Aleksandrenko Hlib, Shevchenko Maryna, Chervak Olga
School of Public Health, National University of Kyiv-Mohyla Academy, 2 Skovorody St., Kyiv, 04655, Ukraine.
Communication Department, Pact Ukraine, 49a Volodymyrska St., Kyiv, 01001, Ukraine.
Oxf Open Digit Health. 2025 Jan 8;3:oqaf001. doi: 10.1093/oodh/oqaf001. eCollection 2025.
The unprovoked full-scale invasion of Ukraine in February 2022 severely damaged the national health system, disconnecting thousands of people living with human immunodeficiency virus (PLHIV) from essential health services. Digital health interventions (DHIs) offer the potential to reconnect war-affected PLHIV to healthcare and improve health system resilience in case of emergencies. This study aimed to present a comprehensive case study of the implementation and lessons learned from a DHI aimed at reconnecting Ukrainian PLHIV to healthcare in the context of war. A DHI called '#ARTporuch' was implemented in Ukraine in response to the war-related challenges for PLHIV. The case study methodology was used to present the DHI's life cycle, from creation to maintenance. Usage and geographic coverage data were analyzed descriptively. The multi-component DHI, consisting of a website, chatbot, database and information campaign, was implemented. The case study yielded pivotal insights into the DHI lifecycle, including rapid conceptualization, security considerations, agile implementation and continuous adaptation. The online advertising generated >10 million impressions within the information campaign. The website attracted 20 619 visitors, while the chatbot was activated by 2950 users. This case study underscores the potential of DHI as a crisis-response component to reconnect PLHIV to healthcare during wartime. While quantitative evidence of effectiveness is limited due to wartime constraints, the study provides insights into the implementation of DHI in conflict-affected or resource-constrained settings, contributing to the ongoing efforts to achieve universal health coverage and enhance health system resilience planning.
2022年2月，俄罗斯对乌克兰无端发起全面入侵，严重破坏了该国的卫生系统，导致数千名感染人类免疫缺陷病毒（PLHIV）的患者无法获得基本医疗服务。数字健康干预措施（DHI）有可能让受战争影响的PLHIV患者重新获得医疗服务，并在紧急情况下提高卫生系统的恢复能力。本研究旨在全面介绍一项DHI的实施情况及经验教训，该DHI旨在让乌克兰的PLHIV患者在战争背景下重新获得医疗服务。为应对PLHIV患者面临的与战争相关的挑战，乌克兰实施了一项名为“#ARTporuch”的DHI。本案例研究采用案例研究方法，介绍了该DHI从创建到维护的生命周期。对使用情况和地理覆盖数据进行了描述性分析。实施了一个由网站、聊天机器人、数据库和宣传活动组成的多组件DHI。该案例研究对DHI的生命周期产生了关键见解，包括快速概念化、安全考虑、敏捷实施和持续调整。在宣传活动中，在线广告产生了超过1000万次的展示量。该网站吸引了20619名访客，聊天机器人被2950名用户激活。本案例研究强调了DHI作为危机应对组件在战时让PLHIV患者重新获得医疗服务方面的潜力。尽管由于战时限制，有效性的定量证据有限，但该研究为在受冲突影响或资源有限的环境中实施DHI提供了见解，有助于为实现全民健康覆盖和加强卫生系统恢复能力规划所做的持续努力。
