Evidence Based Assessment of Public Health Planning: A Case Study of the 2014 Crisis in Ukraine
ARMY COMMAND AND GENERAL STAFF COLLEGE FORT LEAVENWORTH KS
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The 2014 crisis in Ukraine presents an opportunity to evaluate public health planning support for a nation experiencing armed conflict. Historical evidence supports the findings of mortality, tuberculosis, and cholera as appropriate metrics to define the state of public health planning support for a given nation. Data from these metrics demonstrate the results of potential threats to public health planning. Potential threats induce risk into a system and can be magnified when affected by multiple sectors, such as considered in for the domains of politics, military, social, economic, and information. Together, the risks can quickly overwhelm a public health system. When this happens, external organizations in the region and international community must respond to maintain their own national interests. Analysis provided several findings for Ukraines public health planning effectiveness after experiencing armed conflict. As a result of the crisis, health care infrastructure was destroyed, health care workers fled, migrating patterns of vulnerable populations increased, and logistical lines of communication were disrupted. These triggers diminished the capabilities of Ukraines public health planning. The international community responded, but true costs are yet unknown. Future study should apply real options theory to costs and requirements associated with Ukraines capacity for public health planning to estimate an actual cost of this crisis.
- Administration and Management
- Medicine and Medical Research