Ukraine HSA

The HSA found high-level government support for comprehensive health system reform, including a solid health reform strategy and an implementation plan.  The assessment team identified four cross-cutting constraints: (1)Overall leadership and governance of the health system requires strengthening; (2) The structure of service delivery, including human resources, does not match the health needs of the population; (3) Health financing systems and budgeting norms adversely impact most aspects of the health system; and (4) While quality of care is improving in some priority areas, overall the content and nature of clinical practice in Ukraine requires further standardization and modernization.