ANALYSIS OF STAFFING AND PRINCIPLES OF TRAINING FOR PUBLIC HEALTH SERVICE IN UKRAINE
DOI:
https://doi.org/10.11603/1681-2786.2017.1.7929Keywords:
public health service, staffing, public health physician, training.Abstract
Aim: justification of staffing for public health service in Ukraine during reforming of health care.
Materials: data of state statistical reports, European Health for All database (HFA-DB) of Regional Office for Europe, World Health Statistics 2016.
Methods: statistical, bibliosemantic, expert assessments, systematic approach.
Results. Analysis of staffing of health care in Ukraine indicates a decrease in physician density, including public health physicians (PHP). Within 2010–2015 physician density decreased by 16.3%, including PHP – by 14.7%.
Based on analysis of contingent of students who studied for specialty «medical preventive care» (undergraduate training) at medical universities in Ukraine in 2015, it was found that for the last 3 years number of students who study by the plan according to state order approved by Ministry of Health (budget form of study), decreased three times. Specialty «public health» was added to the list of disciplines and specialties according to which undergraduate study of students is organized. However, training of Master of Public Health is performed only at one non-medical university in Ukraine only in specialty «management of organization and administration (in health care)» which does not provide up-to-date needs of health care and society.
Analysis of the European experience has shown that there is no common curriculum for training such professionals in European Union, job descriptions and qualifications for training specialists vary significantly in each separate country as well.
Conclusions. In view of existing challenges and threats to public health, global trends and national context, it is necessary to establish new institutional structures for training public health professionals, justification and development of new training curriculum for Master of Public Health.References
Gruzieva T.S. [et al] (2016). Actualni problemy ta suchasni strategiji pidgotovky kadriv dlia sfery hromadskogo zdorovia v konteksti Evropejskoji polityky ‘Zdorovia-2020’ [Actual problems and modern strategies in staff training for public health service in the context of European policy ‘Health – 2020’] [presentation], Кyiv [in Ukrainian].
Moskalenko V.F. [et al] (2011). Hromadske zdorovia: pidruchnyk dlia studentiv vyshchykh medychnykh navchalnykh zakladiv [Public Health: textbook for students of higher medical educational establishments] Vinnytsia, Ukraine, Nova Knyga, p. 560 [in Ukrainian].
Gruzieva T.S., Melnyk V.V. (2015). Obgruntuvannya funktsional'no-strukturnoyi modeli systemy kadrovoho zabezpechennya okhorony zdorovia fakhivtsiamy mikrobiolohichnoho profiliu [Justification of functional-structural model of staffing health professionals in microbiology]. Eastern-European Journal of Public Health, 2 (23), pp. 65-75 [in Ukrainian].
Hulchii O.P. (2016) Hromadske zdorovia u nadiinykh rukakh? [Is public health in good hands?]. Your Health, 7–8 (1343–1344), pp.10–11 [in Ukrainian]. Available at : https://issuu.com/vzkievua/docs/vz_7-8_2016
Dystsypliny, shcho proponuiutsia dlia vyvchennia 8.03060101 "Menedzhment orhanizatsii i administruvannia (v okhoroni zdorov`ya)" [Subjects for the study of 8.03060101 "Management and Administration (in public health)"]. [in Ukrainian]. Available at : http://www.ukma.edu.ua/ects/index.php/fsnst/135-menedzhmentoz
Lazoryshynets, V. et al (2013). Kadry` vy`rishuyut` dolyu reform [Staff decides the fate of reform]. Vashe zdorov'ya – Your Health №5/6, 6–7 [in Ukrainian].
Lytvynova L.O. [et al] (2015). Kadrovyi potentsial medychnoi haluzi Ukrainy: desiatyrichna dynamika kilkisnykh ta yakisnykh pokaznykiv [Staff potential in health care of Ukraine: ten-year dynamics of quantitative and qualitative indicators] Eastern-European Journal of Public Health, 2, pp. 168-169 [in Ukrainian].
Kniazevych V.M., Avramenko T.P., Korolenko V.V. (2016). Perspektyvy rozvytku publichnoho upravlinnia u sferi hromadskoho zdorovia Ukrainy v umovakh systemnykh zmin [Prospects for the development of public administration in public health Ukraine in terms of system changes]. Visnyk NADU pry Prezydentovi Ukrainy, 1, pp. 56-65 [in Ukrainian]. Available at : http://visnyk.academy.gov.ua/wp-content/uploads/2016/05/Du_2016_1_07.pdf
Kontseptsiia rozvytku systemy hromadskoho zdorovia v Ukraini (2016) [Concepts of the development of health care system in Ukraine] [in Ukrainian]. Available at : http://moz.gov.ua/docfiles/Pro_20160309_0_dod.pdf
Melnyk V.V. (2015). Naukove obgruntuvannia udoskonalennia kadrovoho zabezpechennia systemy hromadskoho zdorovia Ukrainy fakhivtsiamy mikrobiolohichnoho profiliu v umovakh reformuvannia [Scientific justification of improvement staffing in public health with experts for microbiology of Ukraine in reforming], 24 p. [in Ukrainian].
Melnyk V.V., Gruzieva T.S. (2015). Osoblyvosti zabezpechennia fakhivtsiamy mikrobiolohichnoho profiliu systemy hromadskoho zdorovia v Ukraini [Features of staffing of specialists in microbiology for public health in Ukraine]. Ukraine. Health of the Nation, 3, pp.82–88. [in Ukrainian].
Melnyk V.V., Gruzieva T.S., Shyrobokov V.P. (2015). Udoskonalennia kadrovoho zabezpechennia systemy hromadskoho zdorovia Ukrainy fakhivtsiamy mikrobiolohichnoho profiliu v umovakh reformuvannia [Improving of staffing with experts in microbiology for public health system of Ukraine in reforming] Liky Ukrainy plus, 2 (23), pp.43-46. [in Ukrainian]. Available at : http://www.health-medix.com/articles/liki_ukr_plus/ 2015-07-10/18.pdf
Natsionalna stratehiia reformuvannia systemy okhorony zdorovia Ukrainy na period 2015-2020 rr. [The National Strategy for Health Reform Ukraine for the period 2015-2020.], Kyiv, pp. 1–41. [in Ukrainian]. Available at : http://healthsag.org.ua/wp-content/uploads/2014/11/Strategiya_UKR.pdf
Perelik stupeniv ta spetsialnostei, za yakymy oholoshuietsia pryiom na navchannia, litsenzovani obsiahy ta normatyvni terminy navchannia. / Dodatok 1 do Pravyl pryiomu do NaUKMA u 2016 rotsi [The list of degrees and specialties, which announced admit students, licensed volumes and regulatory terms of training. / Annex 1 to the admission to NaUKMA 2016], Available at : http://www.ukma.edu.ua/images/docs/admission/2016pravyla/dodatok_1.pdf.pdf
Povidomlennia pro opryliudnennia proektu Kontseptsii rozvytku systemy hromadskoho zdorovia v Ukraini [Notice of publication of the project of the Concept of public health in Ukraine. -] (2016). Available at : http://moz.gov.ua/ua/portal/Pro_20160309_0.html
Postanova Kabinetu Ministriv Ukrainy vid 01 liutoho 2017 r. # 53 «Pro vnesennia zmin do postanovy Kabinetu Ministriv Ukrainy vid 29 kvitnia 2015 r. # 266» [Cabinet of Ministers of Ukraine, 01 February 2017 r. Number 53 "On Amendments to the Cabinet of Ministers of Ukraine of 29 April 2015 r. Number 266"] / Available at : http://www.kmu.gov.ua/control/uk/cardnpd?docid=248149695.
Ukaz Prezydenta Ukrainy vid 12 sichnia 2015 r. #5/2015 «Pro Stratehiiu staloho rozvytku "Ukraina - 2020"» [The President of Ukraine Decree of 12 January 2015 r. №5 / 2015 "On the Strategy for Sustainable Development "Ukraine - 2020 "]. Available at : http://zakon5.rada.gov.ua/laws/show/5/2015
Starcha T.M., Volosovets O.P., Klochenko I.V. [et al.] (2015). Suchasni zavdannia vyshchoi medychnoi osvity ta kadrovoho zabezpechennia reformuvannia haluzi [Current objectives of higher medical education and staffing reform], [text]. Available at : http://www.umsa.edu.ua/volosovets_2015.pdf
Uhoda pro asotsiatsiiu mizh Ukrainoiu, z odniiei storony, ta Yevropeiskym Soiuzom, Yevropeiskym spivtovarystvom z atomnoi enerhii i yikhnimy derzhavamy-chlenamy, z inshoi storony [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]. Available at : http://zakon5.rada.gov.ua/laws/show/984_011
Shafranskyi V.V. [et al]. (2016). Shchorichna dopovid pro stan zdorovia naselennia, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy. 2015 rik [Annual report on the state of health, sanitary and epidemiological situation and results of the healthcare system of Ukraine. 2015], Kyiv, 452 p. Available at : http://www.uiph.kiev.ua/dawnload/Vidavnictvo/Shchorichna%20dopovid/Щорічна%20доповідь.2016.pdf
Beaglehole R, Dal Poz MR. Public health workforce: challenges and policy issues. Hum Resour Health. 2003;1(1):4.
Bjegovic-Mikanovic V, Vukovic D, Otok R, Czabanowska K, Laaser U. Education and training of public health professionals in the European Region: variation and convergence. / Int J Public Health. 2013 Dec;58(6):801-10. doi: 10.1007/s00038-012-0425-2. Epub 2012 Nov 7.
Facets of Public Health in Europe. Edited by Bernd Rechel and Martin McKee. Published by Open University Press. European Observatory on Health Systems and Policies Series. 2014, 320 p. Available at : http://www.euro.who.int/__data/assets/pdf_file/0003/271074/Facets-of-Public-Health-in-Europe.pdf
Global strategy on human resources for health: Workforce 2030. Draft December 2015 Available at : http://www.who.int/hrh/resources/WHO_GSHRH_ DRAFT_05Jan16.pdf?ua=1, accessed 11 April 2016.
Goodman J, Overall J, Tulchinsky T: Public health workforce capacity building. Paris: ASPHER; 2008.
Jambroes M., van Honschooten R., Doosje J., Stronks K., Essink-Bot M.L. How to characterize the public health workforce based on essential public health operations? environmental public health workers in the Netherlands as an example. BMC Public Health 2015, 15:750 doi:10.1186/s12889-015-2095-5 Available at : https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-2095-527.
Paccaud, F., Weihofen, A. & Frank, M. Int J Public Health Workforce in Switzerland: are public health workers lacking? Public Health (2013) 58: 799. doi:10.1007/s00038-013-0481-2 Available at : http://link.springer.com/article/10.1007%2Fs00038-013-0481-2
Aluttis C, Chiotan C, Michelsen M, Costongs C, Brand H. Review of Public Health Capacity in the EU. In: Luxembourg: Published by the European Commission Directorate General for Health and Consumers. 2013.
The 2014 update, Global Health Workforce Statistics, World Health Organization, Geneva. Available at : http://www.who.int/hrh/statistics/hwfstats/
WHO Regional Committee for Europe resolution EUR/RC61/R2 on strengthening public health capacities and services in Europe: a framework for action. In. Copenhagen: WHO Regional Office for Europe; 2011.
World Health Statistics 2016: Monitoring health for the SDGs. Available at : http://www.who.int/gho/publications/world_health_statistics/2016/whs2016_AnnexA_HealthWorkforce.pdf
Downloads
Published
How to Cite
Issue
Section
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).