Children's health and development: results of a 20-year monitoring

The analysis of the data from domestic and foreign theory and practice has shown that the monitoring of the cohort of children is the most effective method of studying and assessing the health and development of children in order to make efficient and adequate management decisions. The paper presents the results of the medical-and-sociological monitoring "Research into the conditions for the formation of a healthy generation", performed by RAS Institute of Socio-Economic Development of Territories since 1995 with the active support on the part of the Vologda Oblast Department of Healthcare. The authors have found out that each age period is characterized by a specific set of factors influencing health. Infancy and early age are dominated by the impact of medico-biological and social factors (poor health of the parents; low level of hemoglobin during pregnancy; mother's smoking during pregnancy; labour conditions of the mother that do not meet sanitary standards; specifics of the infant's feeding). In preschool and primary school age greater importance is attached to environmental factors, lifestyle and standard of living of the family (comfort of living conditions, environmental conditions in the area of residence, level of socio-hygienic literacy and health-preserving activity of the parents). Using the cohort of children born in 2014 as an example, the authors show certain positive trends that emerged during the reforms of the economy and social sphere, reflected in the living conditions of families with children, in the level of satisfaction with their health, infant health, and key indicators of obstetrics system. In this regard, the authors substantiate the necessity of such monitoring to determine the correct vector of government policy.