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War and Health: Key Findings from the "Health Index. Ukraine" - 2023 Report

The war in Ukraine continues and significantly impacts the health of Ukrainians. The WHO Ukraine team for health information and risk management presents the "Health Index. Ukraine"-2023 report, which allows for a comparison of current data with pre-war indicators.

Research Partners

The survey was conducted with the support of:

  • WHO Ukraine
  • the "Health Solutions" Foundation
  • the World Bank

What is the "Health Index. Ukraine"?

This is a large-scale representative study conducted since 2016, covering approximately 10,000 Ukrainian households in each round. In 2023, 9,200 respondents were surveyed, providing valuable insights into:

  • health-related behaviors,
  • trends in healthcare services,
  • inpatient and outpatient treatment,
  • healthcare expenditures, and more.

Key Research Findings

Chronic Diseases

  • 41% of respondents reported having chronic diseases, more common among women (44%) than men (37%).
  • The most prevalent chronic disease is hypertension, affecting 25% of respondents.

Preventive Examinations

  • 56% of respondents underwent routine medical check-ups (an increase compared to 2020).
  • Women are more likely to undergo preventive screenings, which typically include fluorography and ECG.

Outpatient Treatment

  • 40% of respondents sought outpatient care, with women doing so more frequently than men.
  • 16% of patients were unable to receive care due to financial constraints.
  • Overall outpatient treatment costs have increased, despite a decrease in direct payments.

Treatment Costs and Access to Medications

  • Medication costs remain high for both outpatient and inpatient treatments.
  • 12-13% of patients cannot afford all necessary medications due to financial difficulties.

Internally Displaced Persons (IDPs)

  • IDPs face higher levels of psychological stress and financial barriers in accessing healthcare.
  • They are less likely to seek professional help for mental health issues.

Regional Differences

  • War-related refusals of medical care are particularly high in the following regions:
    • Zaporizhzhia – 18%
    • Kharkiv – 24%
    • Kherson – 43%
  • Chronic illnesses and stress are more prevalent in eastern and southern regions.

Detailed research findings are available in both Ukrainian and English:

Read the report