The Influence of Public Administration on Demographic Changes in the Perinatal Sphere and Healthcare

Abstract

One of the objectives of the state is to support, optimize and develop the health care system, in particular, to increase the fertility rate. The issue of improving public management in the perinatal sphere remains relevant. The purpose of the academic paper lies in identifying the ways to improve public management in the perinatal sphere as a factor influencing the demographic situation in the country. Methodology. In the course of the research, a mixed approach has been used, as well as qualitative and quantitative analysis of public management and its efficiency in the perinatal sphere in Ukraine, Poland, and Germany. The qualitative content analysis was carried out based on a literature review and study of strategic, programmatic documents for the development of perinatal care. The quantitative analysis is based on the evaluation of statistical indicators of the effectiveness of public management. Results. The dynamics of the principal demographic indicators in Ukraine remain negative; in particular, negative natural growth and a decrease are observed in the average age of women who give birth against the background of an increase in morbidity and perinatal mortality. The system of organizing perinatal care in Ukraine is generally in the process of regionalization. Consequently, it needs improvement in the direction of regional decentralization of power and funding. Reducing the level of perinatal mortality and its components requires the further development of regionalization of perinatal care, the completion of the creation of III-level perinatal care centers, the review and provision of patient routes, the development and provision of state-guaranteed medical services / standards (standards for the safety of children, pregnant women and women in labor), the reliability of determining the weight body at birth, live birth and stillbirth criteria. It is expedient to develop individual models for the organization of perinatal care for the population in the individual regions, taking into account the