The comprehensive assessment of conditions and efficiency of children’s recreation

Abstract

Summer rest in suburban health organisations is a formal form of summer holidays for children and adolescents. The purpose of this work is to assess the impact of a complex of factors of health institutions on the effectiveness of children’s health. The methods. Medical examinations of 14,413 schoolchildren aged 8 to 14 years were collected. All health facilities were divided into three clusters depending on a comprehensive indicator characterising the compliance of the conditions and organisation of rehabilitation with hygiene requirements. The assessment results of external conditions are presented by the specific gravity of the revealed violations for individual elements and, in general, a comprehensive assessment. Comparison of the structure of violations during inspections of organisations’ sanitary and epidemiological conditions was performed according to the χ2 criterion. The risks of a common healing effect were evaluated using the odds ratio (OR) indicator and its 95% confidence interval (CI). The OR calculation was performed compared to the group of the optimal level of the complex indicator of detected violations. Results. Contribution to the comprehensive indicator of non-compliance with requirements in medical work is from 31% to 81%, in catering from 18.3 to 54.1%, accommodation (from 15.3 to 45.5%). In 47.3% of organisations, the effectiveness of recovery was rated as high in 98.2-100% of the examined low in 3.4% of the examined. The dependence of the efficiency indicator of recovery on environmental factors is revealed. Conclusions. There is still a need to develop a health improvement system with improved control of the effectiveness of health improvement and the study of factors contributing to improving the effectiveness of health improvement.