Слайд 2Medicine
Ukrainian medicine system is the same one as it was
in the Soviet Union – it called Semashko’s system. The
point is the state holds healthcare institutions, and these institutions provide free services to citizens. And as a result, this algorithm has to minimize costs and health issues. There are few levels in this system. The first - district clinics where you can get help from therapist and different kinds of specialists. Then if there some serious problem, you steer to the district hospital and if it doesn’t work – to regional hospital. But in the reality there are many obstacles that people should overcome to become healthy. The main of them – huge corruption, lack of qualified specialists and bureaucracy. According to the statistics, more than 50 billion hrn allocated to provide health care system. Approximately the same sum ukrainians have to pay out of pocket only for the medicines. Moreover, it is impossible to accurately calculate such figure as «informal gratitude to the doctor».
Слайд 3Medicine
Another one problem - useless mechanisms. For example, quota -
is financial aid that the state provides for the sick
person to carry out costly operations. And it concerns only special surgery and the treatment using special technology. With consideration about it deals special body - the State system of high-tech medical care in more than 160 clinics in the country. To get quota the patient must visit the following experts:
o doctors "primary" level;
o Health Fund in the region;
o experts federal medical facility.
These three committees allow hospital specialists take a positive decision to do the operation. But people should face with lack of quotas and great turn. Even if you managed to get a document to free treatment, you may experience long queues. Again, extra payment –pills, therapy. Also person should seek the donor for her.
Слайд 4Medicine
Since 2017 in Ukraine conducted medical reforms. Currently approved decree
on health insurance. The patient will choose the doctor and
make a bargain with him. Territorial binding are overturned as well. Money will be allocated depend on the number of contracts in the institutions. The contract will set standards of care and the doctor will have to follow the protocol. If a patient requires complicated diagnosis, the doctor will send him to the hospital which should be choosen together with the patient. For doctors this reform is also important, because their salaries depend on the number of their patients. All this information will be in one electronic register.
Also in March 2016 in Ukraine officially launched the new scheme of issuing medicines for diabetics. The patients who need insulin, can get it in pharmacies for free. Besides special electronic register was created to get all of the information about the patients, control the issuance, quantity of insulin and make the process of receiving more easier. So you just come, show the prescription, get the meds. But also, there is the new law provided, that you should take care of your salve like healthy life style, snap out of bad habits, control your weight…so if according to the medical examination you don’t do these you will not get the free meds.
Слайд 5Educational system of Ukraine
Слайд 6Kindergarden
According to the law, you can send your child to
the kindergarden starting from 2 month old.
a) However there are not so many kindergardens wich specialize on working with very small children
b) still most parents try not to give a child to a kindergarden until they are 2,5 years old.
Most kindergardens start from 1,5-2 years old.
Children can attend kindergarden until they are 7 years old.
Слайд 7In the kingergardens groups are formed based on the age
of children.
The amount of children in a group depends on
the age and amount of children in the area (city/village). The average number is 20.
Usually there are two teachers and one nurse (nanny) in every group. However, teachers work in shifts, so there is one teacher and one nurse at the same time.
Слайд 8
State kindergardens in Ukraine are free of charge, but parents
pay for the food in the kindergarden.
Слайд 9School
Education is obligatory, but parents can choose to teach children
at home.
State schools are free of charge but parents
need to pay for food (children with health problems get food for free), sometimes for maintaining the school facilities, for renovations, books and some events held at school.
Слайд 10School:
- primary school (grade 1-4, from 6-10 years)
- secondary school
(grade 5-9, 10-15 years)
After the secondary school
Upper Secondary School (grade
10-11, 15-17 years)
Vocational school (take 3-4 years)
University
Vocational school
University
Finding a job
Слайд 12Reasons for emigration from Ukraine:
- Labor migration
- Education
- Political Beliefs
-
Finding the best living conditions
- Refugees from hot spots
Слайд 13International mobility
After the introduction of democratic rights, including freedom of
movement, cross-border mobility of ukrainian population has grown rapidly by
intersections western border.
But in 2013, before the Crimea annexation and the conflict in eastern Ukraine, number of trips to Poland exceeded the number of visits to Russia (which maintained a visa-free regime) at first.
Since the beginning of the conflict the number of trips abroad has decreased, especially it concerns visits to Russia: in 2014 there were almost a third less than in 2013. At the same time, the number of visits EU has grown - 10.5 mln. in 2014, 12.5 mln. in 2015.
Слайд 15Labour migration
Deep structural transformation of the economy, accompanied by falling
living standards and rising unemployment – that has stimulated labor
migration, which in the late 1990's has become a mass phenomenon and source of income for many families. According to the research conducted in 2014-2015 there are about 700 thousand citizens of Ukraine work abroad.
Слайд 16Labour migration
According to the same research:
among labor migrants there are
more men
most of of them are persons 30-44 years old
(over 40%)
Most migrants came from west areas
41% of migrants have secondary or vocational education, 36% - higher education
The main destination countries for migrant workers - Poland, Russia, Czech Republic and Italy.
Слайд 17Educational migration
According to UNESCO, between 2000 and 2012 the number
of Ukrainian students abroad has increased more than four times
and reached 37 thousand. Especially rapidly it grew in countries where is high level of work migration.
According to the annual monitoring concerning number of ukrainian citizens who study in foreign universities for full-time study in the 2013/2014 academic year there are 47,724 citizens of Ukraine.
Poland (15 ths.)
Germany (9 ths.)
Russia (6 ths.)
Canada (2 ths.)
Czech Republic (2 ths.)
Italy (1.9 ths.)
US ( 1.5 ths.)
Spain (1.4 ths.)
France (1.3 ths.)
Great Britain (1 ths.).
Слайд 18Refugees
As a result of the annexation of the Crimea and
Donbas situation in 2014-2015 there is not only internal but
also external forced migration. Number of applications for shelter in the European countries submitted by citizens of Ukraine surpassed in 2015 is 22 thousand. Most of these petitions filed to Italy, Germany, Spain and Poland.
Слайд 19Refugees
Besides, not all applicants receive an agreement. Only a few
ukrainians received positive answer on their appeals. In 2015 refugee
status in the EU (in accordance with the Geneva Convention of 1951) gained 415 citizens of Ukraine.
Due to geographical proximity, family ties, pro-russian orientation of the inhabitants of Donetsk and Lugansk regions, many workers from the conflict zone in the east went to Russia. According to the Federal Migration Service of Russia in 2015 for various reasons in Russia were registered 2.5 mln. citizens of Ukraine.