DEVELOPMENT OF THE PUBLIC HEALTH SYSTEM IN THE CONDITIONS OF CURRENT CHALLENGES AND THREATS
Authors: Gruzieva Tetiana S. , Hrechyshkina Nataliia V. , Inshakova Hanna V. , Dubovyk Violetta Y. , Kalashnykova Nataliia M. 
Published: June 2022

The aim: Analysis of the development and optimization of the public health system in the face of current challenges and threats.
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 Ukraine» and state institutions «Laboratory Centers of Ukraine» were analyzed.
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.
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.