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Qualitative Exploration of Early Experiences of Opioid Use Disorder Patients from Private Clinics after Russia's Invasion of Ukraine in Six Large Cities in Ukraine

Ukraine's communities are faced with numerous challenges, demonstrating incredible resilience and commitment to addressing them. The researchers' community plays an important role in this process, using evidence-based methods and innovative approaches.

🔬The research project, led by Alyona Mazhnaya, senior lecturer at School of Public Health NaUKMA, aims to explore the implementation landscape for evidence-based approaches to treat mental health disorders outside specialized healthcare facilities.

📄The new article "Qualitative Exploration of Early Experiences of Opioid Use Disorder Patients from Private Clinics after Russia's Invasion of Ukraine in Six Large Cities in Ukraine" provides a comprehensive analysis of the impact of the Russian invasion of Ukraine on patients with opioid use disorder (OUD) who were receiving treatment from private clinics. The article is prepared in collaboration with Anna Meteliuk, Iryna Pykalo, and Frederick Altice

Key Points:
👥The study focused on the experiences of OUD patients in private clinics during the initial months of the Russian invasion, using 20 qualitative semi-structured interviews conducted between March and June 2022 in five major Ukrainian cities: Kharkiv, Kyiv, Odesa, Poltava, and Zaporizhzhya.
💢The invasion posed significant challenges for these patients, including stress, uncertainty, and difficulties accessing medications for opioid use disorder (MOUD).
🏥Private clinics faced disruptions, with some reducing dosages or closing entirely, compelling patients to switch to state-funded clinics or find other sources for their medication.
❇️The study highlighted the resilience and adaptability of both the health system and individuals in managing their treatment during the crisis. Government initiatives and legislative changes were crucial in sustaining MOUD provision.

🥼This study sheds light on the challenges faced by OUD patients in private clinics in Ukraine during the invasion and highlights the importance of flexible and responsive health systems in crises. Publication: https://www.frontiersin.org/articles/10.3389/fpubh.2023.1238188/abstract

🤝The project "A mixed-methods sequential explanatory study to examine the implementation landscape for evidence-based transdiagnostic approaches for mental disorders in primary healthcare in Ukraine" is supported by the Fogarty International Center at the National Institute of Health (NIH), USA. Read more about the project: https://www.fic.nih.gov/Grants/Search/Pages/1K43TW012016-01.aspx;
https://www.fic.nih.gov/News/GlobalHealthMatters/september-october-2023/Pages/ukraine-researchers-persevere-despite-challenge-of-conflict.aspx https://www.fic.nih.gov/News/Pages/building-health-research-resilience-fogarty-impact-eastern-europe-central-asia.aspx.

🙏The research became possible thanks to the mentoring support of Serhii Bohdanov, Center for Mental Health and Psychosocial Support at NaUKMA. And Beth McGinty, Department of Health Policy and Economics at Cornell University.