THE STRUCTURE OF DISEASES THAT CAUSED DISABILITY AMONG CHILDREN IN THE CITY OF DUSHANBE

Abstract

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. Conclusion: 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