Inside the war: life in Ukraine

Shushkevich, Alexander

doi:10.1136/ijgc-2022-003556

Cited by 11 publications

(5 citation statements)

References 1 publication

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“…In this study, we reported an example of successful temporary arterial shunts in combat patient who was treated at Level II after receiving a gunshot injury to lower extremities with the damage to the major artery vessels. This case report is provided an example of possibility to perform vascular repair in conditions of limited medical recourses as well as under the continuing strikes by high-energy weapon and violation of international humanitarian rules by Russia, using as cruise missiles strikes on critical infrastructure such as civil power stations around Ukraine [10] , [11] . Limited medical recourses were and remained a common problem for the medical care in Ukraine due to various causes, including insufficient planning [12] .…”

Section: Discussionmentioning

confidence: 99%

Temporary arterial shunts in combat patient with vascular injuries to extremities wounded in Russian-Ukrainian war: A case report

Rogovskyi

Koval

Лурін

et al. 2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Temporary arterial shunts in combat patient with vascular injuries to extremities wounded in Russian-Ukrainian war: A case report

Rogovskyi

Koval

Лурін

et al. 2023

International Journal of Surgery Case Reports

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“…Those facilities are in poor condition: 71% of PMP have no water supply, 75% of PMP lack drainage and there is no lavatory in the 82% of dispensaries [9]. Furthermore, a significant number of rural healthcare facilities, especially in the frontline and recently unoccupied rural regions, have been damaged by Russian troops [2].…”

Section: Resultsmentioning

confidence: 99%

“…Despite continuous attention to rural healthcare in healthcare reform initiatives, particularly with regard to enhancing accessibility for the populace, the challenges obstructing rural healthcare have been exacerbated by the extensive Russian invasion. This invasion has led to considerable damage to healthcare infrastructure, persistent shelling, and the displacement of civilians [2].…”

Section: заповнюючи прогалини: покращення доступності первинної медич...mentioning

confidence: 99%

Bridging gaps: improving the access of primary health care in rural Ukraine through mobile health units

Suzyma,

Yurochko

2024

RHW

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Rural healthcare is an integral part of the Ukrainian healthcare system. However, access to healthcare for the rural population is uneven due to poor development of medical infrastructure and staffing. The problem of access to medical care in rural areas has been exacerbated by the full-scale war.The objective: to study and analyze the current state of accessibility of primary health care in rural areas in Ukraine, followed by a discussion of promising areas for the introduction of mobile health units as a tool for implementing the “Medical Guarantees” program in hard-to-reach regions of Ukraine.Materials and methods. The study included data from official statistical reports, regulatory documents and scientific sources. The methodology includes bibliosemantic, medical and statistical methods and the method of structural logical analysis.Results. It has been established that the low level of access to primary health care for the rural population of Ukraine has been significantly exacerbated by the devastating impact of the war on medical and transport infrastructure, especially in the frontline and recently de-occupied rural areas, and by migration processes. The situation is complicated by the fact that most patients in rural areas are elderly people who are physically unable to use public transportation, even if it is available. The analysis of international practice has shown that mobile health units can be introduced into the public healthcare system as a temporary measure to meet the urgent needs of the Ukrainian population, especially in rural areas. Integration of mobile health units into the state program “Medical Guarantees” can effectively address the urgent health care needs to increase access to health care for the rural population of Ukraine. State regulation of the division of these units will eliminate problems such as duplication and uneven service delivery and will create a transparent system of remuneration for the staff included in these units.Conclusions. The results of the study suggest that the practice of mobile medical units should be introduced as a tool for implementing the “Medical Guarantees” program for regions/locations of Ukraine with low access to medical infrastructure, namely remote rural areas and areas that have been devastated by the war. Mobile medical units will ensure the stability of access to primary health care services and contribute to improving the health of the population.

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“…Neoplasms, as one of the principal causes of hospitalization, were also reported in children 5–17 years of age before the official outbreak of the war, as reported in Table 1 . Oncological treatment in Ukraine has been reported to be hindered, and it is necessary to globally support Ukrainian patients [ 28 , 29 ]. Some studies indicate that mortality related to cancer will increase [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Hospitalizations of Ukrainian Migrants and Refugees in Poland in the Time of the Russia-Ukraine Conflict

Lewtak

Kanecki

Tyszko

et al. 2022

IJERPH

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Background: In the face of a sudden influx of several million migrants and war refugees from Ukraine to other European countries, knowledge about the health of Ukrainian citizens becomes increasingly important. The aim of the study is to identify the main health problems of hospitalized Ukrainian citizens residing in Poland in the period from 2014 to June 2022. Methods: This study is based on hospitalization data of Ukrainian patients in Poland taken from the Nationwide General Hospital Morbidity Study. Results: The study group covered 8591 hospitalization records. We observed two hospitalization peaks, one in patients aged 0–5 and the other one in those aged 20–35. After the official outbreak of the war, 2231 Ukrainian citizens were hospitalized in Poland. At this time, the most often reported principal reasons for the hospitalizations of adult women were diseases related to pregnancy, childbirth and the puerperium, whereas in groups of adult men diseases were related to injury, poisoning and certain other consequences of external causes, and in children and adolescents diseases were infectious and parasitic diseases. Conclusions: Our findings may have implications for healthcare policies and service provision to newly arrived migrants and war refugees in target European countries.

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Inside the war: life in Ukraine

Cited by 11 publications

References 1 publication

Temporary arterial shunts in combat patient with vascular injuries to extremities wounded in Russian-Ukrainian war: A case report

Temporary arterial shunts in combat patient with vascular injuries to extremities wounded in Russian-Ukrainian war: A case report

Bridging gaps: improving the access of primary health care in rural Ukraine through mobile health units

Hospitalizations of Ukrainian Migrants and Refugees in Poland in the Time of the Russia-Ukraine Conflict

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