Reshaping Ukraine's Health Service Delivery
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Washington, DC: World Bank
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The full-scale invasion of the
Russian Federation in Ukraine has immense local impact and
global consequences. Ukraine is experiencing huge human and
economic suffering, which will have long-lasting effects.
This war has been particularly devastating for the Ukrainian
health sector, tremendously increasing the urgent need for
specific services and simultaneously obstructing health
outcomes and access to health care due to hostilities,
disruption of service delivery, and damage and destruction
of health facilities. Moreover, the recovery of Ukraine is
shrouded in uncertainty as the duration of the ongoing war
and the frequency and localization of the attacks are
unknown, all occurring against the backdrop of economic
challenges within the country and at a global scale. Despite
an expected international effort to finance the recovery of
Ukraine akin to the Marshall Plan, financial resources may
not be easily available or may become more scarce and more
expensive. Investments will receive more scrutiny, and
competition for funds will increase due to monetary
tightening, rising interest rates, and possibly sustained
high inflation (International Monetary Fund 2022). However,
in the short to medium term, Ukraine is expected to have
favorable access to international financing on concessional
terms.While Ukraine is struggling with the gruesome
immediate impact of the war and a fight for survival, the
shared understanding emerges that going back to business as
usual will neither be possible nor desirable. This moment
may also serve as a window of opportunity for rapid reform
and innovation of health service delivery in Ukraine.
Improving and reconstructing services while restoring and
stabilizing them is critical to aiding a suffering
population and to laying strong foundations of governance
that will have lasting impacts into the country’s future.
This document provides a proposal for stakeholdersin the
Ukrainian health sector on how service delivery may need to
change, how to deal with this change, and how the health
sector may come out stronger in the longer term. It focuses
on the organization of health care service delivery and
shares considerations of how it may develop using a
long-term (10+ years) perspective.
Palabras clave
UKRAINE, HEALTH SECTOR, INTERNATIONAL FINANCING, INVESTMENTS, GOOD HEALTH AND WELL-BEING, SDG 3