背景:自2022年2月24日俄罗斯入侵以来,乌克兰的卫生系统承受着巨大的压力,关键基础设施受损,大量的人力资源损失,受限的流动性和显著的供应链中断。基于OleksandrYaremenko之后的乌克兰社会研究所(在O.Yaremenko之后的UISR)与曼尼托巴大学全球公共卫生研究所之间的长期合作关系,我们探讨全面战争对非政府组织的影响(非政府组织,包括慈善组织)为乌克兰的主要人口群体提供服务。
方法:我们对与主要人群合作的非政府组织的主要代表进行了深入的定性访谈(即,艾滋病毒携带者,性工作者,和男人发生性关系的男人,在乌克兰各地注射毒品的人和变性人)。在O.Yaremenko研究小组从国家工作的组织招募参与者后,UISR的成员,区域和地方层面。研究小组成员在2023年5月15日至6月7日期间进行了26次访谈(22名女性,4名男性)。访谈实际上是用乌克兰语进行的,并进行了解释性分析,以得出关键主题。
结果:应用Roels等人。“第一响应者”的概念,我们的研究结果探讨了全面战争对乌克兰非政府组织工人的个人和组织影响。尽管对参与者的身心健康有影响,前线工作人员继续支持艾滋病毒的预防和治疗,同时也应对其客户和更广泛的社区对人道主义援助的需求。此外,尽管工资和报酬不足,前线工人承担了额外的责任,从而超出了他们在特殊战争条件下的正常工作量。
结论:非政府组织作为回应者发挥着至关重要的作用,调整他们的服务,以满足结构性冲击期间社区的紧急需求,比如战争。迫切需要为非政府组织提供足够的资源,以提供关键的人口服务,并增加对它们在人道主义援助中的重要作用的支持。
BACKGROUND: Since the onset of the Russian invasion on 24 February 2022, the health system in Ukraine has been placed under tremendous pressure, with damage to critical infrastructure, large losses of human resources, restricted mobility and significant supply chain interruptions. Based on a longstanding partnership between the Ukrainian Institute for Social Research after Oleksandr Yaremenko (UISR after O. Yaremenko) and the Institute for Global Public Health at the University of Manitoba, we explore the impact of the full-scale war on non-governmental
organizations (NGOs, including charitable
organizations) providing services for key population groups in Ukraine.
METHODS: We conducted in-depth qualitative interviews with key representatives from NGOs working with key population groups (i.e., people living with HIV, sex workers, men who have sex with men, people who inject drugs and transgender people) throughout Ukraine. Members of the UISR after O. Yaremenko research team recruited participants from
organizations working at national, regional and local levels. The research team members conducted 26 interviews (22 with women and four with men) between 15 May and 7 June 2023. Interviews were conducted virtually in Ukrainian and interpretively analysed to draw out key themes.
RESULTS: Applying Roels et al.\'s notion of \"first responders\", our findings explore how the full-scale war personally and organizationally impacted workers at Ukrainian NGOs. Despite the impacts to participants\' physical and mental health, frontline workers continued to support HIV prevention and treatment while also responding to the need for humanitarian aid among their clients and the wider community. Furthermore, despite inadequate pay and compensation for their work, frontline workers assumed additional responsibilities, thereby exceeding their normal workload during the extraordinary conditions of war.
CONCLUSIONS: NGOs play a vital role as responders, adapting their services to meet the emergent needs of communities during structural shocks, such as war. There is an urgent need to support NGOs with adequate resources for key population service delivery and to increase support for their important role in humanitarian aid.