Overview and analytical article by Jainakbayev M.N. on the topic “Study of foreign experience in providing paid and free medical services and its using in the health system of Kazakhstan” provides an overview of effective tools and mechanisms for organizing and financing free and paid medical services for patients in foreign practice. The article examines the healthcare systems of Sweden, France and the USA. Each studied health system has a number of advantages: quality registries have been introduced in Sweden that allow the patient to give feedback on cases treated, and the government to collect information for planning the development of the health system; in France, all general practitioners and medical specialists are united into a single national network; information about the nearest specialist and the cost of services can be obtained from a single information system in which all patients are also registered; in the USA - due to the high cost of medical care, tools have been introduced to inform patients about the possibilities of obtaining additional funding for medical care. Studied foreign experience allows us to form a number of recommendations for the further development of the health care system of the Republic of Kazakhstan.

 The article provides an overview of the information security of the population on the prevention of alcoholism, conducted in a study with the aim of improving the technology of scientific information support of health professionals.
In the Republic of Kazakhstan, a special state policy on the prevention of alcoholism and drunkenness is being implemented today, and a sober lifestyle is being promoted.

This article describes the creation of a day care center for the elderly and the provision of medical and social rehabilitation with common therapeutic diseases such as arterial hypertension and cognitive disorders. The paper shows the possibilities of a preventive approach for the elderly through the provision of medical, psychological, social, physical rehabilitation.

Currently, the problem of the development of anemia and latent iron deficiency in female students is of no small importance. These girls in a few years will begin to implement their reproductive functions. And in the event of pregnancy on the background of anemia, this condition will worsen, a child with an anemic syndrome will give birth. As a result, a vicious circle develops. Anemia in the mother - anemia in the child - anemia in the adolescent - anemia in the female student — anemia in the pregnant woman. The negative impact of anemia on reproductive health is well known, and it is precisely female students who constitute the reproductive potential of our country.

Currently, ischemic heart disease, including angina and myocardial infarction, is more common among adults and young people. Using the Health-Express hardware and software complex in the 2018-2019 academic year, more than 200 students of our university were examined and the main risk factors for cardiovascular diseases were identified: hypertension (arterial hypertension), (overweight) and other factors. Epidemiological studies of the Health-Express hardware-software complex were completed by 20% of students by random choice. The survey revealed the main risk factor for ischemic heart disease among students.

Vaginal biotope is individual and may even be one of the causes of menstrual disorders. In addition, the concept of a normal rate may be different, for example ethnic groups, and even geographic zones. The normal state of the vagina is represented by lactobacilli biotope, a slight presence of pathogenic microorganisms (normocenosis).

Kazakhstan is an unfavorable endemic zone on thyroid diseases. Autoimmune thyroiditis is one of threatening diseases for the women reproductive system. It is especially important, that AIT often combines with gynecological and with obstetric pathology. In turn the level of inflammatory diseases of the pelvic organs in Kazakhstan remains very high.
Later beginning of treatment conduces to the heaviest consequence: sterility. With the help of hormonal contraceptives it becomes possible to affect on sexual hormones that regulate exchange processes and possess an antimicrobial action. A hormonal contraception does not cause negative influence on maintenance of TSH and T4 in the serum of blood, what is more, causes the immunosuppressive influence on the anti-TPO, anti-Tg level of, has a favorable influence on the flow of AIT and equilibrates the state of health. Thus, a hormonal contraception in combination with basic therapy of pelvic inflammatory diseases with autoimmune thyroiditis does not cause adverse influence on thyroid hormones and forms a normal vaginal biotope.

Urogenital disorders are the most of common form of pathology of the genital tract and urinary system in menopause. In this regard, a symptomatic complex of secondary complications associated with the development of atrophic and dystrophic processes is detected. In general, urogenital disorders begin 5 or more years after the onset of menopause. In menopause, 50%-70% of patients in the age group of 55-60 years and 75-year-old women often have symptoms of this pathology. The increase in the frequency of this pathology in these age groups has a negative impact on the family, social status and quality of life of patients. In the context of the resulting complications in the menopause, the problem of quality of life is at the forefront.

The leading establishment of the existing developing pregnancy takes up the chromosomal abnormality of the abortions. The frequency of occurrence of this pathology is 60-70%. Particular attention is paid to immunological and hormonal mechanisms of abortion, in particular, the insufficiency of the effects of progesteron-induced blocking factor, which is a powerful local immunosuppressor providing an embryoprotective effect.
The urgency of the future treatment of womenreproductive system with undeveloped pregnancy and the treatment of the doctor in the precognitive period are substantiated

Chronical сholecystitis is an inflammatory disease of the gallbladder. It can be both acute and chronic. Pregnancy is one of the risk factors for the development of the disease, because during this period a woman’s hormonal system seriously change, which can be one of the reasons for the formation of cholecystitis. Treatment in pregnant women is difficult, nevertheless with that opinion we know what treatment and what will be do.
Drug therapy should be prescribed by a doctor, because we have a pregnancy. Some of them may have undesirable effects to the fetus.

Primary and secondary infertility rates are identical. Endometriosis cysts in the ovaries and commissural process in the pelvic region are observed frequently during secondary infertility, which is related with a high rate of operablе intrusion in previous health history.
The cause of infertility for adenomyosis is considered to be implantation dysfunction and mane other factors

Hysterectomy is the most operation in gynecological practice.
Currently, many studies have been performed that laparoscopic hysterectomy (LH) is considered. According to most publications, it can be said that the “learning curve” stage of laparoscopic hysterectomy as a “new” operation has been completed. At the present stage, the laparoscopic hysterectomy technique can be considered widespread introduction of surgical intervention.

The main problem of the protection mothers and children is a new measures to protect them. In Kazakhstan, women of reproductive age are 54.9% all of the women. Active reproductive age (20-35 years) consist 24% women. To this end, we decided to explore the causes that affect the promotion of reproductive health and the preservation of the mother’s life.
The statistical analysis of the Ministry of Health of the Republic of Kazakhstan showed us systematic approach as same as the regional characteristics of our country, which are characterized birth control

One of the main goals of health care today is to improve the quality of medical care provided at all levels of practical health care. This material shows the results of the analysis of the quality of medical care provided on the basis of the examination of the medical card of inpatients treated in the therapeutic department. 

The article presents the peculiarities of changes in biochemical parameters and clinical manifestations of diseases such as alcoholic hepatitis, alcoholic cirrhosis and fatty degeneration of the liver in individuals who consume alcohol for a long time.

Treatment of syndactyly in children is one of the urgent problems in traumatology-orthopedics, since the restriction of differentiated finger movements is a major obstacle to the normal harmonious development of the child due to dysfunction of the hand and locomotor function. The operation used by the Krone method with some of our modifications allows us to increase the functional status, and 15 children fully restore the function of the operated limb.

The article presents the results of the eradication therapy of HP factor in the treatment of patients with gastric ulcer and duodenal ulcer

The article presents the features of the clinical and laboratory-instrumental characteristics of the disease, such as primary biliary cirrhosis, which presents a certain difficulty in diagnosing at the level of the primary practical help.

The article presents the features of changes in biochemical parameters and clinical manifestations of cholestasis syndrome in alcoholic liver disease.

The effectives of various types of surgiries has been studies, allowing the preservation of the reproductive organ – the uterus during obstetric bleeding. The role of the introduction of modern clinical protocols in obstetric bleeding.