ANALYSIS OF MORBIDITY THROUGH TEMPORARY WORK INCAPACITY IN THE REPUBLIC OF MOLDOVA

Abstract

Introduction. Morbidity due to temporary work incapacity directly depends on harmful factors at work, reflecting the state of health of the workers, but also the quality of the provision of medical services.

Objectives. Studying the dynamics of morbidity among employees in the Republic of Moldova during 2010-2020. Determining incidence of morbidity with temporary work incapacity (frequency index, severity and average duration of a case) structured by administrative territories, economic branches.

Material and methods. Retrospective analysis of Temporary Work Incapacity (TWI) in the Republic of Moldova based on the primary statistical record form f -16/e TWI, the observation period includes years from 2010 to 2020. Data was analyzed by district, country, economic branches, gender differences.

Results and discussions. The analysis of morbidity by administrative territories reports the average Frequency Index (FI) per country of 56.18 cases/100 workers, the highest level of morbidity according to E.L.Notkin, 1979 [7], being recorded in Ialoveni, Severity Index being equal to 1275.24 days. According to the classification by gender, Frequency Index prevails among men with 58.53 cases per 100 men. The machinery and equipment construction industry attests the most cases through Temporary Work Incapacity – 89.7 cases per 100 workers. The most days through TWI are related to the Railway Transport branch with 1327.07 days /100 workers. The average duration of a case has maximum values ​​in the Forestry branch (17.96 days). Among the nosological forms, Frequency Index is maximum for acute respiratory diseases, Severity Index has the highest value for certificates issued in connection with quarantine and the status of carriers of pathogenic germs with the values ​​of 98.60 days. Index of the average duration of the case has the maximum level for the nosological form.

Conclusions: High morbidity among employees, both through the prism of frequency indicators, severity indicators and average duration indicators, tells us about the presence of harmful factors at the workplace, the violation of sanitary-hygienic, ergonomic and technical-sanitary and technique norms of failure to perform periodic medical examinations.