{"id":987757088,"date":"2024-08-14T19:31:12","date_gmt":"2024-08-14T18:31:12","guid":{"rendered":"https:\/\/p4h.world\/?post_type=documents&#038;p=987757088"},"modified":"2025-02-17T20:42:49","modified_gmt":"2025-02-17T19:42:49","slug":"can-people-afford-to-pay-for-health-care-2018-who-report-on-financial-protection-in-ukraine","status":"publish","type":"documents","link":"https:\/\/p4h.world\/en\/documents\/can-people-afford-to-pay-for-health-care-2018-who-report-on-financial-protection-in-ukraine\/","title":{"rendered":"Can people afford to pay for health care? 2018 WHO report on financial protection in Ukraine"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;TO BE EDITED &#8211; TEXT &#8211; Click on the WHEEL icon to open the text-area where you can type your text. Add a paragraph to introduce the Document&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>The document <strong>&#8220;Can people afford to pay for health care? New evidence on financial protection in Ukraine&#8221;<\/strong> provides an in-depth analysis of financial protection in Ukraine&#8217;s healthcare system, focusing on out-of-pocket payments, financial hardship, and healthcare accessibility. <strong>Key findings:<\/strong><\/p>\n<ul>\n<li><strong>Increasing Financial Hardship:<\/strong>\n<ul>\n<li>The percentage of households with catastrophic out-of-pocket payments rose from 11.5% in 2010 to 14.5% in 2015.<\/li>\n<li>Impoverishing out-of-pocket payments increased from 7.6% in 2010 to 9.0% in 2015.<\/li>\n<li>The burden of catastrophic spending is highest among the poorest households.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Out-of-Pocket Payments &amp; Health Coverage:<\/strong>\n<ul>\n<li>The Ukrainian health system heavily relies on out-of-pocket payments, which constituted 48% of total health expenditure in 2015.<\/li>\n<li>Public spending on healthcare in Ukraine was significantly lower than in the EU and WHO European Region.<\/li>\n<li>Medicines and inpatient care are the primary contributors to catastrophic health expenditures.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Limited Public Health Financing:<\/strong>\n<ul>\n<li>Although Ukrainian citizens are entitled to publicly funded healthcare, in practice, most outpatient and inpatient services require significant out-of-pocket payments.<\/li>\n<li>Medicines are almost entirely paid for out-of-pocket, with very minimal government coverage.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Unmet Healthcare Needs:<\/strong>\n<ul>\n<li>The proportion of people reporting unmet medical needs due to cost doubled from 15% in 2010 to 29% in 2015.<\/li>\n<li>There is a high degree of income inequality in unmet healthcare needs, particularly for inpatient care.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Role of Informal Payments:<\/strong>\n<ul>\n<li>Informal payments are widespread, including &#8220;charitable donations&#8221; and direct payments to providers.<\/li>\n<li>These payments create barriers to access and increase financial hardship, disproportionately affecting lower-income households.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Policy Implications:<\/strong>\n<ul>\n<li>The government introduced the Affordable Medicines Programme in 2017, which provides essential medicines for chronic diseases at reduced prices.<\/li>\n<li>Addressing financial protection requires increased public investment in health, improved coverage policies, regulation of medicine prices, and better efficiency in public health spending.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>The document highlights the <strong>financial burden<\/strong> placed on Ukrainian households due to low public health financing, high out-of-pocket expenditures, and widespread informal payments. Despite recent reforms, financial protection remains weak, particularly for low-income groups. Strengthening <strong>public investment in healthcare<\/strong> and <strong>enhancing policy transparency<\/strong> are critical steps toward achieving <strong>universal health coverage<\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The document &#8220;Can people afford to pay for health care? New evidence on financial protection in Ukraine&#8221; provides an in-depth analysis of financial protection in Ukraine&#8217;s healthcare system, focusing on out-of-pocket payments, financial hardship, and healthcare accessibility. Key findings: Increasing Financial Hardship: The percentage of households with catastrophic out-of-pocket payments rose from 11.5% in 2010&#8230;<\/p>\n","protected":false},"author":137,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[],"tags":[3026,3046,135],"document_type":[],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987757088"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/documents"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/137"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987757088"}],"version-history":[{"count":9,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987757088\/revisions"}],"predecessor-version":[{"id":987758974,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987757088\/revisions\/987758974"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987757088"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987757088"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987757088"},{"taxonomy":"document_type","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/document_type?post=987757088"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}