Health care system
At the very beginning of the 20th century a Russian scientist, economist and ethnographer Dunin Gorkovich wrote about our northern lands: "The situation with healthcare here is so unsatisfactory that it is quite incapable to meed the needs of the population. There are 100 taverns, 80 churches, 35 schools and only 2 hospitals for the whole territory."
Two district doctors worked in the Surgut and the Berezov districts, and one visiting doctor in the Obdorsky district. Local population suffered from smallpox, typhoid, syphilis, tuberculosis, honeycomb tetter, trachoma, children's infectious diseases. They were treated by shamans.
In 1917 there already were 2 hospitals for 20 beds in the territory of the would be Okrug, two outpatient stations without doctors, 5 rural health posts with military paramedics and midwifes. Every year medical sled-driven and ski teams from Tyumen, Omsk, and Moscow were sent to Ugra for providing medical treatment and organizing measures for disease prevention.
General situation in healthcare gradually improved. New hospitals and rural health posts were opened. Currently all kinds of healthcare organizations of the Autonomous Okrug employ almost 8 thousand doctors and over 2 thousand paramedical personnel.
Many of the Autonomous Okrug's doctors have academic degrees including: 230 PhD in Medicine, 18 Doctorates in medicine, as well as honorary degrees holders such as Honoured Doctor of the RF, Expert of Healthcare, Honored Healthcare Expert of Ugra.
Every year almost 10 thousand patients receive hi-tech medical care in healthcare institutions of the Okrug, and about 2 thousand Ugra citizen are treated in the federal medical centers. Hi tech medical care in available in the Autonomous Okrug in all healthcare disciplines with the exception of transplantation. In 2014 a decision was made to set up in the Autonomous Okrug a kidney transplantation center, and a task force was established for the elaboration of a regional organs and tissues transplantation concept development.
To expand the scope of hi-tech medical care in Ugra the region has built and operates the Ophthalmic and the Oncological Centers, a multiprofile 1,100 beds hospital is under construction in Nizhnevartovsk. The government takes all the necessary measures to ensure uninterrupted supply of the required medical consumables to these institutions.
The Okrug's healthcare organizations have dedicated doctors' teams visiting remote communities on a regular basis to perform population screening and identifying patients requiring high tech medical care.
Zoning principle is used to ensure equal accessibility of medical care to the population of the Okrug. 5 zones have been identified with the centers in major Ugra cities. Healthcare organizations in these centers provide specialized medical care to the population of neighboring communities taking into account transportation accessibility. The centers provide all kinds of medical aid: perinatal, cardiological, oncological, traumatological, psychiatric, narcological, phthisiatric, and dermatovenerological.
There are plans to start using Autologous Stem Cell Transplantation (ASCT) techniques for hematological diseases and cancer treatment, and continue the development of diagnostic and therapeutic nuclear medicine techniques.
The goals of the currently functioning healthcare system in the Khanty-Mansiysk Autonomous Okrug – Ugra are improvement of the population's health, reduction of mortality rate and extended life span of the people.