IMPROVEMENT OF THE HEALTH SERVICES FOR THE PREVENTION OF HIV TRANSMISSION FROM MOTHER TO CHILD AT THE LEVEL OF PRIMARY HEALTH CARE.

OBJECTIVE: The aim: To analyze the problems of PMTCT of HIV and to clarify the ways for their solving through the increasing their obstetrical and gynecological services at the primary health care level. PATIENTS AND METHODS: Materials and methods: Bibliosemantic, statistical and method of structural and logical analysis. The research materials are the data of the statistical reports for the period 2016-2020. CONCLUSION: Conclusions: The analysis of the problems of PMTCT for HIV demonstrated that in Ukraine there is insufficient availability of pregnant women for HIV testing, the excessive duration of the existing algorithm for testing pregnant women for HIV, the imperfect system of referrals of pregnant women for timely diagnosis, as a result, late and therefore less effective the prophylactic antiretroviral therapy (ART), defects in the effectiveness of standardization of health care for the prevention of mother-to-child transmission (PMTCT) of HIV with the participation of primary healthcare specialists, the main representative of which is a general practitioner - family medicine (GP-FD).

THE ROLE OF A FAMILY DOCTOR IN SOLVING THE PROBLEMS OF FAMILY PLANNING.

OBJECTIVE: The aim: To analyze the problem of family planning and highlight possible ways to solve them in the practice of a family doctor. PATIENTS AND METHODS: Materials and methods: Bibliosemantic, statistical, and method of structural-logical analysis. The materials of the study were the data of statistical reports for the period 2014-2020. CONCLUSION: Conclusions: In Ukraine, with the existing system of family planning with fairly standardized technologies, there are serious problems, which cause reproductive health disorders of the population. The integration of family planning services into the practice of the family doctor, provided that he/she is trained, will increase their availability, quality, and efficiency.