Newborns’ routing organization in subjects of the Russian Federation

Reduction of infant mortality is a priority task for achieving the national development goals of the Russian Federation. The paper analyzes the influence of regional routing of newborns on the infant mortality rate in the subjects of the Russian Federation. The infant mortality rate for the period January–November 2023 in the Russian Federation is below the target value and amounts to 4.1‰, which is lower than the rate for the same period of 2022 (4.3‰). At the same time, subjects implementing insufficiently effective intraregional routing of newborns have a high rate of neonatal deaths in the early and late neonatal period concerning medical organizations of the I and II level of medical care. In order to improve the availability and quality of medical care for newborns, as well as to reduce the number of re-hospitalizations of newborns between medical organizations of the same level, including those requiring emergency surgical correction, it is necessary to update regional and interregional routing schemes in the provision of care to newborns, taking into account the orders of medical care, principles of territorial planning (with a detailed description of the areas of responsibility of each medical organization located on the territory of the subject).