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Survey of otolaryngology services in Ukraine and neighbouring Central and Eastern European countries

  • M M Verkerk (a1), R Wagner (a2), R Fishchuk (a3) and J J Fagan (a4)

Abstract

Objective:

The present humanitarian crisis in Ukraine is putting strains on its healthcare system. This study aimed to assess services and training in otolaryngology, audiology and speech therapy in Ukraine and its geographical neighbours.

Method:

Survey study of 327 otolaryngologists from 19 countries.

Results:

Fifty-six otolaryngologists (17 per cent) from 15 countries responded. Numbers of otolaryngologists varied from 3.6 to 12.3 per 100 000 population (Ukraine = 7.8). Numbers of audiologists varied from 0, in Ukraine, to 2.8 per 100 000, in Slovakia, and numbers of speech therapists varied from 0, in Bulgaria, to 4.0 per 100 000, in Slovenia (Ukraine = 0.1). Ukraine lacks newborn and school hearing screening, good availability of otological drills and microscopes, and a cochlear implant programme.

Conclusion:

There is wide variation in otolaryngology services in Central and Eastern Europe. All countries surveyed had more otolaryngologists per capita than the UK, but availability of audiology and speech and language therapy is poor. Further research on otolaryngology health outcomes in the region will guide service improvement.

Copyright

Corresponding author

Address for correspondence: Dr Misha Verkerk, ENT Department, St George's Hospital, London SW17 0QT, UK Fax: 0208 725 3306 E-mail: mmverkerk@gmail.com

References

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1 World Health Organization. Ukraine Humanitarian Response Plan 2016. In: http://www.who.int/hac/crises/ukr/appeals/en/ [15 August 2016]
2 World Bank. Ukraine - Serving People, Improving Health Project. Washington: World Bank Group, 2015
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4 World Bank. Serving People, Improving Health Project. In: http://projects.worldbank.org/P144893?lang=en [8 January 2017]
5 Mathers, CD, Lopez, AD, Murray, CJ. The burden of disease and mortality by condition: data, methods, and results for 2001. In: Lopez, AD, Mathers, CD, Ezzati, M, Jamison, DT, Murray, CJ, eds. Global Burden of Disease and Risk Factors. Disease Control Priorities Project. New York: Oxford University Press and World Bank, 2006;45
6 World Bank. World Development Report 1993: Investing in Health. New York: Oxford University Press and World Bank Group, 1993
7 Wagner, R, Fagan, J. Survey of otolaryngology services in Central America: need for comprehensive intervention. Otolaryngol Head Neck Surg 2013;149:674–8
8 Fagan, JJ, Jacobs, M. Survey of ENT services in Africa: need for a comprehensive intervention. Glob Health Action 2009;2
9 World Directory of Medical Schools. In: http://www.wdoms.org/ [15 August 2016]

Keywords

Survey of otolaryngology services in Ukraine and neighbouring Central and Eastern European countries

  • M M Verkerk (a1), R Wagner (a2), R Fishchuk (a3) and J J Fagan (a4)

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