Urhulumente we-Tula wazisa umphambili wendlela yokuphucula izikhombisi zendalo kulo mmandla.
Ukuqeshwa kwayo okokuqala: Ukulungiswa kwenani kunye nokuqulunqwa kwabantu kunye nokwandisa okuhamba naye.
Uku-oda kuphuhlisa uxwebhu olunjalo irhuluneli ye-Tula I-Alexei Duchi ye-Russian Vladimir Spin, eyenzeka ngoNovemba kunyaka ophelileyo. Ukuphunyezwa kweprojekthi yenzelwe i-2021-2024.
Ngokutsho kukaSekela-Sihlalo woRhulumente we-Tula, i-Olga Greyakuva, eyona ndlela yokuphunyezwa kweprojekthi iya kuba ngunxibelelwano oludibeneyo lwabasemagunyeni, oorhulumente beengingqi, imibutho yasekhaya kunye nabaqeshi.
Ukuzinza kwenani kunye nokuqulunqwa kwabemi kucwangciselwe ukuba kufezekiswe ngokuxhasa iintsapho ekubulaweni kwabantwana, inkxaso ekujoliswe kuyo ngokukhulelwa, kunye nokutsala abasebenzi abatsha abafanelekileyo kwingingqi.
Imephu yendlela yaphuhliswa ngesiseko sokuhlalutya amandla ezimpawu zezalathiso, kunye nokuthatha ingqalelo kwiimfuno zosapho ngalunye oluthile.
Isakhiwo sentlalo senziwe kwingingqi ye-Tula, ebandakanya inethiwekhi ebanzi yamaziko okhathalelo lwempilo, imfundo, inkcubeko, umgaqo-nkqubo wezemidlalo nolutsha. Ngo-2021, kucwangcisiwe ukuvula ii-trieergartens ezili-9, ukuthunyelwa kwesikolo "sexesha", ukwakhiwa kwezikolo eTula naseDonskoy, ukuvulwa kwesakhiwo esitsha se-TULA, Amabala angama-25. Kwiintsapho ezinabantwana, iinkqubo zemfundo ezongezelelweyo ziphunyezwa, iiklasi nganye, ukuzonwabisa kunye nemicimbi yezemidlalo yenziwa.
Kummandla, imibutho ekhuthaza iingcaciso zentsapho yemveli, iiklabhu zosapho kunye nemibutho yabazali isebenza, kunye nentshukumo yokuvolontiya "kwintsapho eya kwintsapho."
UOlga Greyakova watsho ukuba iziko lentlekele ukufumana uncedo kwabasetyhini kuya kuphinda kuhlaziywe kwiZiko loNcedo lwezeNtlalontle nosapho.
I-3 Iicawa ziya kusebenza embindini:
-Isebe lamanyathelo okuhlaziywa kwabafazi nabantwana;
-Iingxaki zeli candelo loncedo;
-Isebe "iZiko lam lentsapho", kwisiseko sokuba, ngokuthatha inxaxheba kwemali kwesiseko senkxaso yabantwana kwimeko enzima, iprojekthi "iyakwenziwa.
IZiko loNcedo lweNtlalo kusapho kunye nabantwana baya kuba yeyona ndlela iphambili, ikhonkco lokulungelelanisa lenkqubo yeNkxaso yoSapho yeNgingqi. Iya kumangalisa ezahlukeneyo, kubandakanya izixhobo zolwazi.
Iindidi zenkqubo zenziwe, ezivumela ukuphucula iimeko zokuphila kosapho. Iintsapho ezincinci zinokuphucula iimeko zezindlu kwiNkqubo "yeZindlu ezifikelelekayo. Zinikezwe intlawulo yeNtlalontle yama-30%, kwaye kwimeko yokuzalwa komntwana, inyuka ngenye i-5% yeendleko eziqikelelweyo zezindlu ukuze ihlawule imali kwimali mboleko okanye imbuyekezo yemali yazo Ukuthengwa kwezindlu okanye ukwakhiwa kwendlu. Ngo-2021, oku kuya kuphucula iimeko zezindlu malunga neentsapho ezingama-370. Umthetho wezemihlaba uqinisekisa ukwenziwa kwemali mboleko yemali kwi-6% yepesenti ngonyaka kwixesha lonke lokuboleka ngokuzalwa kwabantwana besibini nabalandelayo. Kwingxowa-mali yengingqi yokuphuhliswa kwezindlu kunye nemali mboleko-mali, ungafumana imali mboleko yenkqubo "yezindlu ezifikelelekayo", "ikhaya" leminyaka eli-3 ukuya kwengama-30 kwinqanaba le 6.25%.
Ukuhlawula igalelo lokuqala okanye intlawulo yemali mboleko yemali mboleko, iindlela ze-federal cam ingasetyenziswa. Kananjalo kwiintsapho ezinkulu zokubuyiselwa kwemali mboleko zibonelela ngenkxaso karhulumente kwinani lamawaka angama-450. Kwinqanaba lengingqi, ekuzalweni komntwana wesithathu nolandelayo, ukusuka ngoJanuwari 1, 2024 ukuya kuDisemba 1, 2024 ukuya kuthi ga kwi-20, 2024, i-ruble ye-ruble yamawaka ali-150 kwi-ruble yamawaka ali-150 ikwabandakanyiwe ekuphuculeni iimeko zezindlu. Ukusukela kunyaka ophelileyo, iintsapho ezininzi zinethuba lokubuya kwesakhiwo secandelo lokufumana intlawulo yemali yexesha elinye engama-200 kwi-rubles yokuphucula iimeko zezindlu.
Ukwenzela ukusetyenziswa ngokukuko kwamanyathelo enkxaso karhulumente ukuphucula iimeko zezindlu zeentsapho ezinabantwana, kulo nyaka ziya kufumana inkonzo ekhethekileyo esekwe kwiintsapho ezinale ndawo.
Ukususela ngo-2021, iimeko zokupheliswa kwezivumelwano zentlalo ziya kutshintsha kwingingqi. Oku kuyakwandisa ubungakanani bezibonelelo zentlalo kwaye kuya kwandisa uluhlu lweemeko ezinokuthi zigqitywe phantsi kwemvumelwano yentlalo. Isibonelelo senyanga sokukhangela emsebenzini okanye ukoyisa imeko yobomi obunzima kuya kuba ngaphezulu kwe-11900 ruble. Unokufikelela kwi-ruble i-ruble i-ruble kulondolozo lwefama yenkxaso yobuqu, nakwi-ip-ukuya kwi-250 yamawaka ama-ruble ngexesha.
Nyaka ngamnye, malunga ne-370 yabasetyhini abaqeqeshiweyo kwimfuno kwiintengiso zentengiso yabasebenzi. Kwakhona, iikhosi zamashishini ezikhululekileyo zilungiselelwe abasetyhini nabantwana. Malunga namawaka ama-200 amawaka angaqeshwanga aya kuba nakho ukwenza uqeqesho lomsebenzi kwaye afumane imfundo eyongezelelweyo ngaphezulu kwe-50 yezodwa.
Xa ulungiselela ishishini lakhe kunye nokuziqesha, abemi abangaphangeliyo banikwa uncedo lwezemali kwi-118 kwi-ruble yamawaka ali-118, ngonyaka wama-2021 uya kufumana abantu abangama-226.
Kubantu abancinci abangaphantsi kweminyaka engama-30, iMicimbi yoQeqsho kwizakhono ezahlukeneyo zeshishini zicwangcisiwe, unyaka ngamnye wabathathi-nxaxheba uya kuba ngama-500 ubuncinci abantu.
NjengoSekela-Sihlalo woRhulumente we-Tula, i-DMMMYROVOV, yaqatshelwa, kwicandelo lezempilo kule minyaka mibini izayo icwangcisiwe ukwandisa inani labafikisayo ukuya kuthi ga kwiipesenti ezingama-80. Oku kuyakwenza nokugcina impilo yabemi. Eyona njongo iphambili kukugubungela abasebenzi abadala ekukhuseleni impilo yokuzala 52 yabemi bommandla. Phantse phantse kabini kakhulu njengalo nyaka (malunga ne-30%).
Ngo-2020, ukusasazwa kunye nokuntywila kwabahlali abantu abadala kuyaqhubeka, ama-32 imibutho yezonyango yayithatha inxaxheba kubo. Malunga ne-240,000 yabantu abahloliweyo. Ngama-22 19 ama-190 amatyala okanye amatyala ali-130 nge-1000 nge-1000 ehlolwe. Kwiziko lezonyango lommandla, usuku olunye lokufumanisa ukuba izifo ze-incofagisiwe zaziswa. Ukususela ngo-Matshi 1 ukuya ngeMigqibelo, abahlali bayakwazi ukunxibelelana neklinikhi yabo kwaye baphumelele inani lophando. Ke, abafazi baneminyaka eli-18 ubudala kwaye abadala banokudlulisa uhlalutyo lokuchonga iimpawu zomhlaza zokubhalwa kwamalungu okuzala, abaguli abangaphezulu kwe-40 baya kufumana isalathiso seMammography. Amadoda angama-40 ahlala ehlolisisa umxholo wePathogies kumathumbu, iminyaka engama-45 nangaphezulu - ukuchonga iimaki zomhlaza we-prostate.
Kwingingqi ye-Tula, iZikolo ezingama-29 zenzelwe abafazi abakhulelweyo. Injongo yabo kukunceda oomama abazayo ukuba balungiselele ukuzalwa, bafundise ukukhathalela umntwana. Iidilesi neenombolo zefowuni zezikolo zabafazi abakhulelweyo kwiwebhusayithi yeCandelo loMphathiswa:
Kule minyaka ili-4 izayo, icwangcisiwe ukwandisa inani labasetyhini abakhulelweyo ababhinqileyo abakhulelweyo kumntwana wokuqala kwaye baqeqeshelwe esikolweni ababhinqileyo abakhulelweyo, ukusuka kuma-35 ukuya kwi-700%.
Kuzo zonke iiklinikhi zabantwana ezingama-34 zommandla, imodeli entsha yombutho ingeniswa. Le yirejista evulekileyo nenembeko, ukunciphisa ixesha lokulinda emgceni, ukwenza lula ukurekhoda ekwehleni kwagqirha, ukwehla kwamaxwebhu ephepha, iimeko ezifanelekileyo zokuhamba. Oku kukuvumela ukuba uphucule umgangatho kunye nokufumaneka kukhathalelo lwezonyango kubahlali, unciphise umthwalo kubasebenzi ngokwandisa ukusebenza kwezemfundo.
Kucetyiswe ukwandisa inkqubo ye-eco. Ngoku abatshatileyo abangama-756 bomtshato bakwi-accounting ye-accounting ye-accounting yendoda kunye nebhinqa. Ngo-2021, iimali kwinani lenkqubo ye-700 ye-ECE igqitywe.
Ukufunyanwa kwexesha ngexesha lokufumana izifo kwinqanaba lokuqala lophuhliso lwe-Fetus-umsebenzi we-perinatal fihlostal. Rhoqo ngonyaka oogqirha basePula Pediatrician, ii-Neeatologists baqeqeshwa kwiisemina zasendle. Ngo-2024 kucwangcisiwe ukufunda iingcali ezingama-85 ngonyaka kumaziko eSifo.
Kwakulo nyaka ukwakhiwa kweziko elitsha le-perinatal kwiibhedi ezili-140 kugqityiwe. Kwaqalwa ngo-2019 kwinyathelo leRhuluneli uAlexey Dumin. Kuya kuba nakho ukutyhala iintsana ezingaphambi kwexesha kunye nobunzima obuphantsi kakhulu.