ABT ASSOCIATES
The ZdravReform Program, managed by Abt Associates Inc., submitted a trip report, UKR-35, on assistance with national health care financing legislation in Ukraine.
32 pages

Abstract
The report was prepared under Task Order 5761.365 and revised by Annemarie Wouters, Ph.D. The report covers the period from November 4 to 15, 1996. The report highlights the challenges faced by Ukraine's health care system, including inadequate financing, inefficient resource allocation, and poor management. The program aimed to assist the Ukrainian government in developing a comprehensive health care financing reform package. The report provides an overview of the program's activities, including meetings with government officials, health care providers, and other stakeholders. The program's key findings and recommendations are presented in the report. The report notes that Ukraine's health care system is characterized by a high level of fragmentation, with multiple funding sources and a lack of coordination between different levels of government. The program recommended the establishment of a single, unified health care financing system, with a clear allocation of resources and a transparent decision-making process. The report also highlights the importance of improving health care management and governance in Ukraine. The program recommended the establishment of a strong, independent health care regulatory agency, responsible for overseeing the health care system and ensuring its accountability to the government and the public. The report provides an overview of the program's implementation plan, including the development of a comprehensive health care financing reform package, the establishment of a health care regulatory agency, and the provision of technical assistance to the Ukrainian government. The report also highlights the program's achievements, including the development of a draft health care financing reform package and the establishment of a health care regulatory agency. The report concludes by emphasizing the importance of continued support for Ukraine's health care reform efforts. The program recommended the provision of additional technical assistance and financial support to help Ukraine implement its health care financing reform package and improve the management and governance of its health care system. The report provides a detailed analysis of the challenges faced by Ukraine's health care system and the program's recommendations for addressing these challenges. The report is a valuable resource for policymakers, health care professionals, and other stakeholders interested in Ukraine's health care reform efforts. The report highlights the importance of improving health care financing and management in Ukraine. The program's recommendations are based on a thorough analysis of the country's health care system and its challenges. The report provides a clear and concise overview of the program's activities, findings, and recommendations, making it a useful resource for anyone interested in Ukraine's health care reform efforts. The report emphasizes the need for a comprehensive approach to health care reform in Ukraine, including the development of a unified health care financing system, the establishment of a strong health care regulatory agency, and the provision of technical assistance to the Ukrainian government. The report provides a detailed analysis of the program's implementation plan and its achievements, highlighting the importance of continued support for Ukraine's health care reform efforts. The report provides a valuable insight into the challenges faced by Ukraine's health care system and the program's recommendations for addressing these challenges. The report is a useful resource for policymakers, health care professionals, and other stakeholders interested in Ukraine's health care reform efforts.
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USAID DEC