Modern educational needs of specialists in the public health system.

OBJECTIVE: Aim: Studying the opinion of public health system workers (emlpoyees) regarding existing educational problems and needs in the context of continuous professional development. PATIENTS AND METHODS: Materials and Methods: Bibliosemantic, medical-statistical, sociological methods are used in the study. The research program provided for conducting sociological surveys of public health specialists in different regions of the country regarding the establishment of priority training topics for public health specialists; preferred methods of learning; barriers to access to education, etc. The scientific base of the research the regional centers for disease control and prevention have become. Statistical processing and mathematical analysis of materials was carried out using methods of statistical analysis. RESULTS: Results: The research has found that the priority topics of training for public health specialists are issues of epidemiology (which were indicated as very important by 67.7±3.7 and as important by 22.0±3.2 per 100 respondents); emergency and disaster management (67.7±3.7 and 31.1±3.6 per 100 respondents), quality and safety (53.0±3.9 and 38.4±3.8), practices based on on evidence (42.1±3.9 and 45.7±3.9) eHealth and digitalization (40.2±3.8 and 38.4±3.8), statistics (38.4±3.8 and 51 ,2±3.9), research methodology (32.9±3.7 and 51.2±3.9) and research ethics (12.8±2.6 and 67.7±3.7, respectively). Webinars (62.2±3.8 per 100 respondents) and online training (60.4±3.8), classroom (42.1±3.9) and hybrid (40.2±3.8) were identified as preferred forms. teaching. The obstacles to the continuous professional development of public health specialists are a lack of time and a lack of finances, a lack of information about desired training programs, their regulations, insufficient support from management, military aggression and the problems caused by it, etc. CONCLUSION: Conclusions: The priority topics of training for public health specialists, preferred methods of training and barriers to access to training determined in the course of the study are the basis for improving the organization of continuous professional development of employees of public health centers.

DEVELOPMENT OF THE PUBLIC HEALTH SYSTEM IN THE CONDITIONS OF CURRENT CHALLENGES AND THREATS.

OBJECTIVE: The aim: Analysis of the development and optimization of the public health system in the face of current challenges and threats. PATIENTS AND METHODS: Materials and methods: Bibliographic, information-analytical, statistical methods and content analysis were used in the study. An analysis of the regulatory framework for the development of the public health system, including WHO strategic documents and national legislation was conducted. A critical assessment of the pre-existing public health system under the Semashko model was provided. The main stages of development of the new public health system of Ukraine, it's structural, financial and economic, organizational and managerial, scientific and educational, information and communication aspects are described. Reporting materials of the Public Health Center of the Ministry of Health of Ukraine and regional health centers, the state institution «Center for Medical Statistics of the Ministry of Health of Ukraine¼ and state institutions «Laboratory Centers of Ukraine¼ were analyzed. RESULTS: Results: The development of the national public health system in Ukraine is carried out in accordance with the main directions of state policy, recommendations of the WHO and other international organizations in health care and aims to ensure health and well-being, prevent and minimize the negative consequences of current challenges and threats to population health. The public health development strategy is defined and enshrined in the legal framework. Structural development includes the creation of a national, 23 regional public health centers, a network of local structures, their staffing, the formation of a network of training institutions and their continuous development. The organizational and managerial strategy provides coordination of activities, intersectoral and intersectoral cooperation, improvement of technological and resource provision of institutions and institutions of the public health system. Financial and economic activities include multi-channel financing of structures and public health activities. Information and analytical activities provide effective monitoring of health and well-being, obtaining organizational and managerial and government structures objective information for making sound management decisions. CONCLUSION: Conclusions: Development of the national public health system in Ukraine and its optimization is carried out in accordance with the main directions of state policy, recommendations of the WHO and other international organizations in health care and aims to ensure health and well-being, prevent and minimize the negative consequences of modern challenges and threats to population health. Optimization of the public health system includes a number of measures of functional-structural, organizational-administrative, regulatory, financial-economic, scientific-educational, information-analytical nature, aimed at ensuring the implementation of the main operational functions of public health.

SELF-ASSESSMENT OF THE CONTENT OF THE PUBLIC HEALTH MASTER'S EDUCATIONAL PROGRAM FOR COMPLIANCE WITH THE EUROPEAN PUBLIC HEALTH CORE COMPETENCES PROGRAMME.

OBJECTIVE: The aim: Determining the compliance of the developed Public Health Educational Program with the principles and basic provisions of the WHO-ASPHER Competency Framework for Public Health Workforce in the European Region. PATIENTS AND METHODS: Materials and methods: The study used bibliographic and information-analytical methods and content analysis. A comparative analysis compliance of the content of the Public Health Master's Educational Program, developed in Bogomolets National Medical University, with the provisions of the WHO-ASPHER Competency Framework for Public Health Workforce in the European Region in terms of providing academic disciplines in the ECTS credits (European credit transfer and accumulation system), has been carried out. RESULTS: Results: Comparative analysis of the components of the University Public Health Master's Educational Program and regulations of the WHO-ASPHER Competency Framework for Public Health Workforce in the European Region has identified a high level of their compliance in all areas of competence formation, including science and practice, health promotion, legislation, policy, ethics, common health and safety in health, leadership and operational mind-set, cooperation and partnership, communication, culture and advocacy, strategic and resource management, professional development, organizational training and adaptability. The competence-based educational program provides future professionals with theoretical knowledge and practical skills for a clear understanding of public health problems, a reasonable choice of methods for solving them, taking into account modern practices; forming partnerships, effective communication and cooperation on a cross-sectoral basis, developing leadership skills, organizing and providing people-centred public health services. CONCLUSION: Conclusions: Self-assessment of the content of Public Health Master's Educational Program for compliance with European educational standards for the formation of the necessary competencies is an important tool for its quality formation and improvement. A comparative analysis of the university's Public Health Master's Educational Program, with the European Competency Framework for Public Health Workforce, has identified a high level of compliance.

Reducing health inequalities as a component of the health training programs.

OBJECTIVE: The aim: identifying the characteristics and trends of inequalities in the health of the population to substantiate the educational content of the curriculum for the training of Master in Public Health. PATIENTS AND METHODS: Materials and methods: Bibliographic, sociological, medical-statistical and information-analytical methods were used in the study. Ukraine's healthcare institutions were the scientific base of the study. The data on the average life expectancy, morbidity, mortality, satisfaction of medical needs of different groups of the population for revealing the social gradient are analyzed. Documents on strategies to reduce health inequalities have been examined. RESULTS: Results: Health inequalities between WHO countries have been identified, including a difference in the average life expectancy at birth of 17.1 years in premature mortality due to differences in the levels of economic development of countries. The inequality in the prevalence of diseases and the difference in the satisfaction of specific medical needs among the first and tenth decile population of Ukraine were determined. The prevalence of diseases of the genitourinary system in the population older than 60 years with low rates by 27.3% was higher than the figure among financially insured persons. The incidence of ocular pathology among adults with different income levels varied 1.8 times. The provisions of the WHO strategic documents on reducing health inequalities and its protection and on developing the public health system are analyzed. We justify the necessity of expanding the coverage of the problems of reducing disparities in health and health care in the course of training of the Master in Public Health. A modern curriculum "Social Medicine, Public Health" has been developed with the inclusion of inequalities in public health and appropriate educational and methodological support. CONCLUSION: Conclusion: The strategic goal of reducing inequalities in public health and its care requires integrating these issues into a modern master's in public health program. The curriculum developed covers various aspects of health inequalities and health care, including the identification and assessment of disparities, the clarification of causes, the identification of counter-measures. Created educational and methodological support allows acquiring theoretical knowledge and practical skills that form the necessary competencies of professionals in the context of overcoming inequalities in health.