Eliot J. Pearlman, Head of the BoardINGO “International HIV/AIDS and TB Institute”

Constructive Suggestions for a Viable Ukrainian Health System

(Оцінка проекту Стратегії 1)

Good start with a robust overhaul of the system!

Access to care and openness “..to fertilizing equity, the necessary debates…” (15);

Concepts of transparency (30), equity, and access; and

Identification of the high burden of the morbidity and mortality from NCD.

Identification of corruption and inefficiencies;

Patient-centered approach outcomes oriented;

Identification of redundant systems (Ministries and disease- specific hospitals).

(Оцінка проекту Стратегії 2)

“…Legitimate aspirations…”(13); Parochial interests – need to have a more

robust series of broad-based public health packages.

(Оцінка проекту Стратегії 3)

(1)Пропозиції до проекту Стратегії

- What can Ukraine afford (GDP)?- How to sell!- Bundling disease packages together, e. g. TB

and Diabetes; - Point of attack Decrease the high burden

of diseases, especially NCD: measure and DALYS.

(2)Пропозиції до проекту Стратегії

Strong National Center of Disease Control and Public Health managing:• A strong Nationwide Health Promotion Program; • A strong and robust SES;• A recommended group of well-funded Clinical

Preventive Medicine Services via community activities (Health Fairs) and school programs with MOE&S;

Outsource procurement of Essential Medicines; Very strong emphasis on Primary Health Care.

(3)Пропозиції до проекту Стратегії

Cannot look at Health System in isolation; Revision of tax code: - more incentives - more charitable deductions Ownership – self-regulating physician groups; Devolution, multitasking Trial with Joint Commission on Accreditation of

Healthcare Organizations (ICAHO);

“MOHs should steer and not row” – R. Saltman

Резолюція

C) Support under sufficient changes;