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Sustaining progress towards universal health coverage amidst a full-scale war: learning from Ukraine.

Jarno Habicht1, Mark Hellowell2, Joe Kutzin3

  • 1World Health Organization Office for Ukraine, Kyiv, Ukraine.

Health Policy and Planning
|June 8, 2024
PubMed
Summary

Ukraine

Keywords:
Health financingUkraineconflictpurchasingresilience

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Area of Science:

  • Public Health
  • Health Policy
  • Health Systems Strengthening

Background:

  • Ukraine implemented health financing reforms based on universal health coverage (UHC) principles following the 2014 Revolution of Dignity.
  • These reforms established new systems and institutions largely before Russia's full-scale invasion in February 2022.

Purpose of the Study:

  • To explain how Ukraine's UHC-based health financing reforms strengthened the health system's response to the impacts of the 2022 war.
  • To highlight the role of UHC principles in enhancing health system resilience during conflict.

Main Methods:

  • This commentary analyzes the established health financing reforms and their impact on the Ukrainian health system's resilience.
  • The analysis focuses on the period following the 2014 reforms and the onset of the full-scale invasion in 2022.

Main Results:

  • The established health financing reforms and institutions provided a resilient framework for Ukraine's health system.
  • These UHC-aligned systems facilitated a more robust response to the health challenges posed by the war.

Conclusions:

  • Ukraine's experience demonstrates that health financing arrangements aligned with universal health coverage (UHC) principles are crucial for building resilient health systems.
  • Implementing UHC reforms proactively can significantly enhance a nation's capacity to withstand and respond to crises, including armed conflict.