Gerontological aspects of improving the quality of medical and social assistance to older displaced persons in the context of the COVID-19 pandemic in Ukraine

Author(s):  
В.В. Чайковская ◽  
Т.И. Вялых ◽  
А.В. Царенко ◽  
Н.Н. Величко ◽  
В.А. Толстых ◽  
...  

Исследование посвящено вопросам организации медицинского и социального обслуживания переселенцев пожилого возраста на уровне первичной медико-санитарной помощи (ПМСП) на Украине, определению основных задач и особенностей организации и предоставления им паллиативной и хосписной помощи (ПХП) в условиях пандемии COVID-19. По результатам социологического исследования с использованием методов опроса, экспертных оценок были проанализированы социально-психологические характеристики переселенцев пожилого возраста, особенностей их социальной адаптации, финансирования и медико-социального обслуживания. Были определены пути улучшения организации амбулаторной помощи переселенцам старшего возраста на уровне ПМСП, включающие структурную модернизацию и оптимизацию организационного обеспечения. Внедрение доступных и экономически обоснованных подходов позволяет усилить взаимодействие специалистов учреждений здравоохранения и социальной защиты, оптимизировать соблюдение стандартов и принципов медицинской помощи. В рамках организации ПХП базовыми являются европейские подходы формирования стратегии непрерывности предоставления паллиативной помощи в условиях пандемии COVID-19. Внедрение предлагаемых подходов в организации медицинской и социальной помощи на уровне амбулаторий ПМСП и обеспечение доступной ПХП являются актуальными для переселенцев пожилого возраста, находящихся в группе повышенного риска при пандемии COVID-19. This work aimed to study the organization of medical-social services for the elderly internally displaced persons at the level of primary medico-sanitary aid (PMSA) in Ukraine, assessment of the main tasks and specifics of organization and provision of palliative and hospice care (PHC) under COVID-19 conditions. As a result of the sociological investigation, using the questionnaire methods and experts’ evaluations, we have analyzed the socio-psychological characteristics of the elderly internally displaced persons, the specifics of their social adaptation, financing and medico-social servicing at the level PMSA, including structural modernization and optimization of organizational provision. The introduction of an affordable and economically viable system allows for the interaction of specialists from health care and social protection institutions, and optimizes compliance with the standards and principles of medical care. Within the framework of the PНC, we use the European approaches of formation of the strategy of palliative care expansion under COVID-19 pandemic. One of the main tasks is the provision of constant PHC. Introduction of the organization-structural system of the medical-social care at the PMSA level and provision of accessible and highly qualitative constant PHC are actual for the elderly displaced people, who are in the group of high risk COVID-19 death group.

Author(s):  
Vira Nikitina

The article deals with basing of the necessity of social work with internally displaced persons (IDPs) in modern Ukraine, as not all of the problems of these people that have arisen as a result of forced resettlement have been resolved. The problem is in difference of the life trajectories of IDPs: some of migrants are in higher levels of income in the social hierarchy than residents of host communities, while others still live in collective housing in need of humanitarian assistance. Social differentiation within IDPs raises debates about the need to maintain common approaches to their social protection and social work with them. The purpose of this article is to prove the presence of signs of vulnerability in internally displaced persons, which necessitates the provision of social support by specialists working in the field of social work. To achieve this goal, the method of theoretical generalization and the method of deduction were used. The results of the study are the identification of such features of the social position of IDPs in Ukraine and features of their socio-psychological state, which evidence the presence of indicators of vulnerability, and therefore are the reason of social work with them in different areas. The presence of dual vulnerabilities in IDPs (the status of an orphan or a child deprived of parental care, a child or a person with a disability, a member of a family with many children, etc.) increases the need for social support from social services professionals.


Author(s):  
Anastasiia Trofymenko

The weaknesses of the legal framework of social protection of internally displaced persons (IDPs) in Ukraine have been analyzed. Among them are legal conflicts between legal acts, absence of the mechanism of providing IDPs with free temporary housing and compensation for lodging destroyed. The following challenges arise under the exercise of rights of IDPs: the amount of targeted aid has not changed since October 1, 2014; limitation of the freedom of movement for IDPs; limited practice ability of granting the right for the easy terms of studying at University (may be met by additional grants, charge-free rooms at the dormitory, free books and manuals, free Internet access etc.);the collection of legal charge for filing a lawsuit in court seeking protection of the rights of IDPs; service troubles of Single IDP Data Base. The issues of the lack of money for living, employment, provision of medical and psychological aid, the lack of selection criteria for the provision of IDPs with social services depending on their welfare, social status etc. are also pressing. Keywords: Internally Displaced Persons (IDPs), IDP registration reference, anti-terrorist operation (АТО), Single IDP Data Base, Ministry of Temporarily Occupied Territories and IDPs of Ukraine (МТОТ)


2020 ◽  
Author(s):  
Olena Shevchenko ◽  
◽  
Vladyslav Davydov ◽  
Danylo Udovychenko ◽  
◽  
...  

For more than six years, forced internal displacement has remained one of the main challenges and priorities of Ukraine's public policy. Under the difficult conditions of forced relocation, the state has a number of obligations to strengthen the protection of the human rights of internally displaced persons. Social cohesion is one of the basic doctrines of modern society. It involves the active participation of the population in solving pressing problems of life, in overcoming social isolation and social disintegration. An organic component of the latter is the system of social protection of internally displaced persons in the context of decentralization of power in eastern Ukraine, adequate to the nature of the functioning and development of market relations. The article substantiates the theoretical aspects of the implementation of state social security policy in the decentralization of power, the conceptual basis for choosing a national model of economic development of the economic system in the context of the social component of state policy (the state of parameters of socio-economic model of national economy). functioning of the modern economic system, the genesis of the modern model of the global economy) and methodological approaches to determining the needs and basic determinants of formation, development of social protection in specific historical conditions, as a form of socialization of the global economy (public policy expands its format to the system of providing social services as an attribute of the national economic system, reflecting the level of their socialization); analyzed the current state of the national economic system (in terms of deformation of the socio-economic subsystem, the risks of deepening social inequality) and identified social risks inherent in modern society, which allows you to choose the most effective measures to counteract the negative consequences; proposed a mechanism for regulating the implementation of social support for vulnerable groups, the functions of social protection institutions according to the appropriate classification (such structure clearly identifies their role in regulating social reproduction on the basis of complementary combination, reducing the risks of possible decline in living standards in crisis) and government action programs for overcoming the crisis in the country, taking into account regional problems of social protection, which will overcome the social disintegration of social insecurity of internally displaced persons and ensure equal access to social services in an inclusive development of the national economic system in eastern Ukraine.


Author(s):  
Валерія Геннадіївна Щербак

The paper discusses the extent, intensity, new directions and forms of forced mobility which has become an integral and important attribute of social reality of modern Ukrainian society. Evidence is provided to support the critical need to investigate the immediate and long-term effects of migration on the nature and content of socioeconomic processes in host societies. The nature of business-oriented reintegration of refugees and internally displaced persons has been disclosed, thus, in close collaboration with government, being able to take up certain functions of the state. The research hypothesis is based on the bunch of scientific terms and principles for the development of mechanisms and institutes of economic and social adaptation of refugees and internally displaced persons (IDPs) as a framework to study the factors of their adaptation and ‘pushing’, explore the migrants status in the labour market and the prospects for their reintegration in terms of entrepreneurial practices implementation. The aim of this study is generalization and elaboration of methods for business reintegration development and support together with identification of current opportunities and constraints in socially driven activities. To summarize the results of the study, the following cognitive methods have been employed: unity of analysis and synthesis, generalization and forecasting method, economic and cluster analysis – all closely linked to the theoretical and practical aspects of the research. Based on comparative analysis of the key approaches to the definition of “adaptability” in the context of providing infrastructural support for SME activities, the nature of an “adaptive infrastructure support for small and medium-sized business” category is revealed. A conceptual model for building adaptive infrastructure to support entrepreneurship efforts of refugees and IDPs is suggested, with due regard to the interests of all stakeholders as well as to the role and function of public business associations within the system of its institutions. Within the scope this research, infrastructural support for entrepreneurship is considered as a system of organizations of different types, functional areas and ownership forms assembled together with a common goal to create a favourable environment for proper functioning of small and medium business structures at various stages of their development. Given that this system is not only a set of relationships and links between its constituent elements but also an integral entity having a number of its own attributes and characteristics (driven in turn by the properties and characteristics of its separate elements and connections between them) can be viewed as a complex adaptive system.


2021 ◽  
Vol 1 (1) ◽  
pp. 17-36
Author(s):  
Agbo Friday Ojonugwa

Internally displaced persons (IDPs) are usually forced to flee or leave their homes, particularly in situations of armed conflict. They are displaced within their national territories and are generally subject to heightened suffering and vulnerability in many cases. It is also essential to state that the issue of internal displacement has become prominent because of the realisation that peace and reconstruction in conflict-ridden societies depend on the effective settlement and reintegration of displaced persons. Nigeria is a country that has a history of conflicts and displaced people. There has been a challenge in finding lasting peace through the employment of conflict resolution techniques and also the challenge of catering for the welfare of internally displaced persons in the country. However, peace and development without taking into account the settlement, return, and reintegration of IDPs. These desirous objectives are proving quite difficult in Nigeria as many challenges confront the government, policymakers, and humanitarian NGOs in providing the IDPs with their rights and needs. Some of the challenges can easily be overcome while some are more tasking requiring concerted efforts and massive resources to overcome. The aim of this article is to highlights the significant challenges confronting IDPs and provides some solutions to these challenges. In adopting the doctrinal method in discussions, the article finds that enormous challenges abound that confront IDPs in Nigeria, and it finds that there is the need for the government to find urgent solutions to the challenges of IDPs for the wellbeing of IDPs  


2021 ◽  
pp. 47-55
Author(s):  
Vera Chaykovska ◽  
Tatiyana Vialykh ◽  
Nataliya Velichko ◽  
Vadim Tolstikh ◽  
Svitlana Moskaliuk ◽  
...  

This paper is concerned with the organizationofmedical-socialservicesfortheelderly internally displaced personsfrom theATO zonesat the level of primary medico-sanitary aid.Sociologicalinvestigationsusingpersonal questionnairesandexperts’evaluationshave shown thatsocial-psychological characteristics oftheelderlyinternallydisplacedpersons(IDPs),Theirsocialadaptation, inadequatefinancingandlowlevelofmedico-socialcare,as well as their preferences make it necessary organize healthmonitoringsystem, treatment, rehabilitation and long-term care by family doctors, information centres, day-time stayand rehabilitation centres.WehavedevelopedthemodeloforganizingambulatoryservicesfortheelderlyIDPsat the level of primarymedico-socialcare(PMSC)that would include structural modernization and optimization of its optimal provision. Inouropinion, thismodelismostaccessibleandeconomicallygrounded. It allowsprovide interaction and co-operation of the professionals of health and social care institutions, optimization of standards and principles of medical care. Implementationofthismodelasmostaccessibleandeconomicallygroundedwould allowinteractionandcooperationoftheprofessionalsofhealthcareorganizationsandsocialprotectionsettings.Introductionofthismodel,asmostaccessibleandeconomicallygrounded,would allowensureinteractionandcooperationoftheprofessionalsofhealthcareand social protection institutions, optimizeobservation of the medical care standards and principles. Wehavedevelopedmethodologicalapproachesfortrainingthephysiciansandhealthcare-giversreceivingkeyknowledgeanddeveloping self-carehabitsfortheelderlyIDPsattheir homesconsideringtheirmedico-socialandpsychologicalneeds.


2021 ◽  
Vol 18 (1) ◽  
pp. 101-113
Author(s):  
Lyudmyla Alekseyenko ◽  
Oksana Tulai ◽  
Yuriy Petrushenko ◽  
Andriy Kuznietsov ◽  
Julia Derkash

The institution of home ownership provides for the functioning of affordable housing for low-income people and new groups in need of social protection, including the reintegration of migrants to new places of residence. The aim of the study is to substantiate the priorities of investments into affordable housing for internally displaced persons promoting their adaptation and social reintegration in the context of administrative-territorial decentralization.The study is based on use of empirical, economic and statistical methods, which in the process of correlation, regression and canonical analysis showed that many indicators that characterize the housing market are closely correlated with the scale and development level of administrative units in Ukraine. To characterize the state and investment attractiveness of the residential real estate market, a set of indicators was used in the modeling: population, the number of employed, household income, regional domestic product, volume of commissioned housing, construction investments, regional human development index, total housing stock, housing prices in the regions of Ukraine and Kyiv. The most significant parameter that affects the volume of housing construction is the amount of investments into per capita housing construction. The article also discusses the housing market situation, which differs in regions or some cities due to the significant differentiation of their development, which affects the ability to obtain affordable housing. The implementation of regional development programs should determine investment priorities of social protection, particularly the possibility of buy-out schemes through the mechanism of leasing of social housing by internally displaced persons. Acknowledgment This research was funded by a grant from the Ministry of Education and Science of Ukraine “Reforming the lifelong learning system in Ukraine for the prevention of the labor emigration: a coopetition model of institutional partnership” (No. 0120U102001).


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