Study of the needs and pharmaceutical provision of patients with diabetes during time of state of martial law

Abstract

Military action is a global health problem. Disruption of health care and inadequate pharmaceutical provision can lead to serious complications and even death of the patient, making the population particularly vulnerable. Emergency care always focuses on injuries, infectious diseases and other acute conditions, and chronic diseases, including diabetes, have historically been a low priority.
 The aim of the work was to study the needs and problems of patients with diabetes, which arose during the martial law in the dynamics and to outline the main aspects of recommendations for improving the treatment of patients with diabetes in humanitarian crisis.
 Materials and methods. The analysis of the needs and problems of patients with diabetes was studied by a questionnaire (February‒May 2022). People with diabetes and members of their families took part in the study. Relevant official documents and international recommendations about providing diabetic care to the population during crisis situations are analyzed. Content analysis, bibliosemantic, analytical, generalizing analyzes were used.
 The studied needs and problems of patients with diabetes during martial law and their dynamics depending on time. Restrictions on medical care and rapid resumption of the pharmacy, which released, including insulin, have been established. The dynamics of actions on medical and pharmaceutical provision of patients with diabetes were analyzed, which showed that the health care system was not ready for martial law, but the Government took urgent appropriate actions on medical and pharmaceutical provision of patients with diabetes, which allowed to provide continuous treatment of patients with diabetes. The acute problem of not being able to supply the necessary drugs, including insulin, clean water, food to the occupied territories, creates a critical situation for the population in these regions, including those with diabetes, which can be fatal.
 Based on the elaboration of international documents, the main aspects of recommendations for improving the medical and pharmaceutical provision of patients with diabetes in emergencies are outlined.