ANALYSIS OF THE STRUCTURE OF HOSPITALIZATION FOR GYNECOLOGICAL DISEASE IN ALMATY CITY

Abstract

Introduction. Preserving and promoting women's health is a priority issue for health care leaders. As a woman ages, the prevalence of gynecological and somatic diseases increases. The gynecologic care delivery model revealed age-related differences in women's use of gynecologic care across different care settings. The aim is to study the structure of the reasons for hospitalization of women with gynecological pathologies in hospitals in Almaty. Materials and methods. We analyzed hospitalized cases associated with gynecological diseases in Almaty city from 2013 to 2023. Data were taken from the National Scientific Center for Health Development. In addition, statistical analysis was performed using the SPSS 13.0 program. To obtain more reliable results, statistical analysis was performed based on the monthly totals of each final variable. Linear regression was used to estimate the trajectories of the resulting variables over time. This analysis was used to estimate the change in the number of diseases compared to the change over time, by 5 years. Values of p less than 0.05 are considered statistically significant. Results. The top of hospitalized cases with gynecological disease included uterine leiomyoma (D25) and female infertility (N97). Moreover, an increase in hospitalization is observed in female genital prolapse (N81) from 4.7% to 11.9%; benign ovarian neoplasm from 3.4% to 6.4% (D27). Forecast for the next five year shows that among women aged 18-39, uterine leiomyoma is likely to increase. Female infertility is expected to growth among young women, as well as an increase in female genital prolapse and benign ovarian tumors in all groups. Conclusion: Globally the prevalence of gynecological pathologies is increasing over time, particularly in young reproductive women. Primary health care in Kazakhstan needs to strengthen efforts to prevent gynecological diseases and their risk factors throughout increasing of the health literacy among females as well as implementing young specific programs.