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Доклад о состоянии здравоохранения в мире 2003г. Формирование будущего. Резюме

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2003

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8

LJRKFL J CJCNJZYBB PLHFDJJ{HFYTYBZ D VBHT^ 2003 u&

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9

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10

LJRKFL J CJCNJZYBB PLHFDJJ{HFYTYBZ D VBHT^ 2003 u&

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11

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12

LJRKFL J CJCNJZYBB PLHFDJJ{HFYTYBZ D VBHT^ 2003 u&

djpvj;ys d vtcnf[ c ytljcnfnjxysvb htcehcfvb^ yj zdkz.ncz bvtyyj ntv^ xnj ytj,[jlbvj& D ’njq ukfdt gjrfpfyj xfcnj dcnhtxf.ottcz htprjt hfpltktybt vt;le ghjabkfrnbrjq CGBLf b ktxtybtv^ rjnjhjt d hfpdbdf.ob[cz cnhfyf[ jpyfxftn^ xnj lkz ,jkmibycndf k.ltq c DBX ghjcnj ytn ybrfrjq gjl[jlzotq vtlbwbycrjq gjvjob& D ytq nfr;t ghbdjlzncz ghbvths^ nfrbt rfr ckexfq <hfpbkbb^ ult ghjabkfrnbrf b jrfpfybt gjvjob ,skb ecgtiysv j,hfpjv j,]tlbytys& D ’njq ukfdt ghbpyftncz^ xnj ghtlcnjbn tot vyjujt cltkfnm lkz njuj^ xnj,s ,skf ljcnbuyenf wtkm j,tcgtxtybz lkz nht[ vbkkbjyjd k.ltq FHD-nthfgbb r 2005 ujle& Gj’njve DJP jabwbfkmyj j,]zdbkf ytfltrdfnysq ljcneg r FHD-nthfgbb ukj,fkmyjq xhtpdsxfqyjq cbnefwbtq d j,kfcnb plhfdjj[hfytybz b ghbyzkf hzl bybwbfnbd lkz cjjndtncnde.otuj htfubhjdfybz b j,tcgtxtybz ghjuhtccf d yfghfdktybb ljcnb;tybz rjytxyjq wtkb dctj,otuj ljcnegf r FHD-nthfgbb& D Xtndthnjq ukfdt cjlth;bncz dlj[yjdkz.ofz bcnjhbz j njv^ rfr vj;yj gj,tlbnm cthmtpye. b lfdyj ceotcnde.oe. ,jktpym& D htpekmnfnt Ukj,fkmyjq bybwbfnbds gj kbrdblfwbb gjkbjvbtkbnf^ rjnjhfz zdkztncz jlybv bp rhegytqib[ ecbkbq j,otcndtyyjuj plhfdjj[hfytybz d bcnjhbb^ xbckj ltntq^ gfhfkbpjdfyys[ ’njq ,jktpym. t;tujlyj^ egfkj c 350 000 d 1988 u& ghb,kbpbntkmyj lj 1900 d 2003 u&* xbckj cnhfy^ d rjnjhs[ ’nf ,jktpym zdkztncz ’yltvbxtcrjq^ evtymibkjcm c ,jktt xtv 125 lj ctvb& D ’njq ukfdt jgbcfys j;blftvst gjcktlybt lyb gjkbjvbtkbnf^ jlyjuj bp cfvs[ cnfhs[ bpdtcnys[ pf,jktdfybq^ nfr rfr rfvgfybz gj tuj kbrdblfwbb ghb,kb;ftncz r pfdthityb.& Vbh^ cdj,jlysq jn gjkbjvbtkbnf^ yf[jlbncz d ghtltkf[ ljczuftvjcnb^ [jnz juhjvyst ghtgzncndbz ghjljk;f.n jcnfdfnmcz& Ljcnbuyensq r yfcnjzotve dhtvtyb ecgt[ zdkztncz htpekmnfnjv eybrfkmyjuj gfhnythcndf vt;le ghfdbntkmcndfvb^ vt;leyfhjlysvb exht;ltybzvb^ uevfybnfhysvb jhufybpfwbzvb b xfcnysv ctrnjhjv& D htpekmnfnt ’njuj gfhnythcndf d jlyjv kbim 2001 u& ,jktt 10 vbkkbjyjd lj,hjdjkmwtd bvveybpbhjdfkb 575 vbkkbjyjd ltntq ghjnbd gjkbjvbtkbnf gjxnb d 100 cnhfyf[ vbhf c cfvsvb ybprbvb lj[jlfvb& Cfvsv zhrbv ’ktvtynjv bybwbfnbds gj kbrdblfwbb gjkbjvbtkbnf ,skj ghjdtltybt Yfwbjyfkmys[ lytq bvveybpfwbb^ d [jlt rjnjhs[ gjnht,jdfkjcm bvveybpbhjdfnm rf;ljuj ht,tyrf d djphfcnt lj gznb ktn (gjxnb 20¢ yfctktybz cnhfys) pf gthbjl d 1-3 lyz^ ytcrjkmrj hfp d ujle d ntxtybt ytcrjkmrb[ ktn gjlhzl& Dj vyjub[ cnhfyf[ vfcinf,s b vfnthbfkmyj-nt[ybxtcrbt ckj;yjcnb ’nb[ vthjghbznbq ,skb lf;t tot ,jkmibvb^ xtv vfcinf,s b ckj;yjcnb rfvgfybq^ jceotcndktyys[ yf gbrt ecbkbq gj kbrdblfwbb jcgs& Lkz bcgjkmpjdfybz htpekmnfnjd ljcnbuyenjuj lj yfcnjzotuj dhtvtyb ghjuhtccf ctqxfc ytj,[jlbvs pyfxbntkmyst ecbkbz^ xnj,s hfpjhdfnm gjcktlybt wtgb gthtlfxb gjkbjvbtkbnf^ cthnbabwbhjdfnm ’nj ljc-

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13

nb;tybt b cdtcnb r vbybveve hbcr gjdnjhyjuj gjzdktybz gjkbjvbtkbnf d ,eleotv& Jrjyxfntkmysq ecgt[ ecbkbq gj kbrdblfwbb^ jlyfrj^ gjrf tot yt ufhfynbhjdfy* ctqxfc ’nf ,jktpym ghjljk;ftn jcnfdfnmcz d jxtym yt,jkmijv xbckt ’yltvbxys[ hfqjyjd^ ult dct ltnb ljk;ys ,snm bvveybpbhjdfys^ f ljyjhs ljk;ys kbrdblbhjdfnm [hjybxtcre. yt[dfnre abyfycbhjdfybz lkz ’nb[ vthjghbznbq& Gznfz ukfdf^ j NJHC^ - ’nj bcnjhbz njuj^ rfr vj;tn djpybryenm cjdthityyj yjdfz ,jktpym c cthmtpysvb vt;leyfhjlysvb gjcktlcndbzvb lkz pljhjdmz^ ’rjyjvbrb b njhujdkb& Tt ,scnhjt clth;bdfybt zdkztncz jlyjq bp ecgtiys[ bcnjhbq j,otcndtyyjuj plhfdjj[hfytybz pf gjcktlybt ujls b ghtlcnfdkztn cj,jq rhegye. gj,tle cjnhelybxtcndf d j,kfcnb j,otcndtyyjuj plhfdjj[hfytybz& NJHC zdkztncz yjdjq dszdktyyjq xtkjdtxtcrjq byatrwbtq^ dspsdftvjq rjhjyfhjdbhecjv^ d jnkbxbt jn k.,juj lheujuj bpdtcnyjuj xtkjdtxtcrjuj dbhecf bkb dbhecf ;bdjnys[ d tuj ctvmt& Gthtlfxf ghjbc[jlbn ukfdysv j,hfpjv jn xtkjdtrf xtkjdtre ghb rjynfrnt ‘kbwjv r kbwe\ d htpekmnfnt djpltqcndbz byabwbhjdfyys[ htcgbhfnjhys[ rfgtkm^ dsltkztvs[ dj dhtvz rfikz bkb xb[fybz& J,obq rj’aabwbtyn ktnfkmyjcnb c bpdtcnyjq d yfcnjzott dhtvz celm,jq ,jkmibycndf ckexftd ghb,kb;ftncz r 11¢^ yj zdkztncz ujhfplj ,jkmibv chtlb k.ltq gj;bkjuj djphfcnf& "nf vt;leyfhjlyfz dcgsirf d rjytxyjv cxtnt dspdfkf ,jktt 8000 ckexftd pf,jktdfybz b 900 ckexftd cvthnb d 30 cnhfyf[& Bp ’gbltvbb NJHC bpdktxtys ctvm jcyjdys[ ehjrjd^ rjnjhst gjvjuen cajhvbhjdfnm ,jhm,e c byatrwbjyysvb ,jktpyzvb d ,eleotv& Gthdsv b cfvsv e,tlbntkmysv zdkztncz ytj,[jlbvjcnm htubcnhbhjdfnm ,scnhj b jnrhsnj ckexfb k.,jq ,jktpyb^ bvt.otq gjntywbfk vt;leyfhjlyjuj hfcghjcnhfytybz& Dj-dnjhs[^ cdjtdhtvtyyjt ukj,fkmyjt ghtleght;ltybt j, jgfcyjcnb vj;tn ghtljndhfnbnm cbnefwbb^ d rjnjhs[ pfdtptyyst ckexfb vjuen dspdfnm rhegyst dcgsirb d yjds[ hfqjyf[^ ghb eckjdbb yfkbxbz byahfcnhernehs j,otcndtyyjuj plhfdjj[hfytybz b ghjdtltybz ,scnhs[ b yflkt;fob[ jndtnys[ ltqcndbq& D-nhtnmb[^ htrjvtylfwbb d jnyjitybb gjtpljr^ drk.xfz ghjdthrb d f’hjgjhnf[^ gjvjuf.n clth;bdfnm vt;leyfhjlyjt hfcghjcnhfytybt ,scnhj djpybrf.otq byatrwbb& D-xtndthns[^ extyst^ rkbybwbcns b ’rcgthns j,otcndtyyjuj plhfdjj[hfytybz dctuj vbhf c gjvjom. ’ktrnhjyys[ chtlcnd rjvveybrfwbq vjuen cjnhelybxfnm d wtkz[ ,scnhjuj cjplfybz yfexyjq jcyjds lkz vth rjynhjkz& D-gzns[^ ckf,st vtcnf cbcntv plhfdjj[hfytybz^ jcj,tyyj d ghfrnbrt ,jhm,s c byatrwbzvb^ buhf.n df;ye. hjkm^ cgjcj,cndez hfcghjcnhfytyb. djpybrf.ob[ byatrwbq& D-itcns[^ dcgsire vj;yj j,eplfnm lf;t ,tp ktxt,yjuj chtlcndf bkb dfrwbys^ tckb ceotcnde.obt vthjghbznbz ghbcgjcj,ktys r j,cnjzntkmcndfv b gjlrhtgktys gjkbnbxtcrjq ghbdth;tyyjcnm.& B yfrjytw^ rhegyjq pflfxtq zdkztncz byajhvfwbz j hbcrt yjds[ b djpybrf.ob[ byatrwbq^ b gj’njve

14

LJRKFL J CJCNJZYBB PLHFDJJ{HFYTYBZ D VBHT^ 2003 u&

bcrk.xbntkmyj df;yj j,tcgtxbnm^ xnj,s yfctktyb. ecgtiyj gthtlfdfkfcm rfr vj;yj ,jktt njxyfz b ytldecvscktyyfz byajhvfwbz& D jnkbxbt jn ’njuj^ d Itcnjq ukfdt jgbcsdftncz djpltqcndbt yf hfpdbdf.obtcz cnhfys crhsns[^ yj ,scnhj hfpdbdf.ob[cz ’gbltvbq ytbyatrwbjyys[ ,jktpytq b nhfdv^ jcj,tyyj cthltxyj-cjcelbcnjq ,jktpyb (CC<)^ ukj,fkmyjq nf,fxyjq ’gbltvbb b ‘crhsns[ ’gbltvbq\ (ghzvs[ b rjcdtyys[)^ djpybrf.ob[ d htpekmnfnt edtkbxtybz ljhj;yjuj ldb;tybz& Ctujlyz ,htvz ckexftd cvthnb b bydfkblyjcnb d hfpdbdf.ob[cz cnhfyf[^ dspdfyys[ ytbyatrwbjyysvb ,jktpyzvb^ gthtdtibdftn ,htvz^ dspsdftvjt lfdyj ceotcnde.obvb byatrwbjyysvb ,jktpyzvb& Ghb bpextybb djpltqcndbz cjxtnfybz ’nb[ lde[ rfntujhbq d yfcnjzotq ukfdt ghtlkfuftncz ‘ldjqyjq jndtn\^ rjnjhsq ghtlgjkfuftn byntuhfwb. ghjabkfrnbrb b ,jhm,s c byatrwbjyysvb b ytbyatrwbjyysvb ,jktpyzvb d hfvrf[ dctcnjhjyytq cbcntvs vtlbrj-cfybnfhyjq gjvjob^ jcyjdfyyjq yf gthdbxyjq vtlbrj-cfybnfhyjq gjvjob& Gj bhjybb celm,s rj’aabwbtyns hfcghjcnhfytyyjcnb CC< d yfcnjzott dhtvz gflf.n d ghjvsiktyyj-hfpdbns[ cnhfyf[^ c rjnjhsvb jyb gthdjyfxfkmyj ,skb cdzpfys^ [jnz b yt dj dct[ uheggf[ yfctktybz& Jlyfrj bp ’njq bhjybb celm,s ghjbcntrftn yflt;lf% cyb;tybt d pyfxbntkmyjq cntgtyb dspdfyj ecgt[jv gthdbxyjq ghjabkfrnbrb b^ d vtymitq cntgtyb^ ktxtybz& Nj^ xnj hf,jnftn d ,jktt ,jufns[ cnhfyf[^ vj;tn ,snm nfr;t ’aatrnbdysv d nfrb[ ;t ,jktt ,tlys[ cnhfyf[^ [jnz ytj,[jlbvj eltkznm jcj,jt dybvfybt lkz j,tcgtxtybz gjkextybz ghtbveotcnd dctv ckjzv yfctktybz& D yfcnjzott dhtvz bvttncz ljcnfnjxyj afrnbxtcrb[ lfyys[ lkz yfxfkf ’aatrnbdys[ ltqcndbq yf yfwbjyfkmyjv b ukj,fkmyjv ehjdyz[ d wtkz[ erhtgktybz b j[hfys cthltxyj-cjcelbcnjuj pljhjdmz gjchtlcndjv jcyjdfyys[ yf dctv yfctktybb vth^ rjnjhst cjchtljnjxtys yf ukfdys[ afrnjhf[ hbcrf^ zdkz.ob[cz j,obvb lkz dct[ ytbyatrwbjyys[ ,jktpytq& Ghbvtytybt ceotcnde.ob[ pyfybq vj;tn cltkfnm rhegysq^ ,scnhsq b ’aatrnbdysq c njxrb phtybz pfnhfn drkfl d ghjabkfrnbre b ,jhm,e c ’gbltvbzvb ytbyatrwbjyys[ ,jktpytq& Egjnht,ktybt cbufhtn b lheub[ nf,fxys[ bpltkbq^ f nfr;t djpltqcndbt nf,fxyjuj lsvf zdkz.ncz dtleotq ghbxbyjq cvthnb d vbht^ gjllf.otqcz ghtleght;ltyb.^ yf rjnjhe. d 2003 u& ghb[jlbkjcm ghb,kbpbntkmyj 5 vbkkbjyjd ckexftd cvthnb^ ukfdysv j,hfpjv d ,tlys[ cnhfyf[ b d uheggf[ ,tlyjuj yfctktybz& Xbckj ;thnd xthtp 20 ktn eldjbncz^ tckb d ytjnkj;yjv gjhzlrt b ibhjrj yt ,elen ghbyzns bpdtcnyst b ’aatrnbdyst vths& Ghbpyfybt njuj afrnf^ xnj ukj,fkbpfwbz nf,fxyjq ’gbltvbb vj;tn gjljhdfnm lf;t cfve. kexie. yfwbjyfkmye. ghjuhfvve ,jhm,s^ ghbdtkj r ghbyznb. 192 ujcelfhcndfvb-xktyfvb yf Dctvbhyjq fccfv,ktt plhfdjj[hfytybz d vft 2003 u& Hfvjxyjq rjydtywbb DJP gj ,jhm,t ghjnbd nf,frf (HR<N)&

J,pjh

15

Jnrhsnbt ’njq Rjydtywbb lkz gjlgbcfybz b hfnbabrfwbb ghtljcnfdkztn cnhfyfv ,tcghtwtltynye. djpvj;yjcnm erhtgbnm yfwbjyfkmysq gjntywbfk gj ,jhm,t ghjnbd nf,frf& Ecgt[ d ,jhm,t c nf,fxyjq ’gbltvbtq nht,etn ytghthsdyjq gjkbnbxtcrjq djdktxtyyjcnb b ljgjkybntkmys[ htcehcjd rfr yf ukj,fkmyjv^ nfr b yf yfwbjyfkmyjv ehjdyz[& Gjkextyyjt d htpekmnfnt ’njuj ekexitybt pljhjdmz^ jcj,tyyj ,tlyjuj yfctktybz^ ,eltn rhegysv ljcnb;tybtv j,otcndtyyjuj plhfdjj[hfytybz& Itcnfz ukfdf pfdthiftncz jwtyrjq hfcneotuj xbckf ckexftd cvthnb b nhfdv yf ljhjuf[^ b d ytq gjlxthrbdf.ncz rjcdtyyst^ yj d hfdyjq cntgtyb df;yst gjcktlcndbz hjcnf ljhj;yjuj ldb;tybz& T;tujlyj ,jktt 20 vbkkbjyjd xtkjdtr gjkexf.n cthmtpyst nhfdvs bkb gjub,f.n yf ljhjuf[ dj dctv vbht& Cjwbfkmyj-’rjyjvbxtcrjt ,htvz zdkztncz yfb,jktt nz;tksv lkz hfpdbdf.ob[cz cnhfy b cnfytn pyfxbntkmyj ,jktt nz;tksv d ’nb[ cnhfyf[ d cdzpb c ,scnhsv edtkbxtybtv xbckf fdnjnhfycgjhnys[ chtlcnd yf b[ ljhjuf[& Ceotcnde.obt pyfybz ljk;ys ,snm ghtj,hfpjdfys d ecgtiyst vthjghbznbz lkz hfpdbdf.ob[cz cnhfy c extnjv eybrfkmys[ eckjdbq d jnyjitybb ljhj;yjq ,tpjgfcyjcnb d rf;ljq cnhfyt& D ,jktt j,otv cvsckt^ gthtrhtcnyjctrnjhfkmyjt cjnhelybxtcndj vj;tn ekexibnm j,otcndtyyjt plhfdjj[hfytybt b cltkfnm ,jktt ’aatrnbdysv bcgjkmpjdfybt htcehcjd ctrnjhjd plhfdjj[hfytybz^ jrhe;f.otq chtls b nhfycgjhnf& D Ctlmvjq ukfdt gjlxthrbdftncz njn afrn^ xnj lkz htitybz juhjvys[ pflfx^ jgbcfyys[ d ghtlsleob[ ukfdf[^ cbcntvs plhfdjj[hfytybz ljk;ys ,snm ecbktys& <tp pyfxbntkmyjuj ecbktybz cbcntv plhfdjj[hfytybz vyjubt cnhfys kbim ytpyfxbntkmyj ghjldbyencz d yfghfdktybb ljcnb;tybz WNH^ htitybz pflfxb ‘3 r 5\ b ljcnb;tybz lheub[ wtktq d j,kfcnb plhfdjj[hfytybz& D ’njq ukfdt ghtlkfuftncz gjl[jl r erhtgktyb. cbcntv plhfdjj[hfytybz yf jcyjdt ukfdys[ ghbywbgjd gthdbxyjq vtlbrj-cfybnfhyjq gjvjob^ cajhvekbhjdfyys[ d FkvfFnbycrjq ltrkfhfwbb 1978 u&% dctj,otuj ljcnegf b j[dfnf yf jcyjdt gjnht,yjcntq* cghfdtlkbdjcnb d jnyjitybb pljhjdmz d rfxtcndt xfcnb hfpdbnbz^ jhbtynbhjdfyyjuj yf cjwbfkmye. cghfdtlkbdjcnm* exfcnbz j,obys d jghtltktybb b jceotcndktybb gjdtcnjr lyz d j,kfcnb plhfdjj[hfytybz* b vt;ctrnjhfkmys[ gjl[jljd r pljhjdm.& {jnz ’nb ghbywbgs jcnf.ncz ltqcndbntkmysvb^ jyb vjuen ,snm gjdnjhyj bynthghtnbhjdfys c extnjv pyfxbntkmys[ bpvtytybq d j,kfcnb plhfdjj[hfytybz^ ghjbcitlib[ pf gjcktlybt 25 ktn& D ’njq ukfdt enjxyztncz rjywtgnefkmyfz jcyjdf hfpdbnbz cbcntv plhfdjj[hfytybz^ jghtltkztvs[ gthdbxyjq vtlbrj-cfybnfhyjq gjvjom.^ b pfntv bpexftncz djghjc j njv^ rfr cbcntvs plhfdjj[hfytybz^ jcyjdfyyst yf ghbywbgf[ gthdbxyjq vtlbrj-cfybnfhyjq gjvjob^ vjuen ghjnbdjcnjznm xtnshtv rhegysv cjdhtvtyysv ghj,ktvfv% ukj,fkmyjve rhbpbce hf,jxtq cbks d plhfdjj[hfytybb* ytfltrdfnyjq vtlbrj-cfybnfhyjq byajhvfwbb* jncencndb. abyfycjds[ htcehcjd* b cdzpfyyjq c eghfdktybtv pflfxtq

16

LJRKFL J CJCNJZYBB PLHFDJJ{HFYTYBZ D VBHT^ 2003 u&

gj jceotcndktyb. jhbtynbhjdfyyjq yf cghfdtlkbdjcnm gjkbnbrb plhfdjj[hfytybz d gk.hfkbcnbxtcrjq chtlt& Ljrkfl j cjcnjzybb plhfdjj[hfytybz d vbht^ 2003 u& pfdthiftncz cdbltntkmcndjv njuj^ xnj ecbktyyjt cjnhelybxtcndj cj cnhfyfvb gj erhtgktyb. cbcntv plhfdjj[hfytybz zdkztncz xfcnm. yjdjuj cgjcj,f hf,jns DJP& Ecbktybt ghbcencndbz Jhufybpfwbb d cnhfyf[ b nt[ybxtcrjt cjnhelybxtcndj cj cnhfyfvb zdkztncz lkz DJP yfbkexibv cgjcj,jv ecrjhtybz ghjuhtccf d yfghfdktybb ljcnb;tybz cfvs[ df;ys[ wtktq ukj,fkmyjuj cjj,otcndf plhfdjj[hfytybz% bpvthbvs[ ekexitybq pljhjdmz lkz dct[ b frnbdys[ vth gj kbrdblfwbb hfpkbxbq d jnyjitybb cghfdtlkbdjcnb& Ythfdtycndf d jnyjitybb pljhjdmz jnhfdkz.n yfcnjzott b euhj;f.n ,eleotve& Ytj,[jlbvs yjdst ajhvs cjnhelybxtcndf lkz dctcnjhjyytuj hfpdbnbz cbcntv plhfdjj[hfytybz^ xnj,s cajhvbhjdfnm vbh^ d rjnjhjv dct k.lb cvjuen bvtnm dct eckjdbz lkz pljhjdjq b ljcnjqyjq ;bpyb& Yfcnjzobq ljrkfl gjrfpsdftn^ rfr DJP b tt gfhnyths bpdktrf.n ehjrb bp ytlfdyb[ ljcnb;tybq^ xnj,s lfktt ghjldbyenm ’ne hf,jne&

Key facts
Document type Publications
Adoption date
Source World Health Organization