[REPRODUCTIVE HEALTH OF GIRLS-TEENAGERS - AS A MEDICAL-SOCIAL PROBLEM OF KAZAKHSTAN]

The purpose of the study - to evaluate the gynecological and somatic pathology of Almaty teenage girls in order to improve measures to improve the reproductive health of this category of the population. As research materials, statistical data on the prevalence of gynecological pathology among teenage girls in Almaty were used, who sought medical help from the Almaty City Center for Human Reproduction (SCCR) and reporting forms from the Almaty city branch of the Republican Center for Electronic Health in 2013 to 2018. In work were applied: analytical, epidemiological, statistical techniques. It is noted that the gynecological pathology of teenage girls in Almaty does not tend to decrease. In the structure of gynecological diseases, the leading place is occupied by abnormal uterine bleeding (specific gravity - 36.4%; prevalence per 1000 girls in Almaty is 0.55). Next in importance are inflammatory diseases of the internal genital organs (specific gravity - 15.3%; prevalence per 1000 girls - 0.24), dysmenorrhea (specific gravity - 10.0%; prevalence per 1000 girls - 0.17). In order to improve the reproductive health protection of adolescent girls, it is necessary to implement a multifactorial approach that provides for the correction of several factors affecting the reproductive potential. It is recommended to implement a set of medical and social measures: the integration of all services ensuring the reproductive health of adolescents; introduction of highly effective and high-tech forms of specialized gynecological care to this category of the population in the practice of public health in Kazakhstan.