Technical Areas

Completed/Cancelled

Product/Service Deliverables Status
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
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
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
Technical assistance to review the governance options of the NHPA Countries receiving HF support will have implemented financing reforms to facilitate UC Completed
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 needed fiscal space Countries receiving HF support will have implemented financing reforms to facilitate UC Completed
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
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
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
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
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
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
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
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
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
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
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
Strengthening public health capacities. Public health system has the capacity to address the burden of diseases and promote health through the life course Completed
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
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
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 services and improve the quality and continuum of care 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
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
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 benefit package to maximize health system performance, advance equity and financial protection Policy advice on governance of health financing, cost-effectiveness, resource planning, incentives and management of spendings for health services. Completed
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
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
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
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

Details

Product/Service Deliverables Status
Developing patient centered health services and service delivery across the continuum of care Service delivery models developed Ongoing
Support to the health financing institutions and capacity development Strategic Health Purchasing Arrangements Ongoing
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. Ongoing
Financial protections study Policy dialog related to financial protections study Ongoing
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. On track
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. On track
Primary health care financing to improve access UHC-PHC Ongoing
Supporting strengthening the public health system Improving regulation and practices related to core public health function. Capacity development of the public health service. Ongoing