Web-economic-crisis-health-systems-and-health-web

Ukraine
Valeria Lekhan and Mariia Telishevska
Economic trends
• Ukraine's real per capita GDP contracted sharply in 2009 by 13.3%,
the largest decline in the European region; in 2010 and 2011 growth
was above the European mean. The deficit increased in 2009 and 2010
relative to GDP as government spending relative to GDP increased.
• Health spending as a share of government expenditure has been stable
since 2009. Public per capita health expenditure declined by 2.8% in
2009, increased by 9.1% in 2010, and decreased again slightly in 2011.
OOP expenditure per capita continued to increase during this time
(Ukraine: Figs 1 and 2).
Policy responses
Changes to public funding for the health system
• Public spending on health fell in 2009.
• The government adopted an anti-crisis programme 2010–2014, which
led to increased public spending on health from 2010 to 2012.
Population (entitlement)
• No response reported.
The benefits package
• No response reported.
User charges
• No response reported.
Changes to health service planning, purchasing and delivery
Prices of medical goods
• The government set supplier price controls for goods on the essential drugs
and medical products list (2008) but subsequently changed to a softer price
control (a formula that accounts for currency fluctuations) (2009).
• In April 2012, the government launched a pilot project across Ukraine to
control the price of antihypertensive drugs for the whole of 2013 using
reference pricing mechanisms and reimbursment of the costs from public
budgets. This project cut the price of these drugs by 12% by the end of 2012.