• Українською
  • The Ministry of Healthcare of Ukraine implements seven strategic programs to eliminate corruption in the health sector
    Ministry of Healthcare of Ukraine, posted 01 October 2018 16:45

    The Ministry of Healthcare of Ukraine continues a fundamental  transformation of the national healthcare system. The fight against  corruption is one of the top priorities, therefore the Ministry’s key  goal is to establish clear and transparent rules to eliminate corrupt  practices in the Ukrainian health sector. 

    Currently, the Ministry implements the following seven strategic  programs, which are aimed not only at achieving progress in the relevant  areas of focus, but also at creating transparency and openness to  eliminate corruption-generating practices and schemes.

    1. Public procurement of medicines, vaccines, healthcare products  and medical devices through international organizations – the most  successful anti-corruption efforts 

    The Ministry of Healthcare of Ukraine has been cooperating with specialized international organizations and agencies in public procurement since 2016. This program has proved to be efficient, including by providing more  Ukrainians with high quality medicines – transparent tender procedures  and direct purchases allowed purchasing twice as many medicines for  certain government programs with the same amount of money as paid in  previous years.  For example, international organizations procured  Imatinib – a medication used to treat cancer - at 67 times lower prices,  which allowed the Ministry to cover 100% of the blood cancer patients’  demand in this medication.

    The procurement of heart stents is another example. For the first  time ever, Ukraine procures heart stents to cover the estimated average  annual demand in stents, calculated based on the average annual number  of myocardial infarction patients who need emergency stenting. In  emergency cases, stent placement is to be performed free of charge. 

    The procurement reform provides for the development of international  cooperation with independent organizations in the strategic procurement  of medicines and healthcare products. Open and transparent tenders allow  cutting out the crooked insiders inflating prices for their own  benefit.

    2. The National List of Essential Medicines (NLEM)

    Based on the World Health Organization (WHO) Model List of Essential  Medicines, the Ministry of Healthcare of Ukraine has developed the National  List of Essential Medicines (NLEM). The current NLEM includes 427  INNs, selected with due regard to disease prevalence, efficacy, safety  and cost effectiveness. Today, health facilities nationwide have to  procure the medicines included in the NLEM to satisfy 100% of the  priority health care needs of the population. These medicines are to be  provided to patients free of charge. Taxpayers’ money is no longer spent  on wild carrot extracts or extracts from the bulls’ blood.

    3. Open access to information about free medicines

    To ensure open access to information about the medicines that are to  be provided to patients free of charge, the Ministry of Healthcare of  Ukraine issued a special order stipulating that every week all health  facilities and departments across the country have to report on the  availability of these medicines in stock. The information is to be  updated on the official websites and to be posted on bulletin boards  within hospitals and health facilities. In addition, the Ministry is  currently developing a single electronic system to regularly collect and  update actual information on the availability in stock of medicines and  healthcare products to make this information more easily accessible to  every citizen of Ukraine.

    The Ministry has also launched the Ye Liky website and the Liky Control mobile application,  which allow patients to check whether certain medicines are included in  the state-guaranteed NEML, available in stock at a particular health  facility, and are to be provided free of charge.

    4. Mandatory reporting of payments and other charitable donations made to health facilities

    Every medical institutions and health facility has to publish  information on any voluntary payments and contributions from patients  and their families. This information is to be posted on bulletin boards  within hospitals and health facilities, or published on the official  websites.


    5. The Affordable Medicines National Prescription Medicine Cost Reimbursement Program

    In the first year since the program launch in April 2017, Ukrainians  made 17,000 less ambulance calls in the event of suspected stroke or  heart attack, or in case of asthma attacks.

    Today, the program provides free medicines to people who used to  choose between buying foods and buying medicines. More than 6 million  Ukrainians have already started using the program.

    Currently, the program includes 261 medicines, 59 of which are provided 100% free of charge with proper prescription.  

     

    6. Transformation of the Ukrainian primary care system

    In 2018, a fundamental transformation of the healthcare financing  model has begun in Ukraine. It provides for the introduction of a modern  capitation model, starting in primary care, with strategic purchasing  of services based on relevant output indicators gradually replacing the  outdated system of input-based financing.

    In July 2018, the National Health Service of Ukraine (NHSU) started paying the  contracted PHC providers an age-adjusted capitation per declaration at a rate, which is significantly higher than in traditional funding model (healthcare subventions from the state budget funds).

    Patients can now freely choose own family doctors, general  practitioners, or pediatricians, and have unrestricted access to all  primary care services included in a clearly defined, state guaranteed  benefit package. The introduction of the benefit package covered by the  NHSU ensures transparency and clarity for patients, while the autonomy  and independent management of health facilities provides for fair  remuneration of work, i.e. an increase in salaries of health professionals and medical staff.

     

    7. The eHealth system

    It is a reliable instrument that forms the foundation for the  development of transparent funding mechanisms to ensure timely reporting  on the use of public funds, the collection of accurate statistics, and  the protection of personal data of patients.