Unlocking investment for the transformation of Ukraine’s health-care network

Significant national and international financial resources are available to support capital investment in Ukraine’s health system. This provides a window of opportunity for Ukraine to transform its health-care infrastructure in line with long-standing objectives – including the consolidation of hospitals, and the expansion and integration of outpatient, community and primary care. In this context, ensuring strong governance of the capital investment programme is a strategic imperative for the Ministry of Health and other health authorities. This report provides an assessment of the strengths and limitations of current approaches to the planning, coordination and appraisal of investments, and based on this assessment, offers recommendations for improved governance. The Ministry of Health needs to take urgent action to: establish a strategic framework for capital planning and investment; ensure that this framework is fully reflected in prioritization criteria; draw on the framework and criteria to define a sectoral portfolio that reflects the health system’s actual needs; and build strong capacity at all levels for project development, appraisal, implementation, audit and monitoring.