Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot159910.32687/0869-866X-2025-33-2-226-230НеопределенThe management model to access efficiency of activity of obstetrics aid organizations of the Tver Oblast in decreasing maternal and infant mortalityGrebenshchikovaLyudmila Yur'evnainfo@okpcto.ruRad'kovOleg Valentinovichradkovov@tvgmu.ruThe State Budget Health Care Institution of the Tver Oblast “The E. M. Bakunina Oblast Clinical Perinatal Center”, 170036, Tver, RussiaThe Federal State Budget Educational Institution of Higher Education “The Tver State Medical University” of Minzdrav of Russia, 170100, Tver, Russia290420253321005202510052025Copyright © 2025,2025<p>The article presents management model, based on assessment of potentials of sustainable development of medical organizations. The model can be applied to assess efficiency of activities of obstetrics organizations in the Tver Oblast reducing maternal and infant mortality. The basis for model implementation is analysis of data from reporting documentation of obstetrics institutions in the Tver Oblast. It is established that with implementation of management model manager can set in motion leadership potential and evaluate efficiency of innovations even before they start working in the institution. The decrease in maternal and infant mortality due to introduction of new techniques was noted. The implementation of pediatric component for further decreasing of infant mortality is justified.</p>management modelmaternal and infant mortalitysustainable development potentialpreventionуправленческая модельматеринская и младенческая смертностьпотенциал устойчивого развитияпрофилактика[International statistical classification of diseases and related health problems, World Health Organization. 10th revision (ICD-10); 2008 ed. Geneva, Switzerland; 2009.][Say L., Chou D., Gemmill A., Tuncalp O., Moller A. B., Daniels J. Global causes of maternal death: a WHO systematic analysis. Lancet Glob. Health. 2014;2:323–33. doi: 10.1016/S2214-109X(14)70227-X][Pestrikova T. Yu. Analytical review of indicators of maternal, perinatal and infant mortality — as an indicator of the organizational capabilities of health care in modern conditions. Vestnik obshhestvennogo zdorov'ja i zdravoohranenija Dal'nego Vostoka Rossii. 2023;2(51):81–97 (in Russian).][Global Health Observatory Data. Maternal Mortality. Geneva: World Health Organization; 2015.][Liu L., Oza S., Hogan D., Perin J., Rudan I., Lawn J. E. Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet. 2015;385:430—40. doi: 10.1016/S0140-6736(14)61698-6][Bhutta Z. A. Global child survival: beyond numbers. Lancet. 2012;379:2126–8. doi: 10.1016/S0140-6736(12)60686-2][Hoyert D. L. Maternal mortality rates in the United States, 2020. NCHS Health E-Stats. 2022.][Maternal Mortality Rates in the United States (2021). Available at: https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2021/maternal-mortality-rates-2021.htm (accessed 02.08.2024).][Diguisto C., Saucedo M., Kallianidis A., Bloemenkamp K., Bødker B., Buoncristiano M. Maternal mortality in eight European countries with enhanced surveillance systems: descriptive population-based study. BMJ. 2022;379:e070621. doi: 10.1136/bmj-2022-070621][AJMC. Available at: https://www.ajmc.com/view/us-has-highest-infant-maternal-mortality-rates-despite-the-most-health-care-spending (accessed 02.08.2024).][Eurostat (2021). Available at: https://ec.europa.eu/eurostat/web/products-eurostat-news/-/ddn-20210604-1 (accessed 02.08.2024).][Latukha O. A., Son I. M., Bravve Y. I., Tolstova K. S. Analysis of management modes promoting sustainable development of healthcare organizations. Sovremennye problemy zdravoohranenija i medicinskoj statistiki. 2023;(2):719–39 (in Russian).][Latukha O. A. Assessing the sustainability development of an organization. Science for Education Today. 2021;(6):142–59 (in Russian).][Ivanov D. O. (ed.). Guide to perinatology: in 2 volumes. Saint Petersburg; 2019 (in Russian).][Lamesgen A., Miniyihun A., Amare T. Evaluating the technical efficiency of neonatal health service among primary hospitals of northwest Ethiopia: Using two-stage data envelopment analysis and Tobit regression model. PLoS One. 2022;17(11):e0277826. doi: 10.1371/journal.pone.0277826]