Школа громадського здоров’я

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    Countermeasure policy for chronic noncommunicable diseases in Ukraine
    (2023) Yurochko, Tetiana; Kondratiuk, Viktoriia
    Background: Noncommunicable diseases (ncd) are main reason for disability and precocious mortality rate in ukraine. they are determining main socio-economic consequences for countrys development and need urgent intervention in political decisions and coordinated actions on all levels. Objective: Comprehensively assess situation of countermeasures, consolidate data from pre-war period about ncd preventive conditions in strategy development of post-war health care system restoration in Ukraine. Methods: The assessment was done accordingly to who methodology "effective treatment of non-communicable diseases: challenges and solutions for the healthcare systems" within the Ukrainian-switzerland project " act for health " Results: The major NCDS are not only part of irreversible losses because of mortality but factors in reducing life expectancy. contribution of ncds is significant, mainly cardiovascular disease, as Ukraines overall disease burden (dalys) which were 8/9 of total years of life lost for women and - for men. There are gaps in primary care in prevention and control of ncds, despite its importance and work done by the system to overcome the epidemy of cardiovascular disease (CVD), diabetes, and oncology diseases in Ukraine. nevertheless, mortality rate from these pathologies remains high, showing a systemic fracture in patient group management system and lack of attention to prevention and financial support. As a result, unhealthy lifestyle practices lead to a high level of CVD spread. the number of neglected cases of diabetes and their complications caused by uncontrolled disease courses remains high. Oncology treatment spending from the government and patient budget remains an acute problem. Conclusions: Results of research show gaps in the pre-war periods activities, which significantly increased due to the destructive impact of war that system passes. Health care system post-war restoration plan development should be based on challenges and barriers depending on populations health condition analysis and pre-war system work.