Transcript Format for country presentations

Ukraine:Palliative care development
Brasov, Romania
October 25-28 , 2011
Украина: Развитие паллиативной помощи
Брашов, Румыния
25-28 октября 2011 года
Demography:
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Population: 45 mln persons
Life expectancy: men 62 years, women 74 years
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25% of population are up 60-years old
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Mortality per year: about 560,000 deaths
Oncologic diseases mortality: 100,000 deaths
per year, new cases:180,000 per year
Cardiovascular system diseases – 450,000
deaths per year
HIV/AIDS mortality per year in 2009-10:
2,500-2,800 deaths
TB mortality per year :10,000 deaths
Вікові групи хворих Госпісу
1%
3% 3%
14 %
13 %
66 %
діти
20-30рр.
31-40рр.
41-50рр.
51-60рр.
>60р.
Palliative care system?
NO
national PC Program
Around the country – about 15 Hospices and 2 pilot home care projects, about
30 palliative care units
Models of palliative care services:
In patients units
Out patients groups – policlinics
NO official statistic of palliative care patients\units\hospices
10% of cancer and 5% of non-cancer patients receive PC
in 2009 the MoH of Ukraine issued an order on assigning out-of-staff regional
specialists;
by this moment, despite official addresses of IPCI/IRF to MoH, the Chief outof-staff specialist on palliative care issues in Ukraine has not been assigned;
During 2010 in country were three Ministers of health changed; during 2011 –
two
Palliative care trainings
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In 2008 the Institute of Palliative and Hospice Medicine of the Ministry of
Healthcare of Ukraine was established;
In 2009 three training courses for enhancement of professional level in
palliative care for the Training and Methodology Geriatric Center at the
National Medical Academy of Post-Graduate Education were adopted;
Since January 2010 the Chair of Palliative and Hospice Medicine of the
National Academy of Post-Graduate Education has started to operate.
In 2008: the first three-week training course in Ukraine for doctors and
nurses on basics of palliative care provision
In 2009 - 2010 EPEC-O manual on end-of-life care for patients and
oncology issues was translated and adapted
In 2010: the second two-week training course for doctors on basics of
palliative care
In 2011: first one-week training course for nurses on basics of palliative
care with ELNEC team
Support training center in Ivano-Frankivsk
Problems:
NO oral morphine
2.
NO pain relief access for patients at home and dose limitation for
inj morphine
3.
NO palliative care national plan
4.
NO educational system for palliative care profetionals and
nonmedical staff
5.
NO funds for support of hospices and staff
6.
“Constant” reform of health care system
Preference:
1.
Support of strong PC Assosiation
2.
Chance to change drug regulation for medical use
3.
Support of local initiatives for palliative care development
4.
Support of UKR training centre in Ivano-Frankivsk
5.
Potentional sooperation with Public-Private partnership
1.