{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:13:19Z","timestamp":1785521599592,"version":"3.56.0"},"reference-count":0,"publisher":"ALUNA","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wiadomo\u015bci Lekarskie"],"abstract":"<jats:p>Aim: To analyze the availability of medicinal products for the Ukrainian population under martial law, identify key challenges in the pharmaceutical sector,\nand substantiate adaptive approaches for ensuring continuous pharmaceutical provision.\nMaterials and Methods: A systematic analysis of regulatory, legal, and empirical data (2022\u20132025) was conducted using sources from the Ministry of Health\nof Ukraine, the Ministry of Digital Transformation of Ukraine, the State Service of Ukraine on Medicines and Drugs Control, and international organizations. The\nsearch covered the period from February 2022 to early 2026, corresponding to the duration of full-scale war and martial law in Ukraine. Sources were included if\nthey addressed pharmaceutical provision, access to medicines, or pharmacy services; reflected the functioning of healthcare or pharmaceutical systems under\ncrisis or wartime conditions; provided empirical data, regulatory information, or analytical insights; and were published in peer-reviewed journals, official\nreports, or credible professional and industry platforms in English or Ukrainian. Sources were excluded if they were not relevant to pharmaceutical accessibility\nor healthcare delivery, lacked analytical or factual content, duplicated previously identified sources, or originated from unverified platforms. The initial search\nand screening resulted in 68 sources. After preliminary screening and relevance assessment, 32 sources were selected for full-text review. Ultimately, 21 sources\nwere included in the final analysis, forming the evidence base of this study.\nConclusions: The pharmaceutical sector in Ukraine demonstrated high adaptive capacity under martial law. Despite infrastructural damage, workforce\nshortages, disrupted supply chains, and reduced affordability, the implementation of adaptive mechanisms improved access to essential medicines. Alternative\ndelivery models (mobile pharmacies and \u201cUkrposhta. Pharmacy\u201d), digital monitoring tools, regulatory simplification, and financial support programs enhanced\nboth physical and economic accessibility. The integrated approach combining regulatory flexibility, digitalization, and alternative distribution systems ensures\ncontinuity of pharmaceutical provision and strengthens long-term resilience under crisis conditions.<\/jats:p>","DOI":"10.36740\/wlek\/222579","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T17:04:17Z","timestamp":1785517457000},"page":"1382-1388","source":"Crossref","is-referenced-by-count":0,"title":["Adaptation of approaches to ensuring the availability of medicines for the population of Ukraine under martial law"],"prefix":"10.36740","author":[{"given":"Iryna A.","family":"Kostiuk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliia O.","family":"Hala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dmytro S.","family":"Savchenko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhanna M.","family":"Polova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22436","published-online":{"date-parts":[[2026,6,30]]},"container-title":["Wiadomo\u015bci Lekarskie"],"original-title":[],"link":[{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/pdf-222579-143001","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/pdf-222579-143001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T17:04:29Z","timestamp":1785517469000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/Adaptation-of-approaches-to-ensuring-the-availability-of-medicines-for-the-population,222579,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,30]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026]]}},"alternative-id":["222579"],"URL":"https:\/\/doi.org\/10.36740\/wlek\/222579","relation":{},"ISSN":["0043-5147","2719-342X"],"issn-type":[{"value":"0043-5147","type":"print"},{"value":"2719-342X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,30]]}}}