*Y.C.* SEXUAL AND REPRODUCTIVE HEALTH RIGHTS PROMOTION IN UKRAINE
Despite the fact that the public health system in Ukraine provides universal access to free health care to pregnant women, the maternal mortality ratio remains high and is approximately two to three times higher than that of most countries in Western Europe
In Ukraine, 2001 healthcare system reform which is based on international standards was approved. However its implementation seems to be questioned due to gaps in medical education system, economical problems and absence of civil society in Ukraine. Nowadays Ukraine is oriented on international standards in the field of sexual and reproductive health rights (SRHR). This fact was positively accepted by healthcare officials and scientists. As a result SRHR issues were included in the curriculum for ob/gyn residents five years ago. Nevertheless the syllabus of this course has not been developed yet. This fact makes our project extremely urgent and important for Ukrainian society. Thus the main goal of this project is to work out and implement SRHR curriculum and guidelines in postgraduate education in Ukraine. This innovation will be successful because we have strong support and commitment of Ministry of Healthcare and Ministry of Education. After this project is implemented we do not need additional financial support because this course is the part of medical curriculum which is accepted and supported by Ministry of Healthcare.
A propos de vous
Section 1: About You
Prénom
Anna
Nom
Yermachenko
URL du site Web
Organization
Ukrainian medical project
Pays
Ukraine, DO
Are you an individual between the ages of 18 and 35 who would like to apply for a nine month Young Champions Program mentored by an Ashoka Fellow?
Oui
Section 2: About Your Organization
Nom
Ukrainian medical project
Site Web
Téléphone
00380623057620
Adresse
83052, blvrd Shevchenko 11-18
Pays
Ukraine, DO
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Your idea
Name Your Project
*Y.C.* SEXUAL AND REPRODUCTIVE HEALTH RIGHTS PROMOTION IN UKRAINE
Country your work focuses on
Ukraine, DO
Describe Your Idea
Despite the fact that the public health system in Ukraine provides universal access to free health care to pregnant women, the maternal mortality ratio remains high and is approximately two to three times higher than that of most countries in Western Europe
In Ukraine, 2001 healthcare system reform which is based on international standards was approved. However its implementation seems to be questioned due to gaps in medical education system, economical problems and absence of civil society in Ukraine. Nowadays Ukraine is oriented on international standards in the field of sexual and reproductive health rights (SRHR). This fact was positively accepted by healthcare officials and scientists. As a result SRHR issues were included in the curriculum for ob/gyn residents five years ago. Nevertheless the syllabus of this course has not been developed yet. This fact makes our project extremely urgent and important for Ukrainian society. Thus the main goal of this project is to work out and implement SRHR curriculum and guidelines in postgraduate education in Ukraine. This innovation will be successful because we have strong support and commitment of Ministry of Healthcare and Ministry of Education. After this project is implemented we do not need additional financial support because this course is the part of medical curriculum which is accepted and supported by Ministry of Healthcare.
Website URL
Innovation
What makes your idea unique?
SRHR training is a part of postgraduate education in developed countries. But in ex-USSR countries this issue is absolutely new. We make first steps to meet of patient's rights approach. Education of healthcare providers seems to us the most reliable solution of this issue. We are planning to adapt international guidelines taking into account cultural traditions in Ukraine. After piloting project implementation it will be implemented as postgraduate training of Medical Schools in Ukraine.
Do you have a patent for this idea?
Impact
This Entry is about (Issues)
What impact have you had?
No impact as of now. This idea has not been implemented yet. However, it is expected to develop course syllabus, trainee's as well as trainer's manual and piloting proposed course both among potential teachers and trainees. As a result we are looking for decrease in SRHR violence by future medical providers.
Problem
The reproductive and sexual health of women is often compromised, not necessarily because of lack of medical knowledge, but rather as the result of infringement of women’s human rights. Taken into account that care providers have to play central role in advocacy of women rights especially right for life and thus safe pregnancy their awareness about obstacles and detrimental practices should be a first step to improve maternal health.
Actions
Several steps are needed to make idea a reality:
1. Knowledge of experience on SRHR training for medical providers will be collected, analysed.
2. The SRHR course syllabus will be developed
3. Trainee's manual weel be developed and piloted on both future teachers and trainees.
4. Trainers' manual will be developed and piloted on potential teachers.
Results
Potential results included: SRHR course is developed and accepted by Ministry of Healthcare and Education as obligatory course of postgraduate education ob/gyn
What will it take for your project to be successful over the next three years? Please address each year separately, if possible.
1. Commitment of Ministry of Healthcare and Education.
2. Development teachers' skills to conduct the course by implementation of SRHR course for teachers in plan of Department of obstetrics, gynecology and perinatology in Donetsk national medical university.
3. Implementation SRHR course at all Medical Schools in framework of existing curriculum
3.
What would prevent your project from being a success?
We can't see any reasons which are made our project unsuccessful. We have strong support from Government and educational institutions.
How many people will your project serve annually?
101‐1000
What is the average monthly household income in your target community, in US Dollars?
$100 ‐ 1000
Does your project seek to have an impact on public policy?
Oui
Viabilité
A quel étape votre projet en est-il ?
Étape conceptuelle
Votre organisation est-elle une
organisation à but non lucratif
Is your initiative connected to an established organization?
Oui
If yes, provide organization name.
“Ukrainian Medical Project”
How long has this organization been operating?
Plus 5 années
Does your organization have a Board of Directors or an Advisory Board?
Oui
Does your organization have a non-monetary partnerships with NGOs?
Oui
Does your organization have a non-monetary partnerships with businesses?
Does your organization have a non-monetary partnerships with government?
Oui
Please tell us more about how these partnerships are critical to the success of your innovation.
Our project will conduct in partnership with Ministry of Healthcare and Education and Local regional public health administration, Donetsk National Medical University authorities. These partnerships give us a confidence that any problem will be anticipated.
What are the three most important actions needed to grow your initiative or organization?
1. Mentorship with international institutions and experts working in SRHR issues
2. Training in proposal development
3. Ability to get financial support to print developed materials and pilot training for students and teachers
The Story
What was the defining moment that you led to this innovation?
The first time I thought about sexual health and reproductive rights training the “Sexually transmitted diseases” course which I carried out as a teacher. I felt the audience interest on this issue. I presented information on sexual health and reproductive rights but I've really understood that this problem is needed more attention. Three years ago Ukrainian Ministry of Healthcare revised the curriculum for residents ob/gyn and these issues were included. But there are not syllabus for the course which resulted in different understanding what and how to teach. I found that unification of knowledge and skills on this issue can help to develop common vision on this issue. Providers should advocate and promote women’s sexual and reproductive rights based on their commitment to assuring human rights and ethical principles in the reproductive health care of women they have to get knowledge and medical skills on what they have to do.
Tell us about the social innovator behind this idea.
The NGO “Ukrainian Medical Project” shall be dedicated to the improvement of women's health and rights and reduction of maternal and perinatal mortality and morbidity in Ukraine. The NGO “UMP” shall pursue its mission through advocacy, programmatic activities, capacity strengthening, education, training and research.
How did you first hear about Changemakers?
Through another organization or company
If through another, please provide the name of the organization or company
Engender Health
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Commentaires
It's wonderful to see this effort to streamline sexual and reproductive health into the curriculum. It is also quite positive that the government is supporting this iniative. I am curious to know more about plans for content of the curriculum (what specific topics or modules would be covered and how), and how you think the take-up of this will be among professors and students. Also, do you have plans of following-up with students to evaluate how they are using the information in practice to positively impact the health of women? I'm looking forward to hearing more about this.
Dear Ms Sewall,
I’d like to thank you for your interest in our project! We have some ideas about the content of this course but we hope for professional experts’ assistance. It was the reason why I participate in this competition. We suggest to include following modules in course syllabus. Firstly, we would like to pay attention to SRHR international and national aspects. Communication skills and confidentiality maintenance will be our first module because the majority of Ukrainian healthcare providers are not trained in these issues. We would like to dedicate the second module to the questions of sexuality and sexual violence. This issue is not included in Medical School curriculum at all and there is need to provide knowledge and skills in this area. Next module in our course will be STI/HIV counseling skills development. Our main audience is ob/gyn residents so this knowledge and skills will be very useful in their everyday practice. Another one module that we intend to include is Adolescents SRHR because this age group demands special skills for counseling providing. I’d like to emphasize that to develop proposed course we need advice and support from international institutions.
To evaluate efficiency of SRHR course we’ll develop pre- and post-training questionnaires. In one year we’re going to call all participants to 1-2 day workshop to share their experience for SRHR providing knowledge by questionnaire and by objective structured clinical examples (will be developed). Again we need assistance in tools development skills.
Yours sincerely,
Anna Yermachenko
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