Eliot J. Pearlman, Head of the Board INGO “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)

Пропозиції до проекту Стратегії (1) -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.

Пропозиції до проекту Стратегії (2)  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.

Пропозиції до проекту Стратегії (3)  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;