[000:00:00;00] all the phones want to bury them, and here is a new shelling, and those who tried to bury them are also torn apart, and well , let's remember lysychansk, when people just stood in line, there was a line behind the water, and the umani point seems to be there, something so big flew in, there was an arrival and there were many people there and there were a lot of people killed and wounded, and we are just talking about the shelling, and how much torture , i say again, we will find out only after we buy the territory, i hope that this year i am not vanga, that's why i really have my own against us a huge machination, but mainly in most of its e-e counteroffensive depends on the speed of supplying us with heavy weapons, because in order to carry out an offensive operation we need heavy equipment, it's not only the tanks that are famous, which everyone talks about, it's not only aviation and it's also armored cars

such as bradley marders, there are different m113s , but in completely different countries, they have different equipment , they decided that they will supply , including a tank, and including self-propelled guns and ammunition for them, this is very it's important because um i think this war showed that after all it's more of a war and artillery believe me that even western weapons were not calculated for such a number of uh shots they just didn't understand uh numbers at all how it happens alone the gun is designed for 300 shots, and it makes 3,000 hryvnias. well, of course , it breaks down a little, but as soon as we get everything. and i hope that we get it already in march, that is, in the near future. this is not quite perhaps appropriate, but the comparison, but that's all

after all, he has the right to life here, just like in football, when you don't score, you are forgotten against us, i will repeat the huge machination once again with limited but huge reserves of people and artillery reserves and even outdated but still heavy equipment. if we are sit constantly on the defensive, eh, then our guys will die in the trenches and we will stand still , and they will just use artillery to dismantle our positions, how many times do we drive along the front line eh in the luhansk region, and we communicate with various units that they are also defending belo-ughur and krimina and the svatov direction, they are all determined to go forward, give the equipment, give the artillery accordingly and they will go forward tomorrow in a week in two weeks but they are ready , you know what the boys say, it is better to die in the offensive if it is fate so dead, why am i going to sit all the time? in op

, that is, everything is fine with motivation, everyone is ready to go forward, everyone is ready to liberate luhansk oblast , in general, ukraine to the administrative borders , but so far there is not enough offensive weapons, we will gradually bury the equipment, because, well, ours and what was in the communities, it is broken. unfortunately, we have accumulated e-e finances , we do not direct them anywhere, the only thing is that we buy aid for the military and everything is with us. despite the fact that we will receive almost no taxes, e. despite the fact that, well, business -relocated or stayed there, and we still saved up uah 2 billion there for luhansk oblast, which is not a small amount for all communities, and construction equipment is purchased bit by bit, just so that we can work, we will restore the region from

the first day so that there is no such thing as to they released rubizhne there and we are announcing tenders, we are waiting in places until we buy the equipment, then we will bring it and then we will start work no, we will start working right away, we are buying protective structures, so mobiles like in different cities are bought and installed near bus stops for moreover, i understand that there may still be shelling . i understand that sometimes something can really fly in. that's why we will simply install such protective structures near the humanitarian centers so that, god forbid, there will be a discussion so that people have the opportunity to simply hide. that is, we are already working in advance, but in addition to the humanitarian headquarters that we serve throughout the territory of ukraine, we still cooperate very much with our defenders, because the main thing is to provide them so that there is nothing

to refuse to live in ukraine. moms must protect her, protect her last year how we woke up at 5 in the morning a year of goodbyes a year of pain that changed our lives forever a year how we fight in the dark with bright hearts we were given two days there we stood together a year of recognition

country of heroes country of the brave we inspire we fall in love we create we believe in freedom we believe in ourselves and our victories we are the only one we do not know glory to ukraine glory to the heroes we chose our country she chose us we destroy the enemy we are hardened in battles we value brotherhood we protect ours glory to the brave glory to the son of the territorial defense force of the armed forces of ukraine there is no need to go abroad for prosthetics or for rehabilitation and there is an opportunity in ukraine to obtain appropriate means of rehabilitation and ensure normal

functioning. greetings to vitaliy on the first public broadcasting channel thank you for your time thank you for coming to us today my congratulations as well so, since february 1st, you have headed the fund for social protection of persons with disabilities, in what condition did you receive the fund? do you plan to conduct an audit of the fund's activities in previous years ? and the task before him, in fact, to date, i really uh, i am conducting hearings of the heads of territorial offices regarding their work results for the previous year with those problems that are encountered, because we perfectly understand that in order to perform certain tasks , it is necessary to understand the system's ability to work with it, therefore, in this direction. the appointment of the ministry

of social policy oksana zholnovich noted that you were appointed . and for reformatting the work of the background, what will this reformatting consist of? quite limited functionality. that is, it is a matter of providing administration, providing persons with disabilities with auxiliary means of rehabilitation, such as prosthetic and orthopedic products, other components in order to restore functionality and the ability of people to fully integrate into society. today, there is a problem with social services and social services that are currently day should actually be implemented at the level of the territorial community, it is quite difficult to implement and in some communities it is moving a little better rather, in some communities, there is a general problem with this, because the actual reformatting of the fund in the context of the implementer

of social programs, in particular, with regard to the availability and uniform provision of social services, this is one of the main tasks that are actually set before me as the head of this organization, by the way, are there any numbers any updated data on the number of people with disabilities in ukraine as of now, because the last data i found were at the beginning of the 21st year, 2.5 million people with disabilities and another 163,000 children with disabilities, are there any update of figures for today i would say that statistical data in general in the conditions of mass movement of the population mass departure of our population abroad fleeing from the war in general to collect some numbers that corresponded to a clear parameter is quite difficult, so i think it is a complex process that we it will still be necessary to pass, but we can clearly say that the trend of injuries today is from, in particular

, mine explosive devices and so on, there are much more of them than was clear in previous periods, and it will certainly be it is not enough to influence the increase in the number of persons with disabilities, and let's say that the criteria for disability itself will change, the office of the un high commissioner for human rights recently published updated data on the number of victims among the civilian population due to the armed aggression of russia, as of january 30, 2023, they counted more than 11 5,000 wounded among civilians , however, in fact, the administration stated that the figures were much higher, and you also mentioned that , given the nature of injuries, mutilation not only among military personnel who protect the homeland from the russian invasion, but also among the civilian population, the number of people with disabilities will increase, which means that

some of them will need the help of your specific social fund for persons with disabilities in order to receive the same means of rehabilitation, in particular prostheses do you know how many people in ukraine, military and civilians, currently need prosthetics? well, you know, the number is quite dynamic. we have interaction with the national health service with medical institutions and we have an understanding of the potential and the necessary amount of appropriate support, and it is very close to the numbers you mentioned , but a little higher. well , today there are more than ten thousand people who received serious injuries, who received certain amputations as a result and this is the part of the population and the part of people who will really need prosthetic and orthopedic products at least

in order to more fully integrate into society and restore their functional capabilities, taking into account the state of they currently have a normal we will need to anticipate and we are already anticipating the actual provision of these people with the necessary means of rehabilitation here i would like to pay attention to such an aspect when we talk about primary screening, diagnosis or examination if before this happened already at the stage of establishing the actual disability and before that, quite a lot of time passed , when an event takes place there, then a certain treatment or amputation or the recovery process, then the actual uh, since the end of last year, together with the brain, we have introduced

a slightly different context of a more comprehensive approach has been worked out regarding the actual complexity of the rehabilitation treatment system, providing at least prosthetic and orthopedic products. this should be one chain, and the person who completes the rehabilitation process does not have to go to the msek after that to receive a conclusion and so on already at this stage. must be equipped with a prosthesis and must restore its functionality as much as possible. how much time is needed for this system to work as you describe it, see it provides for the presence of multidisciplinary teams actually on the basis of health care institutions, the formation of such teams has already begun and the ministry of health has determined the basic tens of e-e health care institutions that already work in this format, the only thing is that it all needs, well, let's say yes

, adaptations and implementations, so i think that it will take us the first half of this year for this process . directions, but actually in the future we plan to develop such an approach to the rehabilitation process , i.e., rehabilitation treatment and the provision of dizers should be an integral part of one big process . in the end , to get a prosthesis and return to a more or less normal life, primary prosthetics is quite difficult in the context of what you need to correctly perform the amputation yourself and prepare the cut for further work already

prosthetists of the person who will work in the future, let's say with clients without a patient and a system in the recent past and even today it is a repeated reputation when the surgeon is actually seen from one angle and the prosthetist is then seen from another angle, that is, if you worked separately at first alone, this is very important so that they work in a team and make a joint decision that will be correct, then we talk about the fact that, of course, a person must heal all this in order to elementary start working with it and it goes on documentation actually, if we are talking about certain categories , then there is also a different level of guarantee, if we are talking about military personnel, then today primary prosthetics can generally take place with a two-fold excess of standard prosthetics, because it is a more complicated process of a healthy, specific excess of standard prosthetics, the state to provide prostheses determined the maximum

price paid to the prosthetic company for the product and how much in money it all depends on the prosthesis, actually it can be as many as thousands tens, hundreds and millions of price limits, it's true that each product has a different price limit, because it's one thing when only the foot is placed there, when the amputation is at that level, and the second thing is when it is installed , including the hinge that corresponds to the hip joint. this is absolutely different, understandable, complexity, cost, number of components, and so on, that’s why we need a prosthetist who has to determine what to do with it in the future. and actually, if there is a standard one, let’s say the cost of a prosthesis is based on its complexity, then the primary

prosthetics occurs with a two-fold possibility of exceeding it, and for the military with a three-fold. and this makes it possible to respond to more complex situations and amputations with better quality products and better prostheses. and actually a serviceman who has undergone an amputation is actually in the rehabilitation process in this aspect, he can apply and order the necessary a deserter can do it at the level or at the moment of msek, well, that is, a medical and social expert commission in the case of a military, it is a difficult military military medical commission and so it is actually being implemented now when specialists of multidisciplinary teams will do it at this stage, taking into account what injuries the person received, what kind of amputation , what kind of lifestyle she leads, and so on , the prosthesis itself is selected, not only the prosthesis in general, the ddr line of

rehabilitation aids, which will allow to restore the functionality of this person as much as possible, and then the person chooses his own company and the prosthetist with whom he starts working recently, our journalists did a story about the rehabilitation center in the village of velikiy if i'm not mistaken, lyubin in lviv oblast is called halychyna. yes, almost two hundred wounded soldiers with amputations are being rehabilitated there, however, they note that they have been waiting for their prostheses for several months. can receive one of the important documents that must be submitted when filing this application for the maintenance of a prosthesis . the so-called certificate number five about the circumstances of the injury, which must be obtained from a military

unit, and someone cannot even the military one find a part or it would be broken, people are simply waiting for months, they cannot be discharged from this rehabilitation center without a prosthesis , the rehabilitation center is told that they do not receive money from the state for these soldiers who undergo rehabilitation and treatment in them. how to solve this problem so that our fighters who risked their health on the battlefield so as not to waste time waiting for the state to guarantee them, there are indeed various problems that cause such a situation , one of these problems is a documentary registration, and indeed today there is a problem with certain documents, depending on where the military unit is located

, what is the state of it. it is already in the works , it is a second story, when we talk about the physical availability of products and components, in fact, there are prostheses are made, of course no one was prepared for the fact that there are certain stocks lying there in the warehouses and so on, this is all decided at the stage of relationships between ukrainian enterprises and those prosthetic enterprises that actually work here and the manufacturers actually either in germany or in in japan or in other countries of the world, there are indeed questions regarding the availability of these products, well actually as components and their logistical

delivery. a person who gets prosthetics chooses a prosthetic company independently. logistical ways also have their own. as i understand it, the person made a mistake in choosing the protest, not the company, necessarily at this stage , the person can change the protest to the company during the first 14 days, then when the company has already submitted an application to its counterparty , has it paid or not in this case already we need to wait for the process itself. also, we are currently working on an active decision to e-e humanitarian aid as components. and now there is such an organization, in particular, as the hub prosthesis, which well, dozens and dozens of components provide in industry in order to speed up this process. by the way, there are enough prosthetic production enterprises in ukraine to ensure the growing, well, let's say what we mean by production today, what i said, several countries have their own production of quality components for

prostheses and in ukraine today let's say that the product is individualized, that is, the components are used , which are the manufacturers of which are the best world manufacturers of these products, and in the future , the assembly and production takes place here in fact, individualization due to the manufacture of the receiver stump and various other things, therefore, in this case, we are talking about what is implemented in ukraine . there are no issues here, in fact, there is an issue with the supply of the components themselves to ukraine. how should a military serviceman receive this prosthesis, or should we prove to a civilian who was injured as a result of a rocket attack that he did not set off firecrackers and that he was injured

precisely because of an explosion or received a variable explosive an injury because i stepped on a mine, there is currently a fairly simple application process for obtaining rehabilitation aids, in particular prostheses , and proving why this or that event occurred or why a person received a corresponding injury does not need to be provided with these products , it is provided both for persons who have already been diagnosed with a disability as well as for injured persons who have not yet become disabled due to the fact that such an injury occurred, what is the situation with prosthetics for children, considering that children are growing up? change more often than adults. yes, there is a certain period for which a person is provided with one or another auxiliary means of rehabilitation. and in fact, the order stipulates that in the event of a change in certain anthropometric characteristics , well, of course, the child grows, his

indicators change based on the conclusion, if we are talking about children, then this is the lkk itself i.e. the medical commission e-e can be provided again accordingly or the parameters of the prosthesis that was issued actually the vast majority can be changed due to changing the e-e cube of the receiver if we we are talking about the actual protest, well, or if we are talking about auxiliary means of rehabilitation, then it may have certain parameters , well, all this information that you have already told briefly and superficially, however , where can you find out about it, where should you go in order to get this information, because even recently, a few days ago , we see an announcement on facebook that an amputee was injured in battle, we are collecting money for the process, and sometimes it is easier for people to write such a post, e.e.,

to collect money for the purchase of a prosthesis than wait for it from the state. often people do not know that they have the right to receive nato free of charge from the state, where to get this information and who should report it. look, i can probably be banal, well, that is, there are official websites of bodies, in particular, the website of the social protection fund for persons with disabilities where this algorithm is completely accessible, there is the same website of the ministry of social policy . to date, quite active work is carried out by the territorial branches of the fund with medical institutions, of course, you can find out there all district hospitals or all medical institutions there, well, it would be difficult enough, but we have set ourselves the task of regional such military clinical hospitals or regional hospitals, where the vast majority of amputations actually take place, where these departments actually work powerfully, there the presence of this

information is also in the form of relevant brochures and relevant monuments, and we now set the task of establishing psychological human contact with such patients when there with a certain frequency, let's say once every two weeks employees of the territorial branches of the fund visited such institutions and worked with patients in order to explain, first of all, that the prosthetics and orthopedics industry in the country has been sufficiently developed over the past 7-8 years, and today more than 100 enterprises are operating in ukraine that provide the needs accordingly, the manufacturers of the key components of persons with disabilities are world-class manufacturers, that is, if we are talking about the quality of the prosthesis that will be delivered in ukraine or there in israel or in

poland or in italy, it will be distinguished all-in-all, those individual devices, that is, the stump receiver itself, the sleeve, and so on, and the actual components , which will be the main hinges and so on, will be from the same global e-e manufacturers, so there is no need to go abroad for prosthetics or for rehabilitation, but in general like this, when we talk about the corresponding injury received. at this stage, there is an opportunity in ukraine to receive the appropriate means of rehabilitation and to ensure normal functioning, there is such a stereotype that imported is better than its own ukrainian is not of very good quality, is it true? is it true that there is such a stereotype, because i will repeat once again that you are prostheses that today are made in ukraine and which provide

our citizens. they are made of components and hinges of world manufacturers. the manufacturers themselves, which are supplied from abroad, the only difference is that a specific prosthetist works with the patient and the person already has contacts, there is an opportunity to accompany this patient in the future, especially if we if we are talking about primary or complex prosthetics, then it does not work in such a way that a prosthesis was installed and the person went somewhere for a person to master it , master it, adapt, it takes time, and this time must work with the person himself, the prosthetist in order for it to work, we now have enough the number of cases when people return from abroad after prosthetics and the question arises as to who will accompany them, who will do the repairs

, etc. rehabilitation for something else is possible, but a person can live with it, so we call on them to use the potential of our prosthetics and orthopedics industry . such compensatory funds are currently directly provided for by the state by means of their payment to the manufacturer, i.e. if an order is placed , i.e. a person chooses a company , a tripartite contract is concluded on the part of the state - this the territorial branch of the social protection fund for persons with disabilities, the actual manufacturer or supplier and the person as the recipient, the company provides the product, the person signs the act of acceptance of the transfer that it is indeed the product that is needed and it is already subject to payment

directly to the company, and a compensation algorithm is provided for independently purchased certain dzr but this mechanism is currently quite limited in amount, that is, there is no point in such an algorithm to work there with a stick, a cane, or a mobile phone , or something else that a person constantly buys and is reimbursed. now we are working on an algorithm to extend such a compensation mechanism to other auxiliary means of rehabilitation, but here we must understand the ability of the person himself to initially pay for such a means, if there is uah 300,500,000, a person can pay for a certain means with further compensation, then if we are talking about what become 250 or 400,000, it is clear that a person will hardly collect them and