* “Factum, non fabula …”

On November 12, 2014, a significant event for all obstetrician-gynecologists in Europe took place in Brussels. An event that was expected during the last two years and carefully prepared. On this day, the European Parliament presented the “Standards of Care for Women’s Health in Europe”. This document was developed by the European Council and the College of Obstetrics and Gynecology (EBCOG) working group and coordinated with all the national communities and associations of obstetrician-gynecologists in the European Community. Representatives of the Association of Obstetricians-Gynecologists of Ukraine took an active part in the preparation, discussion and approval of this document, and were also invited to an official meeting with the European Parliament.

The solemn meeting was held from 9 to 11 in the morning with the participation of the Chairman of the Committee on Environment, Public Health and Safety of Food – Hon. Giovanni La Via, Chairman of the Committee on Culture and Education – Hon. Silvia Costa, other members of the European Parliament, Representative of the World Health Organization in the European Community – Dr. Roberto Bertollini (WHO Representative to the European Union), Director of Health Planning at the Ministry of Health of Italy – Dr. Alessandro Ghirardini, representatives of the European Institute for Women’s Health, the European Union of Medical Associations, the European Union of Medical Associations (UEMS), professional European medical associations, representatives of the EBCOG member countries obstetricians-gynecologists. Quality standards for providing obstetric care, Neonatology and Gynecology presented by the Chairman of the Working Group, elected President EBCOG – Dr. Tahir Mahmood. Many venerable colleagues have taken part in the discussion. In particular, from Ukraine – Prof. Valeriy Zaporozhan (President of the Association of Obstetricians-Gynecologists of Ukraine, Vice-President of the National Academy of Medical Sciences of Ukraine, Rector of the Odessa National Medical University), who headed a delegation from Ukraine at this event.

All the participants agreed that the presented Standards should become a roadmap in providing the highest quality medical care to the women’s population of the countries of the European region, the establishment of national protocols, clinical guidelines, procedures for providing medical assistance to women and newborns, etc. 18 standards on obstetrics and neonatology and 25 gynecology standards have been developed, refer to the most “acute”, topical women’s health issues, based on evidence-based evidence of high-quality medicine and confirmed by numerical indicators of the quality of their clinical application. The standards consist of clinical recommendations and organizational mechanisms for their provision, and also include recommendations and requirements for the training of specialist doctors and their ongoing professional education. Representatives of the European Parliament and the medical community came to the conclusion that the adoption of these documents by all EU member states and other countries of the European region as an integral part in the development of a national health strategy will contribute to the improvement and harmonization of medical care for European women. At the same time, the proposed standards can play the role of practical tools for health officials (heads of ministries and departments, managers of the medical sector, medical education institutions and practitioners), insurance companies and even politicians interested in the implementation of proven efficiency and highest quality medical technologies. . This document also enables patients and consumer protection organizations to familiarize themselves with the requirements for providing medical care,

On November 27-30, 2014, during the regular meeting of the EBCOG Presidium, in the professional circle of national medical societies, discussions were continued on how to implement the Standards in each of the 36 member countries of the EBCOG (28 of which are valid EU members). Representatives of the Association of Obstetricians-Gynecologists of Ukraine (AASU) assured European colleagues that they will make every effort to present developed documents in Ukraine, ensure their discussion in the professional circle and public representatives, and will promote the use of the Standards in planning the national health policy Mothers and children, in particular the creation of normative documents of the national level.

Recently, the rhetoric about the need to reform the medical industry in our country and its approach to the European level is very popular among politicians and different levels of medical officials. And it definitely gives us hope that over time the number of conversations and plans will eventually become a plane of practical incarnations. However, whether the professional medical community to take a wait and see position, hoping that when the final “willful” decision will be taken at the highest level, we learn about it and be able quickly to fit into the new requirements without losing their “interests” and not Changing essentially the “rules of the game”, to which they have become accustomed for years, dating back to the time of the “Soviet past”? Remembering the well-known Latin pronunciation “gutta cavat lapidem non vi, sed saepe cadendo” **, over the past 10 years, we felt it necessary to seek ways of cooperation with our European colleagues examine their experience and implement best achievements in daily practice and move on for the sake of improving the quality of health care for women and newborns, improve vocational training obstetricians and gynecologists and administration Them into a single European professional space. After all, “si sapis, sis apis” *** – a prerequisite of any reform should be consistent and painstaking daily work of each of us individually and as a part of professional medical associations, which in Europe is only granted greater rights in respect Regulation of medical care, control over its quality, training of medical personnel and their certification, but, at the same time, they bear a much greater responsibility to patients, Insurance companies, their colleagues and the country as a whole. Are drug companies in Ukraine ready to take on the burden of national responsibility in the “exchange” of empowerment? From our point of view – this is another reason to discuss a wide range, involving all stakeholders (Ministry of Health, National Academy of Medical Sciences, institutions of undergraduate and postgraduate medical education, practitioners, patients, politicians, etc.). However, it seems quite clear that it is impossible to establish a truly effective cooperation and implement operating in the European Community the current mechanism of health care and education, which of course also has its drawbacks currently existing national model. That’s right


Valery Zaporozhan,
Vyacheslav Kaminsky,
Andriy Tkachenko


* “Factum, non fabula …” is not a fairy tale, but the reality is
“gutta cavat lapidem non vi, sed saepe cadendo” – a drop of stone does not sharpen a force but a frequent fall
*** “si sapis, sis apis” – if you Smart – be a bee (work)