Evaluation of structure and provision of primary care in Ukraine



Health reforms are part of profound and comprehensive changes of essential societal functions and values in many countries in transition. Reforms of (primary) care are not always based on evidence,
and progress is often driven by political arguments or the interests of specific professional groups rather than on the basis of sound evaluations. However, policy-makers and managers are now
increasingly demanding evidence about progress of reforms and the responsiveness of services. The implementation of the WHO Primary Care Evaluation Tool (PCET) aims to provide a structured
approach towards this by drawing on health systems functions such as governance, financing and resource generation and the characteristics of a good primary care service delivery system: accessibility, comprehensiveness, coordination and continuity. This report gives an overview on the findings for Ukraine. The project was implemented in Ukraine in 2009 in the framework of the
2008/2009 Biennial Collaborative Agreement between the WHO Regional Office for Europe and the Ministry of Health of Ukraine, an agreement that lays out the main areas of work for collaboration
between the parties. Further partners were the Netherlands Institute for Health Services Research (NIVEL) – a WHO collaborating centre for primary care – the Ukrainian Association of Family Medicine, and other stakeholders in the health system of Ukraine, including national policy experts, managers, medical educators, primary care physicians and their patients.