Uncontrolled Pain: Ukraine's Obligation to Ensure Evidence-Based Palliative Care

May 3, 2011
This 93-page report describes Ukrainian government policies that make it impossible for cancer patients living in rural areas to get essential pain medications. While most cancer patients in cities have access to some medications, the treatment they receive is inadequate and provides only limited relief.
Uncontrolled Pain: Ukraine's Obligation to Ensure Evidence-Based Palliative Care
  • Standard pain treatments in Ukraine have been found to deivate fundamentally from World Health Organization guidelines, with all five core principles widely ignored.
  • Ukraine is falling behind its neighbors in palliative care and should implement a comprehensive strategy that overcomes the various policy, regulatory, and educational barriers it faces.
  • Ukraine's drug regulations require healthcare workers to administer injectable strong opioid analgesics from hospital stock directly to the patient. This system is a major barrier to evidence-based pain care in Ukraine's urban areas and often an insurmountable obstacle in rural areas.
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