ORGANISATIONAL AND STATISTICAL ANALYSIS OF THE PERSONNEL AND QUALIFICATION STRUCTURE OF THE OBSTETRIC AND GYNAECOLOGICAL SERVICE IN UKRAINE
DOI:
https://doi.org/10.11603/24116-4944.2025.2.15800Keywords:
obstetric and gynaecological services, staffing capacity, qualification categories, obstetricians and gynaecologists, medical statistics, staffing, regional analysis, healthcareAbstract
The aim of the study is to assess the dynamics, structure and regional characteristics of the personnel and qualifications of the obstetric and gynaecological service in Ukraine in 2015–2024.
Materials and Methods. The study uses official statistical data on the number of obstetricians and gynaecologists in the regions of Ukraine, as well as their distribution by qualification categories (higher, I, II). Research methods: statistical, analytical, comparative, structural and organisational-management analysis. An assessment was made of the dynamics of absolute indicators, the specific weight of qualification categories and regional personnel distribution.
Results and Discussion. A steady trend towards a decrease in the total number of obstetricians-gynaecologists in most regions of Ukraine during the study period was established. At the same time, a decrease in the proportion of doctors with the highest qualification category was noted, which may indicate a degradation of human resources and the ageing of professional staff. Regional analysis revealed significant disparities between regions, creating inequality in access to specialised care for women. The results obtained underscore the need to review personnel policy and the postgraduate education system.
Conclusions. Between 2015 and 2024, the number of obstetricians and gynaecologists in Ukraine fell from 11,650 to 9,311, a decrease of 20.1 %. During this period, the number of doctors with the first qualification category decreased by 49.9 %, with the second category – by 46.4 %, while the share of specialists with the highest category increased from 35.0 to 44.0 %, reflecting the ageing of the workforce and a reduction in the influx of young specialists. The identified trends indicate a deterioration in the stability of the obstetric and gynaecological service and the need to review state personnel policy, with an emphasis on training and retaining young personnel.
References
Pyrohova, V.I., Kozlovskyi, I.V., & Laba, O.V. (2022). Rol likaria simeinoi praktyky v intehratsii akushersko-hinekolohichnoi dopomohy na pervynnii lantsi medychnoi dopomohy. Orhanizatsiini aspekty [The role of a family practice doctor in the integration of obstetric and gynecological care at the primary care level. Organizational aspects]. Praktykuiuchyi likar [Practitioner], No 2–3, 82-86 [in Ukrainian].
Keretsman, A.O. (2024). Kadrove zabezpechennia spetsializovanoi medychnoi dopomohy v Zakarpatskii oblasti cherez pryzmu viiny [Personnel provision of specialized medical care in the Transcarpathian region through the prism of war]. Ukraina. Zdorovia natsii [Ukraine. Health of the Nation], 1, 122-126 [in Ukrainian].
Torbenson, V.E., Tatsis, V., Bradley, S.L., Butler, J., Kjerulff, L., McLaughlin, G.B., ... & McCue, B. (2023). Use of obstetric and gynecologic hospitalists is associated with decreased severe maternal morbidity in the United States. Journal of patient safety, 19(3), 202-210.
Delanerolle, G., Yang, X., Shetty, S., Raymont, V., Shetty, A., Phiri, P., ... & Shi, J.Q. (2021). Artificial intelligence: a rapid case for advancement in the personalization of gynaecology/obstetric and mental health care. Womens Health, 17, 17455065211018111.
Sheil, O., & McAuliffe, F.M. (2021). Reorganisation of obstetric services during the COVID pandemic-experience from National Maternity Hospital Dublin Ireland. Best Practice & Research Clinical Obstetrics & Gynaecology, 73, 104-112.
De Menezes, A.A., Soares, C.L.M., Poz, M.R.D., & Pinto, I.C.M. (2022). Application of the workload indicators of staffing need method to calculate the size of the medical staff at a maternity hospital in the state of Bahia, Brazil. Human Resources for Health, 19(Suppl 1), 116.
Benahmed, N., Demyttenaere, B., Dramaix, M., Willaert, D., & Pirson, M. (2023). Modeling the future workforce of obstetrics and gynecology in Belgium: From population ratio to gap analysis between supply and demand. European Journal of Obstetrics & Gynecology and Reproductive Biology, 286, 126-134.
Kacperczyk-Bartnik, J., Khoptiana, O., Żak, K., Rajtak, A., Shushkevich, A., Pletnev, A., ... & Bobiński, M. (2025). Health care organization for gynecologic oncology patients fleeing Ukraine: Insights from the European Network of Young Gyne Oncologists survey during the first six months of the military conflict. International Journal of Gynecological Cancer, 35(4), 101719.
Tatarchuk, T., Kalugina, L., Antipkin, Y., Tutchenko, T., Regeda, S., Dunaevskaya, V., & Tatarchuk, Y. (2025). Exploring awareness, attitudes and clinical practices of Ukrainian health professionals regarding human papillomavirus and vaccination: a qualitative study. BMJ open, 15(11), e089968.
Ussai, S., Seyidov, T., Blanqué Catalina, N., & Khomasuridze, T. (2025, November). Cervical Screening Systems in Eastern Europe and Central Asia: A Comparative Policy Evaluation. In Healthcare (Vol. 13, No. 22, p. 2889). MDPI.
Zghurska, O., Struk, N., Safonov, Yu., Kulik, A., & Romanenko, O. (2022). Analysis of the volume and structure of health care services in Ukraine Financial and credit activity: problems of theory and practice, 4(45), 346-354.
Zhdanovich, O.I., Savchuk, R.M. (2024). Assessment of the volume of perinatal care during the COVID-19 pandemic in a separate region: zbirnyk naukovykh prats Asotsiatsii akusheriv-hinekolohiv Ukrainy [Collection of scientific works of the Association of Obstetricians and Gynecologists of Ukraine], 2 (54), 22-28 [in Ukrainian].
Pyrohova, V.I., Kozlovskyi, I.V., & Laba, O.V. (2022). Rol likaria simeinoi praktyky v intehratsii akushersko-hinekolohichnoi dopomohy na pervynnii lantsi medychnoi dopomohy. Orhanizatsiini aspekty [The role of a family practice doctor in the integration of obstetric and gynecological care at the primary care level. Organizational aspects]. Praktykuiuchyi likar [Practitioner], No 2–3, 82-86 [in Ukrainian].
Keretsman, A.O. (2024). Kadrove zabezpechennia spetsializovanoi medychnoi dopomohy v Zakarpatskii oblasti cherez pryzmu viiny [Personnel provision of specialized medical care in the Transcarpathian region through the prism of war]. Ukraina. Zdorovia natsii [Ukraine. Health of the Nation], 1, 122-126 [in Ukrainian]. DOI: https://doi.org/10.32782/2077-6594/2024.1/21
Torbenson, V.E., Tatsis, V., Bradley, S.L., Butler, J., Kjerulff, L., McLaughlin, G.B., ... & McCue, B. (2023). Use of obstetric and gynecologic hospitalists is associated with decreased severe maternal morbidity in the United States. Journal of patient safety, 19(3), 202-210. DOI: https://doi.org/10.1097/PTS.0000000000001102
Delanerolle, G., Yang, X., Shetty, S., Raymont, V., Shetty, A., Phiri, P., ... & Shi, J.Q. (2021). Artificial intelligence: a rapid case for advancement in the personalization of gynaecology/obstetric and mental health care. Womens Health, 17, 17455065211018111. DOI: https://doi.org/10.1177/17455065211018111
Sheil, O., & McAuliffe, F.M. (2021). Reorganisation of obstetric services during the COVID pandemic-experience from National Maternity Hospital Dublin Ireland. Best Practice & Research Clinical Obstetrics & Gynaecology, 73, 104-112. DOI: https://doi.org/10.1016/j.bpobgyn.2021.03.013
De Menezes, A.A., Soares, C.L.M., Poz, M.R.D., & Pinto, I.C.M. (2022). Application of the workload indicators of staffing need method to calculate the size of the medical staff at a maternity hospital in the state of Bahia, Brazil. Human Resources for Health, 19(Suppl 1), 116. DOI: https://doi.org/10.1186/s12960-021-00660-6
Benahmed, N., Demyttenaere, B., Dramaix, M., Willaert, D., & Pirson, M. (2023). Modeling the future workforce of obstetrics and gynecology in Belgium: From population ratio to gap analysis between supply and demand. European Journal of Obstetrics & Gynecology and Reproductive Biology, 286, 126-134. DOI: https://doi.org/10.1016/j.ejogrb.2023.05.017
Kacperczyk-Bartnik, J., Khoptiana, O., Żak, K., Rajtak, A., Shushkevich, A., Pletnev, A., ... & Bobiński, M. (2025). Health care organization for gynecologic oncology patients fleeing Ukraine: Insights from the European Network of Young Gyne Oncologists survey during the first six months of the military conflict. International Journal of Gynecological Cancer, 35(4), 101719. DOI: https://doi.org/10.1016/j.ijgc.2025.101719
Tatarchuk, T., Kalugina, L., Antipkin, Y., Tutchenko, T., Regeda, S., Dunaevskaya, V., & Tatarchuk, Y. (2025). Exploring awareness, attitudes and clinical practices of Ukrainian health professionals regarding human papillomavirus and vaccination: a qualitative study. BMJ open, 15(11), e089968. DOI: https://doi.org/10.1136/bmjopen-2024-089968
Ussai, S., Seyidov, T., Blanqué Catalina, N., & Khomasuridze, T. (2025, November). Cervical Screening Systems in Eastern Europe and Central Asia: A Comparative Policy Evaluation. In Healthcare (Vol. 13, No. 22, p. 2889). MDPI. DOI: https://doi.org/10.3390/healthcare13222889
Zghurska, O., Struk, N., Safonov, Yu., Kulik, A., & Romanenko, O. (2022). Analysis of the volume and structure of health care services in Ukraine Financial and credit activity: problems of theory and practice, 4(45), 346-354. DOI: https://doi.org/10.55643/fcaptp.4.45.2022.3829
Zhdanovich, O.I., Savchuk, R.M. (2024). Assessment of the volume of perinatal care during the COVID-19 pandemic in a separate region: zbirnyk naukovykh prats Asotsiatsii akusheriv-hinekolohiv Ukrainy [Collection of scientific works of the Association of Obstetricians and Gynecologists of Ukraine], 2 (54), 22-28 [in Ukrainian]. DOI: https://doi.org/10.35278/2664-0767.2(54).2024.321596
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 П. Ю. Токар

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.

2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
Accepted 2026-01-02
Published 2025-12-15