Legal support for the constitutional right of citizens to health care and medical care is an important condition for the realization of the principle of recognition the individual on the highest social value. The state guarantees everyone the right to protection of health, medical care and medical insurance; creates the conditions for effective and affordable medical care for all citizens. At the same time, the low level of provision of modern medical equipment, machinery and medicines makes it virtually impossible to provide timely and high-quality medical services in rural areas. The quality of primary health care in rural areas is in terrible condition and the people who live there, and this is more than 30 % of the total population of Ukraine, were very looking forward to changes in this area. After all, most of the old buildings and medical equipment are in poor condition. Medical institutions do not have a complete set of equipment, medical supplies and equipment necessary for primary care. The state of the legal regulation of providing medical care to the rural population of Ukraine objectively needs to be improved. Despite the adoption of numerous normative legal acts, the issues of providing health facilities located in rural areas with the necessary modern equipment and technology remained unresolved until recently. The goal of the article is to investigate the current problems of the legal support for providing medical care in the rural settlements. Particular attention is paid to the reform of the network of the rural health facilities and the problems of staffing. According to the results of the study it is established that from January 1, 2018, the implementation of the rural health reform began in Ukraine. This was due to the need to improve the availability of medical services for the population living in rural areas, to increase the efficiency and effectiveness of the use of funds allocated for the development of health care in the village, to bring the network of healthcare institutions in rural areas and their material and technical support into line with the needs of the population. Rural medicine reform is the lengthy process that requires not only careful adherence to legislation, but also a preliminary assessment of the real state of medicine in the remotest corners of Ukraine in order to prepare a platform for change. It is determined that the implementation of medical reform in cities is perceived better, and therefore much faster is happening, what not to say about the countryside. The prompt and timely solution of the problems of reforming rural medicine is possible with the assistance of the state authorities and local self-government, domestic businesses, foreign investors and financial donors, without which it is extremely difficult to cope with decentralization.
The article is devoted to the scientific and theoretical analysis of the current state of legal provision of drinking water quality in rural areas. It was stated that in recent years there has been a steady trend of deteriorating quality of water used for drinking in rural areas, including due to increasing levels of nitrate pollution. Proposals have been made for: further implementation of Council Directive 98/83 / EU on the quality of water intended for human consumption and Council Directive 91/676/ EEC on the protection of waters against pollution caused by nitrates from agricultural sources in national legislation; elimination of substantive inconsistencies between State sanitary norms and rules 2.2.4-171-10 “Hygienic requirements for drinking water intended for human consumption” and National Standards of Ukraine 7525: 2014 “Drinking water. Requirements and methods of quality control “in terms of drinking water quality indicators; inclusion in the subjects of state water monitoring of the central executive body that implements the state policy in the field of health care (regarding the monitoring of drinking water); development of the Procedure for state monitoring of nitrate content in surface and groundwater as a component of state water monitoring; forecasting at the level of the National Target Program “Drinking Water of Ukraine” for 2021-2025 “development and operation of a single state information resource - Interactive map of drinking water quality in Ukraine.
The experience of legal regulation of relations in the sphere of waters protection from nitrate pollution in the EU is researched in this article. A scientific and theoretical analysis of the national legislation development, taking into account the requirements of Council Directive 91/676/EEC of 12 December 1991 concerning the protection of waters against pollution caused by nitrates from agricultural sources is provided. It is stated that our country does not follow the Association Agreement between Ukraine, on the one hand, and the European Union, the European Atomic Energy Community and their Member States, on the other hand, ratified by the Law of Ukraine of September 16, 2014 regarding of implementation of the above Directive (initial deadline – 2017). Extending the deadline to December 31, 2020, does not guarantee that the legislation will be conformed its requirements. So the Code of Good Agricultural Practices, the Methodology for Identifying Vulnerable Areas, and the Action Plan for Reducing Nitrate Pollution from Agricultural Sources have not been accepted until now. Accordingly, work is not being done regarding to: identify nitrate-vulnerable areas; creation of their register, also monitoring of nitrate content in surface and ground water. In addition, the experience of leading European countries shows that it is impossible to implement the provisions of this Directive with out organizing the financing of its activities and the creation of an effective system for monitoring their implementation. Keywords: water quality, water object, drinking water, nitrate pollution, vulnerable zone, monitoring of nitrate, content, implementation of legislation, rural area
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