The picture in the Ukraine during the 1990s, a period of economic hardship, revealed that variables associated with higher standards of living were predictive of elevated BMI: higher social class, meat consumption and friendly neighborhoods. Variables associated with economic isolation were predictive of a lower risk of elevated BMI.
The article presents the results of studying the legal regulation of the right to reproductive health in Ukraine. The issue becomes relevant due to the growth of negative medical and demographic trends of negative natural growth, population aging, the spread of destructive behavioral stereotypes and poverty of the population of Ukraine, combined with environmental degradation and insufficient physical, territorial and economic availability of quality medical services. In such circumstances, the search for ways to overcome the identified trends, intensify the processes of population reproduction, strengthening its reproductive and labor potential becomes a priority. The aim of the study was a retrospective analysis of the legislative provision of reproductive health, reproductive rights and family planning, maternity protection as the basis for the formation of reproductive health in Ukraine. The materials for the study were domestic and foreign legal framework of legislative and policy documents of the UN, WHO, the World Medical Assembly and the World Bank on the problem. The research methods were: system analysis, bibliosemantic, content analysis. Results. The current norms of international legislation in the field of reproductive health are analyzed, starting with the Charter of Human Rights (Universal Declaration of Human Rights, 1948; International Covenant on Economic, Social and Cultural Rights, 1966; International Covenant on Civil and Political Rights ", 1966; Convention on the Rights of the Child, 1989), a number of treaties and protocols," International Convention on the Elimination of All Forms of Racial Discrimination ", 1961, revised in 1994. ; "Convention relating to the Status of Refugees", 1951, revised in 2002), numerous documents (declarations, covenants, agreements) relevant to the formation of reproductive health, determined the rights of every person and child to life, liberty, security, the highest attainable standard of physical and mental health, affordable health care, gender equality. Resolutions, regulations and declarations developed and approved by the World Medical Assembly (WMA), most of which have been ratified by Ukraine and adapted to the realities of the domestic legal framework in the current post-Soviet legal framework, have also been studied. During the years of independence in Ukraine there was an improvement of legislative regulation of the right to reproductive health in accordance with modern international standards and concepts, most initiatives for the development of this rule in Ukraine had international origins, especially regarding the legal right of every citizen families, opportunities for equal access to medical services in case of reproductive dysfunction, including the need for assisted reproductive technologies. The issues of legislative provision of women's health care before, during and after childbirth, prevention of sexually transmitted infections, reduction of abortions in combination with the program of actions with consolidation of the right of men and women to inform about the range of modern safe and means, contraception, infertility prevention and the possibility of using modern assisted reproductive technologies of family planning, were considered separately. Conclusions. The study concludes that domestic national legislation generally complies with the provisions of international legal acts of a universal nature, the legislative and regulatory framework in the field of reproductive health meets the established principles of public policy and European legislative initiatives ratified by Ukraine. Unstable financing of planned measures affects their effectiveness; state control over the implementation of legislation in this area is ineffective. The current moratorium on the planning and approval of national programs complicates the implementation of previously planned measures. The level of public awareness about the causes of reproductive problems, legislative reproductive rights and ways to prevent diseases remains low. Legal nihilism, combined with the spread of destructive behavioral stereotypes in society, contributes to the deterioration of reproductive health and the health of the general population. Key words: preservation and strengthening of reproductive health, family planning, normative-legal provision.
This work is dedicated in commemoration of 120th anniversary of Kaliuzhnyi D. M. – an excellent scientist-hygienist of the twentieth century, director of the State Institution "IPH NAMNU" 1956-1970 and covers the main stages of his life and research.
The purpose of the work is to substantiate the hygienic criteria of architectural and planning decisions of the educational space to ensure sanitary and epidemiological conditions of life of primary school students. Taking into account foreign experience. The conducted researches allowed: - to identify, in a retrospective analysis of the provision of the child population schools I, I-II, I-III degree, reducing the number of schools for 30 years by 30% and increasing the number of students only in the last three years by 323 thousand, which dramatically increased the burden on existing schools; - identify violations of the principle of proportionality of construction of new residential build-ings and the required number of schools for residents of new buildings, according to which new schools are not built, which leads to the use of schools located above the regulatory distance and causes their excess capacity; - to establish that in Ukraine the norm of the territory of school grounds for pupils of primary school age is 2-4 times less, than in other European countries; - to establish that sanitary normative distances between the educational institution and adjacent residential and public buildings were observed in 91% of rural school projects, while in urban ones only in 71%, which caused compaction of the settlement territory; - to determine in modern educational programs the absence of need in the territories of training-production and training-research zones (training grounds, research sites, greenhouses, geographical areas, etc.) and to recommend their use in sports, play and recreation zones in functioning schools; - to substantiate the need to take into account the territories of training and research and training and production areas in the design of specialized schools; - to determine that every third city school functioned with exceeding the normative indicator on class size by more than 23%, which leads to congestion of students and deterioration of sanitary and hygienic conditions and living conditions in schools; - to establish that the norms of natural air exchange during education are not observed and amount to 9 m3/h per child (if necessary 16 m3/h), which does not ensure air quality in the classroom and affects the deterioration of health and reduced efficiency of students; - to establish that for the implementation of the concept of a new Ukrainian school in the func-tioning schools there is a deficit of the area of the educational premises of the primary school in 16%; - to identify in the daily routine of students of grades 1-4 in 30% of cases the replacement of active motor games in the open air with activities with static mode ("sitting" mode) by increasing the duration of homework and attending extracurricular activities with extracurricular activities; - to establish the existence of close relationships between direct and indirect indicators of architectural and planning decisions, which are part of the formation of educational space, and the determinants of health of primary school students; - to substantiate a set of preventive measures and proposals for the Ministry of Education and Science, the Ministry of Health, the Ministry of Regional Development in order to prevent the development of "school" occupational diseases of primary school students at the design stage of new and reconstruction of existing schools.
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