Health Financing Reform in Ukraine - Volume 2 - Progress and Future Directions Overview

Jul 19, 2026

Health Financing Reform in Ukraine - Progress and Future Directions assesses how Ukraine finances health services, focusing on key reforms and their practical implications. The report analyzes funding the PMG benefit package, purchasing PMG services, and governance arrangements, then details the medical guarantees program’s funding structure, private and out-of-pocket spending, and budgeting processes. It further examines how medical guarantees are purchased across primary, outpatient, specialized, and inpatient or emergency care, ending with recommendations and forward-looking constraints and opportunities beyond 2021.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages111

Reading Time4 h 40 min

Executive Summary

Abbreviations

CHAPTER 1 Introduction

Funding the PMG benefit package

Purchasing PMG services

Governance arrangements for the PMG

CHAPTER 2 Funding the Program of Medical Guarantees

What is the Program of Medical Guarantees?

The role of private, out-of-pocket spending

The process of PMG benefit package development, costing, and budgeting

Finding resources for maintaining and expanding the PMG: Constraints and opportunities beyond 2021

Recommendations

CHAPTER 3 Purchasing the Program of Medical Guarantees

What is covered by the Program of Medical Guarantees, and how is it purchased?

Primary care

The AMP for outpatient care

Specialized care: Inpatient, outpatient, emergency, and hospital care

Pub lic Disclosure Authorized Pub lic Disclosure Authorized Pub lic Disclosure Authorized Pub lic Disclosure Authorized INTERNATIONAL DEVEL OPMENT IN FOCUS Health Financing Reform in Ukraine Progress and Future Directions Caryn Bredenkamp, Elina Dale, Olena Doroshenko, Yuriy Dzhygyr, Jarno Habicht, Loraine Hawkins, Alexandr Katsaga, Kateryna Maynzyuk, Khrystyna Pak, and Olga Zues INTERNATIONAL DEVELOPMENT IN FOCUS Health Financing Reform in Ukraine Progress and Future Directions CARYN BREDENKAMP, ELINA DALE, OLENA DOROSHENKO, YURIY DZHYGYR, JARNO HABICHT, LORAINE HAWKINS, ALEXANDR KATSAGA, KATERYNA MAYNZYUK, KHRYSTYNA PAK, AND OLGA ZUES © 2022 International Bank for Reconstruction and Development / The World Bank and World Health Organization 1818 H Street NW, Washington, DC 20433 Telephone: 202-473-1000; [Internet: www.worldbank.org](Internet: www.worldbank.org)[ ](Internet: www.worldbank.org)Some rights reserved 1 2 3 4 25 24 23 22 Books in this series are published to communicate the results of World Bank research, analysis, and operational experience with the least possible delay. The extent of language editing varies from book to book. This work is a co-publication of the World Bank and the World Health Organization (WHO). The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of The World Bank, its Board of Executive Directors, or the governments they represent or those of WHO. The World Bank and WHO do not guarantee the accuracy, completeness, or currency of the data included in this work and do not assume responsibility for any errors, omissions, or discrepancies in the information, or liability with respect to the use ofor failure to use the information, methods, processes, or conclusions set forth. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank and/or WHO concerning the legal status of any territory or the endorsement or acceptance of such boundaries. Nothing herein shall constitute or be construed or considered tobe a limitation upon or waiver of the privileges and immunities of The World Bank or WHO, whose privileges and immunities are specifically reserved. Rights and Permissions This work is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO) [http://](http://)[ ](http://)[creativecommons.org/licenses/by/3.0/igo. Under the Creative Commons Attribution license](creativecommons.org/licenses/by/3.0/igo. Under the Creative Commons Attribution license), you are free to copy, distribute, transmit, and adapt this work, including for commercial purposes, under the following conditions: Attribution—Please cite the work as follows: Bredenkamp, Caryn, Elina Dale, Olena Doroshenko, Yuriy Dzhygyr, Jarno Habicht, Loraine Hawkins, Alexandr Katsaga, Kateryna Maynzyuk, Khrystyna Pak, and Olga Zues. 2022. Health Financing Reform in Ukraine: Progress and Future Directions. International Development in Focus. Washington, DC: World Bank. doi:10.1596/978-1-4648-1840-0. License: Creative Commons Attribution CC BY 3.0 IGO Translations—If you create a translation of this work, please add the following disclaimer along with the attribution: This translation was not created by The World Bank or the World Health Organization (WHO) and should not be considered an official World Bank or WHO translation. Neither the World Bank nor WHO shall be liable for any content or error in this translation. Adaptations—If you create an adaptation of this work, please add the following disclaimer along with the attribution: This is an adaptation of an original work by The World Bank and the World Health Organization (WHO). Views and opinions expressed in the adaptation are the sole responsibility of the author or authors of the adaptation and are not endorsed by The World Bank or WHO. Third-party content—The World Bank and the World

FAQs

What does the report cover about health financing reform in Ukraine?

It reviews the structure and financing of the Program of Medical Guarantees (PMG), covering benefit-package funding, purchasing arrangements, and governance for PMG services.

How does the report treat private and out-of-pocket spending?

It analyzes the role of private and out-of-pocket spending within the PMG context and links it to how resources are developed and budgeted.

What purchasing areas are included for PMG services?

It examines purchasing across primary care, outpatient care through the AMP, and specialized services including inpatient, outpatient, emergency, and hospital care.

Jul 19, 2026

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