Technical Areas
Completed/Cancelled
| Product/Service | Deliverables | Status |
|---|---|---|
| Ukraine Support Ministy of Health MoH to implement the Concept Paper On Public Health System Development in Ukraine and to contribute to the development review and finalization of relevant public health documents | Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity |
Completed |
| Ukraine Support MoH to the organization and delivery of public health services | Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity |
Completed |
| Ukraine Review Health Financing Concept contribute to its political discussion and guide its implementation | Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable |
Completed |
| Ukraine Support MOH to prepare options for the governance arrangement of the National Health Purchasing Agency NHPA based on international experience and drafts legislation | Countries receiving HF support will have implemented financing reforms to facilitate UC |
Completed |
| Ukraine Technical assistance to review the governance options of the NHPA | Countries receiving HF support will have implemented financing reforms to facilitate UC |
Completed |
| Ukraine Technical assistance to the HF Working Group WG established by MoH to develop the State Guaranteed Benefit Package to share country examples agree on benefit design parameters for Ukraine and guide the WG on calculations of affordability and neede | Countries receiving HF support will have implemented financing reforms to facilitate UC |
Completed |
| Ukraine Capacity building of the HF WG and key policy makers in HF to ensure approval and timely implementation of the HF Concept | Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries |
Completed |
| Ukraine WHO led international expertise and support to MOH UKR to contribute to strengthening public health system in Ukraine | Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity |
Completed |
| Ukraine WHO led international expertise and support to MOH UKR on organization and delivery of public health services and the development of robust public health workforce | Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity |
Completed |
| Ukraine WHO led international expertise and support to MOH UKR to contribute to political and policy discussion and guide implementation of the Health Financing Concept | Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable |
Completed |
| Ukraine WHO led international expertise and support to MOH UKR to contribute to develop a State Guaranteed Benefit Package in Ukraine | Countries receiving HF support will have implemented financing reforms to facilitate UC |
Completed |
| Ukraine WHO led capacity building to support MOH NHPA UKR in implementation of the Health Financing Concept and strengthening health financing system in Ukraine | Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries |
Completed |
| Ukraine Support the development of National Health Services including the design and implementation of benefit package and payment mechanisms performance monitoring of service provision | National Health Services of Ukraine has the capacity to implement and monitor the implementation of the benefit packcage and payment mechanisms |
Completed |
| Ukraine Support health service delivery reform by supporting policy development capacity building of providers introduction of provider licensing and quality assurance | Service delivery reform received required technical guidance, with normative documents on quality assurance and provider licensing drafted |
Completed |
| Ukraine Strengthen policies organization and capacities of national authorities to procure finance and provide pharmaceutical products to population esp vulnerable groups | National authorities design, implement and monitor policies that provide pharmaceutical products to reduce out of pocket spendings and address the burden and treatment of the most prevalent NCDs in the country. |
Completed |
| Ukraine Strengthen health system governance for improved reform coordination integrated service delivery incl for NCDs immunisation communicable diseases and public health and capacity to monitor and evaluate progress toward reform goals and UHC | Monitoring and evaluation system for UHC is established, with the identification of process pathways for policy development and decision-making on UHC. |
Completed |
| Ukraine Strengthening public health capacities | Public health system has the capacity to address the burden of diseases and promote health through the life course |
Completed |
| Ukraine Provide technical support and capacity building to MOH and NHS to finalize the guaranteed benefit package design to ensure coverage of access to integrated quality primary healthcare services | Review of the selection of providers for health care services within the benefit package; 2) Briefs for Ministries of Health, Finance, Economy and NHS on benefit package design, revenue collection, pooling arrangements, and effective purchasing mechanisms; 3) Review of Medical Guarantee Program for 2020-202, including of its technical and legal annexes; 4) Trainings and workshops that contribute to improving skills and knowledge of MOH and NHS staff on benefit package. |
Completed |
| Ukraine Provide technical support to MOH and NHS 1 to implement and monitor the pilot of purchasing specialized care services in selected oblast and 2 to prepare oblasts for the introduction of new payment methods to increase access to priority health ser | Analytical note on DRG-based payment system in Poltava oblast and options for the design and implementation of the Hospital Performance Monitoring system in Poltava oblast; 2) Review of health purchasing arrangements for inpatient care contracting; 3) Options to improve the case-by-case payment system for use in other regions of Ukraine from 2020; 4) Requirements for the central component of inpatient care in eHealth, including the development of DRG case grouper; 5) Regulatory framework on the use of the 60/40 approach for financing inpatient care facilities in the regions in 2020; 6) Trainings and workshops that contribute to improving skills and knowledge of MOH and NHS staff on purchasing of specialized healthcare services and provider payment methods. |
Completed |
| Ukraine Contribute to the review of health financing reform for better effective coverage financial protection quality health service delivery using a whole of systems approach to facilitate Ukraine s progress towards UHC | 1) Review report on health financing reform; 2) Joint high-level multi-partners mission; 3) High-level policy dialogue. |
Completed |
| Ukraine Provide technical advice and support to MOH and NHS on strengthening governance of health financing and strategic purchasing of health services to ensure sustainable delivery of primary healthcare goods and services in line with the defined benefi | Policy advice on governance of health financing, cost-effectiveness, resource planning, incentives and management of spendings for health services. |
Completed |
| Ukraine Provide technical support on monitoring and strengthening of financial protection to support MOH in developing policies that reduce the number of population experiencing catastrophic and impoverishing health expenditures | Technical brief on the review of the status of financial protection, out-of-pocket payments and catastrophic expenditures. |
Completed |
| Ukraine Provide technical support to MOH and NHS to improve the quality of health service delivery with specific emphasis on strengthening people centred and integrated primary healthcare towards UHC and SDGs | 1) “White paper” on service delivery; 2) Policy options on implementing people-centred and integrated health services; 3) Policy dialogue on service delivery; 4) Trainings that contribute to improving skills and knowledge of MOH and NHS staff on service delivery, its governance, accountability and coordination of care |
Completed |
| Ukraine Provide on going support for strengthening primary healthcare PHC towards UHC and SDGs | 1) Revised Concept Paper on PHC; 2) Trainings and workshops that contribute to improving skills and knowledge of MOH and NHS staff on integrated people-centered primary healthcare |
Completed |
| Ukraine Provide on going support to MOH to improve access to essential high quality and affordable medical technologies and products and strengthen the country s regulatory capacity | Policy advice on pharmaceutical sector governance. |
Completed |
| Ukraine Provide support to MOH to promote and advocate UHC through communication that increases engagement knowledge support for change raises awareness and secures a consensus on decision that can drive UHC agenda forward | Policy briefs and communication materials on UHC |
Completed |
| Ukraine Support to the health financing institutions and capacity development | Strategic Health Purchasing Arrangements |
Completed |
| Ukraine Governance and regulation of health financing system | Work on the benefit package. Financial flows at national and local level. Health financing related analytics and policy briefs. |
Completed |
| Ukraine Strengthening primary health care UHC PHC | COVID refocused - WHO supports technical guidance and facilitation of the drafting of PHC strategy, assessment of the role and experience of PHC providers in COVID-19, revisiting the role of nurse in PHC and other activities for PHC strengthening. |
Completed |
| Ukraine Primary health care and priority conditions UHC PHC | Under this task, WHO supports a modern multi-disciplinary PHC with a shift away from hospital-centric approaches; specifically, PHC service packages for mental health, CVDs, TB and HIV. |
Completed |
| Ukraine Primary health care financing to improve access UHC PHC | Completed | |
| Ukraine Supporting strengthening the public health system | Improving regulation and practices related to core public health function. Capacity development of the public health service. |
Completed |
| Ukraine Developing patient centered health services and service delivery across the continuum of care | Service delivery models developed |
Completed |
Details
| Product/Service | Deliverables | Status |
|---|---|---|
| Ukraine Financial protections study | Policy dialog related to financial protections study |
Ongoing |
| Ukraine Assessment of the impact of the COVID 19 pandemic on the PHC system and the continuity of essential health services | Surveys on the impact of COVID-19 on PHC were analysed and published in a report entitled "Continuity of essential health services in Ukraine during the COVID-19 pandemic: key findings from two surveys conducted in April and November 2021". |
On track |
| Ukraine To describe the model and assess the results of Mobile Health Units project | A report was published on Mobile health units in war-related emergencies in Ukraine to deliver primary healthcare outreach services to address noncommunicable diseases. |
On track |
| Ukraine To facilitate the national dialogue on primary health care | WHO conducted the third round of the national wide primary health care health facility assessment in the first quarter of 2023. Over 500 PHC facilities were surveyed, and the results were analysed and published for further dialogue with country authorities. |
On track |
| Ukraine Enhancing capacity in digital health transformation | To enhance the capacity of national stakeholders in implementing digital health transformation programs, WHO supported two international visits of Government representatives: 1. Digital Health Rewired meeting on 14 and 15 March 2023 in London, England. , 2. The Second WHO Symposium on the Future of Health Systems in a Digital Era in the European Regionon 5 and 6 September 2023 in Porto, Portugal. |
On track |
| Ukraine Assessment of the PHC system and the continuity of essential health services | Surveys on the impact of COVID-19 on PHC were analysed and published in a report entitled "Continuity of essential health services in Ukraine during the COVID-19 pandemic: key findings from two surveys conducted in April and November 2021". , WHO conducted the third round of the national wide primary health care health facility assessment in the first quarter of 2023. Over 500 PHC facilities were surveyed, and the results were analysed and published for further dialogue with country authorities. |
On track |
| Ukraine Facilitate national dialogue on transparent methodology of PHC budget planning and implementation | Over 500 people participated in the Primary Health Care Costing and Financing Forum. WHO presented the results of several studies, including a report on the costing of PHC services, a study on the impact of the war on the costs of PHC providers and on the use of time by PHC providers' staff conducted among 100 PHC providers in Ukraine over the past two years. | On track |
| Ukraine Provide policy recommendations to enhance health outcomes optimise public spending and increase value for money | WHO published a policy paper titled "Primary health care financing in Ukraine: a situation analysis and policy considerations". This policy paper, drawing on international evidence on PHC financing, aims to assess the current state of PHC financing in Ukraine and present policy considerations for further strengthening PHC financing. , A technical report was published on "Time-use survey: summary of the analysis on time use in primary health care facilities in Ukraine, 2023". Key findings pointed to a significant opportunity for task-shifting, reallocating responsibilities from doctors and managers to nurses and administrative staff in order to enhance resource allocation and overall efficiency. |
On track |
| Ukraine Strengthen PHC capacity on GBV prevention and case management at the PHC level | The Ukrainian delegation of the MoH representatives, healthcare practitioners and civil society organisations participated in the Training of trainers for health managers: strengthening the health system’s response to violence against women. The event was initiated by the WHO European Region and WHO Regional Office for the Eastern Mediterranean, and took place Tunis, Tunisia, on 16 to 20 October 2023. , Within the women's leadership empowerment initiatives, a dedicated session called Female leadership in times of crisis took place during the 16th European Public Health Conference on 10 November 2023. The session aimed at fostering a sustainable future for humanity with the engagement of the Ukrainian healthcare, public health and social care professionals. | On track |
| Ukraine Supporting the Ukrainian global health agenda on Universal Health Coverage | A Ukrainian delegation, including the Deputy Ministry of Health of Ukraine, participated in 73rd Regional Committee on 24 to 26 October 2023 in Astana, Kazakhstan. , A Ukrainian delegation participated in the Universal Health Coverage Workshop and the International Primary Health Care Conference on 22 and 23 October 2023 in Astana, Kazakhstan. |
On track |
| Ukraine Human resources for health policy and evidence | The first joint WHO-MoH Mission on nursing to learn about the education and work of nurses took place in five regions. A series of monthly nursing workshops were organised in support to the nursing steering group Centre for Nursing Development. Eight nursing regional round tables were organised in 2023 in eight regions with the leading roles of regional chief nurses. |
On track |
| Ukraine Supporting evidence based clinical decision making and improve the quality of care | WHO translated into Ukrainian guidelines for health promotion, disease prevention and management from the newborn to adolescence. | On track |
| Ukraine Technical assistance to Lviv city council with developing the PHC monitoring performance framework | WHO provided technical assistance to NHSU and MoH with developing the PHC monitoring performance framework and supporting technical package. The suggested monitoring approach was piloted in Lviv city for six months in close collaboration with the city council, PHC facilities and medical information systems (MIS). The Lviv city council approved the local decree to ensure routine PHC monitoring and developed a dashboard at their website to visualise the results of the performance monitoring at the PHC facilities level. | On track |
| Ukraine To facilitate the national dialogue on primary health care | The WHO Country Office in Ukraine hosted the first primary health care (PHC) conference since the Russian Federation’s full-scale invasion of Ukraine in February 2022. The conference took place on 28 and 29 March 2023 in Lviv and brought together close to 200 PHC professionals along with health authorities and international partners to exchange knowledge and map the future of PHC during and after the war. | On track |
