HEALTH OF PRISONERS IN THE VOLGA FEDERAL DISTRICT
IN CONDITIONS OF FEDERAL PENITENTIARY SERVICE REFORMATION 

Tulenkov Aleksey Mikhaylovich, Candidate of medical sciences, major of the internal service, head of department of research of internal pathology, socially-significant diseases, hygene and ecology, branch of Research Institute (Izhevsk) of the Federal Punishment execution service of the Russian Federation
(10a 10-ya Podlesnaya street, Izhevsk, Republic of Udmurtia), filialniifsin@mail.ru

614.2

Background. The aim of the study is assess the status and trends of morbidity, disability and mortality of persons held in correctional facilities of the Volga Federal district in the period of the first stage of reformation of the Federal penitentiary ser-vice (2006–2013). The ongoing modernization of the Federal penitentiary service at the first stage realized in its structural transformation that primarily pursued the aim of providing favorable conditions for preservation and strengthening of health of prisoners. Practical interest is the evaluation of the dynamics of health status of the investigational contingent that will justify the measures of further improvement of medical assistance to prisoners.
Materials and methods. Estimation of the health status of prisoner was assessed by a complex of traditional indicators used in healthcare: mortality, disability, total and primary morbidity according to the uptake of medical care and preventive examinations. The analysis was based on data from the departmental statistics of the Federal penitentiary service and the official data of the health Ministry of Russian Federation for the period from 2006 to 2013. Statistical data were analyzed with the use of sampling, grouping, comparison and synthesis, research of time series using Microsoft Word, Microsoft Excel.
Results. The authors estimated both the generally recognized health indicators and the impact of individual factors on the level of the indicators of prisoners’ health held in penitentiary facilities. The results obtained were used in Management planning of medical and sanitary provision of the Federal prison service activities for im-provement of the healthcare system, undertaken in the framework of realization of the Concept of incarceration in the Russian Federation until 2020, particularly in es-tablishment of medical units of a new type.
Conclusions. The information obtained provides an objective picture of the dynamics of the health condition of prisoners and the need for improvement of the healthcare system in penitentiary facilities.

morbidity, mortality, disability, medical care, prisoners.

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