Suchergebnisse

Since 2014, Ukraine experiences armed conflict on the territory of its eastern part. The Ukrainian government had announced the anti-terrorist operation (ATO) to combat the separatists. This paper reports on research exploring the social needs of ex-combatants in Ukraine and pathways for social reintegration available to them. The research data reached theoretical saturation by interviewing ten ex-combatants and 11 representatives of different services (social workers, psychologists, psychotherapists, priests etc.). Additionally, field notes and grey literature were also considered for the analysis. To triangle, the data received from an interview the analysis of national legal acts on social protection of ex-combatants were analysed.The following emerging themes came from the study: 1) expectations vs ambivalent attitudes and needs; 2) needs in social workers vs lack of social services. First, the study demonstrates that the primary need of the ATO (OOS) participant after returning home is social and psychological support. ATO participants say they have high expectations for the family and society, not from the state. However, some of the ex-combatants face ambivalent and hostile attitudes.Conducted interviews reveal that social support to ATO veterans is reduced mainly to material benefits: privileges, subsidies, cash payments, etc. There is still no single model of social support for ATO participants that is legally defined. In addition, there is no prescribed standardised mechanism for providing social services to combatants.The Ukrainian legislation includes several acts related to providing various benefits and guarantees of social protection for veterans. However, the ex-combatants stated that they filled unprotected. Opportunities for employment, education and good quality of life overall without the support promised by the legislation was rather tricky. Data suggest that transition to civilian life for ex-combatants is undermined by inadequate procedures, lack of support, and complicated administrative demands.Based on the study findings, the recommendations to amend the state program of physical, medical, psychological rehabilitation and re-adaptation of ATO participants were proposed. The changes to the program might include the introduction of social and psychological support to be provided by all centres and services for ATO veterans. Furthermore, social participation and inclusion of ex-combatants concerning the DDR (Disarmament –Demobilisation and Reintegration) concept and resilience-based approach should be a core idea of social work approach instead of paternalistic social welfare approaches inherited by Ukraine from the Soviet model of social assistance.The findings indicate pitfalls in the protective framework of war veterans. Currently, the available social support comes down to material benefits: benefits, subsidies, cash payments and more. Respondents point out the need to develop comprehensive social work interventions for combatants. This paper concludes that more needs to be done to enhance the social services for the new group of social work clients, including services that could enable ex-combatants to develop the skills they need to reintegrate within their community.

Since 2014, Ukraine experiences armed conflict on the territory of its eastern part. The Ukrainian government had announced the anti-terrorist operation (ATO) to combat the separatists. This paper reports on research exploring the social needs of ex-combatants in Ukraine and pathways for social reintegration available to them. The research data reached theoretical saturation by interviewing ten ex-combatants and 11 representatives of different services (social workers, psychologists, psychotherapists, priests etc.). Additionally, field notes and grey literature were also considered for the analysis. To triangle, the data received from an interview the analysis of national legal acts on social protection of ex-combatants were analysed. The following emerging themes came from the study: 1) expectations vs ambivalent attitudes and needs; 2) needs in social workers vs lack of social services. First, the study demonstrates that the primary need of the ATO (OOS) participant after returning home is social and psychological support. ATO participants say they have high expectations for the family and society, not from the state. However, some of the ex-combatants face ambivalent and hostile attitudes. Conducted interviews reveal that social support to ATO veterans is reduced mainly to material benefits: privileges, subsidies, cash payments, etc. There is still no single model of social support for ATO participants that is legally defined. In addition, there is no prescribed standardised mechanism for providing social services to combatants. The Ukrainian legislation includes several acts related to providing various benefits and guarantees of social protection for veterans. However, the ex-combatants stated that they filled unprotected. Opportunities for employment, education and good quality of life overall without the support promised by the legislation was rather tricky. Data suggest that transition to civilian life for ex-combatants is undermined by inadequate procedures, lack of support, and complicated administrative demands. Based on the study findings, the recommendations to amend the state program of physical, medical, psychological rehabilitation and re-adaptation of ATO participants were proposed. The changes to the program might include the introduction of social and psychological support to be provided by all centres and services for ATO veterans. Furthermore, social participation and inclusion of ex-combatants concerning the DDR (Disarmament - Demobilisation and Reintegration) concept and resilience-based approach should be a core idea of social work approach instead of paternalistic social welfare approaches inherited by Ukraine from the Soviet model of social assistance. The findings indicate pitfalls in the protective framework of war veterans. Currently, the available social support comes down to material benefits: benefits, subsidies, cash payments and more. Respondents point out the need to develop comprehensive social work interventions for combatants. This paper concludes that more needs to be done to enhance the social services for the new group of social work clients, including services that could enable ex-combatants to develop the skills they need to reintegrate within their community.

The global COVID-19 pandemic envokes numerous challenges in many areas of societies, including social services. The idea of 'social distancing' contradicts the whole idea of social work and inevitably causes deepening social exclusion. This study is aimed to analyse peculiarities of Ukrainian social workers' activities under severe quarantine restrictions or lockdown. Special attention is paid to local social services for the elderly as a group recognised as most vulnerable to COVID-19. A survey of representatives of territorial centres of social services in Ukraine, conducted in August 2020, revealed some problems caused by restrictive quarantine measures and positive changes in the centres. The study highlights some surprising contradictions in the impact of the pandemic on social work practice with the elderly. Social services providers in local communities (territorial centres of social services, social services centres for families, children, youth, etc.) received almost no additional support during the quarantine. Yet, they consider introducing new, distant forms of communication, adjusting the work schedule, etc., as positive changes in service provision.The study determines that the response to the challenges of a problematic situation depends on local characteristics and mostly on human resources - work organisation and professional adaptability. An important role belongs to the ability of social workers to act in emergencies, the availability of standard procedures, protocols, and resources for use in such situations, understanding the need to adhere to values of social solidarity. The specific applications from the study results are drawn for Ukrainian social work.

Following the development of anti-retroviral therapies (ARVs), many people affected by HIV in the 1980s and 1990s have now been living with the condition for decades. Drawing on perspectives from leading scholars in Bangladesh, Canada, Hong Kong, New Zealand, Switzerland, Ukraine, the UK and the US, as well as research from India and Kenya, this book explores the experiences of sex and sexuality in individuals and groups living with HIV in later life. Contributions consider the impacts of stigma, barriers to intimacy, physiological sequelae, long-term care, undetectability, pleasure and biomedical prevention (TasP and PrEP). With the increasing global availability of ARVs and ageing populations, this book offers essential future directions, practical applications and implications for both policy and research

BACKGROUND: A coordinated response to HIV/AIDS remains one of the 'grand challenges' facing policymakers today. Global health initiatives (GHIs) have the potential both to facilitate and exacerbate coordination at the national and subnational level. Evidence of the effects of GHIs on coordination is beginning to emerge but has hitherto been limited to single-country studies and broad-brush reviews. To date, no study has provided a focused synthesis of the effects of GHIs on national and subnational health systems across multiple countries. To address this deficit, we review primary data from seven country studies on the effects of three GHIs on coordination of HIV/AIDS programmes: the Global Fund to Fight AIDS, Tuberculosis and Malaria, the President's Emergency Plan for AIDS Relief (PEPFAR), and the World Bank's HIV/AIDS programmes including the Multi-country AIDS Programme (MAP). METHODS: In-depth interviews were conducted at national and subnational levels (179 and 218 respectively) in seven countries in Europe, Asia, Africa and South America, between 2006 and 2008. Studies explored the development and functioning of national and subnational HIV coordination structures, and the extent to which coordination efforts around HIV/AIDS are aligned with and strengthen country health systems. RESULTS: Positive effects of GHIs included the creation of opportunities for multisectoral participation, greater political commitment and increased transparency among most partners. However, the quality of participation was often limited, and some GHIs bypassed coordination mechanisms, especially at the subnational level, weakening their effectiveness. CONCLUSIONS: The paper identifies residual national and subnational obstacles to effective coordination and optimal use of funds by focal GHIs, which these GHIs, other donors and country partners need to collectively address.