tv [untitled] August 13, 2024 4:00am-4:31am EEST
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premature births, but somehow the ministry of health does not name a specific figure, so it is difficult for me to rely on it, from conversations that i know from the medical category, well, let's say, when i talk to doctors, that i hear that the condition of profitable , they get examined in a timely manner, sometimes they are in very bad conditions, there are not always logistical possibilities to get to the basic hospitals simply, because, for example, the roads are broken, or it was some kind of, for example, an occupied territory. a pregnant woman cannot receive this assistance in time, the child does not receive screenings on time, for example, during or during pregnancy, or already after the child was born, respectively, any such delay is precisely from our category, with our nosology, it is very important, and it will then affect the quality of everything life, therefore also the psychological state of the pregnant woman, we should not forget about this either, the psychological state of the pregnant woman i would say that even childbirth, when there was no war, is premature, it is very stressful, just recalling my experience, or my colleagues who.. . found herself in different
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stories where the children also got some difficulties after the apologies, but now during a full-scale invasion, where there are also sirens and, for example, there is no partner nearby, if the partner had to go, the husband went to fight and cannot be at the partner birth, or do not let god, unfortunately there are such situations when the news comes and it is a pregnant woman, and unfortunately, the information comes that there is no partner near her, these cases are extremely difficult for conducting such a viga. and there are many such cases, that is, requests for psychological and financial support, for example, help, because this, let's say, has a strong effect on stress, we have had a lot of these requests, is there any in your organization, maybe psychological help, when women who live in ukraine, it is possible in the de-occupied territories, maybe somewhere in frontline territories who call and want to advise. to tell them what to do,
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where to go, and what words to find, because it is probably very important and very difficult now in such conditions. i would say that the international community helped us a lot, because i would divide here our women who went abroad and gave birth prematurely abroad, because this is such an additional emotional layer of problems, because in addition to the fact that a woman gives birth abroad without support, without understanding the language very often. without understanding the system, where to turn, what to do with such a newborn baby in any country in the world, for example, there or in switzerland, whether it is poland or whether it will be spain, very often they turned to us from other countries in order to get information in our native language, and that is why we are very grateful to nazhi international to the community, which acted as partners in this , in order to promptly transmit this information, or distribute booklets, as well as this informational and psychological assistance . in ukraine and works in the same way, the only thing
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is that these are often not calls, but still messengers, which are more convenient, also because of the fact that, firstly, it is not always possible for such mothers to speak by voice during the day , they are quite busy in hospitals with various procedures and it is a traumatic experience when mothers find it difficult to express their emotions because they are usually stressed and on at the stage when they need to talk about their particular situation, that she just gave birth to a child prematurely, so there is... such, as they say, a trauma of feeling guilty that she did not carry the child to term, that the child has difficulties, and this one with our psychologist works with this feeling of guilt, yuliya oleksandriv manages our psychological service, we have our partner organizations that work with us, and when we are not coping, we send us to more professional help, and when we need help with crisis communications, we also know where to turn therefore, i am very grateful to the colleagues and partners who this pool will provide consultations with, and...
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i will not name all of them now, so as not to forget anyone, but in fact, this pool of partners helps us to cope with difficult situations when they arise, so for for us, informational psychological assistance is the basis of the foundations, because this is the layer where most problems can be solved at this level. sasha, well , actually speaking about the impact of the war on families with prematurely born children, you and i already talked before the broadcast and you told me such stories, what these families faced, what are the main problems, and we are not only talking about medicine now, because these families, where a mother and a child return home, and they also have certain problems there, they have to solve them somehow during the war, can you talk about it and what do you advise in such a situation? in fact, we can advise you to be proactive, learn about your rights, and that is why this year is very important for us. we
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produce a lot of information products, because very often it is simple parents do not know about their rights, for example, we recently conducted a survey whether parents know about guaranteed non-guaranteed services in the health care system. and we were a little shocked that 80% of parents do not know about their rights, that is, they marked, for example, from the category marked from one to five, to what extent you have information about services guaranteed by the state, then 80% marked one, that is, they do not know, or for example, only 10% knew what to do in the event that rights are violated, what in this case case must be done, and when we say, we have a project called guaranteed with our partners, patients of ukraine, and when we say... about what is important to do in this or that situation, it is important for us that parents know and where to turn, were proactive, had this clear position that it depends on me, how i will develop mine further, for example, there is a medical history, where i receive this service, who i can turn to, not to be afraid to ask, so
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it is important , look, this topic, it is actually very important, and that's why you can say exactly what rights you are talking about, so that women and men, families, in general, who will hear us now, they can understand what rights they really have, what you are talking about. when we conduct trainings, we even start with the following question: do you know what nszu is? and we very often have such answers that we do not know what national health insurance is, and since 2016 medical reform has been ongoing in ukraine, and there are 44 packages of medical guarantees, these packages, one might say, are classified by various diseases, by various problems, now i am not talking only about prematurely born children, or only about pregnant women, or about the topic of rehabilitation of children, these are all problems in general. and strokes, which also affect many families in ukraine, and cancer, and even now four packages have been added about, for example, artificial insemination, for example, or organ transplantation, that is, it is any disease that can fall into any of these packages, and it is necessary to at least
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understand these packages, whether there is a disease or a problem that concerns this or that patient, or whether it is in the list of those packages, before you run to a private clinic and decide for yourself that... you need to solve this issue quickly, understand your rights, and we teach this at trainings, we conduct consultations on this, we explain in detail, how to do this, if the service was to be provided by a state body, a state clinic, for example, there or, i don’t know, a women’s consultation or a perinatal center, but was provided for a fee, how to compensate for these costs, and there are also such cases, i.e. this is our standard practice as we we advise, we help, because we manage now... to convey the main point, if families know that the services are covered, that the pregnant woman can count on what is guaranteed to her by the state, this is from tests, managing a complicated pregnancy, this is both childbirth and child care after discharge, then there is no such stress and level of worries that you have
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to pay for it all out of your own pocket, imagine a situation where the family had somewhere in the occupied territory to leave, has to rent housing, for example, the husband went to the front and does not have a stable... income a mother has a prematurely born child with a million questions, because this is a normal situation, that there are many questions, and that is why we guarantee guaranteed services, we tell you, so that at least there is this support, to reduce the worries and stress for this family, and therefore it seems to us that just informational the front of our work, of our organization is now important, and we try to keep it, it is also work with groups on an equal basis, when families who have already passed through a difficult phase of exit. can share their parenting experience with other families who are going through this experience now, for example, we had a survey, we asked 90 families about the cases when families had to kangaroo, that is, hold a baby weighing less than
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2.5 kg, skin to skin on the chest, without separating mothers or fathers, if the mother is not could have sex with the child for physiological reasons, to what extent this process took place in different regions of ukraine. during the full-scale invasion, more than 90 families shared their stories with us, some of them very moving about those first bondings that happened for each family, how touching, important, and for some painful stories were, where they did not have the opportunity to touch the child, where they were not told about this method, how important and useful it is, especially now during the absence of stable electricity, that is why they are so informative for us products, projects and... the opportunity to unite families, make groups equal, they are now tools for us that, in our opinion, can fulfill, well, our dream that children are born healthier, give them the best start life. well, if we are already returning again to the families in which a sacramental child was born,
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that this package from nszu contains something for them, that they should know this free on a free basis, and... when they were discharged, i understand , when they are in the hospital, it's one thing, but when the mother has already returned home, she has to, again, as we said, be one-on-one with the child, what should she know about? well, as i said, there are 44 packages, several of these packages that apply specifically to our families, they apply, for example, to driving pregnancy, it is the birth itself, it is also a caesarean section or a natural birth, it is even at the stage of the birth of a child in a transfer center or in a maternity hospital, it is, for example, even we have banks of breast milk, then even lactation consultation, they are also included there , this is all actually psychological support within the hospital, they also enter there. now, in fact, families are not obliged to buy medicines according to the lists,
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as it was several years ago , literally because it was so widespread practice, now most questions, most questions, not all questions, of course, if it is an improved ward there, or some special services, of course, the family pays for it independently, but basic all questions, they should be covered by medical guarantee packages, and in such case, for example, when the family is discharged and rehabilitation centers or catamnistic centers work. offices, this is in order for us to provide a review, one might say, of the child's condition already after discharge at the stage of three, six, 12 months, and observe how it develops, i.e. the child comes to the center, is examined for any developmental abnormalities, if specialized help from a narrow specialist is needed, then everything is received by electronic code, that is, in order to receive these services for free, it is important to receive this code, and then there is a referral, for example , pediatrician or... if it is, for example, from a prenatal center, then accordingly, such a service should be provided free of charge. it is important for us that parents
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know this and, accordingly, the family can rely on it and receive such financial support stability, such a guarantee for themselves, which would also give them a sense of peace in these troubled times. well, guarantees are guarantees, but we understand that, again, in the de-occupied territories, on the front-line territories, women also continue to give birth, and... very often it happens that there is no longer any infrastructure there, because hospitals, medical centers, they have been destroyed the russians bombarded how to be in these situations, do such women come somewhere to safer regions, or refuse, and what is happening there, in fact it really is the problem is that you can't equate the centers in kyiv, in lviv, or you can say in big cities, to small destroyed areas, the infrastructure is damaged, or mothers don't have the opportunity to get even to this institution. yesterday we talked,
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for example, with doctors from kherson who, for example, had to freeze a part of their institution, but at the same time medical care continues to be provided, but of course, the emotional state and infrastructure and capabilities of such a hospital cannot be equated with others, so it seems to me , which should be more help in such institutions, in such locations from government structures in order to give them more support. and somewhere possible some kind of administrative help with documents, in particular logistics with medical drugs where possible, i know that there are mobile teams for pregnant women and help is provided with mobile teams to get there, i am not sure if this is covered in all regions, we would like it to be in all regions, but in fact we see from our information that these are often the zones where mothers do not receive full-fledged medical care, that is, i still want these... to be a priority, so that there is more support for these mothers, for these families, so far
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there is a feeling that these families have to fend for themselves, well, you can say , to independently solve these issues, where the financial burden falls on them, because they have to rent housing and find services for themselves in the places, and they do not have anyone they know in these places, these are families who turn to us, for example, from the de-occupied territories , they move and have everything on their own to organize, i have a feeling that for these... it is extremely difficult, and that is why i would like to have more assistance programs specifically for families who had to move with small children. so, what are the main resources that families who have a newborn baby, a premature baby, need, yes, these resources, for example, when we talk about hospitals, is our medicine able to cope with all this, because we also talked about it before the broadcast with you , that the air alarm is sounding, there is no light. and doctors do not leave such children, these children remain in resuscitation, and there is no way to transfer them,
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for example, to a shelter. well, i would say that now it is extremely important to support the medical front, first of all, during the implementation of the reform , i also hear a lot of questions so that the reform also covers the basic needs of the doctor, so that there is still a decent payment, so that the packages are balanced in order for the doctor's conditions to be decent, let's say, we in this partnership are very much waiting for the patient's rights to be realized and fully covered, as well as the doctor's rights, our organization does what it can in terms of burnout prevention trainings. this is usually a block of our trainings on patient rights, because we understand that where there is no burned-out doctor, that is where the best medical services will be provided, so we understand that it should be balanced 50 by 50 in order to provide the highest quality services, and therefore , we are only in such conditions, where the dignity of both parties will be respected, there will be a dialogue on
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the same level, they will be provided comfortably, there will be this trust, there will be this dialogue and they will provide... the best services, therefore, returning to the question, it is important for us that the review of the reform and its implementation take into account two sides, there are no distortions in which side, and that the funding is fully for such babies basic pregnancy care services to support the child at the exit stage, as well as after providing catamnastic observation, rehabilitation, early intervention, until the child stands on his feet and is socialized, actually. long process, respectively packages that exist, they help rely on it, they have to have on our legal the basis, all the protocols should be written under it, and then we will be able to know that this system is working, it is a big process, it is a long process, but i am inspired by our medical teams who, despite everything, are holding on, working, incredibly fulfilling the mission, despite everything
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the challenges that are around, that is, we believe in it, we work together, we try to do what... it depends on us, but you talk about this long process, and at the same time, we talked to you once, and you told , as doctors came to us from abroad, they were simply shocked at how professionally our doctors could work during the war, and how much our assistance to ukrainian medicine went up, in fact i will not go far, i was this morning and yesterday at the pediatric... congress, the largest pediatric platform in which people standing on the sides, they, a lot of students, a lot of talk about building our future, a medical community that will work for the future of this country, and it's very inspiring that the people who are here, they care about every child, about everyone, well, the pediatric community, in general, it has a holy mission to ensure that
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the future of ukraine is as healthy as possible, and that these ukrainians are free and healthy. and, that is, there were still two sides, and it is very inspiring, sasha, i know that you actually know a lot of stories that happened during the war, but can you briefly tell the story of the success of one of the families of the children born in communion? we have quite a lot of stories that are told to us by yuliya oleksandra, we have a parents' chat, and very often there are such stories that inspire us, because... for example, the pregnancy said that there is no chance, this pregnancy must be aborted, but for example, my mother says, i believe in this child, i believe in this pregnancy, yulia , for example, accompanies her, and then we celebrate with this family for a year, then we celebrate with that family when the child is gone, actually stories like this, when they say some guidelines for a certain child, for example, this
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child will never walk, this child will never hear, or this child has no chance, they are ... there is always an element of faith, love and a lot of work behind this, in our community we see many such stories that inspire and actually help us get up, sometimes, even when there is no strength to believe that if this child walked, when he was told that he would never walk, then for sure there is a chance, and such stories, well, believe me, you can simply collect a whole album of them, there are many of them, and i can still dream of publishing such a book someday, because it really inspires each of these stories. sasha, and about your personal experience that you received during the war, which would you never wanted to receive a difficult question. i would never want to say goodbye to my family without knowing if i will see them again. oops, i was asked an unexpected question. because we never know when we will
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say hello to people again because we said goodbye to them and it was hard to see people. at the border, when mothers said goodbye to their men and did not know if they would see them again, and in fact, all goodbyes or all greetings, they became more valuable, we do not know what will happen tomorrow, we live our experience every day, as it were it has become immensely more precious and we don't know what tomorrow will bring, so we appreciate each day more, i wish i would never say goodbye without knowing if it will be tomorrow, i thank you for... this openness, thank you for your strength, thank you very much for your support, because i really couldn't do anything myself without support, so i am very grateful to my team and my team, thank you, thank you to my partners who make it possible to do these movements based on... on the support of my relatives and dear people with whom our values coincide. oleksandr balyasna today we had a guest, and it was an experience of war. events, events that are happening right
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now and affect our lives. of course, the news feed reports on them. however, it was not enough to know what was happening. it is necessary to understand. antin borkovskyi. invited experts soberly evaluate events, analyze them, modeling our future. every saturday at 13:10 with a repeat on sunday at 10:10. studio zahid with anton borkovsky at espresso.
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greetings to our viewers, today i am artem logutenko on the air with you, and we will talk about, i will not be afraid of this wording, a special military operation for the demilitarization of the kurdish region of russia, roman pohorily is a guest with me today, he is... co-founder and senior analyst of the deep state resource. actually, roman, i want to discuss with you the purpose of this
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operation. for several days now, we have been watching how our forces break through the defenses of the russians, capture more and more territories in the kursk region, but we do not know anything about the goal. what do you think the purpose is? congratulations. well, if we talk about the goals and objectives set for... then they definitely do not exist, because first of all our military and political leadership, it chose the position of silence, and this is probably the most correct position of all, which was before this is now, and now there are certain versions, there someone says that it is to get to the gas distribution station there to the as, and have some leverage, someone just says that it is there... the capture of the territory, the return of the territory, which may also in the future we agree to in certain positions of the negotiations, in particular, this was noted by a representative
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of the president's office, i do not know what this comment was for, but so be it, and someone says that it is there the withdrawal of some reserves to the muscovites pulled them away from belgorod, there from donbass, although to this day, how many days have passed, our guys do not feel this distraction, if it was even there, because a very large number of forces are concentrated there, in particular, if we are talking about the avdiyivka region . all version, then there is no difference, nevertheless, i would like to discuss them with you, because... as you rightly pointed out, the ukrainian official side does not say anything about this operation, but we are interested in understanding what it will be, whether
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it will not happen it was another sortie, as it was, we observed several times in the performance of russian volunteer units that entered the territory of the russian federation, fought there for several days, took videos, photos and left, well, there are already at... the first moment, signs, which show that these are much larger-scale events and they have some serious goals, therefore that when we came in the previous times, there were certain divisions, in particular, if we talk about rdk and others there, then there was a lot of media content of some kind, there were certain processes that had their own tasks, today we do not see something.. today there is some media coverage, we don't see that it was done on purpose, because of where the footage comes from, where some fighters are. where
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damage is inflicted, where some collisions occur and in general, what blows are inflicted, in particular, tonight a whole was burned the column that went there to some of their retreats, then this shows a serious scale, what is happening today, it is definitely not some previous actions that were on our side, but you know, here i am as a war correspondent, but as a ukrainian generally very ob'. the point was that we had some kind of conditional, probably, or maybe not conditional, red line, so that our troops could not cross the borders and enter the territory of the russian federation, that is what we saw during the kharkiv counteroffensive, so when our troops liberated the region, reached border and stood and were forced to watch the russians accumulate troops, and now it is obvious that this ban has been lifted. i
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understand correctly, i don’t know whether to shoot, and a lot of people don’t know whether to shoot there, were there any bans, for today, again, we can say there are some signs, there are some agreements, no, in the first place the turn is that the united states, the european union and the partners in general have already said that they do not know about these maneuvers, and if this is really the case, that is, we just took and did our work and no one is wrong with us in this anymore... says yes or no, then the military-political leadership should be proud of today's actions, because previously we discussed, asked, discussed, we built some frameworks, what is possible, what is not possible , with what you can hit, where you can enter, but today we have such a position that the enemy has concentrated a large number of forces, the enemy is implementing these forces in the east, in particular there
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in the... region, we see that the map changes every day, we see that every day there is promotion, and on today, everyone is already a partner there, they approach the negotiations somewhere from the side, they force us to involve muscovites, the negotiation process is peaceful, although they do not have to discuss any points there, they only have to answer for what they did for their aggression, because the international world has recognized that aggression is a crime that must be punished, therefore there can be no discussions here, and today we are the wolf who is cornered, and we can only find the most frank solutions in that wolf, which will give though any chance to survive, here is one of them, so i don't know if there were agreements, already today it is reported that we are in contact with the united states, no one has told us anything, the answer was clear, and
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quite comprehensive that it ours, our war, these are our decisions, and no one has the right to interfere, therefore only our highest representatives of the government probably know about the agreements here, and to the washington post on condition of anonymity, one of the advisers of president zelensky said that the defense forces in kursk region was captured more than 100 russian soldiers. and that we supposedly already control 100 km of territory there, at the same time we have completely different data, different numbers, for example, the russian liberal publication agency says as much as 430 km, and what are your data and why are the numbers so different? we don't have any data, because this
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is exactly the process that we don't... not to discuss, but we showed certain first days of marking there, so that people would already be saturated with a little information, so that they would understand that something is happening, because to contemplate how three days , everyone eats this the russian information space, being in a ten-year war, in particular in the information space, well, it is difficult, but as it is, due to the fact that there are differences, how many have taken, how many have passed, because no one knows anything and everyone is trying... somewhere guess there, draw something of your own somewhere, someone has their own sources, by the way, the international media is such a funny process, when our military-political leadership is silent, they do not give comments, it was already mentioned, well, it was quite funny, and they an unnamed general from the general staff begins there, no adviser of the president's office is named there, no one else is named there.
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