There are the leading regions that will put into operation the new outpatient clinics in rural areas in late October – early November. This was announced by Hennadii Zubko, Vice Prime Minister/ Minister of Regional Development, Construction, Housing and Utilities of Ukraine during the conference call with the regions regarding the state of implementation of the primary healthcare reform in the countryside.
"We evaluate the state of work being implemented by regions according to simple criteria. This is the development of project documentation, examination, announcement of the start of construction works, conclusion of a contract with contracting organizations, etc. Kharkiv, Dnipropetrovsk, Luhansk, Kirovohrad and Rivne regions are the leaders in fulfillment of these tasks. Chernihiv, Lviv, Chernivtsi, Odesa and Zakarpattia regions are lagging behind", Hennadii Zubko stressed.
He informed that Ministry of Regional Development, Construction, Housing and Utilities has already endorsed 513 new projects for outpatient clinics’ construction in rural areas. In general, Ukraine needs 688 new outpatient clinics. The issue of providing 497 company’s cars for medical specialists who will work in new outpatient clinics was also approved.
"The healthcare reform concerns, first of all, the primary healthcare system. High-quality medical service for the population cannot be provided in outdated infrastructure. We cannot talk about the reform that will take place in the fungus-affected premises, without water and heat supply, sewage system. The initiative aired by President of Ukraine Petro Poroshenko, the law on the primary healthcare reform in the rural areas adopted by the Parliament are precisely aimed at complete modernizing of the existing infrastructure – construction of new outpatient clinics, surrounding territory, conditions for service delivery, upgrading of medical equipment, etc", Hennadii Zubko noted.
The Vice Prime Minister informed about existing cases of non-active involvement of regions in the implementation of the primary healthcare reform on the ground. "There is either no desire to actively participate, or lack of managerial skills, competences and professionalism. Last week, the Commission of the Ministry of Regional Development, Construction, Housing and Utilities considered the issue of removal of several new projects for the construction of outpatient clinics. This was due to two aspects – the lack of co-financing from the local government and unavailability of land plot. Therefore, I immediately raise the question of the suitability of such people for positions occupied. In such cases, the RSA leadership should speak in public about incapacity of local self-government bodies in these matters", he said.
It should be noted that the joint order of the Ministry of Regional Development, Construction, Housing and Utilities of Ukraine and the Ministry of Healthcare of Ukraine stipulates for the methods of primary healthcare network formation, a list of required equipment, new technical requirements for the premises, the issue of housing and salaries of doctors. The current formed primary healthcare network comprises of 5107 institutions.