CHILD DISABILITY AS A MEDICO-SOCIAL PROBLEM IN TAJIKISTAN

RUZIEV M.M., ABDURAKHIMOV A.A., GAIBOV A.G., BOGODIROVA M.N.

State Establishment “Tajik Scientific and Research Institute of Medical and Social Expertise and Rehabilitation of Disabled Persons”, Ministry of Health and Social Protection of the Republic of Tajikistan

State Service for Medical and Social Expertise of Dushanbe city

State Establishment “Tajik Scientific-Research Institute of Preventive Medicine” of the Ministry of Health and Social Protection of Population of the Republic of Tajikistan


Aim. To study the main causes and risk factors that contribute to the spread of child disability in Tajikistan.

Material and methods. The data on disability from the materials of the reporting documentation of medical-preventive institu­tions, international and public organizations were used. 650 disabled children under the age of 18 years living in Dushanbe were examined. Data were collected by random and continuous sampling in dynamics for the period 2011-2016. They were subjected to statistical processing, adopted in “evidence-based medicine”.

Results. Of the 147118 disabled people registered in Tajikistan, 26 thousand are represented by people under the age of 18 with congenital (58,4%) and acquired (41,6%) pathologies, with a slight prevalence of male children. The main causes of child disability are: chronic fetal hypoxia, inadequate work of medical personnel in the management of childbirth, trauma, underesti­mation of threatening conditions, congenital anomalies, heredity and medical errors. A significant proportion (42,7%) among diseases and injuries in the postpartum period leading to disability was established. By rank (by importance), they are distrib­uted as follows:: diseases of the nervous system, mental disorders, congenital anomalies, diseases of the musculoskeletal system, behavior disorders, diseases of the ear and mastoid process, etc;

Conclusion. Disability of children and adolescents is one of the leading characteristics of the state of public health in Tajikistan. Established reasons and factors for the spread of child disability, the impact of this status on the life of society, single family and disabled child aim at improving the efficiency of implementing the provisions of the UN Convention on the Rights of Persons with Disabilities and creating an inclusive society in Tajikistan.

Key words: child disability, causes and factors, medical and social support, rehabilitation


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Information about authors:

Ruziev Murodali Mekhmondustovich – Director of the State Establishment “Scientific and Research Institute of Medical and Social Expertise and Reha­bilitation of Disabled Persons”, Ministry of Health and Social Protection of the Republic of Tajikistan, Candidate of Medical Sciences; tel.: (+992) 918713266

Abdurakhimov Aziz Abdurakhmonovich – Chief of the State Service for Medical and Social Expertise of Dushanbe city; тел.: (+992) 931033030

Gaibov Amonullo Gaibovich – Head of the Divi­sion of Disability Prevention and Social Protection of the State Establishment “Scientific and Research In­stitute of Medical and Social Expertise and Rehabil­itation of Disabled Persons”, Ministry of Health and Social Protection of the Republic of Tajikistan, Doctor of Medical Sciences, tel.: (+992) 935930702; е-mail: s_amon@mail.ru

Bogodirova Margiba Nimatullaevna – Research As­sistant of the State Establishment “Scientific-Research Institute of Preventive Medicine” of the Ministry of Health and Social Protection of Population of the Republic of Tajikistan; tel.: (+992)935705575; е-mail: guli.hpau@gmail.com


Pages: 417-423


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