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Home    Pilot regions and pilot work    Kharkiv

Kharkiv

General information
The administrative makeup of the region
Demographics (as of 01.01.2007)
The general tendencies of the population health condition
The healthcare system of the region

General information

Regional centre – Kharkiv
Area - 31,4 thousand sq. km
Population as of 01.01.2007 – 2,796,5 thousand
Including:

  • urban – 2,215,5 thousand, 79,2 %
  • rural - 581,0 thousand, 20,8 %
  • in Kharkiv – 1,441,6 thousand
  • in the Kharkiv region-2,796,5 thousand

Geographically, the region lies in the Northeast of Ukraine on the borderline between the steppe and forest-steppe zones, occupying the southwestern part of the Seredniorus’ka upland. In terms of climate and natural conditions, the region’s central, northern and western districts belong to the forest-steppe zone, whereas the southernmost and eastern reaches of the land are steppe.

The administrative makeup of the region

The number of administrative - territorial units:
Rural districts:  27
Towns of regional significance:  7
City districts:  9
Towns of district significance: 10
Townships:  61
Settlements - 1761 including: urban - 78, rural - 1683

Demographics (as of 01.01.2007)

In the course of the past five years, the region’s total population has shrunk by 3.4% (5% among the rural population). On 01.01.2007 it totaled 2 mil. 796,5 th., including a rural population of 581,0 th.

The fraction of rural population is 20.8 %, accordingly the percentage of town-dwellers is 79.2 %. In terms of gender, the female population (54.3 %) outweighs the male one.

The demographic load is 676,6 persons of unemployable age per 1 thousand persons of employable age.

Table 1.
Age distribution of the Kharkiv region population (2000-2007)

 

Age distribution among residents as of the top of the year, th.

Including (age intervals)

0-14

15-24

25-44

45-64

65+

Younger than employable age

Employable

Older than employable age

2000

2951.3

465.1

459.5

855.6

762.7

408.4

510.8

1734.8

705.7

 

2001

2921.8

439.7

462.1

850.3

762.3

407.4

483.4

1741.4

697

2002*

2895,8**

412.7

464.7

839.5

758.3

416

457.1

1736.9

697.2

2003

2872.3

390

470.9

835.5

741.4

434.5

432.7

1751

688.6

2004

2851.1

371.3

471.4

828.9

731

448.5

411

1758.7

681.4

2005

2832.7

357.3

469.4

822.9

723.9

459.2

393.8

1759.1

679.8

2006

2813.4

345

460.9

819

726.2

462.3

379.3

1758

676.1

2007

2796.5

336.3

451

817

728.9

463.3

368.6

1749.6

678.3



*According to Pan- Ukrainian population census for December, 5th, 2001.
**Age it is not specified for 4,6 thousand persons

 

 

The major factor of the reduction of the region’s population and its aging is depopulation. Owing to the annual excess of deaths over births over the past 5 years, the area has lost 121.5 thousand persons - on average 24.4 thousand per year.

Death rates have remained at an unvaryingly high level within the last 5 years, fluctuating between 16.0 and 16.2 per 1 thousand persons. Circulatory system diseases have been identified as the major cause of death, followed by newgrowth and accidents and injuries.

Table 2.
Vital statistics for the Kharkiv region 2000-2007

 

Number of newborns

Children born outside of legitimate marriage, %

Number of deaths

Natural growth rate, persons

Regional emigration, population increase or decrease (-), th.

Number of marriages registered

Number of divorces registered

2000

19939

22.5

48468

-28529

-0.1

16636

13780

2001

19514

23.1

45829

-26315

0

19074

12685

2002

20679

23.9

46454

-25775

2.7

19462

12335

2003

21510

25

46765

-25255

4.1

22779

11606

2004

22782

25.6

46778

-23996

5.7

16161

11049

2005

22451

26.9

46941

24490

5.1

19667

11620

2006

24025

26

45496

-21471

4.6

20507

11454

There is a marked tendency towards a decrease in infant mortality (currently 7.7 per 1000 live birth, and 8.6 in 2002). Major causes of infant death are defined as sickliness typical of the perinatal period (44.0%), inborn abnormalities (25.3%), external causes (8.3%) and respiratory system diseases (6.7%).

Average life expectancy across the region is 68.6 years, 63.0 for males and 74.3 for females (cf. 67.7 in 1990).

The general tendencies of the population health condition (as of 01.01.2007)

In 2006, 5.5 mil. medical cases were registered, including 2.2 mil. new cases (40%). The index of disease prevalence is 195611,2 per 100 thousand persons, the index of incidence - 79251,1 per 100 thousand.

Disease rates among the rural population are 167425,2 per 100 thousand persons, with the incidence of 62789,8 per 100 thousand village dwellers.

Indices of disease prevalence and incidence among children amounted to 2016,0 and 1469,6 per 100 thousand of junior population respectively.

In terms of prevalence, cardiovascular diseases (29.4 %); respiratory system diseases (17.8 %); digestive system illnesses (10.9 %) and musculoskeletal system illnesses (6,2 %) claim the largest number of cases.

Primary incidence structure split into disease classes: respiratory organs pathology (34.9 %), cardiovascular diseases (11.5 %), illnesses of urinogenital system (7.5 %), and, finally, injuries with a modest 5.9%.

Table 3
Morbidity dynamics of  Kharkiv region population (2000-2007)

 

Number of new cases

Total,
th.

Including :

New growth

Nervous system diseases

Cardiovascular diseases

Respiratory diseases

Skin and subcutaneous diseases

Muscular skeleton and connective tissue diseases

Urinogenital diseases

Congenital malformations and chromosomal disorders

Traumas, poisonings and  some other external causes

 

2000

1744.5

23.7

40.4

85.3

732

123.7

79.8

97.5

2.7

141.3

 

2001

1749.4

24.1

42.1

107.2

764.8

125.4

82.4

99.5

2.8

134.3

 

2002

1701.4

22.6

42.3

128.7

670.9

122.3

82.9

98.3

2.4

131.9

 

2003

1891.8

27.6

52.3

183.4

736.3

116.6

89.6

108.5

2.5

133.7

 

2004

2326.3

36.3

65

259.4

816.9

152.4

115.3

154.1

2.9

130.5

 

2005

2312.3

36.4

65.1

271.2

824

142.5

114.1

177.2

3.1

129.9

 

2006

2216.3

37.4

67

255.3

772.8

125.2

113.8

166.3

3.2

 129.2

 

According to the International disease classification, eye-related health issues and otic diseases have been removed from the nervous system and sense organs disease class and defined as separate classes.

 

The healthcare system of the region

The healthcare system of the region (as of 01.01.2007) comprises 1587 health care establishments of different ownership forms and subordination levels. The region contains 64  healthcare establishments of regional subordination; 23 healthcare establishments of city subordination; 49 medical establishments of district subordination (Kharkiv city districts); 862 district healthcare institutions; 12 scientific research institutes of the NAS, the АМS, the МОH and the Ministry of Labour and Social Protection of the population of Ukraine; 2 specialised medical sanitary units directly subordinated  to the МОH; a network of medical establishments of the Southern railway; a military hospital; medical establishments of the Ministry of Internal Affairs of Ukraine; 5 “Ukrprofzdorovnytsia” joint-stock company health resorts. Also 188 privately practising doctors and 156 non-state medical facilities are active in the region. Two central rayon hospitals (Blyzniuki and Zolochiv CRH) have had their commercial and legal status changed from communal establishments to communal non-commercial enterprises.

Table 4.
The Kharkiv region healthcare network

 

Number of establishments

Number of hospital beds

 

Number of outpatient establishments

Planned capacity of outpatient  establishments

Total, thousand

per 10 000 persons

total (visits per day)

per 10 000 persons

2000

212

29

99.3

387

57.2

195.8

2001

193

29.2

100.9

405

57.9

200.2

2002

173

29

101.2

430

57.8

201.4

2003

154

28.7

100.6

478

58

203.6

2004

146

28

99

523

60.5

213.5

2005

145

27.8

98.7

515

60.9

216.3

2006

146

27.5

98.2

511

60.9

217.9

The region’s network employs 49169 healthcare professionals, including 11163 physicians and 24282 of medical assisting staff.

The treatment and prevention facilities network

Name

2006

Regional hospitals

1

Regional children's hospitals

2

City hospitals

32

Children's city hospitals

4

City emergency hospital

1

Hospital for WWII veterans

1

Specialized hospitals

7

Central rayon hospitals

25

Local hospitals

18

Maternity hospitals

7

Mental hospitals

3

Detoxication hospitals

1

Self-supporting hospitals (cosmetology)

1

Clinics of scientific research institutes

2

Clinics (dispensaries)

25

Polyclinics

26

Children's polyclinics

11

Ambulance stations (city)

19

Ambulance stations (rural):

235

Including:

 

 - Ambulance stations of family doctors

249

Dentistry polyclinics

12

Including:

 

 - Children’s dentistry

1

Physician aid posts

18

Feldsher aid posts

57

Health resorts

10

Feldsher-midwife stations

530

Health centers

2

Blood transfusion units

1

First aid stations

38

Medico-sanitary expertise  bureau

1

Children's homes

4

Sanitary epidemic stations

48

Including:

 

On a railway transport

6

Disinfection  station

1

HIV prevention and treatment center

1

The physician population ratio is 39.0 per 10,000 persons, junior medical staff population ratio is 868 per 10,000 persons. Index of staffing level among physicians is 78.2%, and 92.5% among junior medical staff.

22754 24-hour hospital beds are available across the region, and the bed population ratio is 81.4 per 10,000 persons (for MOH-subordinated facilities). Average number of operating days for a hospital bed was 332 in 2006, as the average hospital stay lasted 12.7 days.


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This project is funded by European Union This project is implemented by Consortium EPOS Health Consultants with ECORYS and NICO
     

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