Public Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure Authorized i RIGHTS AND PERMISSIONS The material in this work is subject to copyright. Because the World Bank encourages dissemination of its knowledge, this work may be reproduced, in whole or in part, for noncommercial purposes as long as full attribution to this work is given. Any queries on rights and licenses, including subsidiary rights, should be addressed to World Bank Publications, The World Bank Group, 1818 H Street NW, Washington, DC 20433, USA; fax: 202-522-2625; e-mail: pubrights@worldbank.org. © 2023 The International Bank for Reconstruction and Development/The World Bank 1818 H Street, NW Washington, DC 20433 All rights reserved. ii Contents Acronyms.................................................................................................................................................... i Acknowledgements ................................................................................................................................... 1 Introduction .............................................................................................................................................. 2 Current health systems challenges ........................................................................................................ 2 Promising opportunities for change ...................................................................................................... 5 Re-envisioning Service Delivery ................................................................................................................. 6 Setting a strategic agenda ..................................................................................................................... 6 How do we get there? ......................................................................................................................... 13 Overview of the necessary investments .............................................................................................. 16 Conclusions ............................................................................................................................................. 19 References............................................................................................................................................... 20 i Acronyms COE Center of Excellence EMS Emergency Medical Service EU European Union GDP Gross Domestic Product GOU Government of Ukraine FFS Fee for Service NHSU National Health Service of Ukraine MOH Ministry of Health OOP Out-of-Pocket PFP Pay for Performance PHC Primary Health Care PMG Program of Medical Guarantees TMO Territorial Medical Organization 1 Acknowledgements The Reshaping Ukraine’s health service delivery: Vision and Investment Needs paper was prepared by the World Bank team. The technical team was led by Olena Doroshenko (Senior Economist, Health) with contributions from Arthur ten Have (Economist, International Expert), Pavlo Kovtonyuk (Econ...
