This study aims at tracking the resource flows and identifying inefficiencies in the allocation and use of public resources in Ukraine’s health sector. It examines potential bureaucratic capture, resource leakage, and problems in the deployment of human and in-kind resources, and provides practical recommendations for improvement.

This report summarizes findings from the Public Expenditure Tracking Survey (PETS) and Quantitative Service Delivery Survey (QSDS). For the survey, data were collected from interviews with local health care officials, managers, and physicians of sampled health care facilities in the four regions, and reviews of treasury reports on central and local budgets, as well as in-depth expenditure and cost analyses at the hospital and facility levels.

The study was conducted in partnership between the World Bank, UNDP, and the Kyiv School of Economics. The Kyiv International Institute of Sociology conducted fieldwork in 2016 and 2017 among primary health care (PHC) facilities, hospitals, and health administrations in selected rayons (administrative divisions) of Poltava and Lviv oblasts, as well as in government-controlled areas of Donetsk and Luhansk oblasts.