Ukraine launches the STEPS Survey on Noncommunicable Disease Risk Factors
On April 7, World Health Day, Ukraine officially announced the launch of STEPS—a large-scale national health survey designed to provide up-to-date data on the prevalence of key risk factors for noncommunicable diseases (NCDs).
The survey launch was announced during a press briefing attended by representatives from the Ministry of Health of Ukraine, the World Health Organization (WHO), the Public Health Center of the Ministry of Health of Ukraine, and the Oleksandr Yaremenko Ukrainian Institute of Social Research.
Why is this survey important now?
Most risk factors for the onset and development of noncommunicable diseases are associated with particular behaviours (tobacco and alcohol consumption, diet, and physical activity) and are preventable. Participants in the press briefing emphasised that reliable data is the foundation of effective public health decision-making.
“The war claims the lives of Ukrainians every day. However, it is important to remember that more than a thousand lives are also lost daily due to cardiovascular diseases, prematurely, often in cases where these deaths could have been prevented. This is another silent crisis that does not disappear even during wartime and is only intensifying. Stress and exhaustion are affecting both risk factors and people’s health. Seven years ago, the first phase of the STEPS survey provided us with important data on the health status of Ukrainians and revealed a high prevalence of risk factors for noncommunicable diseases. Today, after years of full-scale war, it is especially important for us to understand how these indicators have changed. That is why conducting a new round of STEPS in Ukraine is critically important. Updated data will allow us to more accurately set priorities, adjust our daily work, and implement solutions that truly work. An example of such a solution is the “Health Screening 40+” program, which is already helping thousands of Ukrainians take care of their health and respond to risks in a timely manner. After all, prevention works, and it is important not only for the healthcare system but also for the economy, security, and the future of the country.”
International approach and data comparability
The survey is conducted using a standardized WHO methodology and is part of a global monitoring system encompassing more than 130 countries worldwide.
This approach enables us not only to assess the situation in Ukraine but also to compare it with other countries and monitor changes over time.
“Several years have passed since the WHO STEPS survey was conducted in Ukraine in 2019, and in 2026, we are launching a new phase of data collection. This data will provide an up-to-date picture of the population’s health status at the national level. We will obtain the latest information on the prevalence of noncommunicable diseases and associated risk factors, and we will also be able to assess the impact of war and pandemics on public health. In 2019, one in three people smoked, nearly sixty percent were overweight, and one in three had raised blood pressure. Noncommunicable diseases affect human capital in Ukraine and require cross-sectoral solutions to reduce the impact of commercial factors on health, as well as increased attention from the healthcare system. It is symbolic that we are announcing STEPS on World Health Day as a reminder that every step we take for health today shapes the country’s future.”
What exactly does the survey include?
STEPS follows a comprehensive approach to assessing population health, consisting of three stages:
- Interviews of participants to assess behavioral risk factors.
- Physical measurements, including blood pressure and body weight.
- Laboratory tests of key health indicators.
This approach enables us to obtain the most comprehensive and accurate understanding of risk factors.
Data collection in the context of war
Special attention was given during the briefing to the fact that the study is being conducted amid a full-scale war, which significantly impacts public health.
“Today, the healthcare system is operating amid a full-scale war, facing constant strain, population displacement, and limited access to services in some regions. Under these circumstances, it is especially important to have up-to-date, representative data on the population’s health status. The STEPS survey will enable us to assess thousands of people across the country and understand how behavioral risk factors, access to preventive services, and the needs of various population groups have changed since 2019. This is an essential foundation for making decisions that will help the healthcare system respond more effectively to challenges and provide people with the services they need, even under the most difficult conditions.”
The previous STEPS study, conducted in 2019, served as the foundation for the development of current approaches to NCD prevention. This new round will allow us to assess how the situation has changed since then.
From research to practical solutions
The survey results will serve as the basis for updating public policies, prevention programs, and resource planning in public health.
“Our key priority is to ensure high-quality data collection and adherence to international methodologies at all stages of the survey. STEPS employs a standardized approach that yields reliable and representative results. This data quality forms the foundation for further analysis and evidence-based decision-making in public health.”
For reference:
In 2019, Ukraine conducted the first nationwide STEPS survey to assess the prevalence of risk factors for NCDs. Further information about the survey results can be accessed at https://phc.org.ua/naukova-diyalnist/doslidzhennya/doslidzhennya-z-neinfekciynikh-zakhvoryuvan/nacionalne-doslidzhennya-steps-v-ukraini