Advancing public health workforce's professional development: implications for Ukraine.

Abstract

Despite many challenges, Ukraine has prioritized the need to develop and professionalize the public health workforce (PHWf) to respond to its transitioning public health (PH) system. This study explores how various PH stakeholders can develop and advance the PHWf professionalization programme in Ukraine using the WHO-ASPHER Roadmap to Professionalize the PHWf in the European region as the theoretical foundation. A mixed-methods qualitative approach was used to (i) document analysis of Ukrainian policy and regulatory documents related to PHWf and (ii) qualitative survey research involving relevant PH stakeholders. Directed and conventional content analysis was applied to analyse data. The document analysis reviews key areas as LoPHS, PH higher education, and continuous professional development. The analysis helped explain the current state of the PHWf and to understand enabling factors for its professionalization. Results from the qualitative survey research suggest several actions to enhance PHS in Ukraine based on three priority areas: (i) PH laws and regulation; (ii) PH education and training; and (iii) financing for the development and professionalization of PHWf. The PHWf professionalization programme for Ukraine resonates with the WHO-ASPHER Roadmap to Professionalizing the PHWf in the European region. It attempts to close the gap between PH legislation, the current state of the PHWf, and international PH practice ambitions. The study suggests the need for a well-coordinated development process across PHS and PHWf domains.