Reforming Children’s Health Care in the Soviet Union after the World War II

The article presents the results of historical and medical research reflecting the issues of reforming children’s health care after the World War II. The aim of the study is to present the problems of reforming children’s health care in the USSR in the post-war decade (1946–1956). The study relevance is defined by necessity to examine the historical experience of reforming children’s health care during the most difficult for our country post-war period so we can learn crucial lessons from the past and use them further for the successful implementation of the federal project “Development of children’s health care, including the creation of modern infrastructure for medical care provision for children”. Published and unpublished documents of the USSR Ministry of Health and the USSR Academy of Medical Sciences, stored in the State Archive of the Russian Federation, as well as publications from medical journals, scientific collections, monographs were studied to cover this issue. The analysis of this study has shown that the most significant part in the state health reform started in the first post-war years was the merger of hospitals and clinics for adults, maternity hospitals with women’s consultations, children’s hospitals with children’s consultations and outpatients’ clinics. The post-war reform has contributed to the improvement of the quality of inpatient and outpatient medical care, to the increasing role of the hospital as the organizing and leading center of all united facilities. The integration of children’s hospitals with consultations and outpatients’ clinic, as well as the organization of the primary pediatric care according to the system of medical and preventive care provision for children aged from birth to 16 years by single pediatrician, have shown succession in the work of primary care doctors and hospitals. The increase in the health workers qualifications, the development of specialized types of medical care, the improvement in the quality of medical and preventive care were observed. The reform of children’s health care contributed to the diseases’ timely diagnosis and early patients’ hospitalization, strengthening the connection of the primary care doctor and nurse with the child’s family, and decreasing of child morbidity and mortality.

1. Federal project “Razvitie detskogo zdravookhraneniya, vklyuchaya sozdanie sovremennoi infrastruktury okazaniya meditsinskoi pomoshchi detyam”. Documents published July 16, 2019, updated April 26, 2023. (In Russ). Доступно по: https://minzdrav.gov.ru/poleznye-resursy/natsproektzdravoohranenie/detstvo. Ссылка активна на 09.09.2023.

2. Aktual'nye voprosy razvitiya detskogo zdravookhraneniya i sozdaniya ego sovremennoi infrastruktury. In: Federation Council of the Federal Assembly of the Russian Federation: Official website. (In Russ). Доступно по: http://council.gov.ru/activity/activities/parliamentary/143235. Ссылка активна на 09.09.2023.

3. Grechshnikova LV. Okhrana materinstva i detstva v SSSR. In: Rukovodstvo po pediatrii. Moscow: Meditsina; 1965. pp. 720-760. (In Russ).

4. Goldfeld AYa. Ocherki po istorii pediatrii SSSR. Moscow: Meditsina; 1970. 184 p. (In Russ).

5. Spravochnik po organizatsii zdravookhraneniya (osnovnye postanov-leniya i vedomstvennye materialy). Shabanov AN, ed-in-chief; Artem'ev F, Ermolaev I, compilers. Moscow: Medgiz; 1950. 807 p. (In Russ).

6. Zborovskaya FI. Organizatsiya lechebno-profilakticheskoi pomoshchi detyam. Moscow: Medgiz; 1941. 135 p. (In Russ).

7. State Archive of the Russian Federation (SARF). Fund 8009. Ministry Health of the USSR. Inventory 21. Records 43. Instructions of the People's Commissariat of Health of the USSR on children's health (June 7 - August 3, 1943). L. 4-5 f.s. (In Russ).

8. Al'bitskii VYu., Sher SA. Sovetskaya sistema okhrany zdorov'ya detei v gody Velikoi Otechestvennoi voiny. Baranov AA, ed. Moscow; 2022. 163 p. (In Russ).

9. SARF. Fund 9120. Academy of Medical Sciences of the USSR. Inventory 2. Records 870. Report on the research work of the Institute of Pediatrics of the Academy of Medical Sciences of the USSR for 1949. L. 64-71. (In Russ).

10. Ocherki istorii zdravookhraneniya SSSR (1917-1956 gg.). Barsukov MI, ed. Moscow; 1977. p. 310. (In Russ).

11. Kovrigina MD. Okhrana narodnogo zdorov'ya v SSSR. In: Sorok let sovetskogo zdravookhraneniya. Moscow: Gosizdatel'stvo meditsinskoi literatury; 1957. pp. 5-31. (In Russ).

12. Sevbo LK, Javno VM, Kazantseva VT. Organizatsiya meditsinskoi pomoshchi detyam Leningrada, bol'nym revmatizmom. In: Okhrana zdorov'ya zhenshchin i detei. Leningrad; 1978. pp. 33-40. (In Russ).

13. Grechishnikova LV, Nikonchik OK. Okhrana zdorov'ya zhenshchin i detei. In: Sorok let sovetskogo zdravookhraneniya. Moscow: Gosizdatel'stvo meditsinskoi literatury; 1957. pp. 221-268. (In Russ).

14. Gagaeva MA. Obsluzhivanie detei na sel'skom vrachebnom uchastke. Moscow: Medgiz; 1960. 64 p. (In Russ).

15. Konstantinov GF, Kal'ju PI. Lechebno-profilakticheskaya pomoshch' sel'skomu naseleniyu. In: Sorok let sovetskogo zdravookhraneniya. Moscow: Gosizdatel'stvo meditsinskoi literatury; 1957. pp. 191-219. (In Russ).