Rural district hospital

Rural district hospital - primary physician link in the village. It is headed by a complex of institutions included in the so-called rural medical area (district hospital, medical and health posts).
District hospital has its own hospital and clinic.
The main tasks of the district hospital in health maintenance of the population of the site are:
- reduction of morbidity, disability and mortality of the population living on the territory of the site;
- prophylaxis and liquidation of communicable diseases on the plot;
- conducting of complex health interventions aimed at protecting the health of mothers and children;
dispensary observation for the main groups of population of the area;
- carrying out of medical preventive measures against diseases such as tuberculosis, cancer, skin and venereal diseases, diseases of regional pathology (brucellosis, tularemia, goiter, trachoma, tick-borne encephalitis, and so on);
- observation of sanitary condition of settlements, industrial, residential areas and public facilities; kitchens, dining rooms, food shops and kiosks, schools and clubs.
The whole complex of sanitary-epidemic measures, the personnel of the district hospital conducts under the leadership of the district sanitary epidemiological station. This is a greater role for sanitary and medical attendant of the district hospital.
Not less important problems of the district hospital are:
- health care workers of agricultural production in the period of spring and autumn harvest field;
- preparation of sanitary asset from the number of population served, especially from persons engaged in agricultural production, and the improvement of sanitary culture of the population living in the area.
The plot is large and prevention. The staff of the district hospital conducts regular medical examinations of workers of the state farm (kolkhoz), paying special attention to those in contact with toxic chemicals. When revealing their patients put on dispensary account. Exploring the conditions of work and life.
Medical staff is carried out in accordance with the plan a great job on immunization of adult and child population, pay great attention to personnel, ensuring that all pregnant women were under medical supervision from the very early stages of pregnancy, take measures to ensure that all women had to give birth in hospital or in a collective farm maternity hospital.
Patronage nurses constantly monitor the development and health of the newborn (on the work of visiting nurses, see "Children United hospital").
The doctors of the district hospital, according to the schedule, visit the feldsher-midwifery posts, advise patients, provide methodological assistance to the nurse and midwife. The last 1 month invite to the hospital, where they teach classes for advanced training.
The staff of the district hospital works in close contact with the management, party and trade Union organizations of the sovkhoz (collective farm)located on its site. Together they spend a large routine health activities among workers kitchens, food shops and also on dairy farms, avtogarazhnij areas etc, shall take measures for prevention of poisoning by pesticides.
Medical workers of the district hospital constantly studying the incidence of workers of the state farm (kolkhoz) with temporary loss of ability to work, emphasizing at that, agricultural injuries. Monthly meeting at Director of the farm or by the Board of the collective farm they report about the level and nature of morbidity with temporary disability and adopt specific measures to reduce it.
Most preventive work at the site is conducted by trained local hospital sanitary asset. All production facilities of the farm (kolkhoz) organized sanitary posts with first aid kits. In the production teams are allocated sanitary authorized.
The whole collective farm (kolkhoz) should be prepared to provide self - and mutual aid. During sowing and harvesting works all operators are given individual dressings packages. Each tractor, harvester, mowing-machine and other machines should be small portable first-aid kit.
Doctors, feldshers and nurses district hospitals during sowing and harvesting works considerable part of their time spend in the fields together with all collective farm (kolkhoz). On camp they monitor the hygienic and sanitary conditions of places of recreation, food, water and so on Health workers plot systematically arrange lectures and discussions on sanitary education of the population.
Health authorities are making efforts to build a rural district hospitals, increasing the number of beds in them up to 120-150 and improvement of their material and technical equipment.