The state of female reproductive health in Ukraine

Literature review




reproductive health, national family planning system


Reproductive health implies the right of men and women to the information and access to the safe, effective, affordable and acceptable methods of family planning and other methods of birth control that do not contradict the law, and the right to access appropriate health services, which allow a woman to have a safe pregnancy and childbirth, give the parents the best opportunity to give birth to a healthy baby.
Review objective: to analyses of reproductive health of the Ukrainian female population, coverage of the problems and finding the ways to solve them in the context of medical reform in Ukraine.
Materials and methods. The materials were international and Ukrainian documents on this problem, the research methods were bibliosemantic, statistical and structural logical analysis.
Results. The national family planning system in Ukraine has been specially developed according to the world model, the results of which are aimed at the formation of safe sexual behavior among the population, the interest in maintaining and improving personal health and the foundations of responsible fatherhood. This system has become the basis for the formation of the reproductive function of the younger generation and the preservation of reproductive health in the future. The extremely positive changes that have taken place in recent years are currently taking a negative trend, which indicates a failure in the system of maternal and child health and indicates the need to improve organizational and clinical technologies. Despite the positive changes in the organization of perinatal care, the health problems of pregnant women, which are factors in maternal and child health, remain quite complex.
Conclusion. In Ukraine, compared to the leading countries of the world, there is a low level of reproductive health of the female population, which can negatively affect the process of reproduction of the population. This situation requires the development of measures to further influence the factors of reproductive health disorders at the state, sectoral and inter-sectoral levels, and their effective implementation in the activities of health care institutions in the context of administrative and medical reform.

Author Biographies

N.Y. Zhylka, P.L. Shupyk National Healthcare University of Ukraine, Kyiv

MD, professor, Department of Obstetrics, Gynecology and Perinatology

G.O. Slabkiy, Uzhhorod National University, Uzhhorod

MD, professor, head of the Department of Health Sciences

O.S. Shcherbinska, P.L. Shupyk National Healthcare University of Ukraine, Kyiv

PhD, assistant, Department of Gynecology


  1. Programme of action Аdapted at the international conference on population and development, Cairo, 5–13 September 1994. K.: United Nations Population Fund (1997): 178 p.
  2. Human Rights. International agreements of Ukraine. Declarations. Documents. К.: Scientific Thought (1992): 18–24.
  3. Universal Declaration of Human Rights. Available from: [].
  4. Beijing Declaration and Platform for action Аdopted at the IV world conference on women. Available from: [].
  5. World Health Organization. Health–21: The basics of health policy for all in the WHO European region. Available from: [].
  6. United Nations. Millennium development goals. Available from: [].
  7. World Health Organization. European strategy for child and adolescent health and development: from resolution to action, 2005–2008: WHO/Europe (2008). Available from: [].
  8. World Health Organization global strategy. Maternal and child health. Available from: [].
  9. World Health Organization. The Global Strategy for Women's, Children's and Adolescents' Health (2016–2030). Available from: [].
  10. Alliance for Health policy and systems research. Implementation research in health: a practical guide. Geneva: WHO (2013).
  11. The Cochrane collaboration. Evidence-based healthcare. Available from: [].
  12. World Health Organization. State of inequality – reproductive, maternal, newborn and child health. Geneva: WHO (2015).
  13. Human reproduction programme. Strategies toward ending preventable maternal mortality. Geneva: WHO (2015).
  14. Zhilka, N.Y., Vdovichenko, Y.P. “Status and prospects of perinatal care in Ukraine.” Health of woman 3.69 (2012): 172–4.
  15. Cabinet of Ministers of Ukraine. Resolution from 13.09.1995 № 736 “On approval of the state program “Family planning (1995–2000)”.
  16. European Observatory on Health Systems and Policies (accessed in 2011). Health System Profiles (HITs) publications.
  17. WHO Regional Office for Europe. European health for all database (HFA-DB) [offline database]. Copenhagen, WHO regional office for Europe (2011).
  18. Genet, N. Home care across Europe: current structure and future challenges. Copenhagen, WHO Regional Office for Europe (2012).
  19. Reproductive health and family planning. Available from: [репродуктивне-здоровя-і-планування/].
  20. Mokretsov, S.Y. The state of legal regulation of reproductive health in Ukraine. Available from: [ SP_meta&C21COM=S&2_S21P03=FILA=&2_S21STR=ecde_2010_8_38].
  21. Zhylka, N.Y., Myroniuk, I.S., Slabkyi, H.O. “Characteristics of some indicators of reproductive health of the female population of Ukraine. ” Wiadomości Lekarskie (Poland) LXXI.9 (2018): 1803–8.
  22. Rynhach, N.О. “The improvement of the reproductive health of the population as the direction of improving the conditions of implementation of reproductive activity.” Medix Anti–Aging 3 (2010): 46–50.
  23. WHO Regional Office for Europe. Action Plan for Sexual and Reproductive Health: towards achieving the 2030 Agenda for Sustainable Development in Europe – leaving no one behind. Copenhagen. WHO Regional Office for Europe (2016).
  24. Grigoriyev, Y.А., Soboleva, S.V. “Reproductive health as qualitative characteristic of population”. Bulletin of the East-Siberian Scientific Center of the Siberian Branch of the Russian Academy of Medical Sciences 3–2.91 (2013): 157–61.
  25. Dudina, O.O., Lukyanchuk, O.V. Dynamics of the state of reproductive health of population. Annual report “The state of population health, sanitary and epidemiological situation and the results of health care system activity in Ukraine”. Kyiv (2016): 88–108.
  26. Aksonova, S.Y., Balakirieva, O.M., Bondar, T.V. Implementation of the UN Convention on the Rights of the Child in Ukraine: achievements, problems, prospects (for the period 2009–2016). State report on the situation of children in Ukraine (2016): 160 p.
  27. Zhylka, N.Y., Vovk, I.B. Family planning. Tutorial. Third edition, supplemented. К. (2010): 300 p.
  28. Adamova, H.M., Bondarenko, O.A., Hoida, N.H. Modern aspects of family planning. К. (2012): 320 p.
  29. Zhylka, N.Y., Slabkyi, H.O. “Reproductive health of young people. Youth for a Healthy Lifestyle.” Annual Report to the President of Ukraine, the Verkhovna Rada of Ukraine, the Cabinet of Ministers of Ukraine on the situation of youth in Ukraine (following the results of 2009) // Ministry of Family, Youth and Sports of Ukraine. State. Inst. Of Development families and young people. К. (2010): 156 p.
  30. President of Ukraine. Decree from 26.03.2001 № 203/2001 “On approval of the National Program “Reproductive Health 2001–2005”.
  31. Cabinet of Ministers of Ukraine. Order from 27.04.2006 № 244-р. “On approval of the Concept of the State Program “Reproductive Health of the Nation for 2006–2015”.
  32. Charter of the WHO. Documents of the World Health Organization. Available from: [[].
  33. Cabinet of Ministers of Ukraine. Resolution from 27.12.2006 № 1849 “On approval of the State program “Reproductive Health of the Nation” for the period up to 2015”.
  34. Ministry of Health of Ukraine. Order from 31.10.2011 № 726 “On improving the organization of medical care for mothers and newborns in perinatal centers”.
  35. Ministry of Health of Ukraine. State Statistics Center of the MHU. 2018. Available from: [].
  36. Ministry of Health of Ukraine. State Statistics Center of the MHU. 2019. Available from: [].
  37. Ministry of Health of Ukraine. State Statistics Center of the MHU. 2020. Available from: [].
  38. Ministry of Health of Ukraine. State Statistics Center of the MHU. 2020. Available from: [].
  39. European Information and Research Center. Available from: [].
  40. Vovk, I.B., Kondratiuk, V.K., Peterburzka, V.F. “Sexual development disorders in girls.” Health of Ukraine 1.21 (2016): 51–3.
  41. Matrix Babies health monitoring. Analytical and statistical reference book. State Institution “Center for Medical Statistics of the Ministry of Health of Ukraine” (2020): 56 p.
  42. Antypkin, Y.G., Tatarchuk, T.F., Marushko, R.V., Dudina, O.O. “Regional features of pregnant women's health.” Reproductive Endocrinology 57 (2021): 21–8.



How to Cite

Zhylka, N., Slabkiy, G., & Shcherbinska, O. (2021). The state of female reproductive health in Ukraine: Literature review. REPRODUCTIVE ENDOCRINOLOGY, (60), 67–71.



Health care