Russian invasion

Russian Invasion: Ukrainians with chronic diseases’ access to health care worsening.

The World Health Organisation, (WHO) has said that 1 in 3 households is home to at least 1 person with a chronic condition that is unable to secure medication and care due to the Russian invasion.

The above assertion is as revealed by a new WHO survey illustrating the devastating impact of the humanitarian emergency on the health and well-being of millions of civilians, and the severe challenges facing the Ukrainian health system, as war in Ukraine hits the 2-month mark.
“Preliminary results from an ongoing nationwide health needs assessment, conducted in partnership with Premise, indicate that of the 1,000 households that have responded so far, 1 in 3 (30%) that have at least 1 person with a chronic disease reported challenges in accessing care for those conditions,” a statement from the UN organisation revealed.

Read: WHO verifies that Russian Strikes Killed Health Workers in Ukraine

According to the statement, the survey also shows that 2 out of 5 households (39%) have at least 1 member with a chronic illness, such as cardiovascular disease, diabetes or cancer.
“Less than a third (30%) of respondents sought out health-care services recently; of those, 39% cited the security situation as the main reason, while 27% reported that no health-care services were available at all in their area.
“Most households (70%) surveyed are sheltering in their own homes at this time, while 11% are staying with friends and family members in relatively safer areas, 8% are on the move within Ukraine, and 3% are in a shelter or camp for internally displaced people,” the statement read in part.
WHO Representative and Head of the WHO Country Office in Ukraine, Dr Jarno Habicht was quoted thus, “Two months into the war, our findings show the urgent need for continued health system support in Ukraine.
“Through our long-standing engagement with the Ministry of Health, national health institutions and our many partners and donors, WHO has been able to reach nearly 7.5 million people over the past 8 weeks with life-saving supplies, equipment and medicines.
“But we are still unable to reach some of the hardest-hit areas in the east where the health system has all but collapsed. We have received reports, for instance, that nearly all health facilities and hospitals in Luhansk oblast are either damaged or destroyed, and the situation is critical in several others.
It is vital that we gain access so we can assess health needs and move vital supplies into affected areas, including Mariupol. Civilians have a right to health, even in times of war.”
It was further observed that Ukraine’s health system is facing multiple challenges, with the situation growing more dire by the day; the risk of infectious diseases, and increasingly waterborne diseases, is significant, and routine immunization, including COVID-19 vaccination, is greatly diminished because of the war.

On access to reproductive, maternal and antenatal care, as well as mental health care, it was noted that services have been severely impacted due to the Russian invasion, restricted mobility, broken supply chains and mass displacement. And health care continues to come under attack, with more than 160 verified incidents since 24 February.
Also quoted in the statement, WHO Regional Director for Europe, Dr. Hans Henri Kluge said, “As the health agency of the United Nations, WHO is in a unique position to engage in dialogue with all parties to press for, and secure, safe passage for critical health and medical supplies nationwide,” explained.
“Through our Regional Office and country offices, we are constantly in touch with Health Minister Viktor Liashko and Ukrainian health authorities, collectively strategizing to ensure as best we can that health-care providers and facilities can continue to function.”

The WHO said it is working closely with partners on the ground and through the generosity of a range of donors and funders and has managed to deliver specialized medical and emergency supplies, deploy medical teams in hard-to-reach areas, and help minimize disruptions to critical services, including treatments for HIV, tuberculosis and diabetes, routine immunizations, and mental health support.
WHO listed its accomplishments in Ukraine with support of partners in the past two months to include; verification of 162 attacks on health care (as of 21 April); delivery of 218 metric tons of emergency and medical supplies and equipment to Ukraine, 65% of which (142 metric tons) has reached intended destinations, mostly in the east, south and north of the country where the need is greatest; delivery of enough trauma and emergency supplies to conduct up to 207 000 surgeries.
Others are; delivery of enough medicines and health-care equipment to serve 7.45 million people; delivery of 15 diesel generators to meet the energy needs of hospitals and health facilities; delivery of 130 000 COVID-19 rapid antigen tests (WHO had prepositioned many more prior to the Russian invasion); delivery of 1000 vials of tocilizumab to treat severe and life-threatening cases of COVID-19; ordered 20 ambulances to hand over to the Ministry of Health, due to be delivered in the next week; and convened 97 international and local partners with health-related activities in 24 oblasts through the Ukraine Health Cluster.

Also in the list is delivery of trauma and emergency medical supplies to the following oblasts: Kyiv, Cherkasy, Dnipropetrovsk, Zhytomyr, Chernihiv, Sumy, Kharkiv, Poltava, Luhansk, Donetsk, Kherson, Odessa and Zaporizhzhia; support of or coordination of more than 50 Emergency Medical Teams (EMTs) in Ukraine and refugee-hosting countries to provide direct surgical support and mobile primary health care; as well as run bi-weekly training sessions attended by thousands of Ukrainian health-care providers on mass casualty management, covering topics such as hospital blood transfusions in conflict settings, traumatic limb injuries, emergency nursing care and essential burn care.

The WHO also said it has provided support to the Ukrainian Ministry of Health’s Public Health Centre to estimate the antiretroviral needs in Ukraine for the United States President’s Emergency Plan for AIDS Relief (PEPFAR), which has funded and is working with partners on the ground to deliver enough antiretroviral drugs to treat people living with HIV in Ukraine for up to 12 months; established 3 health hubs in western Ukraine to support medical evacuations, and ensured safe medical evacuation of patients, including those suffering from cancer, for treatment outside Ukraine; and put in place contingency plans for medical oxygen given the current disruptions to supply.
“As of 21 April, WHO had received US$ 26.3 million of its appeal for US$ 45 million (58%) to cover its emergency response from March through May. A further US$ 18 million has been pledged. These funds will enable WHO to reach 6 million people with health-care assistance.”
WHO expressed gratitude to governments, individuals, corporations and organizations contributing to its Ukraine Appeal, such as Canada, Ireland, Japan, Norway, Switzerland, the Novo Nordisk Foundation, European Civil Protection and Humanitarian Aid Operations, and the United Nations Central Emergency Response Fund for their timely contributions as they combat the effects of the Russian invasion
“Flexible funding remains critical to enable WHO to deliver urgent, life-saving assistance where it’s most needed,” Dr. Habicht stressed.

According to the United Nations, due to the Russian invasion, more than 12 million people have been forcibly displaced by the Russian invasion: 7.1 million people are displaced within Ukraine and more than 5 million refugees are outside Ukraine. Another 2.9 million are considering leaving their homes due to the war.
“Addressing the health impacts of the Russian invasion in Ukraine and surrounding countries remains my highest priority.
“During, my recent visit to Ukraine on World Health Day, I was deeply impressed by the resilience of the health workers I met, who are going over and above the call of duty to treat patients and serve their communities, despite the difficult circumstances. I complimented as well the Ministry of Health for their efforts,” said Dr. Kluge.
“WHO/Europe is committed to supporting Ukraine during the Russian invasion and in the future. As we respond to the immediate humanitarian needs, we must also plan for reconstruction and rehabilitation in parallel. The challenges are formidable, but WHO will work with national authorities and partners every step of the way, striving to achieve health and well-being for all,” he added

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