FOOD PROGRAMME — the evidence-based comprehensive program of large-scale economic and social transformations marking radical turn in development of the agrarian sector of national economy and designed to provide further progress of all national economy, and also growth of welfare of the population of the USSR. The main objective of Pct — to provide by 1990 steady and uninterrupted supply of the population of the USSR with all types of food by the proportional and balanced development of agro-industrial complex, substantial increase of productivity of page - x. productions on the basis of its consecutive intensification, every possible use for this purpose the material potential, further improvement of social living conditions of country people.
In pct it is accepted by a May (1982) Plenum of the Central Committee of the CPSU according to decisions of the XXVI congress on the report of comrade. L. I. Brezhneva «About the Food programme of the USSR for the period till 1990 and measures for its implementation»; it is logical continuation of the Central Committee of the CPSU accepted on a March (1965) Plenum, XXIII, XXIV and XXV congresses of a course on snowballing of agriculture and other industries of agro-industrial complex. The essence of agrarian policy of party for the 80th is expressed in the Food programme and resolutions of the Central Committee of the CPSU and Council of ministers of the USSR approved by the Plenum, its scientific justification is given, the basic directions of development of the agrarian sector of national economy and specific ways allowing in short terms are defined it is reliable to provide the population with all types of products pita - I, measures for social transformation of the village, further growth of welfare and improvement of health protection of villagers are provided. Decisions of a May Plenum — an important social and political event in lives
of the Communist Party and the Soviet people, a powerful contribution to creative development of Lenin agrarian policy and practice of communistic construction, an important historical milestone in fight of the Soviet people for further economic recovery of the country. Pct — the most important social and economic action of party in the 80th: measures on * its implementations as the Secretary general of the Central Committee of the CPSU comrade Yu. V. Andropov told a pas a November (1982) Plenum of the Central Committee of the CPSU, take the central place in our plans, Founders of Marxism-Leninism attached great value to a food problem since balanced and good nutrition was and remains the most important condition of life, preservation and promotion of health of the person (see. Food ). V. I. Lenin considered that the base of socialist economy can be strong ltni if the state is «... actual owner of sufficient food fund...» (V. I. Lenin, Pauly. SOBR. soch., 5th prod., t. 44, page 9). In classical works of V. I. Lenin on an agrarian question the socialist principles of cooperation of agriculture are for the first time formulated, the role of economic, social and cultural transformations in the village kak1 one of decisive factors of increase in productivity of page is evidence-based - x. productions. These provisions made a basis of agrarian policy of party and socialist state.
Such policy oriented to creation of reliable food potential allowed the young Soviet republic to overcome in the shortest terms the food crisis which was a consequence of World War I and civil wars, economic ruin and a crop failure of 1920 — 1921, unknown on the scales, to liquidate premises for emergence of hunger — a frequent effect of a crop failure in Russia. Ways and methods of the solution of food tasks at the subsequent stages of development of our country were defined by specific political and social and economic conditions. For the developed socialism they were accurately defined by a March (1965) Plenum of the Central Committee of the CPSU and developed in decisions XXIII, XXIY, XXV and XXVI of congresses, Plenums of the Central Committee of the CPSU devoted to problems of further development of agriculture. Also growth of material interest of toilers of the village in improvement of results of the work, on rise of to this basis of effectiveness of page was headed for strengthening of economy of collective farms and state farms, creation of modern material and technical resources, deepening of specialization and concentration of agriculture on the basis of intereconomic cooperation and agro-industrial integration, for social transformations in the village - x. productions.
Systematic implementation of this course provided increase in annual average gross output of agriculture in the tenth five-years period (1976—1980) but to comparison with the seventh five-years period (1961 — 1965) for 50% that considerably exceeded growth rates of page - x. products in many advanced capitalist countries (for the same years the annual average volume of page - x. products in the countries of the European Economic Community increased by 31%, in the USA — for 29%). Annual average production of grain, vegetables and meat in the tenth five-years period increased in comparison with the seventh five-years period almost by 1,6 time, milk — by 1,4 times, eggs — by 2,2 times, fruits and grapes — by 2,3 times, and rates of a gain of production of food stuffs almost by 2,5 times exceeded rates of an increase in population. Also the share of the USSR in world production of food products is considerable: the country having 6% of the population of the globe in 1980 — 1981 gave 13% of world production of grain, 20% — milk, 10% — meat, 12% — eggs. Increase in productivity of page - x. food of the population allowed to improve productions significantly; on the caloric content of a diet of the USSR is among the most developed states of the world. For 1965 — 1980 in spite of the fact that population increased in the country on 35 million people, shower consumption of meat and meat products increased by 41%, vegetables — for 35%, milk and dairy products — for 25%, vegetable oil — for 24%, eggs — by 1,9 times.
At the same time, the problem of satisfaction of need of the population for food stuffs continues to remain urgent. If on caloric content food allowances of the population of the USSR meet physiological standards, then the structure of food needs further improvement, hl. obr. due to increase in consumption of meat products, vegetables and fruit. As a result of increase in number of city dwellers, transition of a considerable part of villagers to a city way of life, decrease in a share of personal subsidiary farms in production of food stuffs the number of regular customers of food products sharply increased. At the same time in connection with growth of the monetary income of the population at stable state prices of food stuffs demand for the most valuable foodstuff considerably increased. This discrepancy between the increasing needs of the population for food stuffs and level of production of page - x. products was the main reason for development of the special food programme directed to transformation of page - x. productions to the advanced sector of socialist economy, on further strengthening of care of the person, about satisfaction of the growing material and cultural needs of the Soviet people. The party and all people make a maximum of efforts for the fastest performance of tasks of Pct. «All understand, of course — said on a November (1982) Plenum of the Central Committee of the CPSU of comrade Yu. V. Andropov — that implementation of the Food programme — business not of one year... But we shall tell directly and another: implementation of the Food programme cannot be delayed. Employees of agro-industrial complex should increase efforts day by day, to work so that the huge amounts of money allocated for the solution of this task gave return already today and still big — tomorrow» (The speech of the Secretary general of the Central Committee of the CPSU Yu. V. Andropov on the Plenum of the Central Committee of the CPSU on November 22, 1982, «Truth» of November 23, 1982).
The grandiose economic and social transformations planned by party are of great importance for preservation and promotion of health of the Soviet people, for further development of the Soviet national health care. Growth of page planned as a result of performance by Pct - x. products (tab. 1) will lay the foundation of such food fund, to-ry will remove sharpness in supply of the population with the most valuable food stuffs, will provide significant growth in their consumption (tab. 2) that will allow to improve significantly structure of food of the Soviet people, will make it fuller and balanced, having exempted diets from excess of digestible carbohydrates and having increased contents in them complete proteins of an animal and plant origin, seed fats, various vitamins, microelements and other valuable feedstuffs.
It is known that the various and good nutrition balanced on the content of biologically valuable feedstuffs is the integral element of a healthy lifestyle, formation to-rogo makes a basis of prevention of diseases (see. Prevention primary ). Besides, expansion of the range of food products will create conditions for further increase in production of dietary products, will allow to provide better all persons in need, and first of all children, in preventive and clinical nutrition (see. Food , clinical nutrition , Food treatment-and-prophylactic ).
Integral part of agrarian policy of party are social and cultural transformations in the village. It is much already made in this direction. In comparison with 1965 the average monthly salary of workers and employees of state farms in 1980 increased twice, the material income of collective farmers — by 2,3 times; provision of pensions of toilers of the village improved. For years of the eighth, ninth and tenth five-years periods in rural areas new houses total area apprx. 500 million sq.m, preschool institutions on 2,6 million places, clubs and Recreation centers on 7,7 million places are opened up. Trade and consumer services of villagers is improved. May (1982) Plenums of the Central Committee of the CPSU are provided by decisions measures for further social development of the village, improvement of living conditions, increase in welfare and culture of consumer services of villagers, prestigiousnesses of work in agriculture. On the basis of growth of labor productivity it is planned to provide rapprochement of level of compensation of workers of agriculture and the industry. Conditions of payment of extra charges for uninterrupted length of service extend to workers of livestock production in state farms and other state enterprises. On average salaries to executives, specialists and employees of state farms increase by 30%. It is provided. to expand practice of wages in kind. In the 80th it is supposed to spend about 160 billion rubles for improvement of social and cultural and community living conditions of rural toilers.
The resolution of the Central Committee of the CPSU and Council of ministers of the USSR of May 24, 1982. «About measures for further improvement of housing, household and welfare living conditions of country people» implementation of the complex actions directed to further transformation of rural settlements to well-planned settlements, significant increase in volume of housing, utility and cultural and community construction, development of cooperative and indvidualny housing construction, the accelerated construction of roads in collective farms, state farms and on other pages is provided - x. enterprises. In the eleventh five-years period it is planned to put into operation in rural areas of total houses, comprehensive schools on 2315 thousand places, preschool institutions on 1182 thousand places, clubs and Recreation centers on 1365 places, public highways connecting the central estates of farms to the regional centers 54 thousand km long, intraeconomic roads — 57 thousand km. In days of the twelfth five-years period in comparison with the eleventh five-years period it is planned to expand scales of housing construction in rural areas for 15 — 18%, to increase number of places at comprehensive schools by 14 — 17%, in preschool child care facilities by 1,5 times, clubs and Recreation centers by 1,7 times, volume of construction of roads connecting the central estates of farms with the regional centers by 1,4 times, intraeconomic — by 1,6 times. Also development of water supply, construction in rural areas of telephone networks with a total capacity of 3,3 million numbers is provided. The resolution of the Central Committee of the CPSU «About measures for ensuring implementation of construction plans of houses and social objects» (1983) paid attention to need of considerable strengthening of construction of housing and subjects to social appointment in the village.
Strengthening of rural settlements, their transformation into well-planned settlements, considerable development of means of communication and means of communication are not only important factors of ensuring agro-industrial integration and an intensification of page - x. productions; they will promote significant improvement a dignity. conditions of the rural inhabited places, to increase a dignity. cultures of the population, will exert positive impact on conditions of the organization of medical aid to villagers. It is known that dispersal of the population in small rural settlements and underdevelopment of road economy are the factors constraining implementation of the most effective and rational forms of placement to lay down. - the prof. of institutions, the organizations of medical aid to country people. In the course of the transformation of living conditions of villagers provided by decisions May (1982) Plenums of the Central Committee of the CPSU formation of the raionwide local centers (first of all the central settlements of farms — state farms, collective farms, etc.) which are well connected with the regional center and intraeconomic settlements will gain further development. It will allow to create larger stationary and out-patient and polyclinic institutions equipped with modern appliances and staffed by qualified specialists, will provide more favorable conditions for the organization of interdistrict specialized departments, for improvement of work of stations (departments) of emergency medical service and exit types of medical aid and, therefore, will increase efficiency and quality of medical service of toilers of the village.
Agrarian policy of party at all stages of socialist construction included development of rural health care (see. Health care , the Communist Party of the Soviet Union, policy in the field of health protection ). From first years of the Soviet power in process of formation and development of socialist health care the paramount attention was paid to creation of system primary medical - a dignity. help to villagers. In 1925 the resolution SNK «About Providing Rural Areas with Medical Care and about Improvement of Material and Household Position of Local Medical Personnel» and the decree of VTsIK and SNK of «About Bases of Creation of the Normal Volost (Regional) Organization of Health Care» were issued, in to-rykh allocation of allocations for contents and development of rural local network, gradual reorganization of infirmaries in medical, measures for completion of rural medical institutions by qualified personnel were provided. The idea of strengthening and further development was the basis for creation of rural health care rural medical site (see) as leading link in implementation of medical and scheduled maintenance among country people. The important role in improvement of medical aid to the collective-farm peasantry was played by the resolution of the All-Union Communist Party (bolsheviks) of the Central Committee of December 18, 1929. «About medical care of workers and peasants». The resolution provided to lay down measures for expansion of network of rural medical institutions, implementation of new forms. - the prof. of service of the population during field works, to creation of mobile first-aid posts, assistance to rural health care city to lay down. - the prof. institutions by the direction of mobile medical teams. As a result of implementation of the measures provided by these party and state acts the material and technical resources of rural health care were created, the number of medical institutions in the village considerably increased, rural medical sites were strengthened by shots of doctors and average medics. In rural areas medical institutions were for the first time created, to-rykh was not in pre-revolutionary Russia: women's and children's consultations, clinics and points on fight against tuberculosis, veins. diseases, trachoma, etc.
In process of strengthening of a collective-farm system the potential of rural health care increased, organizational forms primary medical - a dignity were improved. the help to villagers (see. Primary health care ). The resolution SNK USSR of April 23, 1938. «About strengthening of the rural medical site» the uniform system was entered to lay down. - the prof. of the help to country people, thanking a cut division into districts of rural network and organizational merging of the healthcare institutions located on the rural medical site — local BCs, medical assistant's and medical and obstetrical centers, collective-farm maternity homes, constants and a seasonal children's day nursery, etc. was carried out, and also their work is reconstructed.
In days of the Great Patriotic War to the Soviet health care, including rural, huge damage was caused. However thanks to successful performance of the USSR of the five-year plan of recovery and development of the national economy (1946 — 1950) accepted by the Supreme Council the network of rural medical institutions by 1950 exceeded pre-war level. In days of the sixth and seventh five-years periods effective measures for strengthening of rural health care were carried out by shots, to further expansion of network to lay down. - the prof. of institutions, to providing country people with the extra hospital and stationary general and specialized help. The resolution of the Central Committee of the CPSU and Council of ministers of the USSR of January 14, 1960. «About measures for further improvement of medical care and public health care of the USSR» it was provided not only strengthening of the rural medical site and expansion of volume of medical assistance in rural district police officers to lay down. institutions, but also reorganization of a regional link of rural health care. Increase in power of the central regional BCs, their transformation into the organizational and methodical centers of a regional link of rural health care, and also into the centers of rendering the qualified and specialized medical aid to country people was planned. It was recognized reasonable taking into account specific conditions of resettlement, and also placement to lay down. institutions of rural areas to reorganize low-power district police officers-tsy into rural medical out-patient clinics.
Qualitatively new stage of development of rural health care is connected with implementation of decisions of a March (1965) Plenum of the Central Committee of the CPSU, XXIII, XXIV, XXV congresses, resolutions of the Central Committee of the CPSU and Council of ministers of the USSR of July 5, 1968. «About measures for further improvement of health care and development of medical science in the country» and of September 22, 1977. «About measures for further improvement of national health care». For years of the eighth, ninth and especially the tenth five-years periods the personnel and material potential of rural health care considerably increased and became stronger. Respect for the principle of staging to lay down. - the prof. of the help to country people (see. Health care , Treatment-and-prophylactic help ) significantly improved the organization and quality of medical aid to toilers of the village. For 1965 — 1981 the number of visits by villagers of doctors increased twice, the level of hospitalization of villagers was practically made even to the level of hospitalization city на^ settlements. At the same time a considerable part of country people (St. 20% of number of hospitalized) receives stationary, hl. obr. specialized, help in regional and municipal hospitals. In 1,8 ra, for security of country people with medical shots increased. completion of institutions of a regional link of health care in the period of the tenth five-years period annually 15 — 16 thousand vrachezh from among graduated from medical higher education institutions went for work to rural areas of the country. Special attention was paid to providing rural institutions by vrachamp-pediatricians, the number to-rykh only during 1976 — 1980 increased by 1,5 times. Annually in in-ta and on f-takh improvements of doctors, and also on the basis of regional (republican, regional) BC improved skills apprx. 10 thousand doctors working at rural medical sites. For further rapprochement of levels of rendering medical aid to urban and country people of M3 of the USSR new regular standards for regional, central regional, regional, local BCs and out-patient clinics in rural areas therefore states of rural medical institutions were brought closer to city are entered. In a basis of regular standards regional (republican, regional BCs the principle of separate rationing of states for hospitals and for the advisory help according to the number of the serviced population is underlain.
Considerable work on development of network and enlargement of material and technical resources of the stationary and out-patient and polyclinic institutions intended for rendering medical aid to country people is carried out. At the same time the main attention was paid to increase in power of regional and central regional BCs — the main institutions rendering to villagers specialized medical aid. So, the average power of regional BCs increased from 597 beds in 1970 up to 813 beds in 1981, i.e. almost by 1,4 times. Rendering highly skilled spetsializpro - the bathing polyclinic and stationary help, and also emergency and planned konsultativnuk. regional-tsy successfully carrying out * t of function of organizational and methodical, medical and diagnostic v of the advisory centers for institutions of a regional link of rural health care. Significantly bed power and the central regional BCs increased that allowed to organize in them the stationary help with 10 — 15 specialties while in 1965 in central regional medical aid would appear on 5 specialties. For 1965 — 1981 the average power of the central regional BCs placed in city settlements increased from 148 up to 273 beds, i.e. by 1,8 times located in rural settlements — from 92 up to 169 beds, or almost twice. St. 10% of the central regional BCs have the power of 400 beds and more.
Approach of specialized medical aid to the rural population was promoted by the development of hl which also began in days of the tenth five-years period. obr. on the basis of the central regional BCs, interdistrict specialized departments. For the beginning of 1982 for rendering the specialized help to villagers there were 1087 cardiological, oncological, ophthalmologic, otorhinolaryngological, urology and other specialized departments on 51,2 thousand beds.
Integration of local BCs was at the same time carried out and at expediency their reorganization in departments of the central regional BCs, rural medical out-patient clinics or medical and obstetrical centers. Average power of local BCs for 1965 — 1980 increased by 1,4 times and reached in 1981 35 beds, and in the Uzbek, Moldavian, Kyrgyz and Tajik SSR — 50 — 59 beds. Increase in power of local BCs allows to provide better them with the modern diagnostic equipment, to create in them departments on the main specialties, dental offices etc.
It developed and improved also out-patient polikliniche - Skye the help. Only during the tenth five-years period the number of medical out-patient clinics increased in rural areas for 38.7% and made in 1980 5346. For years of the ninth and tenth five-years periods the number of stations (departments) of emergency medical service increased almost by 4 times; in their 1980 was available 1040. Mobile types of medical assistance (out-patient clinics, clinical diagnostic laboratories, dental and fluorographic installations) are widely used. In the late seventies for medical, social and labor rehabilitations (see) in rural districts began to create the stationary and out-patient and polyclinic centers which are specially intended for this purpose.
Considerable experience in the organization of preventive actions is accumulated. Forms and methods of scheduled maintenance are improved, the contingents of the rural toilers who are under dispensary observation and underwent routine medical examinations increase. Visits of ambulatornopoliklinichesky institutions with the preventive purpose in 1980 made 40% of total number of requests of villagers for medical aid. Separate central regional would carry out medical examinations by forces of the mobile teams organized by them consisting of doctors and average medics. There is an experience of the organization at livestock farms of dispensaries for improvement of rural toilers and for prevention of various diseases.
All this activity in the field of rural health care which was steadily developing for a number of decades and received special scope in 60 — 70-e accompanied actions of the Communist Party of the Soviet Union and Soviet government for rise and an intensification of page - x. productions, represented complex character of the actions including including a measure and social transformation of the village. Achievements of these years created necessary premises for the successful decision the Soviet health care of the new tasks which arose in connection with preparation, and then and adoption of the Food programme.
«The main directions of economic and social development of the USSR accepted by the XXVI congress of the CPSU for 1981 — 1985 and for the period till 1990», decisions May (1982) and November (1982) Plenums of the Central Committee of the CPSU and the resolution of the Central Committee of the CPSU and Council of ministers of the USSR «About measures for further improvement of housing, household and welfare living conditions of country people» (1982) and «About additional measures for improvement of public health care» (1982) create very favorable conditions for further improvement of organizational forms and upgrading to lay down. - the prof. of the help to country people and, therefore, for implementation of the new tasks which are put forward in this area by the Food programme.
Workers of health care should make every effort for performance of an order of the XXVI congress: «... to make everything that the Soviet person could always and everywhere receive the timely, qualified and sensitive medical care» (Materials of the XXVI congress of the CPSU, M., Politizdat, 1981, page 61). The major task is further increase in level of management of all links of rural health care. Therefore the crucial role belongs here first of all to the organizers of health care called within the Food programme and according to its ultimate social and economic goals to direct extensive experience of the work to the embodiment in life of outlines of party in improvement of system of health protection of country people.
For this purpose for coordination and organizational and methodical management of further improvement of health protection of rural toilers in the light of tasks of the XXVI congress of the CPSU, the Food programme, resolutions of the Central Committee of the CPSU and Council of ministers of the USSR «About measures for further improvement of housing, household and welfare living conditions of country people» and «About additional measures for improvement of public health care» at M3 of the USSR Council for medical and sanitary providing country people is created, to-rogo the leading organizers of health care and the scientific countries were a part. Councils of similar appointment are created at the Ministries of Health of federal and autonomous republics, at regional and regional public health departments. Are involved in rendering the systematic organizational, methodical and advisory help to bodies, institutions and vra-cham-specialists of rural health care, except republican, regional and regional BCs, head Scientific Research Institute M3 SSSR, the USSR Academy of Medical Sciences, the Ministries of Health of federal republics, and also medical higher education institutions of the country. Actions for strengthening of the management of health care in rural districts, to increase in a role of chief physicians of the central regional BCs in management of health care of the area, on strengthening of organizational and methodical departments of these hospitals, on studying, generalization and distribution of positive experience of the management of rural medical institutions (medical out-patient clinics, mobile types of medical aid, interdistrict specialized departments) are carried out. Carrying out ten-day campaigns for chief physicians of the central regional BCs concerning the organization of health care and management in the conditions of a rural regional link, All-Union annual review competitions is planned for the best organization of work on rendering medical aid to country people on the scale of area (edge, the autonomous republic), the area, separate rural medical institutions.
Upgrading and cultures medical - a dignity. providing country people it is provided by further improvement of work of primary links of rural health care, strengthening of material and personnel capacity of regional and local medical institutions, snowballing of peredvpzhny types of medical aid, including dental, expansions of volume of specialized medical aid. Also the measures directed to further improvement preventive y medical and diagnostic work, expansion of volume and upgrading and effectiveness of routine maintenances and medical examination of villagers, strengthening of work on a gigabyte are provided. to education, promotion of a healthy lifestyle, fight against addictions.
Considerable expansion of network of medical ambulatornopoliklinichesky institutions is planned that the volume of the medical extra hospital assistance to country people will significantly bring closer to the volume of such help to city dwellers. Only for years of the eleventh five-years period in the village it will be organized apprx. 2,3 thousand new medical out-patient clinics, and according to the resolution of the Central Committee of the CPSU and Council of ministers of the USSR «About measures for further improvement of housing, household and welfare living conditions of country people» 1950 such out-patient clinics will be created at the expense of means of collective farms and state farms. Improvement of quality of the extra hospital help to country people at the level of primary link will be promoted by expansion of its volume: the organization in rural medical out-patient clinics not less than three medical receptions — therapeutic, pediatric and dental is provided. Expansion of network of assigned therapeutic and pediatric medical sites, increase in number of mobile medical out-patient clinics and other mobile forms of rendering medical aid is at the same time planned.
In 1981 — 1985 considerable expansion of network of rural medical institutions, hl is planned. obr. due to the standard construction providing existence in structure of hospital of out-patient and polyclinic institutions; in central regional-tsakh on 400 and 250 beds — policlinics respectively on 600 and 500 visits per shift, in district police officers-tsakh on 50 beds — policlinics on 100 visits per shift.
According to decisions May (1982) Plenums of the Central Committee of the CPSU in the eleventh five-years period the organization in rural areas of service of fast emergency medical service will be complete. It is necessary to expand network of stations (departments) of ambulance and emergency medical service considerably. The resolution of the Central Committee of the CPSU and Council of ministers of the USSR «About additional measures for improvement of public health care» to the relevant ministries and departments of the USSR established tasks on providing health care with a specialized medical ambulance, the dispatching equipment, medical equipment for equipment of institutions of ambulance and emergency medical service and out-patient and polyclinic institutions. In particular, it is planned to provide rural stations (departments) of fast and acute medical aid with the modern dispatching equipment, a dignity. transport of the increased passability, the necessary diagnostic equipment. In the eleventh five-years period the organization in all federal and autonomous republics, edges and areas of the centers of remote transfer of electrocardiograms from institutions of rural districts (medical out-patient clinics, local BCs, stations or departments of ambulance and emergency medical service) in the centers of remote diagnosis of republican, regional and regional BCs will be complete. The resolution of the Central Committee of the CPSU and Council of ministers of the USSR «About measures for further t» to councils of ministers of federal republics and the Ministry of Communications of the USSR it is entrusted to improvement of housing, kommunal-no-household and welfare living conditions of country people to complete installation of telephones to all in the twelfth five-years period to lay down. - the prof. of institutions and equipment of stations (departments) of ambulance and emergency medical service in rural districts means of a radio communication.
The main measures for further development and approach to country people of specialized medical aid is development of interdistrict specialized departments and improvement of organizational forms of their work. In the eleventh five-years period on the basis of large central regional BCs it is planned to organize St. 570 such departments almost on 17 thousand beds. Further expansion and strengthening of material and technical resources of the central regional BCs, the organization in them specialized departments of regional value, increase in number of departures to patients of regional specialists for consultations and rendering the practical help to doctors in medical institutions of rural medical sites is at the same time planned. Considerably also the volume of the advisory help by forces of specialists regional (republican, regional) BC with departures on places will extend.
Special attention will be paid to development stomatol. help to country people: measures but to expansion of network stomatol are provided. institutions in rural r-na, the organization stomatol. policlinics in regional centers of large districts, to increase in number stomatol. departments and offices as a part of rural BCs, policlinics and out-patient clinics, mobile stomatol. offices and dental surgery ambulatorrsh. For expansion of volume of the dentoprosthetic help to country people and increase in its quality the organization of the uniform centers of the centralized casting of dentures for all stomatol is planned. institutions of the rural district.
In days of the eleventh and twelfth five-years periods it is planned to carry out effective measures for further improvement to lay down. - to the prof. of the help to the women and children living in rural areas, to expansion of volume and increase in efficiency of medical examination and patronage of children and pregnant women, improvement of medical aid to children in rural preschool institutions and schools, the organization of their balanced diet, correct physical. education, hardening, to streamlining of immunoprevention. First-priority completion by pediatricians of rural medical out-patient clinics, creation is provided at large central regional-tsakh interdistrict specialized children's departments (ortopedo-traumatologic, from-rino laryngologic, neurologic, etc.), increase in number of mobile medical teams for rendering medical aid to the women and children living in the remote rural districts and in the conditions of distant-pasture livestock production. At the same time M3 of the USSR measures are taken for expansion of network and strengthening of material and technical resources of children's republican, regional and regional BCs, increase in their power up to 500 and more beds, creation of children's advisory policlinics on the basis of children's regional BCs, and at their absence — on the basis of regional BCs for adult population. Increase in level of specialized medical aid to the children's population will be promoted by work on the organization of the republican, regional and regional centers of specialized medical aid to children of rural areas in to lay down. - the prof. the institutions which are a wedge, bases of research pediatric in-t and departments of a pediatric profile of medical in-comrade.
Increase in level and quality of medical aid to country people is inseparably linked with completion of rural medical institutions by qualified personnel. Since 1983 not less than 16,5 thousand graduates of medical higher education institutions will annually direct in a target order to work in central regional and local-tsy, and also in rural medical out-patient clinics. Along with it measures for broader involvement of rural youth are provided in medical and pharmaceutical educational institutions with their preliminary transfer on preparing rooms medical and pharm. in-t, on increase in number of scholars of collective farms and state farms, providing advantages to the doctors and pharmacists working in rural areas at the direction them on specialization and improvement, and also during the passing of certification by them on assignment of qualification categories.
The Central Committee of the CPSU and Council of ministers of the USSR charged to the Central Committee of the Communist Parties of federal republics, regional committees and regional committees of party, the ministries and departments of the USSR, to councils of ministers of federal and autonomous republics, executive committees of regional and regional councils of People's Deputies to take measures to creation of appropriate labor and living conditions to doctors, paramedical staff and pharmaceutical workers, especially rural healthcare institutions. It is authorized to agricultural enterprises to make payment of remuneration following the results of work in a year to medics of the rural local BCs, out-patient clinics, medical and obstetrical centers and sanatoria dispensaries which achieved improvement in work on health protection and decrease in incidence of working. All these measures will promote fixing of medical and pharmaceutical shots in the village.
Implementation of decisions May (1982) Plenums of the Central Committee of the CPSU on ensuring high rates of page - x. production and to improvement of social living conditions of rural toilers the dignity demands improvement of activity of bodies state. supervision. The measures directed to further increase in effectiveness a dignity are carried out. supervision in rural areas, especially on strengthening of control of observance a gigabyte. norms at a design and building of the rural inhabited places, on a gigabyte. assessment of the created agro-industrial complexes, strengthening of supervision of food objects, subjects to water supply, storage and transportation of toxic chemicals. Also strengthening of work on occupational health is provided in the village - x. production, to development and deployment of the rational modes of work for various categories of page - x. workers. Experience testifies to efficiency of creative cooperation of designers of page - x. the equipment and scientists - gi-giyenistov. So, e.g., implementation of recommendations of the Saratov scientific research institute of rural hygiene at design stages and tests of tractors and combines allowed to reduce professional incidence among machine operators by 25 — 32% and to increase labor productivity by 28 — 35%. Establishment efficient dignity. supervision of design and operation of page - x. technicians — an effective way of improvement of working conditions of rural toilers. Implementation of the wide program for strengthening dignity. supervision in rural areas the dignity is provided with development of network of rural divisions. - epid. services, strengthening of their material and technical resources, completion of SES of rural districts by qualified personnel, and also increase in efficiency of their activity, a cut the dignity in many respects depends on implementation of the repaid modern forms of organizational work, improvement of methods of management. - epid. service in the village. On the basis of large regional SES toxicological, sanitary and bacteriological and other interdistrict laboratories will be organized.
Implementation of all these tasks demands great efforts, mobilization in wide scales of forces and means of the Soviet health care, including city to lay down. - the prof. and protivoepid. the institutions designed to participate actively in improvement of medical aid to country people and also increase in level of organizing work that in total will allow under the direction of party and Soviet bodies, with active participation of labor unions and other public organizations, active assistance of a number of departments to achieve goals in radical improvement of rural health care. General awareness of the public importance of this business and participation in it of all links of the Soviet society which is vitally interested in success of this business is necessary.
The listed actions for improvement rural health care will promote running in whole the Food programme; they, as well as all program, are equitable to radical interests of the Soviet people. Implementation of the Food programme including modernization and expansion of system of health protection of villagers will provide the further growth of their welfare and labor activity that in turn will improve living conditions, will promote preservation and promotion of health, extension of life and increase in working ability of the population of our country.
Bibliography: Lenin V. I. Theses of the report on tactics of RCP, Half-N of SOBR. soch., t. 44, page 3; And N d r about p about in Yu. V. The speech on the Plenum of the Central Committee of the CPSU on November 22, 1982, «Truth», No. 327 (23488), 23 of November, 1982; Brezhnev JI. I. O to the food programme of the USSR for the period till 1990 and measures for its implementation, the Communist, No. 9, page 4, 1982; Gorbachev M. Food programme and problems of its implementation, in the same place, No. 10, page 6, 1982; The Resolution of the Central Committee of the CPSU and Council of ministers of the USSR «About additional measures for improvement of public health care», «Truth», No. 238 (23399), 26 of August, 1982; The Resolution of the Central Committee of the CPSU and Council of ministers of the USSR «About measures for further improvement of housing, household and welfare living conditions of country people», the Communist, No. 9, page 57, 1982; The Food programme of the USSR for the period till 1990, in the same place, page 18.
S. P. Burenkov, I. P. Leads, A. M. Grindings.