-4, 5-9 and 10-14 years, which caused the occurrence of disability, are occupied by diseases of the nervous system, then there are mental disorders, the third congenital anomalies and chromosomal abnormalities. In the structure of congenital anomalies (malformations) and chromosomal disorders are dominated by congenital heart defects, much less – Down’s syndrome. The study found that less than half of children with disabilities (41.6%) were disabled who received inpatient treatment, most of them under the dispensary supervision of narrow specialists of Urban Health Centers, i.e. received outpatient treatment. The hospital was arranged at home for 12.3% of immobile children. Rehabilitation centers for rehabilitation treatment were used by 9.7% of children.

Conclusions: A study of the dynamics of age disability revealed the largest number of children of preschool age, namely 5-9 years, a little less – children aged 10-14 years. Disability by adolescence, in the fifth group, decreases slightly. The importance of diseases of the nervous system increases in the third age group (5-9 years) and has some tendency to decline by adolescence (15-17 years). The incidence of mental disorders, congenital abnormalities (developmental malformations) and chromosomal disorders also increases with age and is approximately the same quantitative expressions until adolescence.

Keywords: Child disability, child morbidity, morbidity structure, age groups, age dynamics.

Download file:


References
  1. Baleva LS, Kobrinskiy BA, Lavrentyeva EB, Podolnaya MA, Sobol NM, Taperova LN. Problemy reabilitatsii detey-invalidov v Rossiyskoy Federatsii (po dannym federal’nogo registra) [Problems of rehabilitation of children with disabilities in the Russian Federation (according to the federal registry)]. Rossiyskiy vestnik perinatologii i pediatrii. 2011;3:5-12.
  2. Kamilova GI, Ashurova NS, Chudinov AV, Gaibova MG. Osnovnye faktory, obuslovlivayushchie pervichnuyu invalidnost’ naseleniya Respubliki Tadzhikistan [The main factors contributing to the primary disability of the population of the Republic of Tajikistan]. Vestnik Avitsenny [Avicenna Bulletin]. 2015;3:102-6.
  3. Gaibov AG, Pirova AKh, Olimov NKh, Yunusova ZI, Pulatov KD. O tselesoobraznosti i posledstviyakh vnedreniya mezhdunarodnykh kriteriev zdorov’ya i invalidnosti v Respublike Tadzhikistan [About the possibility and consequences of the application of international criteria of health and disability in the Republic of Tajikistan]. Zdravookhranenie Rossiyskoy Federatsii. 2013;2:30-3.
  4. Kakorina EP, Aleksandrova GA, Polikarpov AV, Ogryzko EV, Golubeva TYu. Dinamika i struktura pervichnoy invalidnosti detey, prozhivayushchikh v gorodskoy i sel’skoy mestnosti Rossiyskoy Federatsii v 2002-2015 g.g. [Dynamics and structure of primary disability of children living in urban and rural areas of the Russian Federation in 2002-2015]. Sotsial’nye aspekty zdorov’ya naseleniya. 2017;1:1-14.
  5. Dmitrieva MV. Struktura detskoy invalidnosti i effektivnost’ reabilitatsii v usloviyakh tsentra dlya detey s ogranichennymi vozmozhnostyami [The structure of children’s disability and the effectiveness of rehabilitation]. Sovremennye problemy nauki i obrazovaniya. 2016;4:117.
  6. Mavlonov AP, Kosimova MS, Sulaymonov II. Rezul’taty issledovaniya kompleksnoy mediko-sotsial’noy reabilitatsii detey s perinatal’nym porazheniem nervnoy sistemy [The results of studies of complex medical and social rehabilitation of children with perinatal lesions of the nervous system]. Vestnik Akademii meditsinskikh nauk Tadzhikistana. 2018;8(4):437-42.
  7. Bashlykova TG, Tarasova NV. Nachal’nyy etap organizatsii vyezdnoy patronazhnoy sluzhby palliativnoy meditsinskoy pomoshchi detyam v GBUZ «Chelyabinskaya oblastnaya detskaya klinicheskaya bol’nitsa» [The initial stage of the organization of the on-site patronage service of palliative care for children in the Chelyabinsk Regional Children’s Clinical Hospital]. Pediatricheskiy vestnik Yuzhnogo Urala. 2018;1:4-7.
  8. Kireeva GN, Suslov OK, Galimzyanova ASh, Suvorova IB, Spichak II. Opyt raboty Chelyabinskoy oblastnoy klinicheskoy bol’nitsy po reabilitatsii detey i podrostkov [Experience of the Chelyabinsk Regional Clinical Hospital for the rehabilitation of children and adolescents]. Pediatricheskiy vestnik Yuzhnogo Urala. 2018;1:7-13.
  9. Sadovski MV. Sotsial’naya adaptatsiya lits s ogranichennymi vozmozhnostyami zdorov’ya: problemy i varianty resheniya [Social adaptation of people with disabilities: problems and solutions]. Detskaya i podroskovaya reabilitatsiya. 2014;1:41-6.
  10. Magzumova FP, Abdurakhimov AA, Khaknazarov SSh. Meditsinskaya model’ reabilitatsii detey-invalidov (po dannym NII mediko-sotsial’noy ekspertizy i reabilitatsii invalidov) [Medical model of rehabilitation of disabled children (according to the data of the Research Institute of Medical and Social Expertise and Rehabilitation of Disabled Persons)]. Vestnik Akademii meditsinskikh nauk Tadzhikistana. 2018;8(4):443-8.
  11. Sataeva AI. Pedagogicheskaya reabilitatsiya glukhikh doshkol’nikov posle kokhlearnoy implantatsii [Pedagogical rehabilitation of deaf preschoolers after cochlear implantation]. Vestnik otorinolaringologii. 2015;80(1):28-31.
  12. Ganuzin VM, Golubyatnikova EV. Detskaya invalidnost’, profilaktika, poliprofil’naya reabilitatsiya i abilitatsiya detey s ogranichennymi vozmozhnostyami [Child disability, prevention, multiprofile rehabilitation and abilitation of disabled children]. Voprosy psikhicheskogo zdorov’ya detey i podrostkov. 2017;17(S2):55-6
  13. Denner VA, Fedyunina PS, Davletshina OV, Nabatchikova MV. Nauchnyy obzor voprosa detskoy invalidnosti kak mediko-sotsial’noy problemy [Scientific review of the issue of child disability as a medical and social problem]. Molodoy uchyonyy. 2016;20:71-5.
  14. Volokitin AS, Bruykov AA, Gulin AV. Vozdeystvie ippoterapii na nervno-myshechnyy apparat organizma detey so spasticheskoy diplegiey [The impact of hippotherapy on the neuromuscular apparatus of the body of children with spastic diplegia]. Vestnik Avitsenny [Avicenna Bulletin]. 2015;1:116-21.
  15. Bykovskaya EYu, Zhukovskiy YuG. Razvitie podvizhnosti sustavov u DTSP-detey pod vozdeystviem adaptivnoy ontogeneticheskoy gimnastiki i fiksatsionnogo massazha [The development of joint mobility in children under the influence of adaptive ontogenetic gymnastics and fixation massage]. Adaptivnaya fizicheskaya kul’tura. 2007;3:16-8.
  16. Baranov AA, Terletskaya RN. O perspektivakh nauchnykh issledovaniy v oblasti profilaktiki detskoy invalidnosti: obzor literatury [On the prospects of scientific research in the field of prevention of child disability: a review of the literature]. Voprosy sovremennoy pediatrii. 2018;17(6):426-33.

Authors informations:

Nosirova Matlyuba Pulatovna Candidate of Medical Sciences, Associate Professor of the Department of Family Medicine № 2, Avicenna Tajik State Medical University
ORCID ID: 0000-0001-9358-7573
E-mail: matlyuba61@mail@ru

Inomzoda Dzhura Inomovich Candidate of Medical Sciences, Associate Professor of the Department of Family Medicine № 2, Avicenna Tajik State Medical University
ORCID ID: 0000-0003-0472-2118
E-mail: jura.inomzoda@inbox.ru

Yodgorova Maryam Dzhumakhonovna Candidate of Medical Sciences, Head of the Department of Family Medicine № 2, Avicenna Tajik State Medical University
ORCID ID: 0000-0001-6380-4848
E-mail: mayram.7002@gmail.com

Umarova Zarifa Kasymovna Doctor of Medical Sciences, Full Professor, Professor of the Department of Family Medicine № 2, Avicenna Tajik State Medical University
ORCID ID: 0000-0001-5735-6444
E-mail: gulnora.mamadjanova@gmail.com

Address for correspondence:

Nosirova Matlyuba Pulatovna
Candidate of Medical Sciences, Associate Professor of the Department of Family Medicine № 2, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (907) 977202

E-mail: matlyuba61@mail.ru

Materials on the topic: