Evidence map›Paper›PMID 40442850›Full record

ArticleJournal of health, population, and nutrition2025

A qualitative assessment of war-related rehabilitation needs and gaps in Ukraine.

Lynn Lieberman Lawry, Jessica Korona-Bailey, Tiffany E Hamm, John Maddox, Miranda Janvrin, Luke Juman, Oleh Berezyuk, George Smolinski, William Brim, Tracey Perez Koehlmoos

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Article in Journal of health, population, and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Lynn Lieberman LawryUniformed Services University, 4301 Jones Bridge Rd, Bethesda, MD, 20814-4799, USA.
Jessica Korona-BaileyUniformed Services University, 4301 Jones Bridge Rd, Bethesda, MD, 20814-4799, USA. jessica.korona.ctr@usuhs.edu.
Tiffany E HammHenry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Drive, Bethesda, MD, 20817, USA.
John MaddoxUniformed Services University, 4301 Jones Bridge Rd, Bethesda, MD, 20814-4799, USA.
Miranda JanvrinUniformed Services University, 4301 Jones Bridge Rd, Bethesda, MD, 20814-4799, USA.
Luke JumanUniformed Services University, 4301 Jones Bridge Rd, Bethesda, MD, 20814-4799, USA.
Oleh BerezyukLviv National Medical University, Pekarska St, 69, Lviv, 79010, Ukraine.
George SmolinskiUniformed Services University, 4301 Jones Bridge Rd, Bethesda, MD, 20814-4799, USA.
William BrimUniformed Services University, 4301 Jones Bridge Rd, Bethesda, MD, 20814-4799, USA.
Tracey Perez KoehlmoosUniformed Services University, 4301 Jones Bridge Rd, Bethesda, MD, 20814-4799, USA.

Funding

Department of Defense HT942523P0013
6 · The paper itself

Abstract

backgroundUkraine's Ministry of Health formally recognized rehabilitation as an essential component of universal health coverage in 2020. However, services remain fragmented and under-resourced, particularly following the full-scale invasion by the Russian Federation in February 2022. Widespread injuries due to trench warfare, drones, and large-scale ground combat have placed unprecedented strain on the Ukrainian trauma and rehabilitation systems, which continue to lack a cohesive national strategy. This study aimed to (1) assess the trauma and rehabilitation system in Ukraine during the ongoing conflict; (2) identify current needs, gaps, and opportunities for strengthening rehabilitation services; and (3) inform national and international stakeholders-including the United States and NATO-about urgent priorities to support Ukraine's rehabilitation infrastructure, reintegration pathways, and gender-sensitive care delivery.

methodsWe conducted 36 qualitative key informant interviews across all NATO levels of care using an adapted Global Trauma System Evaluation Tool. Thematic analysis focused on rehabilitation-related domains.

resultsRespondents highlighted shortages in staff, equipment, and mental health integration. Rehabilitation remains unevenly implemented, with better access for military versus civilian patients. Care for survivors of conflict-related sexual violence and support for women's equitable access were consistently cited gaps.

conclusionsUkraine's growing burden of war-related injuries necessitates urgent investment in a coordinated national rehabilitation strategy. Priorities include workforce development, equipment supply, mental health integration, and inclusive care models that address the needs of women and conflict related sexual violence survivors. Evidence-based rehabilitation, supported by validated training for clinicians, is essential for long-term recovery, societal reintegration, and national resilience.

Indexed as

Health Services Needs and DemandNeeds AssessmentWarfareWar-Related InjuriesArmed ConflictsFemaleHumansMaleQualitative ResearchUkraineNational strategiesRehabilitationTrauma systemUkraine

Identifiers

PMID40442850
PMCPMC12124016

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.