THE CHARACTERISTICS OF THE HEALTH STATE POPULATION IN CENTRAL SERBIA

The aim of this study was to analyze the health status of the population in Central Serbia, in order to identify priority health problems. For data source, authors used reports about diseases, conditions and injuries, recorded in services for the health care of preschool children, services for school health, health care services for the adult population and services for the health care of women’s health centers in Central Serbia in 2015. On the territory of Central Serbia, leading cause of morbidity in children of preschool and school age are diseases of the respiratory system. Cardiovascular diseases and respiratory diseases dominate in the structure of morbidity in the adult population, as well as high blood pressure as a single disease, while in the female population the most common are diseases of genitourinary tract.


INTRODUCTION
Assessment of the health status of the population is socio-medical procedure that allows us to obtain the objective picture of the health status of population using indicators.
More precisely, population health must be considered as the relation with indicators of the mortality, morbidity, disability, anthropometry and the quality of life.
Assessment of health status should be the first stage and a prerequisite for continued systematic and planned work to improve health, as well as the overall health system. Testing and evaluation of population health is not only the foundation of a modern health care planning and health services, but also a prerequisite for the planning and programming of work and development of health services on planning grounds, as well as the health promotion and further development of the health sys-tem. Today, almost all countries of the world are doing assessments of health, as a prerequisite and basis for the work on the reform of the health system (1).

AIM
The aim of this article was to analyze the health status of the population in Central Serbia, with the idea of identifying the priority health problems. This will ensure the implementation of the proper measures in addressing these problems.

METHOD
For data source, authors used the reports about diseases, conditions and injuries of services for the health care of preschool children, services for school health, health care services for the adult population and services for the health care of women's health centers of Central Serbia in 2015. The results are presented in tables.

RESULTS AND DISCUSSION
The population group of preschool children belongs to the birth time up to 6 years age. The proper attention should be paid in order to protect the health of this population group, not only because of special sensitivity to the effects of different factors, which may endanger their health, but also due to the fact that poor health and unhealthy lifestyles in childhood may result in poor health throughout their lives, which for the company means the health, financial and social consequences (2).
In health care services for preschool children in the territory of Central Serbia were registered in 2015, 138 074 illnesses. Five of the most common groups of diseases are diseases of the respiratory system with Professional article 50.5%, followed by the factors influencing health status and contact with health services with 17.2%, diseases of the ear and mastoid process with 5.5% and symptoms, signs and abnormal clinical and laboratory findings to 7.4% ( Table 1). The leading diagnoses in a group of diseases of the respiratory system are acute inflammation of the throat and tonsils (43.2%) and upper respiratory tract infections (27.5%). These diseases are a short stream of good forecast and with greater socio-medical significance. Diseases of middle ear and mastoid disease is the most common diagnosis from a group of diseases of the ear and mastoid process with a share of 93.4% (Table2). Population group of school children and youth belonging to school children aged 7 to 14 years and school youth (teenagers) from 15 to 19 years. School children and youth indicators of health are considered as the healthiest of all other age groups. However, this period of life is characterized by rapid sexual and psychosocial development as well as the risk for the formation of various risk behaviors, which may endanger the health at given time and/or later in life (3).
The most common causes of morbidity of school children on the territory of Central Serbia, in 2015 were respiratory diseases, accounting for 38.6% of the total morbidity.
The most common diagnosis in this group of diseases was acute inflammation of the throat and tonsils, which makes 42.9% of all diagnoses of diseases of the respiratory system. Upper respiratory tract infections are on the second place among the leading diagnoses of acute bronchitis and bronchiolitis. This acute disease has a short course, a good prognosis without greater social and medical importance. In second place are the factors influencing health status and contact with health services with 28.9% and third in total registered morbidity of this population group -the symptoms, signs and abnormal clinical and laboratory findings with 7%. Disorders of skin and subcutaneous tissues are in fourth place in the overall morbidity of school children (Table 3, Table 4). Women's health is due to the high sensitivity of this population group and the fact that women take care of their own health but also the health of their children, parents and other family members, certainly of particular importance. Women's health involves an emotional, social and physical well-being, and is determined by the social, political and economic context in which women live, as well as the biological aspect. Women's health is not just her personal problem but also a problem of respective societies and the international community. Improving the health and quality of life of women has the very positive impact on the entire family (4).

GROUP OF DISEASE
In health care services for women in the territory of Central Serbia in 2015, more than half of the total mortality (60.7%) is a group of diseases of urinary tract. Factors influencing health status and contact with health services are represented with 27.1% of the morbidity of this service. The total morbidity of this service showed that 3.7% of a group had problems concerning -preg-  nancy, childbirth and confinements. The most significant group due to chronic course, the possibilities of secondary prevention and high participation in mortality, make tumors, whose share in the total morbidity services for the health care of the women in Central Serbia with 4.5% (Table 5, Table 6).
In general medicine of health of Central Serbia, in 2015, a total of 459 055 illnesses were recorded. The leading place in the structure of morbidity in the general medicine on the territory of Central Serbia in 2015 occupying diseases of the circulatory system with 19.8%, which, like other chronic, mass, non-communicable diseases to progressively flow often lead to absenteeism, disability and shortening the length of the quality of life.
Leading diagnoses within this group of diseases is essential (primary) arterial hypertension (67%). In second place are the diseases of the respiratory system to the proportion of the total morbidity of 19.4%, which have the higher socio-medical significance, because it is an acute disease with a short course and the possibility of effective treatment. The leading diagnoses in this group of diseases are acute inflammation of the throat and tonsils, acute bronchitis/bronchiolitis and upper respiratory tract infections. Factors' influencing health status and contact with health services are ranked third with a share of 8.8%. Diseases of the musculoskeletal system and connective tissue are represented with 7.9% of morbidity in general medicine services. A group of diseases of urinary tract is in fifth place with a share of 7.4%. Within this group inflammation of the bladder with an incidence of 60% is the most common diagnosis in an adult population (Table 7, Table 8). Similar results were found in our neighborhood countries. In Croatia in 2015, in the structure of morbidity of the adult population were the most common respiratory diseases and diseases of the heart and blood vessels. For children of preschool and school age usually are diseases of the respiratory system, followed by infectious and parasitic diseases, ear, skin and subcutaneous tissue. The most common reasons why women went to the gynecological clinic and used the services of chosen gynecologist within primary health care of women in Croatia in 2015 were diseases of the urinary