Analysis of the activities of the reproductive health protection system of children and adolescents of Saint Petersburg in 2020–2021

Abstract

The quality of the reproductive potential of children and adolescents in St. Petersburg has not shown positive dynamics in the last decade. The reproductive health of this contingent is provided by the offices of an obstetrician-gynecologist for minors and a pediatric urologist-andrologist. They operate with varying effectiveness, both as independent structures and as subdivisions of adolescent reproductive health centers, more often on the basis of children's polyclinics or women's consultations. Analysis of monitoring data on conditions and volumes of medical services in the field of reproductive health of children and adolescents. The algorithm developed by the specialists of the City Center for Reproductive Health “Juventa” was applied based on the requirements of the procedures for providing medical care in the profile of obstetrics and gynecology, pediatric urology-andrology. The structure and scope of activities of reproductive health services for children and adolescents in different administrative districts of the city varies significantly. This is due to the disregard of uniform requirements stipulated by regulatory documents and the lack of a unified methodology for the formation of these services. In a situation of a steady increase in the number of visits, especially for preventive purposes, institutions demonstrate a different level of efficiency of their activities. Independent offices of an obstetrician-gynecologist for minors do not fully provide all aspects of reproductive health protection and are primarily focused on working with prepubescent children. Reproductive health centers are highly sought after and preferred for providing comprehensive medical, psychological and social assistance to adolescents. The structure of reproductive health services for children and adolescents in each administrative district of the city should be represented both by the offices of an obstetrician-gynecologist for minors, and necessarily by centers for the protection of adolescent reproductive health. An urgent task should be considered the formation of a system of professional training of gynecologists to work with children and adolescents.