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An avoidable tragedy : combating Ukraine's health crisis - lessons from Europe (Ukrainian)

Since independence Ukraine has been in the midst of an unprecedented demographic decline combined with a health crisis. Imbalanced economic growth, political turbulence, and a greatly weakened health care system have led to declining health and significant inequalities in health status across the population. In addition, Ukraine has the fastest rate of depopulation in Europe. Driven largely by low fertility rates, this is rapidly changing the age structure of the population with higher proportions in the mid and older age groups. As is expected, non communicable diseases mortality and morbidity are now a large share of Ukraine's disease burden and more importantly so among the working age male population with significant economic and social consequences. Such a change in the composition of the burden of disease requires a multi-sectoral approach to disease prevention and management. This report shows Ukraine's divergence in mortality and morbidity trends from Central Europe and reviews policies and reforms in Central European countries that could explain in part the differing trends. It shows that excess deaths especially among working age males, are due to modifiable behavioral risk-factors such as hypertension, alcohol and smoking. Despite the amenable nature of deaths and evidence of cost-effective targeted interventions that could work, the Ukrainian health system still designed for acute care episodic disease management is not equipped to deal with this mortality crisis. Though several reforms have been proposed and some have even been legislated, most have not been implemented. What is evident is that while a focus on primary care and multi-sectoral targeted cost effective interventions to prevent and control non-communicable diseases is essential; this will be difficult and less effective in the absence of substantial reform in the health system.


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    Europe and Central Asia,

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    An avoidable tragedy : combating Ukraine's health crisis - lessons from Europe

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An avoidable tragedy : combating Ukraine's health crisis - lessons from Europe (Ukrainian). Health and demography Washington, D.C. : World Bank Group.