MEDICAL-DEMOGRAPHIC SITUATION AS A GLOBAL PROBLEM OF PUBLIC HEALTH OF UKRAINE

Authors

  • G. O. Slabkiy Uzhhorod National University, Uzhhorod, Ukraine
  • I. S. Mironyuk Uzhhorod National University, Uzhhorod, Ukraine
  • I. I. Koshelia Uzhhorod National University, Uzhhorod, Ukraine
  • S. V. Dudnyk Ukrainian Institute of Strategic Researches of Ministry of Public Health, Kyiv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2019.3.10594

Keywords:

population, demographic indicators, incidence, prevalence of diseases, characteristics, public health

Abstract

Purpose: to determine the main medical and demographic problems of Ukraine, which are to be resolved in the framework of the country’s public health system.

Materials and Methods. Source: data of state and industry statistical reporting and operational data of the Public Health Center of the Ministry of Health of Ukraine on the medical and demographic situation in the country. The statistical method and the method of structural logical analysis are used.

Results. The demographic situation in Ukraine is characterized by a decrease in the birth rate for the period 2014–2019 by 19.4 % with an excess of the mortality rate by 6.16 per 100 thousand people. Moreover, the proportion of deaths of men of working age in the total number of deaths is 20.3 %. The part of the rural population tends to decrease and amounts to 30.99 % in its total number. There are high levels of reported cases of disease prevalence, both among all and among the child population. There is a tendency towards a decrease in these indicators; it is a factor in the decrease in the population overrun in public health institutions. A sharp deterioration in the epidemiological situation in the country and high levels of self-destructive behavior of the population have been established. Moreover, the majority of the population is irresponsible to personal health.

Conclusions. A difficult medical and demographic situation is being recorded in Ukraine, which requires a comprehensive, targeted and effective action from the public health system aimed at reducing the mortality rate of children and people of working age, prevention, early detection and effective treatment of noncommunicable diseases, epidemics of vaccine-preventable infections, ensuring access of the population to health-saving technologies and the formation of the population’s prestige of personal health and responsible attitude to it.

Author Biographies

G. O. Slabkiy, Uzhhorod National University, Uzhhorod, Ukraine

Slabkiy Gennadiy - DM (Medicine), Professor Head of the Department of Health Sciences of Uzhgorod National University

I. S. Mironyuk, Uzhhorod National University, Uzhhorod, Ukraine

Ivan Mironyuk - DM (Medicine), Associate Professor, Dean of the Faculty of Health and Physical Education of Uzhgorod National University

I. I. Koshelia, Uzhhorod National University, Uzhhorod, Ukraine

Koshelya Ivan - PhD (Medicine), Assistant Professor, Department of Public Health, Uzhgorod National University

S. V. Dudnyk, Ukrainian Institute of Strategic Researches of Ministry of Public Health, Kyiv, Ukraine

Dudnik Svitlana - PhD (Medicine), Scientific Secretary of State Institution “Ukrainian Institute for Strategic Studies of the Ministry of Health of Ukraine”

References

(2012). Yevropeiskiy plan deystviy po ukrepleniyu potentsiala i uslug obshchestvennogo zdravookhraneniya [European action plan for strengthening public health capacities and services]. Copenhagen: WHO. Regional Office for Europe, (document EUR/RC62/12) [in Russian].

Slabkyi, H.O., Mironiuk, I.S., & Shafranskyi, V.V. (2017). Zavdannia ta funktsii systemy hromadskoho zdorovia rehionalnoho rivnia [Tasks and functions of the regional public health system]. Zbirnyk materialiv Mizhnarodnoi naukovo-praktychnoi konferentsii "Vplyv naukovo-tehnichnoho prohresu na rozvytok medychnoi nauky ta praktyky: realii sohodennia" – Proceedings of the International Scientific and Practical Conference "The Impact of Scientific and Technological Progress on the Development of Medical Science and Practice: The Realities of Today". Kyiv (pp. 87-90) [in Ukrainian].

Slabkyi, H.O., Mironiuk, I.S., & Shafranskyi, V.V. (2017). Zaprovadzhennia mahistratury za osvitno-naukovymy prohramamy yak pershocherhova zadacha u stvoreni systemy pidhotovky fakhivtsiv dlia hromadskoho zdorovia [Introducing a Master’s Degree in Educational and Scientific Programs as a Priority Task in Establishing Public Health Professional Training Systems]. Ukraina. Zdorovia natsii – Ukraine. The Nation’s Health, 3 (43), 346 [in Ukrainian].

(2013). Zdorovia 2020. Osnovy yevropeiskoi politiky ta stratehiia dlia XXI stolittia [Health 2020. Foundations of European policy and strategy for the 21st century]. Copenhagen: WHO. Regional Office for Europe.

Slabkyi, H.O., Mironiuk, I.S., & Shafranskyi, V.V. (2017). Do kompetentsii mahistriv za spetsialnistiu "Hromadske zdorovia" [To the competences of masters in the specialty "Public health"]. Materialy shchorichnoi Vseukrainskoi naukovo praktychnoi konferentsii za mizhnarodnoi uchasti "Kadrova polityka u sferi okhorony zdorovia v umovakh zahroz natsionalnii bezpetsi" – Proceedings of the annual All-Ukrainian Scientific and Practical Conference on International Participation "Human Resources Policy in the Field of National Security Threats". Kyiv [in Ukrainian].

Mironiuk, I.S., Slabkyi, H.O., & Shafranskyi, V.V. (2017). Do struktury natsionalnoi systemy hromadskoho zdorovia [Towards a structure of the National Public Health System]. Visnyk problem biolohii i medytsyny – Bulletin of Problems of Biology and Medicine, 3, 138(2), 135-142 [in Ukrainian].

Novi vyklyky dlia hromadskoho zdorovia v 21 stolitti [New challenges to public health in the 21st century]. Retrieved from: https://www.publichealth.kiev.ua/2019/06/21.html [in Ukrainian].

(2016). Pro skhvalennia Kontseptsii rozvytku systemy hromadskoho zdorovia Rozporiadzhennia KMU vid 30.11.2016 r. №1002-r. [On Approval of the Concept of Public Health System Development. CMU Order No. 1002-p of November 30, 2016]. Uriadovyi kurier – Government Courier, 245 [in Ukrainian].

Slabkyi, H.O., Mironiuk, V.I., & Kachala, L.O. (2017). Systema hromadskoho zdorovia: bachennia Vsesvitnoi orhanizatsii okhorony zdorovia. Osnovni operatyvni funktsii hromadskoho zdorovia ta yikh zmist [The public health system: a vision of the World Health Organization. Basic public health operational functions and their content]. Ukraina. Zdorovia natsii – Ukraine. The Nation’s Health, 3 (44), 24-31 [in Ukrainian].

Shafranskyi, V.V. & Slabkyi, H.O. (2017). Kontseptualni pidkhody do stvorennia systemy hromadskoho zdorovia v Ukraini [Conceptual approaches to creating a public health system in Ukraine]. Ekonomika i pravo – Economics and Law, 2, 60-66 [in Ukrainian].

Shafranskyi, V.V., Slabkyi, H.O. & Mironiuk, I.S. (2017). Kharakterystyka kvalifikatsiinykh vymoh do fakhivtsiv systemy hromadskoho zdorovia [Conceptual approaches to creating a public health system in Ukraine]. Visnyk problem biolohii i medytsyny – Bulletin of Problems of Biology and Medicine, 2 (136), 351-354 [in Ukrainian].

(2018). Shchorichna dopovid pro stan zdorovia naselennia, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy. 2017 rik [Annual report on the state of health of the population, the sanitary-epidemic situation and the results of activity of the health care system of Ukraine. 2017]. MOZ Ukrainy, DU "UISD MOZ Ukrainy" – Ministry of Health of Ukraine, State Institution "WISD Ministry of Health of Ukraine". Kyiv [in Ukrainian].

(2017). Shchorichna dopovid pro stan zdorovia naselennia, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy. 2016 rik [Annual report on the state of health of the population, the sanitary-epidemic situation and the results of activity of the health care system of Ukraine. 2016]. MOZ Ukrainy, DU "UISD MOZ Ukrainy" – Ministry of Health of Ukraine, State Institution "WISD Ministry of Health of Ukraine". Kyiv [in Ukrainian].

Published

2019-11-15

How to Cite

Slabkiy, G. O., Mironyuk, I. S., Koshelia, I. I., & Dudnyk, S. V. (2019). MEDICAL-DEMOGRAPHIC SITUATION AS A GLOBAL PROBLEM OF PUBLIC HEALTH OF UKRAINE. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (3), 62–72. https://doi.org/10.11603/1681-2786.2019.3.10594

Issue

Section

Problems of demographic development