Region
European Region
Country
Ukraine
Date
-
Status
Assessment Date
P.3.1 National IHR Focal Point functions
3
P.6.1 Surveillance of foodborne diseases and contamination
2
P.5.2 Response to zoonotic diseases
3
P.5.1 Surveillance of zoonotic diseases
3
P.4.2 Surveillance of AMR
3
P.4.1 Multisectoral coordination on AMR
3
P.3.4 Antimicrobial stewardship activities
2
P.3.3 Strategic planning for IHR, preparedness or health security
2
P.3.2 Multisectoral coordination mechanisms
2
P.2.1 Financial resources for IHR implementation
2
P.7.1 Whole-of-government biosafety and biosecurity system is in place for human, animal and agriculture facilities
3
P.1.3 A financing mechanism and funds are available for timely response to public health emergencies
3
P.1.2 Gender equity and equality in health emergencies
3
P.1.1 Legal instruments
2
D.4.4 FETP or other applied epidemiology training programme in place
4
D.4.3 In-service trainings are available
3
D.4.2 Human resources are available to effectively implement IHR
2
D.4.1 An up-to-date multi-sectoral workforce strategy is in place
2
P.6.2 Response and management of food safety emergencies
2
P.7.2 Biosafety and biosecurity training and practices in all relevant sectors (including human, animal and agriculture)
4
D.2.2 Event verification and investigation
3
Recommendation P6
Finalize and adopt the legal framework for biosafety and biosecurity
Establish a national programme to monitor compliance with biosafety and biosecurity requirements in institutions and establishments that work with pathogens and/or which hold strains of infectious diseases.
Ensure the availability and use of personal protective equipment (PPE) in all tiers of laboratories.
Conduct training needs assessments for biosafety and biosecurity in all tiers of laboratories and across all sectors in Ukraine.
Recommendation Re1
Improve the legislative foundation for emergency responses to radiation incidents.
Increase the capacity and capability of the Central Institute for the Treatment of Radiation by adding hospital beds, purchasing new monitoring equipment every three years and improving maintenance capabilities.
Carry out a full national exercise every three years to examine the response of the entire government system and all relevant emergency organizations to a radioactive event, and implement the lessons thereby identified.
Strengthen the capacity of the Radioactive Monitoring Centre by designing and implementing a programme to provide advanced training and exposure to relevant best practices worldwide.
Recommendation R5
By the end of 2022, update and formally adopt the national multihazard, multisectoral emergency risk communication plan, taking into account all relevant lessons of the COVID-19 pandemic (including those identified in Ukraine’s 2021 COVID-19 intra-action review) and including plans for social mobilization, behaviour change communication and community engagement.
Allocate and coordinate human and financial resources of governmental agencies/institutions to enhance the efficiency of communication. Specifically, plan for and finance at least one risk communication specialist in each Oblast-level Centre for Disease Control (CDC), and increased risk communication capacity at the Ministry of Health and the Centre for Public Health.
By the end of 2022, create and/or implement a system for collecting information on risk perception, behaviour and misinformation to analyse social problems and fears (e.g. WHO Europe’s Behavioural Insights tool and/or a social listening system), and strengthen promotion of existing and new mechanisms for consulting and informing citizens (e.g. hotlines, chatbots, etc.).
By the end of 2023, map existing processes, programmes, partners and stakeholders for community engagement. Based on this mapping, establish a community-level engagement system.
Recommendation R4
By the end of 2022, establish a mechanism to strengthen intersectoral coordination of personnel deployments in public health emergencies.
By the end of 2022, draft and implement SOPs for transporting patients.
Recommendation R2
Operationalize regional and local commissions on technogenic and environmental safety in emergency response throughout the country, and conduct trainings at each administrative level.
Establish a national Emergency Operations Centre (EOC) to provide coordination and oversight of emergency responses across all sectors.
Introduce a single system/mechanism for sharing scientific data and recommendations with national policymakers and national leaders during emergencies.
Provide a sustainable legislative, budgetary and planning model for the public health emergency operations centre (PHEOC).
Establish and network subnational public health emergency operations centres (PHEOCs). Staff them with personnel trained in emergency management, use of the Incident Management System (IMS), and PHEOC procedures and SOPs.
Recommendation R1
Conduct strategic, multihazard, multisectoral risk assessments at national and subnational levels.
Based on a mapping exercise, establish and maintain inventories of national and subnational resources for emergency response in the public health, veterinary and other relevant sectors.
Develop a unified multihazard, multisectoral emergency preparedness and response plan and sector-specific emergency response plans.
Test the various plans through simulation exercises and after-action reviews, and develop and implement mechanisms to adjust the plans according to their findings.
Recommendation POE1
Designate points of entry/POE (airports, seaports and ground crossings) according to the IHR (2005), fulfilling all the core capacities at each POE in accordance with Annex 1B of the IHR (2005). Use the IHR (2005) risk profiling tool to decide the exact number and identity of the POE to be designated.
Designate competent public health authorities in each point of entry.
Develop public health contingency plans for each point of entry and integrate them into the POEs’ general preparedness and response plans.
Conduct a training and exercise programme for points of entry, engaging all relevant sectors.
Establish SOPs for cross-sectoral and cross-border collaboration at points of entry (cross-border collaboration is of particular importance at ground crossings).
Recommendation P7
Achieve and maintain a stable, high level of vaccination coverage that ensures three doses of polio, diphtheria, tetanus, measles, mumps and rubella vaccine for at least 95% of the target population.
Achieve financial stability of the national immunoprophylaxis programme, ensuring that 100% of Ukraine’s vaccine programmes are publicly financed.
Introduce new vaccines in accordance with WHO’s Global Vaccine Action Plan (GVAP).
Address vaccine hesitancy, both in the general public and within the public health and medical workforces, by increasing vaccine advocacy to prevent outbreaks of vaccine-preventable diseases.
Recommendation P5
Review and update national legislation relevant to food safety in the human and animal health sectors to reflect national food safety priorities, enhanced multisectoral operations, international guidelines (e.g. Codex Alimentarius), and the provisions of the Ukraine-EU Association Agreement.
Implement enhanced strategies and mechanisms for communicating regular surveillance reports (laboratory and epidemiological) across sectors and stakeholders relevant to food safety, including the animal health, public health, and environmental sectors
Continue to assess and review food safety procedures through simulation exercises, after-action reviews and external evaluations, ensuring identified gaps and lessons are incorporated into revised food safety strategies.
Establish and strengthen processes, procedures, and mechanisms for regular and rapid information sharing between the INFOSAN Emergency Contact Point, the IHR NFP, INFOSAN Focal Points and all relevant sectors during a food safety emergency.
R.1.1 Emergency risk assessment and readiness
1
Recommendation p4
Review and update extant legislation and guidelines relevant to zoonotic diseases in the human and animal health, AMR, and food safety areas. This process should reflect national zoonotic disease and One Health priorities, the need for enhanced multisectoral operations, international guidelines and best practices, and the provisions of the Ukraine-EU Association Agreement.
Continue regular assessment and review of responses to zoonotic incidents through multisectoral simulation exercises, after-action reviews and external evaluations, ensuring the gaps and lessons thus identified are incorporated into revised zoonoses and One Health strategies and action plans.
Under the principles of One Health, develop an interoperable information system or platform for automated information exchange between laboratories and surveillance systems in the public health, animal health and food safety sectors.
Recommendation P3
Finalize relevant legislation to allow enforcement of policies that reduce the threat of AMR (e.g. on prescribed selling of antibiotics in human and veterinary pharmacies and the use of antibiotics as growth promoters in livestock).
Establish measurable indicators to assess improvements in intersectoral cooperation in the context of the One Health approach in both the short and the medium term (three months to three years).
Establish capacity in both the public health and the veterinary sector to conduct field surveillance for AMR, including sample collection and proper shipment to relevant laboratories.
Strengthen the capacities of microbiological laboratories to identify pathogens of infectious diseases and detect their susceptibility to antimicrobials in both humans and animals, increasing the choice of detection methods and broadening the range of bacteria species that can be identified.
Establish reference laboratories in the public health and veterinary sectors.
Recommendation P2
The role and authority of the IHR NFP as the focal point for communications under the IHR (2005) should be recognized by the Code of Civil Protection, the 2011 Law on Sanitary Protection, and all other relevant legislation, notably the draft law 4142 on public health.
Include coordination of preparedness and response activities under the IHR (2005) in the future Law on the Public Health System (Bill 4142).
Ensure adequate staffing and financing for the IHR NFP.
Recommendation P1
Finalize and adopt the law on the reform of the public health system (4142). The new law should be finalized in compliance with Ukraine's international obligations and in consultation with, and with the support of, Ukraine's international partners.
Adopt the law on biosafety and biosecurity and the related implementing regulations, ensuring their consistency and coherence with the draft law on the public health system. The law should incorporate international standards such as those of the IHR (2005).
Perform a comprehensive assessment of, and identify needed adjustments to, existing legislation on sanitary protection, ensuring coherence and coordination across the various laws, particularly between those of the human and animal health sectors.
Consolidate funding for implementation of the IHR (2005) under a budget line to finance activities in different sectors, and simplify access to emergency funding.
R.3.1 Case management
3
R.2.3 Emergency Operations Program
3
R.2.2 Emergency Operations Center Operating Procedures and Plans
3
R.2.1 Public health and security authorities (e.g. law enforcement, border control, customs) are linked during a suspect or
3
R.1.2 Public health emergency operations centre (PHEOC)
1
D.2.3 Analysis and information sharing
4
D.2.1 Early warning surveillance function
2
D.1.4 Effective national diagnostic network
4
R4: Average Capacities Score(%)
60
R5: Average Capacities Score(%)
44
PoE: Average Capacities Score(%)
40
CE: Average Capacities Score(%)
60
RE: Average Capacities Score(%)
80
Recommendation Ce1
Set up a permanent online system to monitor chemical exposures 24/7/365.
Establish a permanent team to respond to public health emergencies related to chemical incidents, and ensure that the team have the necessary equipment, technical support and PPE.
Develop a national training programme on response to chemical emergencies and
Implement a system to provide ongoing technical support for chemical emergency response and provide the responsible team with the required materials.
Establish an interdepartmental coordinating mechanism involving all relevant stakeholders.
Update and improve legislation relating to chemical events.
Recommendation D1
Undertake a prioritization exercise for the diseases under surveillance in both the human and the animal sectors, using a risk assessment methodology adapted for Ukraine (e.g. tools provided by WHO and FAO).
Finalize legislation clearly outlining laboratory status and responsibilities per tier, regulating reporting of priority diseases by private laboratories, and regulating transport of biological specimens.
Develop and implement a budget mechanism and three-year plan for the renovation of laboratories in the human health sector and the provision of equipment and consumables.
Strengthen laboratory quality management systems through continuous training programmes for laboratory personnel.
Create a formal mentorship programme with internationally accredited laboratories.
Assessment End Date
Recommendation D3
Include cross-sectoral collaboration around risk assessment and reporting in the upcoming law on the reform of the public health system.
Develop and implement SOPs on risk assessment and reporting of events at all levels and for all sectors.
Plan multisectoral exercises over the next two years that include risk assessment and reporting of events at all levels and for all sectors.
Organize regular intersectoral meetings to ensure regular exchange of information, and to conduct joint risk assessments and reporting where necessary.
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Recommendation D4
Within five years, increase the number of fully-trained medical and veterinary epidemiologists in Ukraine by 50%.
In order to improve intersectoral collaboration through continuous professional development, assess the training needs of veterinary and public health professionals by the end of 2022. Develop One Health training programmes to fill gaps identified in this assessment.
Within three years, make the national frontline and advanced field epidemiology training programmes sustainable by institutionalizing them within Ukraine’s existing qualification and accreditation system, and provide the programmes with long term funding. Additionally, continue participation in MediPIET, with particular focus on synergies that benefit both programmes.
CE.1 Mechanisms are established and functioning for detecting and responding to chemical events or emergencies
3
R.4.1 IPC programmes
2
Recommendation R3
By the end of 2022, designate a competent authority in the public health sector for linking with security authorities, and draft SOPs to coordinate joint public health/security responses to emergencies at points of entry.
By the end of 2022, develop the necessary SOPs and agreements for joint risk assessments during events with potential impact on public health.
By the end of 2022, implement a system for regular sharing of information between the public health and security sectors.
D.3.1 Multisectoral workforce strategy
4
R.4.2 HCAI surveillance
4
D.3.2 Human resources for implementation of IHR
4
R.4.3 Safe environment in health facilities
3
Recommendation D2
Implement the electronic integrated disease surveillance system (EIDSS) for monitoring and routine surveillance of all infectious diseases at all levels, and to enable coordinated analysis of epidemiological surveillance and laboratory data.
Enhance intersectoral collaboration for unified surveillance at all levels, particularly between the public and veterinary health sectors, through regular exchanges (for example, by establishing weekly meetings).
Improve event-based surveillance (EBS) activities at all levels, including by training personnel and expanding existing EBS approaches to integrate further sources.
R.5.1 RCCE systems for emergencies
2
R.5.2 Risk communication
2
R.5.3 Community engagement
3
R.5.4 Communication Engagement with Affected Communities
2
R.5.5 Dynamic Listening and Rumour Management
2
D.1.1 Specimen referral and transport system
3
D.1.2 Laboratory quality system
2
D.1.3 Laboratory testing capacity modalities
3
RE.2 Enabling environment in place for management of radiological and nuclear emergencies
4
RE.1 Mechanisms are established and functioning for detecting and responding to radiological and nuclear emergencies.
4
PoE.1 Core capacity requirements at all times for PoEs (airports, ports and ground crossings)
2
PoE.2 Public health response at PoEs
2
P1: Average Capacities Score(%)
53
P2: Average Capacities Score(%)
40
P3: Average Capacities Score(%)
45
P4: Average Capacities Score(%)
40
P5: Average Capacities Score(%)
60
P6: Average Capacities Score(%)
40
P7: Average Capacities Score(%)
70
D1: Average Capacities Score(%)
60
D2: Average Capacities Score(%)
60
D3: Average Capacities Score(%)
80
D4: Average Capacities Score(%)
55
R1: Average Capacities Score(%)
20
R2: Average Capacities Score(%)
60
R3: Average Capacities Score(%)
60