THE ROLE OF PUBLIC POLICY IN ENSURING PUBLIC HEALTH

Tеtyana Peresypkina; Valentina Nesterenko

doi:10.23856/5923

Tеtyana Peresypkina V. N. Karazin Kharkiv National University https://orcid.org/0000-0003-3408-1091
Valentina Nesterenko Kharkiv National Medical University https://orcid.org/0000-0002-3773-9525

Keywords: public health, health policy, institutions.

Abstract

A healthy population is the key to the long-term development and existence of any state. Therefore, one of the important tasks of the state is the development and implementation of relevant policies aimed at maintaining and strengthening the health of all segments of the population. The purpose of this study was to determine the role, influence and instruments of public policy for the preservation and promotion of public health. During the study, a retrospective analysis of the literature data, as well as the legal framework of Ukraine in the field of maintaining the health of the population, was performed. Adequate policies that may have an impact on the health of the population are implemented through ensuring the population's access to medical care; social protection measures; education and through economic aspects. The mechanism for implementing policies to ensure public health includes institutions and organizations that form the policy and interaction of all participants to implement policies, as well as regulatory and legal documents through which these initiatives are actually implemented. Today Ukraine is in difficult social and economic conditions. There is a negative trend in the health of the population. However, despite this, Ukraine implements policies to preserve and improve the health of the population by joining the global process of achieving the Sustainable Development Goals; adoption of the Law of Ukraine “On the system of public health”, which is aimed at protecting and strengthening the health of the population, preventing diseases, improving the quality and increasing life expectancy, ensuring the sanitary and epidemic well-being of the population; development of regulatory documents on priority areas for the development of the healthcare sector for the period up to 2025.

References

1. Alston L, Nichols M, Allender S. (2019). Policy makers' perceptions of the high burden of heart disease in rural Australia: Implications for the implementation of evidence-based rural health policy. PLoS One. 14(4):e0215358. doi: 10.1371/journal.pone.0215358.
2. Chung H, Muntaner C. (2006). Political and welfare state determinants of infant and child health indicators: an analysis of wealthy countries. Soc Sci Med. 63(3):829-42. doi: 10.1016/j. socscimed.2006.01.030.
3. Center for Disease Control and Prevention (CDC). Retrieved from: https://www.cdc.gov/ index.htm
4. Canadian Federal Commissions on Health Care. (2022). Retrieved from: https://www.canada. ca/en/health-canada/services/health-care-systems.html
5. Canadian College of Health Information Management: Home. (2022). Retrieved from: https://cchim.ca
6. Federal Ministry of Health. German. (2022). Retrieved from: https://www.bundesgesundheitsministerium. de/en/ministry.html
7. Gopinathan U, Buse K. (2022). How can WHO transform its approach to social determinants of health? BMJ. 8;376:e066172. doi: 10.1136/bmj-2021-066172.
8. Karas Montez J, Hayward M, Zajacova A. (2019). Educational Disparities in Adult Health: U.S. States as Institutional Actors on the Association. Socius. Jan- Dec;5:10.1177/2378023119835345. doi: 10.1177/2378023119835345.
9. McCartney G, Hearty W, Arnot J, Popham F, Cumbers A, McMaster R. (2019). Impact of Political Economy on Population Health: A Systematic Review of Reviews. Am J Public Health. Jun;109(6):e1-e12. doi: 10.2105/AJPH.2019.305001.
10. Ministerstvo osvity ta nauky Ukrainy (2020). Tsili staloho rozvytku. Analitychni materialy [Goals of sustainable development. Analytical materials of the Ministry of Education and Science of Ukraine]. [in Ukrainian]. Retrieved from: https://mon.gov.ua/ua/nauka/innovacijna-diyalnist- ta-transfer-tehnologij/analitichni-materiali/cili-stalogo-rozvitku
11. Ministry of Health, Labor and Welfare of Japan. (2022). Retrieved from: https://www.mhlw. go.jp/english/
12. Ministerstvo ohorony zdoroviya Ukrainy. Dokumenty. [Ministry of Health of Ukraine. Documents]. [in Ukrainian]. Retrieved from: https://moz.gov.ua/dokumenti 13. Navarro V, Shi L. (2001). The political context of social inequalities and health. Review Soc Sci Med. 52(3):481-91. doi: 10.1016/s0277-9536(00)00197-0.
14. National Health Service (NHS). (2022). Retrieved from URL: https://www.england.nhs.uk/ about/
15. Ndumbe-Eyoh S, Muzumdar P, Betker C, Oickle D. (2021). 'Back to better': amplifying health equity, and determinants of health perspectives during the COVID-19 pandemic. Glob Health Promot. Jun;28(2):7-16. doi: 10.1177/17579759211000975.
16. Norwegian Directorate of Health. (2022). Retrieved from: https://health-inequalities. eu/jwddb/norwegian-directorate-of-health/?gclid=CjwKCAjw8ZKmBhArEiwAspcJ7k6_ IoboTg-J_lZdMB9PBcqQaMUNApWsgeXx50MXKyGvG-BQ16WpnRoCUPIQAvD_BwE
17. Natsionalʹna sluzhba zdoroviya Ukrainy. E – dani. [ National Health Service of Ukraine. E – data]. [in Ukrainian]. Retrieved from: https://edata.e-health.gov.ua/e-data
18. Schram JLD, Schuring M, Oude Hengel KM, Burdorf A. (2019). Health-related educational inequalities in paid employment across 26 European countries in 2005-2014: repeated cross-sectional study. BMJ Open. Jun 1;9(5):e024823. doi: 10.1136/bmjopen-2018-024823.
19. Tsentr medychnoyi statystyky Ministerstvo ohorony zdoroviya Ukrainy (2022) [Center for Medical Statistics of the Ministry of Health of Ukraine]. [in Ukrainian]. Retrieved from: http:// medstat.gov.ua/ukr/main.html
20. Uryadoviy portal Ukrainy. Normatyvno-pravovi akty (2023) [Government portal of Ukraine. Normative and legal acts]. [in Ukrainian]. Retrieved from: https://www.president. gov.ua/documents/decrees
21. United Nations Development Programme (2017). Peretvorennya nashoho svitu: poryadok dennyy u sferi staloho rozvytku do 2030 roku. Analytycheskaya informatsiya UNDP [Transforming our world: the 2030 agenda for sustainable development. Analytical information], [in Ukrainian]. Retrieved from: https://www.undp.org/uk/ukraine/publications/ перетворення-нашого-світу-порядок-денний-у-сфері-сталого-розвитку-до-2030-року
22. Ukaz MOZ Ukrainy № 1832 vid 07.10.2022 “Pro utvergdenie prioritetnyh napravleniy razvitiya sfery zdravoohraneniya na 2023 – 2025 goda” [Decree of the Ministry of Health of Ukraine No. 1832 of 07.10.2022 “On the approval of priority areas for the development of the healthcare sector for 2023-2025»]. [in Ukrainian]. Retrieved from: https://zakon.rada.gov.ua/ rada/show/v1832282-22#Text
23. World Health Organization. (2023). Retrieved from: https://www.who.int
24. Zajacova A, Lawrence E. (2018). The Relationship Between Education and Health: Reducing Disparities Through a Contextual Approach. Annu Rev Public Health. Apr 1;39:273-289. doi: 10.1146/annurev-publhealth-031816-044628.