Annual Report

NATIONAL HEALTH SERVICE 2020 OF UKRAINE ANNUAL REPORT Annual Report 2020 National Health Service of Ukraine This report is made possible by the support of the American and British People through the United States Agency for International Development (USAID) and through the UK Good Governance Fund/UK Government (UK aid). The contents of this report are the sole responsibility of Deloitte Consulting, LLP and do not necessarily reflect the views of USAID, the United States Government, UK aid, or the UK government’s official policies. This report was prepared under Contract Number 72012118C00001. 1

TABLE OF CONTENTS

I. Overall situation and international partnership Overall situation in Ukraine ...... 6 International partnership...... 7

ІІ. Implementation of the Program of Medical Guarantees National Health Service and universal health coverage ...... 14 Patient-centeredness...... 15 NHSU and doctors’ status change. Impact of transformation on the health labor market...... 19

III. NHSU and civil society Public Oversight Board at the National Health Service of Ukraine...... 22 Cooperation with patient organizations...... 22

IV. Cooperation with the health community NHSU interregional departments ...... 26 Teams of experts developing the Program of Medical Guarantees 2021...... 33 NHSU Academy...... 33

V. NHSU and transparency Accountability of public funds...... 36 NHSU and open data: Open Data Government Awards winner...... 37 NHSU and digital transformation: development of eHealth and electronic services for people...... 37

VI. NHSU and decentralization

VII. Results of the health financing system transformationin 2020 Program of Medical Guarantees ...... 43 Primary and specialized health care...... 71 COVID-19: contracts, testing and treatment...... 128 Electronic medical records...... 155 Affordable medicines ...... 182 2

happened, in my opinion, because the NHSU is not a one-actor theater. It is a story created by dozens of professionals with their own standpoints and unique Acting NHSU Head expertise, who at the same time share a vision of the future and the desired result. in 2020 Oksana MOVCHAN In 2020, Ukraine fully launched the Program of Medical Guarantees (PMG) for the first time and shifted health financing towards contracts. The entire system works in electronic format; we have no paper- based documents. We contract only autonomized Dear colleagues! We often hear that in order to make enterprises. This is important because healthcare changes irreversible, we need to invest in institutions. facilities must become independent entities before These are the recommendations of international they can modernize. partners; we hear it from various government officials. We keep repeating these words to ourselves We have also created a unified coding system and can in the National Health Service of Ukraine (NHSU). cost services. Now, one service has one name and code in the electronic system. Previously, the same Institutions should not exist on paper only. They service had different names and codes. This caused should be created in the right way; they should have confusion in clinical protocols, as well as a mess in supervisory boards and be impartial. Managers and statistics and in payment. Now our rules are unified, employees of these institutions should be selected transparent and clear. through transparent and clear procedures. The NHSU is one of the best examples of such an institution, When you implement complicated structural because we have all this; there is a supervisory board, changes, you bear huge responsibility because you and all three hundred employees were selected are making decisions that may affect the health of through open competition. 37 million people. If something goes wrong, you have to understand that you were not just a civil servant The NHSU has changed its top manager three times in who signed documents. It was your standpoint that three years, and all this happened through transparent influenced the decision. selection procedures and without violating the law «On Civil Service». This is our achievement. At the NHSU, we make decisions at a round table. This principle exists not only at the level of the top The NHSU survived three different governments. management of the NHSU, but also in departments. The Ministers of Health and the Ministers of Finance This is the most democratic process. Such a culture changed, but our vector of movement has not deviated was established with the creation of the NHSU. This from the Health Financing Reform Concept approved is what shaped and strengthened our team into team five years ago. The Concept was approved through the players, and our team is only three years old. CMU Resolution, and it included the Action Plan by 2021. Now I can say with confidence that everything We often look up to the British National Health written there has been 95% completed. Service (NHS), which celebrated its 75th anniversary this year. While we are very self-critical at the NHSU This is one of the unique cases in modern Ukrainian and we have many external critics, it is important to history when the developed reform concept was remember that this is our first three years out of 75. implemented within a clearly defined timeframe. The We have at least another 72 years ahead. five-year concept implementation has included three years of NHSU operation. In three years, we have changed the rules of the game. Now everyone has to accept these rules and When creating a concept and strategy design, all start moving towards tangible results for patients. possible external risks are taken into account. We will achieve these goals in the coming years. They 2020 was the year of all such risks. All bombs have must be approached with dignity so as not to lose the detonated. However, we have achieved the goal. This idea of transformation and the task at hand. 3

There are two catalysts for change in health. One: health care contracts under the PMG between healthcare facilities and the NHSU. These contracts use performance-based financing to ensure a fair distribution of funds in health and to support the Acting NHSU Head development of health care providers that work in the Andrii VILENSKYI interests of their patients and create opportunities for the support and development of their own employees.

Two: open data in eHealth. These data inform the decisions of all stakeholders: of patients - when Dear colleagues! 2020, another year of the health choosing a doctor and healthcare facility where reform, is over. It was an extremely important year, they will receive quality care; of managers – when as we launched the PMG for all types of health care developing and implementing the healthcare facility and tried to overcome the coronavirus pandemic. development strategy; of doctors, other health and non-health workers - when planning their own For three years, the NHSU team has been persistently career, professional and personal growth; of local transforming the health system to ensure the governments – when building a strong network of implementation of the principle of universal health healthcare facilities to improve the quality of life of coverage, when every citizen of our country has citizens; and of public authorities – when developing the right to and receives necessary care of proper and implementing health policy. quality and without catastrophic personal financial expenditures. The transformation of the health sector is ongoing, and the National Health Service of Ukraine will Changes in the system are long overdue. All of us – continue to persistently develop the PMG and the key patients, health professionals, local authorities – mechanisms of its implementation, to create new want to quickly see improved health care quality, services and tools to improve each patient’s access improved working conditions for health professionals, to quality health services. and healthcare facilities transformed into successful healthcare enterprises. Therefore, the community’s To be continued! expectations for the transformation have so far outpaced the outcomes. However, the transformation has only just begun, and the pace and quality of change depend on the joint efforts of all stakeholders.

OVERALL SITUATION AND INTERNATIONAL PARTNERSHIP Section I 6

Overall situation and international partnership

OVERALL SITUATION IN UKRAINE

In 2020, the transformation of the health system It should also be noted that, due to the political cycle successfully entered its second phase. On April 1, in Ukraine, changes in Ministry of Health leadership 2020, changes began at the level of specialized health continued in 2020. Establishing institutional care. They finally started where they were most cooperation has been one of the challenges of the year. expected by patients and health professionals - at the For its part, the NHSU provided clear and thorough level of polyclinics and hospitals. These changes took information on the mechanisms of transformation, place during a very difficult situation for the health its mission and vision. Additionally, the NHSU system, the COVID-19 pandemic. No health system in implemented absolute operational transparency to the world was ready for it, and doctors had to take on preserve institutional memory; anyone who started to heavy workloads in difficult conditions of uncertainty. work in health system management had full access to No one had out-of-the-box solutions, but pandemic all data related to healthcare facility financing during response mechanisms have been developed quickly the entire health system transformation period. around the world and the National Health Service of Ukraine has proven its effectiveness in emergencies by preparing and implementing appropriate changes to the Program of Medical Guarantees. Section I 7

Overall situation and international partnership

INTERNATIONAL PARTNERSHIP

In the Resolution of the European Parliament of partners have supported Ukraine in the fight against 11 February 2021 on the implementation of the EU the pandemic. The World Bank has provided additional Association Agreement with Ukraine, the Members funding for the health sector’s COVID-19 pandemic of Parliament appreciated Ukraine’s health system response in the health sector under the Serving transformation processes, including the NHSU’s efforts People, Improving Health Project. Both in the Serving to introduce a transparent health financing system. People, Improving Health Project and its Additional Financing, the NHSU played a key role in supporting and implementing project initiatives to facilitate health system transformation, including the implementation of result-oriented indicators. Under the SDC-funded technical assistance project «Support Reforms and Governance in the Health System in Ukraine,” an analysis of the implementation of diagnostic-related groups (DRGs) was conducted. Additionally, cooperation with the Korean National Health Service started with the exchange of experience, with the support of the Korea- In 2020, international partners continued their strong World Bank Group Partnership Facility. support for Ukraine on its path to universal health coverage. International partners such as the World According to the Biennial Cooperation Agreement Health Organization (WHO); the World Bank; the Swiss between the Government of Ukraine and the WHO Agency for Development and Cooperation (SDC); Regional Office for Europe, and with the financial the United Nations Children’s Fund (UNICEF); the support of the Grand Duchy of Luxembourg and US Agency for International Development (USAID); the European Union in the framework of the EU- the UK Government (UK Aid); the Global Fund to Luxembourg-WHO partnership for universal access to Fight AIDS, Tuberculosis and Malaria; the European health services, WHO provided analytical support and Union (EU) Delegation to Ukraine; the Government of built NHSU team capacity to implement the Program Canada through the Ministry of Foreign Affairs, Trade of Medical Guarantees. In particular, WHO experts and Development; the International Renaissance analyzed data, modeled projected hospital budgets, Foundation; the US Centers for Disease Control and developed risk mitigation scenarios, and developed final Prevention (CDC); European Embassies in Ukraine; and models for contracting healthcare facilities to prepare other international partners provided expertise and to implement the second reform phase in April 2020. financial support for the health system transformation. The WHO team has helped maintain and strengthen We benefited from their support during each key point key reform principles by facilitating policy dialogue and of this difficult year, including the implementation of the top-level consultations on the Law on State Financial reform’s second phase, the political situation in Ukraine Guarantees and the pros and cons of different financing related to changes in the Government, and the change models, including their impact on financial protection, of the Head of the National Health Service of Ukraine, satisfaction of needs and efficiency and quality of health the COVID-19 pandemic response system deployment. services.

A number of Ukraine’s international commitments, like WHO provided ongoing expertise analyzing the COVID-19 the EU-Ukraine Association Agreement, the International situation and strengthening NHSU COVID-19 response Monetary Fund (IMF) Stand-By Arrangement, and the capacity by organizing a training workshop for NHSU World Bank Serving People, Improving Health Project, central and interregional office staff. The workshop used include further implementation of health sector the WHO health emergency team’s epidemiological reforms. These reforms related to the development of forecasts to plan service delivery at the peak of the primary health care, the introduction of a new financing epidemic, as well as consider the use of financial and model for health care providers, the gradual introduction health care delivery tools to minimize the risk of surge of a single healthcare space, and the implementation of in hospitals. WHO, together with the NHSU interregional modern financial incentives to improve the availability departments, conducted an assessment of the oxygen and quality of health services, etc. International supply in hospitals that admit patients with COVID-19. Section I 8

Overall situation and international partnership

Dr. Jarno HABICHT, WHO Representative and Head of the WHO Country Office in Ukraine

For several years, the Government of Ukraine has challenges. New service been implementing large-scale health financing packages for COVID-19 reforms, which, if implemented consistently, will diagnosis and treatment help ensure access to quality health services for were developed and adapted the citizens of Ukraine without creating significant as a new evidence base financial problems. In 2020, new payment emerged. There will still be many challenges in mechanisms were introduced for hospitals in 2021, but there is also a solid foundation on which Ukraine, as the world was overcoming by a we can build and strengthen the Ukraine’s health significant health crisis. The National Health Service system together while responding to the current of Ukraine has demonstrated its ability to adapt to epidemic. new circumstances and respond quickly to new

Arup Banerji, Regional Country Director for Eastern Europe, World Bank

The 2017 health financing data generated to develop policy recommendations reform, which established is pivotal to the success of the reforms. the National Health Services of Ukraine as a strategic We would like to congratulate the NHSU and purchaser of primary the Ministry of Health (MOH) on the past year’s health care services, was an important moment accomplishments and look forward to working in the evolution of the Ukrainian health sector. together on the next steps of the reform – improving Progressing to include purchasing specialized care governance of health financing arrangements, services along with primary care holds the promise optimizing the hospital network, and further that every citizen will have access to quality hospital refining the benefits package and payment care that is affordable and efficient. methods for even better access, quality, equity and efficiency. The role that the NHSU plays in selectively contracting providers, reimbursing providers, and using the Section I 9

Overall situation and international partnership

International partner support is also evidenced by During the implementation of the USAID-funded a number of joint international technical assistance project Supporting eHealth Infrastructure projects aimed at strengthening the NHSU’s Development in Ukraine, the cooperation was capacity as a steward of overall health reform and aimed at strengthening eHealth, which involved its individual components, which include developing automating NHSU processes and transferring eHealth, improving public access to quality and safe intellectual property rights to an eHealth software medicines and more. which includes software and other products that are part of the eHealth. USAID-funded Health Reform Support (HRS) efforts were aimed at strengthening the Under the USAID-funded HealthLink Project – NHSU’s organizational capacity and supporting Accelerating Ukraine’s Efforts to End HIV, the comprehensive communication with all stakeholders optimization of the eHealth data storage system of the health system transformation. started and intellectual property rights to a certain part of the eHealth central database The HRS provided expertise and technical support were transferred. The project also provided under its five objectives: comprehensive communication support for health transformation processes during the COVID-19 improve health sector governance pandemic.

support the transformation of the healthcare The USAID-funded Safe, Affordable and Effective financing model Medicines for Ukrainians - SAFEMed Project provided support for the NHSU to improve public strengthen the health workforce access to quality and safe medicines. This included transitioning insulin reimbursement administration enhance the transparency, accountability and to the NHSU, improving knowledge of modern responsiveness of the health care system pricing methods and international best practices in drug price referencing and reimbursement, and improve service delivery system at all levels. developing a system of key performance indicators for electronic prescriptions. Section I 10

Overall situation and international partnership

Jim HOPE, Mission Director, USAID/Ukraine

Following the rapid and historic rollout of Ukraine’s and provides a platform primary health care reforms, Ukraine launched for innovation. One such the second phase of financing reforms in April innovation - the introduction 2020, marking another major milestone in the of performance-based transformation of the health care system to be financing to improve quality more efficient, transparent, and accountable to of care – now reaches some 4,500 health care patients. The NHSU now contracts with health facilities and pharmacies and has enabled 31 care providers for provision of free primary and million Ukrainians to enroll for free services from specialized health care services, while providing their family doctor. a high and growing degree of transparency and accountability using the eHealth system. We commend Ukraine’s dedication and commitment to the second phase of healthcare reforms during USAID/Ukraine has supported the NHSU and the exceptionally trying circumstances of the the Ministry of Health throughout this journey, COVID-19 pandemic. USAID/Ukraine is committed including through the development of eHealth to continuing our partnership with the NHSU and as a vital component of ongoing reforms that the Ministry of Health to deepen reforms leading to maximize the value of health care spending. improved accountability, reduced financial burden The eHealth system helps to reduce corruption on households, and improved quality of health care through improved transparency and use of data, for all Ukrainians.

Several additional projects were aimed at building This enabled the launch of the eBaby comprehensive and strengthening the eHealth system. online service, in which a doctor generates an electronic document in the registry of the eHealth In particular, under the ACCESS Pro: Access for central database, and this document is received Communities to HIV Treatment by Strengthening automatically after the user enters data on the Diia Information Systems and Improving Access to portal. Services, funded by the US Government through the US Department of Health and Human Services In addition, the eBaby comprehensive service (DHHS)/US Centers for Disease Control and includes registration in the eHealth central Prevention (CDC), cooperation began to upgrade database’s Registry of Patients, which further eHealth systems by developing the functionality to simplifies citizen interactions with the health sector code diagnoses related to mental health and HIV. and allows all to benefit from these electronic tools.

Under the E-Governance for Accountability EGAP also ensures electronic integration with the and Participation (EGAP), funded by the Swiss State Registry of Vital Records, which helps citizens Government through the Swiss Development and obtain information about birth certificates and Cooperation (SDC), a medical findings component proceed with the state registration of the birth of a was developed for eHealth and integrated into child. other state information systems in terms of birth certificates. Section I 11

Overall situation and international partnership

Elizabeth VILLARROEL, Chief of Party, USAID Health Reform Support

USAID Health Reform changes to the Program of Medical Guarantees Support (HRS) is pleased and their respective roles in the new health care to support its partner – the system. Our work enabled health care facilities to National Health Service swiftly implement specialized health care reform of Ukraine (NHSU – in and increased public awareness about health care implementing health care financing reform in changes. As a result, Ukrainians have access to Ukraine. We stand behind two major steps toward free specialized health care services and have a a transparent, accountable, and effective health right to choose the health care facility that meets care system: 1) the transparent allocation of state their needs. funding for health care, and 2) increased patient access to free specialized health care services. Ukrainian health care providers also needed the knowledge and experience to operate within the Our efforts in partnership with the NHSU could new health financing model. To close this gap, not have been possible without the enthusiasm the NHSU Academy, with assistance from HRS, within the NHSU to drive reforms. Together, launched a series of online educational courses the NHSU and HRS developed tools to ensure targeting medical professionals and health transparent contracting for medical services, and administrators. We are proud that 81,000 health we successfully launched the Program of Medical workers now have the necessary knowledge as a Guarantees in April 2020. result of our work.

Although the past year has been daunting globally, As we embark on the next stage of health care the NHSU was unwavering in its commitment modernization, HRS stands ready to partner with the to reform. Despite the COVID-19 pandemic and NHSU to further the health financing reform for the local elections, the NHSU and HRS conducted a benefit of all Ukrainians. We believe our joint efforts massive regional public outreach campaign with will help reduce corruption and improve the quality health care facilities and local authorities on the and efficiency of medical care in the years to come.

IMPLEMENTATION OF THE PROGRAM OF MEDICAL GUARANTEES Section II 14

Implementation of the Program of Medical Guarantees

NATIONAL HEALTH SERVICE AND UNIVERSAL HEALTH COVERAGE

The National Health Service promotes the principle rule of access to health services which is known of universal health coverage in Ukraine. The tool to patients, which gives them a financial foothold for its achievement is the Program of Medical during treatment, thus preventing catastrophic out- Guarantees. This is a list of health services and of-pocket expenses. medicines that the state guarantees to the people in specific quantities and pays for from the state In Ukraine, the Program of Medical Guarantees has budget using unified tariffs. This is a transparent been fully implemented since April 2020.

THE BASIC BENEFIT PACKAGE IN UKRAINE INCLUDES:

primary emergency specialized medical palliative health State care care and highly rehabilitation care care during Reimbursement services services specialized care services services pregnancy Program services and childbirth

THE PROGRAM OF MEDICAL GUARANTEES INCLUDES VITAL HEALTH SERVICES:

consultations laboratory and admissions surgeries rehabilitation instrumental tests

The PMG was developed based on the health needs for the facility, corresponding with increased tariffs of patients, the effectiveness of treatment, and the and payment for service provision. principle of feasibility. For many types of health care, the NHSU pays not Priority services are as follows: treatment of acute for a single service, but for a set of services. To cerebral stroke and acute myocardial infarction, structure them, the NHSU proposed the concept care at childbirth and in complex neonatal cases and of health care packages. Each package includes a instrumental examinations for early diagnosis of description of what is funded, the requirements for cancer. A special approach was applied to the priority the provision of services and how they are paid for. services, which includes increased requirements In 2020, the PMG included 32 packages. Section II 15

Implementation of the Program of Medical Guarantees

Response to COVID-19

When responding to the current pandemic situation, related to the provision of care for patients with the NHSU promptly expanded the PMG and added confirmed and suspected COVID-19. four packages. These packages of services are

PAYMENTS IN 2020 FOR THE PROVISION OF CARE TO PATIENTS WITH CONFIRMED AND SUSPECTED COVID-19

INPATIENT EMERGENCY MOBILE INPATIENT CARE CARE CARE TEAMS IN APRIL UAH 11 billion UAH 7 billion UAH 452 million UAH 52 million 507 facilities 25 centers 952 providers 152 providers

Not all patients with COVID-19 require inpatient received payment for new packages, and patients treatment. Many patients are treated at home under received care they needed. the supervision of their family doctor. Therefore, the packages included more services than just inpatient Of great importance was the introduction of new care. In 2020, funding was also provided to emergency successful primary care under the PMG. Today in care centers and health care facilities (HCF) to create Ukraine, it is primary care physicians who play an mobile teams to visit people with suspected COVID-19 important role in the fight against COVID-19 and and take samples for testing. who are the entry point to the health care system for the patients. The opportunity to issue and use The NHSU has proved that the PMG is effective even electronic prescriptions has also been vital during in extreme pandemic circumstances, as it allows the pandemic. the health system to respond quickly. The facilities

PATIENT-CENTEREDNESS One of the key focuses of the PMG is bringing health care Patient-centeredness is supported with the free choice closer to the patient. of a doctor and the possibility to change physicians. Receiving health services no longer depends on With the implementation of the PMG, patients received a registration. Both family doctors and specialists can be real financial foothold. After all, the PMG offers a clear chosen regardless of the patient’s place of residence, list of services that patients can receive for free and provided that the hospital where the specialist works establishes the rules for receiving the services. Thanks to has a contract with the NHSU. It is important to have a this, everyone will be able to receive affordable and high- referral to a specialist from the family doctor. The NHSU quality care without catastrophic financial expenditures. will pay for health services at the facility of the patient’s Today, the PMG covers all vital types of health care for choice, including at private facilities. the patients. Section II 16

Implementation of the Program of Medical Guarantees

A FAMILY DOCTOR, GENERAL PRACTITIONER OR PEDIATRICIAN WAS CHOSEN BY

Doctors have entered over 31 million 119 million electronic Ukrainians medical records for almost 14 million 74% of the patients since the beginning population of 2020

The PMG prioritizes diseases that are the leading causes of death in Ukrainians and whose treatments are expensive 74for patients. +26N

IN 2020, PATIENTS RECEIVED THE FOLLOWING PRIORITY HEALTH SERVICES UNDER THE PROGRAM OF MEDICAL GUARANTEES FREE OF CHARGE

Inpatient services Outpatient services

284 790 services 30 141 services

Health care for newborns Mammography in complex neonatal cases 27 220 services 114 515 services

Health care for acute Esophagogastroduodenoscopy myocardial infarction 14 930 services 74 424 services

Health care for acute cerebral stroke Hysteroscopy Bronchoscopy in hospital 54 826 services 4 857 services 8 399 services

Health care during childbirth Colonoscopy Cystoscopy

187 814 services 21 635 services 6 311 services Section II 17

Implementation of the Program of Medical Guarantees

Online services and electronic tools are another Anesthesia is included in all service packages, where important benefit for the patient. Thanks to electronic necessary, because treatment should be not only medical records (EMR), the clinical history of each professional and effective, but also as painless as patient is stored in the system and will not be lost possible, according to humanistic principles. like a paper-based medical record could. Electronic data increases the level of privacy; only authorized Under the State Reimbursement Program, patients doctors have access to it. can receive medication for cardiovascular diseases, bronchial asthma and type II diabetes free of NHSU mechanisms are used to establish patient- charge or for a small additional cost. An electronic centered practices in the health care system. prescription is issued by the doctor who enrolled the patient. The prescription can also be made by phone. The access of relatives or acquaintances to intensive This is important during the pandemic because it care units has been allowed since 2016 by the MOH helps to avoid crowded areas. order No. 592, but hospital staff were not always inclined to comply. Now, the requirement to comply E-prescriptions can be used in any pharmacy with this order is included in the facility’s contract contracted by the NHSU, regardless of a person’s with the NHSU which imposes liability on the HCF residence or registration location. and equips the patient’s relatives or acquaintances with a set of actions to take if they are not allowed in the intensive care unit.

# PATIENT_STORIES Tetiana is «When I lost my sense of smell, I called my doctor at the Yuzhnoukraiinsk primary 60 years old. health care center (PHCC). He asked me to come after working hour. The family She lives in the doctor prescribed treatment and gave me a phone number to call. He also said small town of that a mobile team would come to do a PCR test. The PCR test for COVID-19 was Yuzhnoukraiinsk. positive. I was told that people with mild symptoms were not hospitalized, so my When the symptoms treatment was at home. The doctor made appointments, and I came to the clinic appeared, the several times. Of course, I wore individual protective measures. In addition, the woman hoped that it office was separated from the rest of the visitors. Within a week, my sense of was just a cold, but smell returned. I had another PCR test done, again for free. The test was negative. later she realized Now I continue treatment under the supervision of my doctor. I am very grateful that her illness was to the doctors of the Yuzhnoukraiinsk PHCC for their attention and timely health more serious. care». Section II 18

Implementation of the Program of Medical Guarantees

# PATIENT_STORIES When Nataliia V. learned that she «I met professional, decent doctors in the facility. The team on duty needed a surgery, she had to decide calmed me down; they did everything quickly. Later, the surgeon between a private hospital in Kyiv personally treated my wounds and changed bandages. Sometimes and a municipal hospital in her city. you don’t see a doctor at all after the surgery, but that wasn’t the She decided to go to the surgery case,” Nataliia V. shared of her experience interacting with the department of the Obukhiv Central health system. Hospital. The surgery was elective All care for the patient was free of charge as she had an e-referral and a referral for the surgery was and received the service under the PMG, paid for by the NHSU. issued by a family doctor. With this referral, the patient went to the «I wasn’t asked for money. Although I heard about the high cost of hospital in her city. treatment, I did not have to pay anything,» says the patient.

CALL CENTER

Another feature of the NHSU is regular feedback, For almost three years, the NHSU call center with the answers to questions and response to complaints. short number “16-77” has been working in Ukraine.

10 specialists CALLS TO 16 77

calls 1% 38% 305 672 pharmacies patients in 2020

138 009 calls 37% 24% answered by operators managers of health 16 77 healthcare workers facilities +2437+1N Customer satisfaction level — 80% 38 Section II 19

Implementation of the Program of Medical Guarantees

The main requests from the managers of healthcare they were asked to pay for services already covered facilities and doctors concern the payment for by the NHSU. services, reporting periods, contracting, additional services and operational matters. If a patient is unreasonably denied care or asked to pay for services already paid for by the NHSU under Patients are interested in specific free services the PMG, he/she can file an electronic complaint provided by the HCF, the State Reimbursement through the NHSU website or send a letter to the Program and the location of hospitals contracted NHSU. The operator of the NHSU call center will by the NHSU. The call center also informs patients help to file a complaint correctly. about the procedure for filing official complaints if

NHSU AND DOCTORS’ STATUS CHANGE IMPACT OF TRANSFORMATION ON THE HEALTH LABOR MARKET

The Ukraine’s health labor market has not been mobile be contracted by the NHSU. At the beginning of the for many years. It has oversupply in some specialties year, more than 500 healthcare facilities in Ukraine and undersupply in others. Ukraine has one of the were contracted by the NHSU on the condition that highest ratios of obstetricians-gynecologists per they would comply with the deferred requirements population among OECD countries – 24 per 100,000 – for equipment and specialists. The owners and while Poland, for example, has 13 gynecologists per managers of HCFs that received NHSU funds on 100,000. At the same time, the number of surgeons deferred terms had six months to refit the hospitals is much smaller than in other European countries – and equip them with the necessary specialists. One about 20 compared to the European average of 50. of the main reasons for non-compliance with the NHSU requirements is a lack of required specialists, The requirements for the service packages including anesthesiologists. During the allotted time, introduced by the NHSU began to affect the physician the facilities used various incentives (increased wages, labor market. In particular, there is now a demand housing, etc.) to attract doctors. They complied with for certain specialties, since the facility must have the deferred requirements of the NHSU and continued enough doctors of relevant specialties in order to to work under the contract.

In Nizhyn, the City Council has offered a land plot to recruit an anesthesiologist for the local maternity hospital.

In the town of Mena, Chernihiv oblast, two six-apartment houses were built and doctors from the oblast capital were invited. Section II 20

Implementation of the Program of Medical Guarantees

The Petrivska Central District Hospital in the Kirovohrad oblast «hunted» three anesthesiologists from Zhovti Vody by providing them with land plots and a higher wage.

The Piatykhatky CRH sent its obstetrician-gynecologist to retraining courses and he returned as an anesthesiologist.

PRIVATE FACILITIES IN THE REFORM

For more than two years, Ukrainians have been able In 2020, the NHSU paid more than UAH 622 million to to sign declarations with a family doctor in private private facilities and private doctors. 21% of the total facilities. Since April 2020, one can receive specialized contracts are with private facilities. care in some private clinics.

3 119 contracted Primary Specialized facilities care care

232 private facilities 397 58 private private doctors (PE) facilities 401 doctors (private Contracts enterpreneurs) Private facilities in 212 4 2 486 municipal the reform private private facilities facilities doctors (PE)

At the level of primary care, private facilities and It is profitable for private primary care facilities to doctors make up about a third of the total number of be contracted by the NHSU, which pays money for facilities contracted by the NHSU, and this number each patient. At the same time, patients can choose keeps growing. the best doctor and HCF. This encourages HCFs to improve the quality of service delivery and compete To date, one million Ukrainians (out of a total of 31 for the patients. million declarations) have signed declarations with private doctors (PEs) and doctors in private primary care facilities. NHSU AND CIVIL SOCIETY Section III 22

NHSU and civil society

PUBLIC OVERSIGHT BOARD AT THE NATIONAL HEALTH SERVICE OF UKRAINE

In 2019, the Public Oversight Board at the National procedure for the NHSU to monitor health contracts Health Service of Ukraine was elected via online under the PMG, which were later incorporated. preferential voting. The Board consists of 15 members. The membership list was approved by the Order of The Board supported the provision on the need for the Cabinet of Ministers of Ukraine as of October 9, health care providers to comply with accessibility 2020 No. 1239-r. The Board includes representatives requirements in their buildings, which is mandatory of various non-governmental organizations, such as for health contracts under the PMG 2021. patient organizations, unions of doctors, pharmacy associations and anti-corruption organizations. The Public Oversight Board at the NHSU not only contributes to the development of policies and In 2020, the Public Oversight Board participated in the mechanisms for the transformation of the health discussion of important documents that shape the system, but also supports the NHSU by acting as an health policy. The Board approved the NHSU Strategy independent public advocate of the reform, serving for 2021-2023. The civil society representatives provided in the best interests of both patients and the health recommendations (later incorporated) to the draft community.

COOPERATION WITH PATIENT ORGANIZATIONS

NGO representatives were members of the relevant The NHSU considers recommendations of patient expert teams which developed draft specifications and organizations, as they best know the needs of the terms for the procurement of health services to be patients whose rights they protect. The NHSU policy in provided under the PMG in 2021. They participated in creating all practices and processes is that the «patient consultations with the health expert community and in is at the center of the system». public discussions.

«2020 was a difficult year for the entire Executive Director of the Charitable health sector, with the coronavirus Foundation «Patients of Ukraine», pandemic and numerous rebukes and Chair of the Public Oversight Board attempts to stop the health reform. at the NHSU However, during these trials, the patient Inna IVANENKO community has always had a reliable partner, the National Health Service of Ukraine. It is due to the enormous joint efforts of patients and the NHSU that it was possible to start the second phase of the reform and prevent its abolition». Section III 23

NHSU and civil society

Director of the CF «Inspiration «The involvement of patient organizations in health Family», a fund for supporting policy development is a common global practice. adult cancer patients After all, patient representatives must take part in Anna UZLOVA processes that directly affect their lives. The National Health Service of Ukraine is a good example of such cooperation. The selected formats allow us to effectively communicate and build a “state-patient” dialogue. Of course, not all problems can be solved in this way, but at least we can bring up our concerns for discussion and look for solutions».

«2020 was particularly difficult for cancer patients not only because of COVID-19, but also because of changes in the rules Chair of the NGO associated with the introduction of the PMG. This encouraged us «Coalition to unite and seek answers from the authorities. The NHSU was of Cancer one of the first to respond, and we were able to build a dialogue, Patients hear explanations and draw attention to bottlenecks. We joined of Ukraine» the expert teams developing the PMG 2021, we worked together Liudmyla in the MOH working group on the National Cancer Strategy and PUKHLIAK the NHSU representatives participated in our activities. We see the NHSU as our partner in implementing the changes needed by cancer patients in Ukraine».

Chair of Board of the NGO «Due to the cooperation with the NHSU, we as a patient NGO «Dia-Zen» have moved to a higher level of self-development: from the level Olena of constant confrontation with government institutions to the POHORIELOVA level of partnership and creation. By working together to identify (VYSHNIA) new values and priorities, we gain a unique opportunity to shape and influence the health policy, have a constructive dialogue, discuss hot topics, ask questions and get prompt answers and be heard. We appreciate this productive potential and hope that this interaction with patient NGOs will continue and get stronger».

COOPERATION WITH THE HEALTH COMMUNITY Section IV 26

Cooperation with the health community

NHSU INTERREGIONAL DEPARTMENTS

SOUTHERN Mykolaiv oblast INTERREGIONAL DEPARTMENT Kherson oblast Area of responsibility:

Odesa oblast Healthcare Health facilities workers Patients Autonomous 368 26 667 3 415 644 Republic of Crimea

Director of the NHSU Southern Interregional Department Dmytro Samofalov:

«The most important issue of the year was the and develop patient pathways, development of quality communication with all given the challenges posed by stakeholders - healthcare facilities, departments, local the pandemic and COVID-19- authorities, doctors and patients - to ensure quality, related reconfiguration of many timely and affordable health care for every resident hospitals, to ensure that every of southern Ukraine. Our Department has made every patient receives the care they need, successful facilities effort to build a strong healthcare facility network prosper and doctors receive a decent payment».

facility owners, and preparatory materials were presented to hospital management. The specialists of the Department supported HCFs throughout the contracting process and continued to keep in touch with them, providing advice on electronic documentation and reporting.

The specialists of the Southern Department made a number of monitoring and auditing visits and provided relevant advice to the HCFs. Considerable attention was paid to ensuring facility accessibility for low mobility groups. The Southern Department supported all stakeholders with the successful contracting of The Department was actively involved in the work HCFs for health service provision under the PMG. of the Coronavirus Committee; we visited hospitals Before the reform, consultations were held with together with the MOH Committee, evaluated Section IV 27

Cooperation with the health community

the equipment and provided recommendations develop modern stroke care and participate in the on equipment and treatment for patients with development of clinical guidelines for acute cerebral COVID-19. stroke. The Southern Department has established communication with all target audiences. To inform The specialists of the Southern Department, in members of the health community and respond to cooperation with the Department of Health of the their inquiries, a Viber bot was launched, which has Odesa Oblast State Administration, have done a 881 subscribers. Every health professional can ask lot to create a pathway for patients with stroke, a question which will eventually be answered.

NORTHERN Chernihiv INTERREGIONAL DEPARTMENT oblast

Area of responsibility: Sumy oblast

Kharkiv oblast

Healthcare Health facilities workers Patients 521 41 465 5 027 930 Poltava oblast

Director of the NHSU Northern Interregional Department Viktoriia Miliutina:

«The main function of the Department was to contract own analysis, the staff of the HCFs for the provision of all types of health services Department predicted the health under the PMG 2020 in the Kharkiv, Poltava, Chernihiv service and pharmaceutical and Sumy oblasts. To accomplish this task, many needs of the population in four negotiations were held and the providers of all types of oblasts. We communicated with health services were contracted. local authorities to inform their decisions and provided support to the management of HCFs for contracting Using the strong analytical capacity of data from purposes». the NHSU central database, as well as applying their Section IV 28

Cooperation with the health community

number of thematic press conferences, roundtables and conferences were organized. The Department communicated effectively with all target audiences and stakeholders about the new health financing system and its rules.

During the year, the Department provided a new level of feedback, primarily for patients, through the Department phone and individual communication with people. The employees of the Department collected and processed information received from consumers and responded to complaints. The Northern Department has established cooperation with the public and patient In 2020, the employees of the Department received organizations in the region. Attention was paid internal and external training and received to the communication component; the work was certificates of Masters of Public Administration. carried out with key reform stakeholders and a

CENTRAL Zhytomyr INTERREGIONAL DEPARTMENT oblast Kyiv oblast

Area of responsibility: Kyiv city

Healthcare Health facilities workers Patients 648 58 677 7 108 468 Cherkasy oblast

Vinnytsia oblast

Director of the NHSU Central Interregional Department Volodymyr Pliatsek:

«The main achievements are the contracting of healthcare facilities in the region and the introduction of a new system for financing hospitals. We made it – it is a fact. These processes are currently being streamlined. We are working to be a reliable partner for patients, health care providers and hospital owners and local authorities». Section IV 29

Cooperation with the health community

region and applies an individual approach, as the facilities supervised by the Department are very different.

The Department took an active part in the development of the network of care for patients with coronavirus; we decided which hospitals would provide care, conducted surveys, made monitoring visits, communicated to the HCF management about requirements for health services for patients with COVID-19, and negotiated about the need for extra equipment with facility owners. The specialists of the Central Department made every effort to ensure that as many facilities in the region The Department team has 12 employees, and it joined the reform and made contracts for health was fully staffed in 2020. The specialists came from service provision under the PMG as possible. This different backgrounds including the Kyiv Oblast Health was also important given the political context, as the Department, Cherkasy Oblast State Administration, whole country was watching the transformation of Consulting and Diagnosis Center and Central Raion the health system in the capital. Many facilities were Hospital. We have a former surgeon and bank clerk, reluctant to become municipal non-profit enterprises. as well as former students for whom this is their first In those cases, the specialists of the Department had job. When people of different ages – from 23 to 55 – long negotiations and consultations with both the work together, everyone offers their knowledge and owners and the managers of the healthcare facilities. expertise. Kyiv hospitals required an individual approach, and the Department’s specialists eventually found The Department has established communication common language with the chief physicians of the with all groups of stakeholders: patients, NGOs largest and oldest HCFs. We supported two Kyiv and local authorities. We pay special attention to facilities to contract without becoming municipal communication with health workers. A separate non-profit enterprises. chat has been created for each oblast, which is moderated by a responsible staff member. We also During the year, the Department advises health call healthcare facilities. In turn, doctors and HCF professionals on reporting. The offices have been managers can call the Department, ask a variety of established. Each supports a separate oblast of the questions and receive quality answers and support. Section IV 30

Cooperation with the health community

WESTERN Volyn Rivne oblast oblast INTERREGIONAL DEPARTMENT

Area of responsibility:

Lviv oblast Khmelnytskyi oblast

Healthcare Health Patients facilities workers Ternopil oblast 926 89 965 8 889 163 Chernivtsi oblast Zakarpattia oblast Ivano-Frankivsk oblast

Director of the NHSU Western Interregional Department Mariana Voznytsia:

«Last year was critical for the entire health system of is a matter of direction. We have Ukraine - for the first time, the PMG was launched. chosen the right direction and Within this short period of time, a lot was done; the are moving forward despite the money followed patients in all raion, city and oblast problems and challenges. We hospitals. Of course, we would like the changes to can change our country, and we happen faster and more noticeably - for both patients must take this opportunity». and doctors - but progress is not a matter of speed. It

local governments to explain changes and empower communities to support healthcare facilities.

Throughout the year, they continued supporting HCFs. They advised on reporting, medical records, coding of diseases and procedures. During the reporting periods, the Department’s specialists received up to 500-600 phone calls per day.

The Western Department is the entry point to the region’s health system for all stakeholders. We advise on all related issues, including decentralization, administrative reform, and digital transformation. The specialists of the Western Department contracted all healthcare facilities for the provision The specialists of the Department were actively of health services under the PMG. To prepare involved in the development of the COVID-19 the facilities, consultations were held with their response system. They worked with local managers and owners. The Western Department governments to support facilities at the beginning of has paid a lot of attention to communication with the pandemic and contributed to the development of Section IV 31

Cooperation with the health community

a network of facilities that would admit patients with Telegram, which are followed by all facilities in the coronavirus. This included verifying compliance region. We post urgent messages on these channels, data submitted by HCFs and identifying hospitals as well as information on meetings, contracting and that met the criteria and could provide care to training for doctors and health managers. patients with COVID-19. Trust in the Western Department in the region is The Western Department has a horizontal system built through communication. Health professionals of organization; everyone does their job and is contact the Department’s specialists and ask responsible for a specific area of operation. We questions about health system processes, and if provide continuous internal training of employees there is no quick answer, the specialists will always and work on the development of new competencies. try to find it.

To communicate with the health staff, channels for primary and secondary care were created in

EASTERN Kirovohrad oblast Luhansk oblast INTERREGIONAL DEPARTMENT Dnipropetrovsk Area of responsibility: oblast

Healthcare Health Patients facilities workers Donetsk oblast Zaporizhzhia 656 54 067 6 551 507 oblast

Director of the NHSU Eastern Interregional Department Nataliia Budiak:

«The National Health Service of Ukraine is one big Department operation: organism. It was born recently, so it is young, ambitious, structure compliance, process enthusiastic and determined. No one in Ukraine has organization, solution approach, ever done what we do as pioneers and change-makers. Department team work, We make mistakes, but learn our lessons. We have one compliance with the processes common goal - the success of the health reform. and goals for which interregional departments were created at the NHSU». 2020 was a year of formation and comprehensive testing of various aspects of the Eastern Interregional Section IV 32

Cooperation with the health community

The specialists from the Eastern Department participated in all processes of creating a system for COVID-19 response in the region. They conducted preliminary monitoring of facilities, helped to make a list of facilities that would treat patients with coronavirus and negotiated with local authorities about the need to refit the facilities according to requirements. Selected facilities received help to speed up the contracting process. Subsequently, the specialists visited the facilities for monitoring purposes.

The team of the Eastern Department includes The Eastern Department is special: it supervises professionals of different expertise, experience and a number of healthcare facilities on the front line. skills. Its slogan is «Keep learning and teaching!» Therefore, the specialists of the Department became and its motto is “Mutual reinforcement that mediators between the local authorities and the inspires.” Weekly internal training in various fields managers of HCFs to make it possible to contract has become a tradition of the Department. The these facilities. Because of the lack of specialists, team has grown from one to ten employees over a these facilities did not meet the terms of contracting. year and it has introduced its own mechanism for However, due to a fruitful dialogue and consultations new member training and onboarding, which helps with the Department’s specialists, it was possible to introduce people to work quickly, efficiently and to find a solution and contract hospitals to provide comfortably. Under quarantine, the Department health services under the PMG. A key point for the specialists ensured interchangeability in the team. Department is compliance with all requirements, They became «universal soldiers» and learned to despite the critical situation in the combat zone. The prioritize a variety of current tasks and routine experts offer solutions and communicate with local work. authorities, owners and managers of the facilities to ensure that health services are provided at a certain level and that facilities receive funds. Section IV 33

Cooperation with the health community

TEAMS OF EXPERTS DEVELOPING THE PROGRAM OF MEDICAL GUARANTEES 2021 Within three months, teams of experts in certain discussions. More than 50 doctors’ organizations, health care areas have drafted specifications and NGOs and international partners, including the terms for the procurement of health services to be WHO, European Business Association and US CDC, provided under the PMG 2021. were invited to them.

The teams included doctors, managers of healthcare The key task when developing procurement facilities and health subject matter experts. 384 specifications and terms under the PMG 2021 was to experts in total worked on updating the terms of improve and develop care delivery. procurement of health services. The meetings were supported by the USAID Health The expert team meetings were preceded by Reform Support. consultations with the health community and public

384 50 19 34 doctors’ expert service experts organizations teams packages

NHSU ACADEMY

The Department of Interaction with Stakeholders of the National Health Service of Ukraine is developing the NHSU Academy project. The Academy launches educational programs and develops various training materials for managers of facilities, health staff and anyone interested in changes in the health system.

Director of the Department of Interaction with Stakeholders Liliia Malkova:

«The new system of healthcare facility financing brings step. The fact that our training a lot of changes to all levels. These changes require products are used by more than cooperation and new skills development on the part of 104,000 health professionals doctors. For the system to work ideally and for HCFs to each time gives us proof that we receive well-deserved payment, it is necessary to be are moving in the right direction. able to keep electronic medical records. Contracting In turn, we consider the feedback from the students also requires strict compliance with all procedures. of our Academy. Thus, promptly responding to the We try to provide doctors and health managers with situation, we had already developed a training stream maximum information. Using innovative methods and and two manuals for the management of patients with expertise, we handle all the complex issues step by COVID-19 within the first two months of the year». Section IV 34

Cooperation with the health community

7 71 724 4 22 3 858 modules users semesters training topics students Online training «Clinical coding in the Ukrainian Online course «Best Practices of Healthcare Facility system of diagnostic-related groups» Management» with the support of USAID Health Reform Support 2 666 users 78 523 users

Training course «Keeping EMR during the provision COVID-19 training stream of inpatient palliative care» 2 647 users

Training course «Keeping EMR during the medical Training stream on keeping electronic medical rehabilitation of adults and children in hospitals» records

MANUALS:

The process of keeping medical records Cystoscopy

Medical episode Health care during childbirth

Entering medical records (Interaction. Health care for newborns in complex neonatal Diagnosis report. Examination. Procedure.) cases

Electronic referrals Health care during acute myocardial infarction Hemodialysis Health care during acute cerebral stroke Bronchoscopy Documenting mobile teams’ visits to Hysteroscopy patients with suspected COVID-19 in eHealth (recommendations for keeping electronic Esophagogastroduodenoscopy medical records for secondary health care)

Colonoscopy Managing patients with coronavirus in eHealth Mammography NHSU AND TRANSPARENCY Section V 36

NHSU and transparency

ACCOUNTABILITY OF PUBLIC FUNDS

One of the main principles of the transformation of the total payment amount to facilities in general and the health system is a different financing principle: by types of care. There is also information about payment for services actually provided instead of the percentage increase in amounts paid versus payment for inputs like beds and facilities as such. previous payment periods. The data can be sorted by There are clear, unified rules for all and the flow of many parameters, such as the ownership type, the funds can be controlled through open data. It is the oblast of registration of a healthcare provider and open data published at every stage by the National the group of services. Health Service of Ukraine that have become an important tool for the development and functioning of the health reform.

The NHSU not only publishes data, but also creates analytical dashboards for their visualization. Dashboard utilization constitutes 20% of NHSU website traffic. In January 2020, there were more than 176,000 views, and in March 2020 – before the start of the second phase of the health reform – The dashboard «Payments to Pharmacies under there were almost 510,000. In total, the number the NHSU Contracts» contains information on the of dashboard views on the NHSU website was 2.4 amounts of payments to pharmacies - participants million in 2020. of the State Reimbursement/Affordable Medicines Program. To receive information on pharmacy Anyone can check the accuracy of information about payment amounts more quickly and efficiently, NHSU performance, the status and progress of the one can filter the facilities by oblast or place of health reform and the financing of HCFs. registration, ownership type, pharmacy name, etc.

The dashboard «Payments to Health Care With transparent financial information, the Providers under the Program of Medical authorities responsible for implementing health Guarantees» contains consolidated information reforms in Ukraine have additional tools for planning on payment amount to the facilities that provide and monitoring changes. Additionally, the health primary, specialized and emergency care under a community and stakeholders can influence the contract with the NHSU. relevant authorities using data, which allows them to control the flow of funds. The public, including There are data on the number of providers of all activists and journalists, is receiving new sources types of care that received payments under NHSU of information and tools to analyze, monitor and contracts, including COVID-19 packages, as well as control state budget expenditures. Section V 37

NHSU and transparency

NHSU AND OPEN DATA: OPEN DATA GOVERNMENT AWARDS WINNER

In 2020, the National Health Service won the Open all, the eHealth system contains reliable information Data Government Awards for the highest standards on morbidity and mortality, the number of patients of publication of open data by central executive treated by a healthcare facility, the length of treatment authorities. This is an annual ceremony of the Open and the real health expenditures of the state. Data Forum Online, dedicated to the development and application of open data in Ukraine. Open data is a safeguard against abuse and corruption, as the NHSU reports on every hryvnia spent on the The NHSU is one of the country’s leaders in the implementation of the PMG. Reliable health statistics implementation of electronic tools and open data. allow the NHSU to make changes to the PMG during the The public can control the use of state budget funds year, reallocate funds in the interests of the patient and allocated for health care. Based on open data, it is also plan the PMG for the next year more precisely. possible to make effective executive decisions. After

NHSU AND DIGITAL TRANSFORMATION: DEVELOPMENT OF EHEALTH AND ELECTRONIC SERVICES FOR PEOPLE

The transformation of the health system coincides required information. All physicians in the system with the digital transformation. Changes in the have access to the Patient Summary, which contains health financing would not occur without the eHealth basic information about the patient that doctors may system. need in an emergency.

At present, all health data on chronic, communicable Open statistics from electronic medical records in and non-communicable diseases of the patient, eHealth allow owners and managers of healthcare consultations and examinations, surgeries and facilities to see the real picture of the demand for tests are stored in one place and cannot be lost. relevant doctors, as well as examinations and If necessary, the doctor can quickly receive the tests. Section V 38

NHSU and transparency

Electronic medical records include, in The highest percentage of referrals – to specialists. particular, electronic referrals. Most often, patients asked for an e-referral to the following specialists:

20 million e-referrals neurologist — 952 000 patients were issued for almost 6 million patients ophthalmologist — 779 000 patients Electronic referrals More than 9,8 million ENT doctor — 742 000 patients in 2020 e-referrals were used surgeon — 763 000 patients

The NHSU keeps developing the eHealth system. In The National Health Service of Ukraine has joined 2021, it is planning to launch a number of services the development and launch of the eBaby service. and functionalities: This is a service for parents of newborns which helps to use one form to receive up to ten services from Electronic sick leave certificate. This service will different authorities without having to visit them. help to get rid of paper-based sick leave certificates The list of such services includes, in particular, state and make the life of the patient, the doctor and the registration of birth, determination of the child’s employer easier. origin, its citizenship of Ukraine, registration of the place of residence, allowances, and registration in Treatment plan. This module will help doctors make the eHealth Registry of Patients, etc. all the necessary prescriptions and make it easier to monitor adherence. When a child is born, the maternity hospital doctor makes an entry in the eHealth system about the Electronic patient’s office. This service will help the initial examination of the child, from which relevant patient see their own electronic medical files, submit medical findings are generated. This electronic declarations online and access their own data. document contains a list of information with which the infant’s parents are able to receive all public Sensitive data module will help to keep electronic services online. medical records of particularly sensitive diseases such as HIV/AIDS and mental disorders. This module When parents decide on a pediatrician for the child, was implemented with the support the CDC projects the data about the baby will already be in the eHealth and the Charitable Organisation «100% of Life». system. This speeds up the enrollment of the child. The doctor will also be aware of the child’s health New modules of the Reimbursement Program. immediately. This functionality will be introduced during State Reimbursement Program expansion. Patients will be The eBaby service facilitates the exchange of able to receive insulin and non-insulin drugs, as well information between government agencies, and as medicines for mental and behavioral disorders, eliminates unnecessary paper-based documents. In with e-prescriptions. addition, it is impossible to falsify or alter information. NHSU AND DECENTRALIZATION Section VI 40

NHSU and decentralization

Decentralization and transformation of the health acted as mediators between facility owners, hospital system provide communities with opportunities to management and local authorities. Based on the create quality health care in the region. information received, the local authorities made their own decisions on attracting specialists, refitting Since January 1, 2021, the administrative system has hospitals, improving their power efficiency, etc. been changing as a result of the decentralization reform. The purpose of the reform is to create and The main source of funds for hospitals comes from develop an enhancing environment for residents. their contracts with the NHSU. It is the payment This is impossible without a health component. under the PMG that is the main revenue source for the During 2020, NHSU specialists cooperated with healthcare facilities. The percentage of funding from local authorities and communicated that one of the the state budget is several times higher than what priorities of the newly created united territorial hospitals receive from local governments. communities (UTCs) should be to develop the health infrastructure in the region. However, the local government, as the owner of the facilities, is expected to maintain the facilities, pay for The representatives of interregional departments utilities and keep the physical assets. Well-equipped met with local authorities in their regions and and strong hospitals eventually start earning their provided advice on the development of individual own money, but before that the local community must healthcare facilities and an effective network. The first invest in the development of the facility. After experts suggested a number of options, based on the all, a hospital with specialists and equipment will be cases of successful facilities and an understanding able to receive a contract from the NHSU for a larger of health system transformation mechanisms based number of service packages and, accordingly, receive on the principle of universal health coverage. They more funds.

ADVANTAGES OF NHSU COOPERATION FOR LOCAL AUTHORITIES

Stable financing means reliable partnership. For Transparent financing and flow of funds in its part, the NHSU guarantees that payment for the system. The amount of payment from the services provided will be regular. That is, if the NHSU does not depend on personal contacts, facility meets the requirements and is contracted but rather on the hospital’s performance. The by the NHSU, it will regularly receive funds. NHSU does not care about the name or position of the hospital – it is its ability to provide quality The NHSU can quickly increase the contract services to patients that matters. Unified tariffs, amount and direct more funds to where there are unified rules – a facility that works hard receives more patients. As a result, the facility receives more money. funding and may spend money on medicines and additional payments to the health staff.

THE NHSU HAS THE LARGEST NUMBER OF CONTRACTS WITH:

KOVEL МТМU BERDIANSK ТМU NADVIRNA CRH

22 packages of services 19 packages of services 20 packages of services over UAH 151 million over UAH 116 million over UAH 78 million Section VI 41

NHSU and decentralization

The communities often become the owners of raion The obligation of a new owner to provide health care hospitals. There are cases when a united territorial in the region is not just a matter of expenses. This communities took over a raion hospital, modernized is an opportunity to influence the development of it and turned it into a modern HCF, which is already health and improve the quality of health services in becoming self-sufficient. the community.

A modern, well-equipped hospital will be an advantage and will make the region attractive to both residents and investors.

The Snovsk UTC, Chernihiv oblast, took over the raion hospital. To attract professionals, the community has adopted a program to support young doctors. Each young doctor can have a free apartment and a substantial monthly bonus. Two apartments have already been bought for the doctors. One of them was provided to an anesthesiologist, and the other to a pediatrician. In four years, the community has spent over UAH 30 million on the hospital. The contract amount with the NHSU for this facility was nearly UAH 22 million for 9 months of 2020.

The Skalat UTC, Ternopil oblast, took over the local hospital. In the facility, three departments were completely renovated, salary debts were completely paid off, equipment was purchased and utility costs were reduced through power-saving technologies. Now the hospital provides a wide range of paid services and these funds cover its own small needs. The cost of maintenance of the hospital with 120 employees does not exceed UAH 1 million per year, and the NHSU contract amount for this facility was over UAH 18 million for 9 months of 2020.

The Vesele UTC, Zaporizhzhia oblast. The community took over the raion hospital two years ago to influence the quality of services it provides. Local authorities restructured it, invested in renovations and equipment, and now spend UAH 500,000 annually on it, excluding the cost of renovations, many of which have already been made. The local hospital has a contract with the NHSU for UAH 14.8 million. RESULTS OF THE HEALTH FINANCING SYSTEM 7+TRANSFORMATION1+67+23+N IN 2020

206 828 687 ₴ 200 млн ₴ 191 294 146 ₴

160 959 583 ₴ 150 млн ₴

100 млн ₴

60 891 206 ₴ 50 млн ₴ 42 239 004 ₴ 29 465 383 ₴ 23 138 639 ₴ 19 564 756 ₴ 6 141 382 ₴ 0 млн ₴ квітень травень червень липень серпень вересень жовтень листопад грудень PROGRAM OF MEDICAL GUARANTEES Ukraine 44 Contracts concluded with health care providers

2 259 412 042 ₴ 2 055 077 593 ₴ 2 150 602 536 ₴ Rivne Chernihiv Sumy 2 082 592 852 ₴ oblast 6 524 507 035 ₴ oblast oblast Volyn Kyiv city oblast 2 442 112 538 ₴ Zhytomyr oblast 5 024 448 216 ₴ 2 585 227 512 ₴ 2 529 846 744 ₴ 4 998 494 879 ₴ Lviv Kyiv Ternopil Khmelnytskyi 2 744 351 997 ₴ oblast oblast oblast Kharkiv oblast Poltava oblast 1 284 618 323 ₴ 2 112 532 824 ₴ 2 500 325 593 ₴ oblast Luhansk oblast Ivano-Frankivsk Cherkasy oblast oblast 2 905 054 835 ₴ Zakarpattia Vinnytsia 6 481 250 883 ₴ oblast 2 774 903 209 ₴ oblast 1 976 966 527 ₴ Dnipropetrovsk oblast 2 194 212 308 ₴ Chernivtsi oblast Kirovohrad oblast 3 401 701 418 ₴ 1 771 895 409 ₴ Donetsk oblast 2 045 287 299 ₴ 3 331 353 143 ₴ Mykolaiv oblast Zaporizhzhia oblast Kherson 4 221 346 179 ₴ oblast Odesa 1 993 914 046 ₴ oblast

Autonomous Republic of Crimea

Payment amounts to health care providers

MUNICIPAL 73 766 052 108 ₴ Payment amounts by type of care PRIVATE, WITHOUT PE 401 190 665 ₴

PE 5 917 677 243 ₴ 224 793 165 ₴ 18 150 170 558 ₴ 50 324 188 138 ₴ TOTAL emergency 74 392 035 938 ₴ specialized primary Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. 8+2468N Ukraine 45 Contracts concluded with health care providers

Total number of PMG Number Number Number TOTAL NUMBER contracts, except of contracts of contracts of contracts OF PROVIDERS WITH COVID-19 (municipal) (private, without PE) (PE) CONTRACTS UNDER PMG 5 581 4 910 270 401 3 117

Payment amounts by type of care 5 917 677 243 ₴ 50 324 188 138 ₴ emergency specialized 18 150 170 558 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6824N PRIMARY CARE = 1000 1702 18 150 170 558 ₴ TRANSITIONAL FINANCING = 936 1593 7 019 647 835 ₴ GENERAL OUTPATIENT SERVICES = 841 1432 6 605 990 999 ₴ GENERAL INPATIENT SERVICES = 637 1085 22 943 208 504 ₴ PRIORITY OUTPATIENT SERVICES = 335 570 128 514 348 ₴ PRIORITY INPATIENT SERVICES = 316 538 4 155 484 556 ₴ PALLIATIVE CARE = 286 487 508 359 130 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 240 408 230 804 891 ₴ MENTAL HEALTH CARE = 207 353 1 731 077 679 ₴ MEDICAL REHABILITATION = 147 250 1 153 622 861 ₴ ONCOLOGY = 70 119 3 193 873 259 ₴ HEMODIALYSIS = 53 91 1 737 726 737 ₴ TUBERCULOSIS TREATMENT = 28 48 915 877 339 ₴ EMERGENCY CARE = 15 25 5 917 677 243 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 73 766 052 108 ₴ 401 190 665 ₴ 224 793 165 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Vinnytsia oblast 46 Contracts concluded with health care providers

Payment amounts by type of care 232 870 722 ₴ 1 881 293 887 ₴ emergency specialized 790 890 226 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6527N PRIMARY CARE = 740 74 790 890 226 ₴ TRANSITIONAL FINANCING = 630 63 234 629 601 ₴ GENERAL OUTPATIENT SERVICES = 550 55 220 985 113 ₴ GENERAL INPATIENT SERVICES = 470 47 962 010 132 ₴ PRIORITY INPATIENT SERVICES = 290 29 148 374 742 ₴ PRIORITY OUTPATIENT SERVICES = 280 28 3 817 601 ₴ PALLIATIVE CARE = 230 23 26 117 795 ₴ MENTAL HEALTH CARE = 180 18 56 251 546 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 150 15 4 396 979 ₴ MEDICAL REHABILITATION = 140 14 46 385 093 ₴ ONCOLOGY = 30 3 84 732 144 ₴ EMERGENCY CARE = 10 1 232 870 722 ₴ HEMODIALYSIS = 10 1 68 189 760 ₴ TUBERCULOSIS TREATMENT = 10 1 25 403 381 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 897 037 941 ₴ 1 334 076 ₴ 6 682 818 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Volyn oblast 47 Contracts concluded with health care providers

Payment amounts by type of care 153 856 300 ₴ 1 404 709 224 ₴ emergency specialized 524 027 327 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6725N TRANSITIONAL FINANCING = 420 42 162 147 845 ₴ PRIMARY CARE = 400 40 524 027 327 ₴ GENERAL OUTPATIENT SERVICES = 390 39 169 390 090 ₴ GENERAL INPATIENT SERVICES = 320 32 656 799 145 ₴ PALLIATIVE CARE = 200 20 9 970 404 ₴ PRIORITY INPATIENT SERVICES = 180 18 131 276 292 ₴ PRIORITY OUTPATIENT SERVICES = 130 13 3 887 491 ₴ MEDICAL REHABILITATION = 100 10 83 856 571 ₴ MENTAL HEALTH CARE = 90 9 58 443 143 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 80 8 1 938 565 ₴ ONCOLOGY = 50 5 56 942 008 ₴ HEMODIALYSIS = 30 3 45 904 968 ₴ EMERGENCY CARE = 10 1 153 856 300 ₴ TUBERCULOSIS TREATMENT = 10 1 24 152 703 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 079 577 232 ₴ 118 799 ₴ 2 896 821 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Dnipropetrovsk oblast 48 Contracts concluded with health care providers

Payment amounts by type of care 486 290 198 ₴ 4 517 645 468 ₴ emergency specialized 1 477 315 218 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +7022N TRANSITIONAL FINANCING = 680 136 644 590 252 ₴ GENERAL OUTPATIENT SERVICES = 625 125 452 928 053 ₴ PRIMARY CARE = 605 121 1 477 315 218 ₴ GENERAL INPATIENT SERVICES = 445 89 1 993 184 217 ₴ PRIORITY OUTPATIENT SERVICES = 245 49 13 317 860 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 205 41 39 785 826 ₴ PALLIATIVE CARE = 170 34 34 904 903 ₴ PRIORITY INPATIENT SERVICES = 155 31 360 288 184 ₴ MENTAL HEALTH CARE = 135 27 146 693 961 ₴ MEDICAL REHABILITATION = 115 23 108 646 611 ₴ ONCOLOGY = 35 7 534 474 636 ₴ HEMODIALYSIS = 30 6 87 981 838 ₴ TUBERCULOSIS TREATMENT = 15 3 100 849 127 ₴ EMERGENCY CARE = 5 1 486 290 198 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 6 410 109 015 ₴ 51 302 229 ₴ 19 839 640 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Donetsk oblast 49 Contracts concluded with health care providers

Payment amounts by type of care 362 626 081 ₴ 2 226 852 972 ₴ emergency specialized 812 222 365 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 11THAT RECEIVED PAYMENTS +6524N TRANSITIONAL FINANCING = 800 80 359 124 409 ₴ GENERAL OUTPATIENT SERVICES = 780 78 256 617 086 ₴ GENERAL INPATIENT SERVICES = 530 53 1 003 070 336 ₴ PRIMARY CARE = 420 42 812 222 365 ₴ PRIORITY OUTPATIENT SERVICES = 280 28 6 943 251 ₴ PRIORITY INPATIENT SERVICES = 230 23 170 488 284 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 230 23 19 586 153 ₴ PALLIATIVE CARE = 190 19 21 714 230 ₴ MENTAL HEALTH CARE = 140 14 39 265 666 ₴ MEDICAL REHABILITATION = 50 5 61 486 314 ₴ ONCOLOGY = 40 4 176 198 393 ₴ HEMODIALYSIS = 30 3 62 495 915 ₴ TUBERCULOSIS TREATMENT = 20 2 49 862 937 ₴ EMERGENCY CARE = 10 1 362 626 081 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 3 386 176 439 ₴ 13 984 972 ₴ 1 540 007 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Zhytomyr oblast 50 Contracts concluded with health care providers

Payment amounts by type of care 181 862 500 ₴ 1 654 428 682 ₴ emergency specialized 605 821 356 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 7THAT RECEIVED PAYMENTS +6825N PRIMARY CARE = 630 63 605 821 356 ₴ TRANSITIONAL FINANCING = 520 52 205 844 893 ₴ GENERAL OUTPATIENT SERVICES = 460 46 253 857 303 ₴ GENERAL INPATIENT SERVICES = 370 37 767 652 291 ₴ PRIORITY INPATIENT SERVICES = 200 20 131 863 472 ₴ PRIORITY OUTPATIENT SERVICES = 180 18 2 665 666 ₴ PALLIATIVE CARE = 150 15 9 821 098 ₴ MENTAL HEALTH CARE = 120 12 62 933 020 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 60 6 4 606 654 ₴ MEDICAL REHABILITATION = 60 6 30 229 206 ₴ ONCOLOGY = 50 5 120 171 334 ₴ EMERGENCY CARE = 10 1 181 862 500 ₴ HEMODIALYSIS = 10 1 43 565 680 ₴ TUBERCULOSIS TREATMENT = 10 1 21 218 065 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 429 448 148 ₴ 7 377 832 ₴ 5 286 558 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Zakarpattia oblast 51 Contracts concluded with health care providers

Payment amounts by type of care 186 766 073 ₴ 1 369 695 886 ₴ emergency specialized 637 750 349 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 9THAT RECEIVED PAYMENTS +6229N PRIMARY CARE = 590 59 637 750 349 ₴ TRANSITIONAL FINANCING = 470 47 177 295 472 ₴ GENERAL OUTPATIENT SERVICES = 390 39 190 278 926 ₴ GENERAL INPATIENT SERVICES = 360 36 612 935 407 ₴ PRIORITY INPATIENT SERVICES = 170 17 130 970 579 ₴ PALLIATIVE CARE = 130 13 11 744 203 ₴ MENTAL HEALTH CARE = 110 11 38 287 220 ₴ PRIORITY OUTPATIENT SERVICES = 110 11 1 975 491 ₴ MEDICAL REHABILITATION = 70 7 20 873 901 ₴ ONCOLOGY = 50 5 92 228 292 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 40 4 1 129 538 ₴ HEMODIALYSIS = 10 1 46 062 183 ₴ EMERGENCY CARE = 10 1 186 766 073 ₴ TUBERCULOSIS TREATMENT = 10 1 45 914 675 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 170 507 042 ₴ 8 445 733 ₴ 15 259 533 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Zaporizhzhia oblast 52 Contracts concluded with health care providers

Payment amounts by type of care 261 137 093 ₴ 2 273 496 033 ₴ emergency specialized 796 720 016 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6824N PRIMARY CARE = 750 75 796 720 016 ₴ TRANSITIONAL FINANCING = 660 66 285 939 723 ₴ GENERAL OUTPATIENT SERVICES = 600 60 295 836 102 ₴ GENERAL INPATIENT SERVICES = 520 52 975 940 361 ₴ PRIORITY OUTPATIENT SERVICES = 270 27 11 634 042 ₴ PALLIATIVE CARE = 240 24 16 206 474 ₴ PRIORITY INPATIENT SERVICES = 220 22 203 982 336 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 190 19 7 654 755 ₴ MEDICAL REHABILITATION = 140 14 52 476 223 ₴ HEMODIALYSIS = 100 10 110 291 254 ₴ ONCOLOGY = 100 10 181 780 825 ₴ MENTAL HEALTH CARE = 60 6 82 813 798 ₴ EMERGENCY CARE = 10 1 261 137 093 ₴ TUBERCULOSIS TREATMENT = 10 1 48 940 139 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 3 282 852 838 ₴ 42 211 780 ₴ 6 288 524 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Ivano-Frankivsk oblast 53 Contracts concluded with health care providers

Payment amounts by type of care 204 002 367 ₴ 1 853 659 744 ₴ emergency specialized 717 241 097 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 7THAT RECEIVED PAYMENTS +6726N PRIMARY CARE = 860 86 717 241 097 ₴ TRANSITIONAL FINANCING = 650 65 263 907 334 ₴ GENERAL OUTPATIENT SERVICES = 540 54 270 505 939 ₴ GENERAL INPATIENT SERVICES = 460 46 845 189 023 ₴ PRIORITY INPATIENT SERVICES = 270 27 135 252 606 ₴ PRIORITY OUTPATIENT SERVICES = 210 21 2 967 195 ₴ PALLIATIVE CARE = 160 16 13 709 814 ₴ MENTAL HEALTH CARE = 150 15 85 469 289 ₴ MEDICAL REHABILITATION = 140 14 25 417 183 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 130 13 1 569 052 ₴ HEMODIALYSIS = 90 9 105 720 646 ₴ TUBERCULOSIS TREATMENT = 60 6 33 550 567 ₴ ONCOLOGY = 40 4 70 401 097 ₴ EMERGENCY CARE = 10 1 204 002 367 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 757 503 964 ₴ 3 766 725 ₴ 13 632 519 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Kyiv oblast 54 Contracts concluded with health care providers

Payment amounts by type of care

1 675 076 351 ₴ specialized 910 151 162 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 0+65THAT RECEIVED PAYMENTS +35N PRIMARY CARE = 740 74 910 151 162 ₴ TRANSITIONAL FINANCING = 520 52 250 416 436 ₴ GENERAL OUTPATIENT SERVICES = 470 47 246 894 822 ₴ GENERAL INPATIENT SERVICES = 370 37 853 448 944 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 310 31 5 001 267 ₴ PRIORITY INPATIENT SERVICES = 250 25 116 776 869 ₴ PRIORITY OUTPATIENT SERVICES = 210 21 2 136 781 ₴ PALLIATIVE CARE = 130 13 9 740 626 ₴ MENTAL HEALTH CARE = 90 9 55 152 906 ₴ HEMODIALYSIS = 50 5 53 422 889 ₴ MEDICAL REHABILITATION = 50 5 34 004 048 ₴ TUBERCULOSIS TREATMENT = 30 3 18 892 305 ₴ ONCOLOGY = 20 2 29 188 460 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 547 373 955 ₴ 28 652 624 ₴ 9 200 933 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Kyiv city 55 Contracts concluded with health care providers

Payment amounts by type of care 735 316 370 ₴ 4 513 120 276 ₴ emergency specialized 1 276 070 389 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 11THAT RECEIVED PAYMENTS +6920N TRANSITIONAL FINANCING = 950 95 606 876 438 ₴ GENERAL OUTPATIENT SERVICES = 800 80 540 721 408 ₴ PRIMARY CARE = 780 78 1 276 070 389 ₴ GENERAL INPATIENT SERVICES = 500 50 1 737 311 778 ₴ PRIORITY OUTPATIENT SERVICES = 310 31 12 143 159 ₴ MEDICAL REHABILITATION = 260 26 179 990 515 ₴ PRIORITY INPATIENT SERVICES = 230 23 478 063 456 ₴ PALLIATIVE CARE = 210 21 43 363 415 ₴ MENTAL HEALTH CARE = 180 18 120 646 120 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 170 17 28 431 614 ₴ ONCOLOGY = 80 8 421 589 327 ₴ TUBERCULOSIS TREATMENT = 50 5 81 230 853 ₴ HEMODIALYSIS = 30 3 262 752 193 ₴ EMERGENCY CARE = 20 2 735 316 370 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 6 412 553 341 ₴ 97 929 437 ₴ 14 024 258 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Kirovohrad oblast 56 Contracts concluded with health care providers

Payment amounts by type of care 141 083 243 ₴ 1 419 086 728 ₴ emergency specialized 416 796 555 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 7THAT RECEIVED PAYMENTS +7221N TRANSITIONAL FINANCING = 530 53 182 488 519 ₴ GENERAL OUTPATIENT SERVICES = 510 51 175 715 150 ₴ PRIMARY CARE = 370 37 416 796 555 ₴ GENERAL INPATIENT SERVICES = 360 36 663 607 900 ₴ PRIORITY OUTPATIENT SERVICES = 200 20 2 686 364 ₴ PRIORITY INPATIENT SERVICES = 160 16 82 639 514 ₴ PALLIATIVE CARE = 150 15 8 849 684 ₴ MENTAL HEALTH CARE = 140 14 51 459 399 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 120 12 5 123 604 ₴ MEDICAL REHABILITATION = 90 9 93 290 682 ₴ HEMODIALYSIS = 50 5 52 966 396 ₴ ONCOLOGY = 40 4 80 034 882 ₴ TUBERCULOSIS TREATMENT = 20 2 20 224 635 ₴ EMERGENCY CARE = 10 1 141 083 243 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 1 953 363 074 ₴ 15 636 347 ₴ 7 967 106 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Luhansk oblast 57 Contracts concluded with health care providers

Payment amounts by type of care 142 903 415 ₴ 857 176 168 ₴ emergency specialized 284 538 739 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 11THAT RECEIVED PAYMENTS +6722N TRANSITIONAL FINANCING = 600 30 187 275 098 ₴ GENERAL OUTPATIENT SERVICES = 540 27 136 296 292 ₴ PRIMARY CARE = 500 25 284 538 739 ₴ GENERAL INPATIENT SERVICES = 420 21 339 987 098 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 260 13 4 226 641 ₴ PRIORITY OUTPATIENT SERVICES = 260 13 1 867 596 ₴ PALLIATIVE CARE = 220 11 8 458 297 ₴ PRIORITY INPATIENT SERVICES = 200 10 58 379 942 ₴ MENTAL HEALTH CARE = 140 7 43 517 936 ₴ MEDICAL REHABILITATION = 100 5 9 194 669 ₴ ONCOLOGY = 80 4 30 638 079 ₴ HEMODIALYSIS = 40 2 10 436 822 ₴ EMERGENCY CARE = 20 1 142 903 415 ₴ TUBERCULOSIS TREATMENT = 20 1 26 897 697 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 1 282 955 222 ₴ 445 894 ₴ 1 217 207 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Lviv oblast 58 Contracts concluded with health care providers

Payment amounts by type of care 375 343 429 ₴ 3 379 709 819 ₴ emergency specialized 1 269 394 968 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 7THAT RECEIVED PAYMENTS +6825N PRIMARY CARE = 980 140 1 269 394 968 ₴ TRANSITIONAL FINANCING = 693 99 526 726 519 ₴ GENERAL OUTPATIENT SERVICES = 658 94 425 594 462 ₴ GENERAL INPATIENT SERVICES = 483 69 1 571 422 133 ₴ PALLIATIVE CARE = 287 41 52 182 884 ₴ PRIORITY INPATIENT SERVICES = 252 36 263 974 672 ₴ PRIORITY OUTPATIENT SERVICES = 245 35 9 342 036 ₴ MENTAL HEALTH CARE = 182 26 150 851 076 ₴ MEDICAL REHABILITATION = 112 16 72 777 655 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 84 12 4 629 154 ₴ HEMODIALYSIS = 63 9 121 419 825 ₴ ONCOLOGY = 49 7 145 723 304 ₴ TUBERCULOSIS TREATMENT = 7 1 35 066 100 ₴ EMERGENCY CARE = 7 1 375 343 429 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 4 998 522 444 ₴ 7 393 303 ₴ 18 532 468 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Mykolaiv oblast 59 Contracts concluded with health care providers

Payment amounts by type of care 168 890 312 ₴ 1 379 981 100 ₴ emergency specialized 496 415 887 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6725N TRANSITIONAL FINANCING = 940 47 192 803 089 ₴ PRIMARY CARE = 880 44 496 415 887 ₴ GENERAL OUTPATIENT SERVICES = 820 41 196 225 179 ₴ GENERAL INPATIENT SERVICES = 700 35 648 669 742 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 560 28 12 597 087 ₴ PALLIATIVE CARE = 480 24 12 260 837 ₴ PRIORITY OUTPATIENT SERVICES = 360 18 2 568 833 ₴ MENTAL HEALTH CARE = 340 17 51 090 133 ₴ PRIORITY INPATIENT SERVICES = 300 15 106 649 472 ₴ HEMODIALYSIS = 80 4 45 925 803 ₴ ONCOLOGY = 60 3 68 483 781 ₴ MEDICAL REHABILITATION = 40 2 7 868 950 ₴ EMERGENCY CARE = 20 1 168 890 312 ₴ TUBERCULOSIS TREATMENT = 20 1 34 838 193 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 041 085 078 ₴ 109 871 ₴ 4 092 351 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Odesa oblast 60 Contracts concluded with health care providers

Payment amounts by type of care 359 164 420 ₴ 2 843 057 190 ₴ emergency specialized 1 019 124 568 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 9THAT RECEIVED PAYMENTS +6724N PRIMARY CARE = 670 134 1 019 124 568 ₴ TRANSITIONAL FINANCING = 430 86 393 116 826 ₴ GENERAL OUTPATIENT SERVICES = 385 77 361 103 212 ₴ GENERAL INPATIENT SERVICES = 270 54 1 207 760 581 ₴ PRIORITY INPATIENT SERVICES = 150 30 245 961 304 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 150 30 45 694 354 ₴ PRIORITY OUTPATIENT SERVICES = 145 29 3 629 160 ₴ MENTAL HEALTH CARE = 100 20 68 800 733 ₴ PALLIATIVE CARE = 100 20 19 017 340 ₴ MEDICAL REHABILITATION = 65 13 38 211 772 ₴ HEMODIALYSIS = 30 4 120 426 904 ₴ ONCOLOGY = 30 4 248 919 635 ₴ TUBERCULOSIS TREATMENT = 7 1 90 415 368 ₴ EMERGENCY CARE = 7 1 359 164 420 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 4 171 744 507 ₴ 20 613 981 ₴ 28 987 691 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Poltava oblast 61 Contracts concluded with health care providers

Payment amounts by type of care 211 221 863 ₴ 1 858 229 102 ₴ emergency specialized 674 901 032 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6725N PRIMARY CARE = 660 66 674 901 032 ₴ TRANSITIONAL FINANCING = 650 65 240 340 265 ₴ GENERAL OUTPATIENT SERVICES = 560 56 304 059 280 ₴ GENERAL INPATIENT SERVICES = 510 51 890 049 694 ₴ PRIORITY OUTPATIENT SERVICES = 220 22 3 690 373 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 220 22 5 473 682 ₴ PRIORITY INPATIENT SERVICES = 180 18 157 007 656 ₴ MENTAL HEALTH CARE = 160 16 44 030 392 ₴ PALLIATIVE CARE = 150 15 13 025 813 ₴ MEDICAL REHABILITATION = 90 9 33 446 772 ₴ ONCOLOGY = 60 6 96 636 087 ₴ EMERGENCY CARE = 10 1 211 221 863 ₴ HEMODIALYSIS = 10 1 32 465 902 ₴ TUBERCULOSIS TREATMENT = 10 1 38 003 186 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 724 122 083 ₴ 9 372 349 ₴ 10 857 565 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Rivne oblast 62 Contracts concluded with health care providers

Payment amounts by type of care 171 943 045 ₴ 1 509 758 156 ₴ emergency specialized 577 710 842 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6725N PRIMARY CARE = 710 71 577 710 842 ₴ TRANSITIONAL FINANCING = 570 57 220 889 958 ₴ GENERAL OUTPATIENT SERVICES = 470 47 208 867 214 ₴ GENERAL INPATIENT SERVICES = 350 35 725 328 755 ₴ PALLIATIVE CARE = 220 22 14 040 370 ₴ PRIORITY INPATIENT SERVICES = 200 20 129 960 613 ₴ PRIORITY OUTPATIENT SERVICES = 170 17 3 359 973 ₴ MENTAL HEALTH CARE = 120 12 54 966 901 ₴ MEDICAL REHABILITATION = 80 8 16 824 769 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 70 7 2 803 593 ₴ ONCOLOGY = 30 3 70 274 920 ₴ EMERGENCY CARE = 10 1 171 943 045 ₴ HEMODIALYSIS = 10 1 41 186 615 ₴ TUBERCULOSIS TREATMENT = 10 1 21 254 474 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 241 594 921 ₴ 8 204 562 ₴ 9 612 559 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Sumy oblast 63 Contracts concluded with health care providers

Payment amounts by type of care 161 890 688 ₴ 1 465 467 747 ₴ emergency specialized 523 244 101 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6824N PRIMARY CARE = 790 79 523 244 101 ₴ TRANSITIONAL FINANCING = 440 44 191 004 563 ₴ GENERAL OUTPATIENT SERVICES = 440 44 177 606 620 ₴ GENERAL INPATIENT SERVICES = 330 33 681 668 772 ₴ PRIORITY OUTPATIENT SERVICES = 170 17 5 367 191 ₴ PALLIATIVE CARE = 160 16 23 597 755 ₴ MENTAL HEALTH CARE = 150 15 71 682 518 ₴ PRIORITY INPATIENT SERVICES = 140 14 114 871 642 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 120 12 2 629 588 ₴ MEDICAL REHABILITATION = 110 11 24 600 564 ₴ HEMODIALYSIS = 70 7 58 266 256 ₴ ONCOLOGY = 30 3 86 244 275 ₴ TUBERCULOSIS TREATMENT = 10 1 27 928 003 ₴ EMERGENCY CARE = 10 1 161 890 688 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 120 858 782 ₴ 21 476 420 ₴ 8 267 334 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Ternopil oblast 64 Contracts concluded with health care providers

Payment amounts by type of care 155 276 286 ₴ 1 454 705 165 ₴ emergency specialized 502 551 372 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6725N TRANSITIONAL FINANCING = 540 54 180 277 556 ₴ PRIMARY CARE = 510 51 502 551 372 ₴ GENERAL OUTPATIENT SERVICES = 450 45 211 499 824 ₴ GENERAL INPATIENT SERVICES = 390 39 638 911 356 ₴ PRIORITY INPATIENT SERVICES = 210 21 97 068 458 ₴ PRIORITY OUTPATIENT SERVICES = 170 17 1 947 271 ₴ PALLIATIVE CARE = 110 11 9 572 302 ₴ MEDICAL REHABILITATION = 100 10 76 477 810 ₴ MENTAL HEALTH CARE = 60 6 57 144 175 ₴ HEMODIALYSIS = 50 5 63 331 240 ₴ ONCOLOGY = 50 5 104 023 193 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 40 4 972 032 ₴ EMERGENCY CARE = 10 1 155 276 286 ₴ TUBERCULOSIS TREATMENT = 10 1 13 479 949 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 104 218 861 ₴ 52 985 ₴ 8 260 978 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Kharkiv oblast 65 Contracts concluded with health care providers

Payment amounts by type of care 415 915 111 ₴ 3 338 086 233 ₴ emergency specialized 1 244 493 535 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6824N TRANSITIONAL FINANCING = 655 131 552 080 055 ₴ GENERAL OUTPATIENT SERVICES = 565 113 518 004 734 ₴ PRIMARY CARE = 505 101 1 244 493 535 ₴ GENERAL INPATIENT SERVICES = 320 64 1 494 748 488 ₴ PRIORITY OUTPATIENT SERVICES = 200 40 8 352 172 ₴ PRIORITY INPATIENT SERVICES = 130 26 307 908 734 ₴ PALLIATIVE CARE = 125 25 30 501 618 ₴ MENTAL HEALTH CARE = 80 16 148 933 716 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 60 12 7 438 748 ₴ MEDICAL REHABILITATION = 50 10 23 598 450 ₴ TUBERCULOSIS TREATMENT = 45 9 47 856 760 ₴ ONCOLOGY = 45 9 120 706 709 ₴ HEMODIALYSIS = 20 4 77 956 049 ₴ EMERGENCY CARE = 10 1 415 915 111 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 4 980 537 842 ₴ 7 853 460 ₴ 10 103 577 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Kherson oblast 66 Contracts concluded with health care providers

Payment amounts by type of care 155 966 129 ₴ 1 362 665 096 ₴ emergency specialized 475 282 821 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6725N PRIMARY CARE = 460 46 475 282 821 ₴ TRANSITIONAL FINANCING = 400 40 159 270 877 ₴ GENERAL OUTPATIENT SERVICES = 350 35 212 234 978 ₴ GENERAL INPATIENT SERVICES = 310 31 640 230 804 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 220 22 7 821 927 ₴ PALLIATIVE CARE = 180 18 31 371 665 ₴ PRIORITY OUTPATIENT SERVICES = 160 16 5 747 935 ₴ PRIORITY INPATIENT SERVICES = 150 15 119 034 912 ₴ MENTAL HEALTH CARE = 90 9 34 608 032 ₴ MEDICAL REHABILITATION = 50 5 16 182 469 ₴ ONCOLOGY = 40 4 63 754 233 ₴ EMERGENCY CARE = 10 1 155 966 129 ₴ HEMODIALYSIS = 10 1 32 768 968 ₴ TUBERCULOSIS TREATMENT = 10 1 39 638 294 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 1 981 969 360 ₴ 6 033 225 ₴ 5 911 462 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Khmelnytskyi oblast 67 Contracts concluded with health care providers

Payment amounts by type of care 188 351 853 ₴ 1 708 430 059 ₴ emergency specialized 633 064 831 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6824N PRIMARY CARE = 590 59 633 064 831 ₴ TRANSITIONAL FINANCING = 450 45 213 140 452 ₴ GENERAL OUTPATIENT SERVICES = 440 44 230 849 151 ₴ GENERAL INPATIENT SERVICES = 370 37 838 769 152 ₴ PRIORITY OUTPATIENT SERVICES = 280 28 3 619 299 ₴ PRIORITY INPATIENT SERVICES = 260 26 134 712 796 ₴ PALLIATIVE CARE = 240 24 14 816 699 ₴ MENTAL HEALTH CARE = 190 19 76 724 538 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 90 9 3 267 109 ₴ MEDICAL REHABILITATION = 70 7 12 901 070 ₴ ONCOLOGY = 70 7 100 988 604 ₴ HEMODIALYSIS = 20 2 66 144 067 ₴ EMERGENCY CARE = 10 1 188 351 853 ₴ TUBERCULOSIS TREATMENT = 10 1 12 497 122 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 507 540 736 ₴ 16 014 815 ₴ 6 291 192 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Cherkasy oblast 68 Contracts concluded with health care providers

Payment amounts by type of care 180 379 397 ₴ 1 749 827 817 ₴ emergency specialized 570 118 379 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 7THAT RECEIVED PAYMENTS +7023N TRANSITIONAL FINANCING = 560 56 248 920 768 ₴ GENERAL OUTPATIENT SERVICES = 490 49 202 393 477 ₴ PRIMARY CARE = 450 45 570 118 379 ₴ GENERAL INPATIENT SERVICES = 370 37 921 668 186 ₴ MENTAL HEALTH CARE = 260 26 51 175 620 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 260 26 6 268 709 ₴ PRIORITY INPATIENT SERVICES = 240 24 108 770 078 ₴ PRIORITY OUTPATIENT SERVICES = 220 22 6 451 672 ₴ PALLIATIVE CARE = 150 15 13 335 076 ₴ MEDICAL REHABILITATION = 80 8 36 390 978 ₴ EMERGENCY CARE = 10 1 180 379 397 ₴ HEMODIALYSIS = 10 1 65 357 339 ₴ TUBERCULOSIS TREATMENT = 10 1 15 371 179 ₴ ONCOLOGY = 10 1 73 724 735 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 495 206 247 ₴ 2 329 651 ₴ 2 789 695 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Chernivtsi oblast 69 Contracts concluded with health care providers

Payment amounts by type of care 134 357 275 ₴ 1 197 428 305 ₴ emergency specialized 440 109 829 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 8THAT RECEIVED PAYMENTS +6725N PRIMARY CARE = 460 46 440 109 829 ₴ TRANSITIONAL FINANCING = 420 42 157 677 642 ₴ GENERAL OUTPATIENT SERVICES = 400 40 171 432 221 ₴ GENERAL INPATIENT SERVICES = 260 26 544 179 603 ₴ PRIORITY INPATIENT SERVICES = 160 16 109 488 482 ₴ PALLIATIVE CARE = 150 15 42 032 054 ₴ PRIORITY OUTPATIENT SERVICES = 100 10 2 516 251 ₴ MEDICAL REHABILITATION = 60 6 41 884 792 ₴ MENTAL HEALTH CARE = 50 5 40 169 939 ₴ ONCOLOGY = 30 3 57 240 922 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 20 2 1 621 554 ₴ HEMODIALYSIS = 10 1 19 547 731 ₴ EMERGENCY CARE = 10 1 134 357 275 ₴ TUBERCULOSIS TREATMENT = 10 1 9 637 112 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 1 739 302 347 ₴ 29 919 109 ₴ 2 673 953 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. Chernihiv oblast 70 Contracts concluded with health care providers

Payment amounts by type of care 150 263 072 ₴ 1 430 600 928 ₴ emergency specialized 474 213 593 ₴ primary

NUMBER OF PROVIDERS TYPE OF CARE PAYMENT AMOUNTS 7THAT RECEIVED PAYMENTS +7023N PRIMARY CARE = 820 46 474 213 593 ₴ TRANSITIONAL FINANCING = 820 46 182 863 245 ₴ GENERAL OUTPATIENT SERVICES = 820 46 176 094 362 ₴ GENERAL INPATIENT SERVICES = 760 38 728 664 607 ₴ HEALTH CARE FOR PEOPLE LIVING WITH HIV = 400 20 6 136 705 ₴ PRIORITY OUTPATIENT SERVICES = 380 19 5 879 685 ₴ PALLIATIVE CARE = 340 17 18 003 770 ₴ PRIORITY INPATIENT SERVICES = 320 16 111 719 460 ₴ MEDICAL REHABILITATION = 140 7 6 605 795 ₴ MENTAL HEALTH CARE = 120 6 39 965 903 ₴ ONCOLOGY = 60 3 78 773 386 ₴ HEMODIALYSIS = 40 2 43 139 494 ₴ EMERGENCY CARE = 20 1 150 263 072 ₴ TUBERCULOSIS TREATMENT = 20 1 32 754 517 ₴

Payments to health care providers under the PMG

MUNICIPAL PRIVATE, WITHOUT PE PE 2 049 890 691 ₴ 610 488 ₴ 4 576 414 ₴

Note. Data on the amounts of payments are as of 2020, by the place of registration of a legal entity. PRIMARY AND SPECIALIZED HEALTH CARE Ukraine 72 Primary and specialized health care

Percentage of people who chose a PHC physician

85,9% 85,3% Volyn Rivne oblast oblast 84,6% Zhytomyr oblast 86,2% Lviv 89,4% oblast 86,0% Kyiv 83,0% Khmelnytskyi oblast Ternopil oblast oblast 82,9% 86,5% 83,1% Vinnytsia Ivano-Frankivsk oblast Zakarpattia oblast oblast 81,8% Chernivtsi oblast

73,9% Odesa oblast

MUNICIPAL PE 29 890 563 583 038

Note: Data on the number of declarations are as of 12.31.2020. Ukraine 73 Primary and specialized health care

83,6% 84,1% Sumy 73,3% Chernihiv oblast oblast Kyiv city

83,4% 80,7% Poltava Kharkiv 82,4% oblast oblast 23,2% Luhansk Cherkasy oblast oblast % 81,4% 77,2 Dnipropetrovsk oblast Kirovohrad 33,6% oblast Donetsk oblast 75,4% 80,6% Mykolaiv Zaporizhzhia oblast oblast 79,3% Kherson oblast

Autonomous Republic of Crimea

PRIVATE, WITHOUT PE PUBLIC TOTAL 518 619 492 30 992 712 Ukraine 74 Primary and specialized health care

The ratio of population to submitted declarations

MUNICIPAL PE

29 890 563 583 038 TOTAL

PRIVATE, WITHOUT PE PUBLIC 30 992 712 518 619 492

OBLAST CURRENT POPULATION DECLARATIONS SUBMITTED % OF DECLARATIONS SUBMITTED 87+86+81+34+85+83+81+83+89+77+23+86+73+75+74+83+85+84+83+81+79+86+82+82+84 Vinnytsia 1 545 416 1 336 042 86,5% Volyn 1 031 421 885 567 85,9% Dnipropetrovsk 3 176 648 2 586 055 81,4% Donetsk 4 131 808 1 389 352 33,6% Zhytomyr 1 208 212 1 022 305 84,6% Zakarpattia 1 253 791 1 041 424 83,1% Zaporizhzhia 1 687 401 1 360 472 80,6% Ivano-Frankivsk 1 368 097 1 134 357 82,9% Kyiv 1 781 044 1 592 612 89,4% Kirovohrad 933 109 719 976 77,2% Luhansk 2 135 913 495 652 23,2% Lviv 2 512 084 2 166 254 86,2% Kyiv city 2 967 360 2 175 364 73,3% Mykolaiv 1 119 862 844 514 75,4% Odesa 2 377 230 1 756 280 73,9% Poltava 1 386 978 1 156 895 83,4% Rivne 1 152 961 983 223 85,3% Sumy 1 068 247 898 269 84,1% Ternopil 1 038 695 862 253 83,0% Kharkiv 2 658 461 2 144 459 80,7% Kherson 1 027 913 814 850 79,3% Khmelnytskyi 1 254 702 1 078 552 86,0% Cherkasy 1 192 137 982 145 82,4% Chernivtsi 901 632 737 533 81,8% Chernihiv 991 294 828 307 83,6% TOTAL 41 902 416 30 992 712 74,0%

Note: Data on the number of declarations are as of 12.31.2020. The current population is based on the State Statistics Service data as of 01.01.2020, including temporarily occupied territories of Donetsk and Luhansk oblasts. Ukraine 75 Primary and specialized health care

Breakdown of declarations by gender

FEMALE MALE TOTAL 17 158 231 13 834 481 30 992 712

Dnipropetrovsk 1 451 601 1 134 454 Kyiv city 1 233 383 941 981 Lviv 1 170 561 995 693 Kharkiv 1 211 164 933 295 Odesa 981 942 774 338 Kyiv 879 618 712 994 Donetsk 780 414 608 938 Zaporizhzhia 762 077 598 395 Vinnytsia 735 753 600 289 Poltava 642 473 514 422 Ivano-Frankivsk 611 374 522 983 Khmelnytskyi 593 447 485 105 Zakarpattia 560 000 481 424 Zhytomyr 563 571 458 734 Rivne 529 585 453 638 Cherkasy 543 232 438 913 Sumy 497 265 401 004 Volyn 477 901 407 666 Ternopil 465 125 397 128 Mykolaiv 472 450 372 064 Chernihiv 463 892 364 415 Kherson 453 037 361 813 Chernivtsi 398 486 339 047 Sex Kirovohrad 401 877 318 099 Female Luhansk 278 003 217 649 Male Ukraine 76 Primary and specialized health care

Declarations submitted to PHC doctors

BREAKDOWN OF Population CURRENT POPULATION DECLARATIONS BY SERVICE with declarations PROVIDER OWNERSHIP 41 902 416 74,0%

MUNICIPAL NUMBER OF DECLARATIONS SUBMITTED 29 890 563 74+26N 30 992 712

PRIVATE, WITHOUT PE Number of Number of Doctor specialty % of OPS 518 619 doctors doctors with OPS Pediatrician 4 670 1 952 41,8% Family doctor 15 495 6 734 43,5% PE GP 3 324 937 28,2% 583 038 TOTAL 23 489 9 623 41,0%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

34,3% 74,5% – 25,8% family doctor 55,4% – female 18,2% 10,8% – 15,5% 44,6% – male pediatrician 6,2% 14,7% – GP 55+45N60–515+ 6–1726+ 18–3934+ 40–6418+ 65+ 74+1511N

Note: Data on the number of declarations are as of 12.31.2020. Ukraine 77 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 772 514 931 230 141 284 790

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 570 230 141 128 555 051 ₴ Bronchoscopy 113 8 399 8 843 237 ₴ Hysteroscopy 150 4 857 10 827 901 ₴ Esophagogastroduodenoscopy 430 74 424 58 146 919 ₴ Colonoscopy 285 21 635 22 060 675 ₴ Mammography 194 114 515 23 374 802 ₴ Cystoscopy 149 6 311 5 301 517 ₴ INPATIENT SERVICES 535 284 790 4 112 036 550 ₴ Health care for newborns 121 27 220 848 262 451 ₴ in complex neonatal cases Health care during acute myocardial infarction 64 14 930 380 601 846 ₴ Health care during acute cerebral stroke 189 54 826 1 355 111 915 ₴ in hospital Health care during childbirth 397 187 814 1 528 060 338 ₴

TOTAL 772 514 931 4 240 591 601 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 128 555 051 ₴

230 141 INPATIENT 4 112 036 550 ₴ 284 790 outpatient TOTAL services inpatient 4 240 591 601 ₴ 45+55E services Vinnytsia oblast 78 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 1 314 380 1 545 416 86,5%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 4 246 86+14N 1 336 042

PE Number of Number of Doctor specialty % of OPS 17 416 doctors doctors with OPS Pediatrician 46 12 26,1% Family doctor 842 312 37,1% TOTAL GP 44 5 11,4% 1 336 042 TOTAL 932 329 35,3%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

34,5% 93,5% – 25,8% family doctor 55,1% – female 18,9% 2,2% – 14,9% 44,9% – male pediatrician 5,9% 4,3% – GP 55+45N60–515+ 6–1726+ 18–3934+ 40–6419+ 65+ 94+42N

Note: Data on the number of declarations are as of 12.31.2020. Vinnytsia oblast 79 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 37 17 003 6 172 10 831

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 28 6 172 3 814 886 ₴ Bronchoscopy 5 455 448 923 ₴ Hysteroscopy 7 65 133 956 ₴ Esophagogastroduodenoscopy 23 2 457 1 895 611 ₴ Colonoscopy 11 782 762 593 ₴ Mammography 2 2 280 465 394 ₴ Cystoscopy 9 133 108 410 ₴ INPATIENT SERVICES 29 10 831 147 629 957 ₴ Health care for newborns 3 712 23 138 561 ₴ in complex neonatal cases Health care during acute myocardial infarction 2 530 13 234 672 ₴ Health care during acute cerebral stroke 6 2 014 49 626 297 ₴ in hospital Health care during childbirth 24 7 575 61 630 427 ₴

TOTAL 37 17 003 151 444 843 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 3 814 886 ₴

6 172 INPATIENT 147 629 957 ₴ 10 831 outpatient TOTAL services inpatient 151 444 843 ₴ 36+64E services Volyn oblast 80 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 878 699 1 031 421 85,9%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 369 86+14N 885 567

PE Number of Number of Doctor specialty % of OPS 6 499 doctors doctors with OPS Pediatrician 127 73 57,5% Family doctor 464 247 53,2% TOTAL GP 41 7 17,1% 885 567 TOTAL 632 327 51,7%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

32,3% 82,6% – 27,8% family doctor

54,0% – female 18,4% 11,3% – 46,0% – male 14,1% pediatrician 7,3% 6,1% – GP 54+46N70–518+ 6–1728+ 18–3932+ 40–6414+ 65+ 83+611N

Note: Data on the number of declarations are as of 12.31.2020. Volyn oblast 81 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 22 15 633 5 643 9 990

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 13 5 643 3 887 491 ₴ Bronchoscopy 4 43 47 082 ₴ Hysteroscopy 5 419 957 051 ₴ Esophagogastroduodenoscopy 11 2 391 1 841 683 ₴ Colonoscopy 10 534 547 992 ₴ Mammography 4 2 201 449 268 ₴ Cystoscopy 4 55 44 415 ₴ INPATIENT SERVICES 18 9 990 130 871 431 ₴ Health care for newborns 4 690 21 477 940 ₴ in complex neonatal cases Health care during acute myocardial infarction 3 417 10 749 395 ₴ Health care during acute cerebral stroke 6 1 593 39 332 437 ₴ in hospital Health care during childbirth 15 7 290 59 311 659 ₴

TOTAL 22 15 633 134 758 921 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 3 887 491 ₴

5 643 INPATIENT 130 871 431 ₴ 9 990 outpatient TOTAL services inpatient 134 758 921 ₴ 36+64E services Dnipropetrovsk oblast 82 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 2 443 708 3 176 648 81,4%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 68 607 81+19N 2 586 055

PE Number of Number of Doctor specialty % of OPS 73 740 doctors doctors with OPS Pediatrician 206 92 44,7% Family doctor 1 402 693 49,4% TOTAL GP 179 64 35,8% 2 586 055 TOTAL 1 787 849 47,5%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

34,9% 84,8% – 25,6% family doctor 56,1% – female 18,8% 5,4% – 15,0% 43,9% – male pediatrician 5,7% 9,7% – GP 56+44N60–515+ 6–1726+ 18–3935+ 40–6419+ 65+ 85+105N

Note: Data on the number of declarations are as of 12.31.2020. Dnipropetrovsk oblast 83 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 58 43 806 20 475 23 331

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 49 20 475 13 405 017 ₴ Bronchoscopy 11 1 751 1 707 149 ₴ Hysteroscopy 14 716 1 670 170 ₴ Esophagogastroduodenoscopy 36 7 256 5 658 612 ₴ Colonoscopy 27 2 144 2 105 036 ₴ Mammography 21 7 786 1 589 278 ₴ Cystoscopy 16 822 674 772 ₴ INPATIENT SERVICES 31 23 331 358 440 052 ₴ Health care for newborns 7 2 387 75 529 024 ₴ in complex neonatal cases Health care during acute myocardial infarction 6 1 886 48 079 934 ₴ Health care during acute cerebral stroke 11 4 742 118 355 688 ₴ in hospital Health care during childbirth 18 14 316 116 475 405 ₴

TOTAL 58 43 806 371 845 068 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 13 405 017 ₴

20 475 INPATIENT 358 440 052 ₴ 23 331 outpatient TOTAL services inpatient 371 845 068 ₴ 47+53E services Donetsk oblast 84 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 1 377 897 4 131 808 33,6%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 8 112 34+66N 1 389 352

PE Number of Number of Doctor specialty % of OPS 3 343 doctors doctors with OPS Pediatrician 176 97 55,1% Family doctor 546 350 64,1% TOTAL GP 211 87 41,2% 1 389 352 TOTAL 933 534 57,2%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

36,3% 66,2% – family doctor 22,9% 21,7% 56,2% – female 10,3% – 13,9% 43,8% – male pediatrician 5,2% 23,5% – GP 56+44N50–514+ 6–1723+ 18–3936+ 40–6422+ 65+ 66+2410N

Note: Data on the number of declarations are as of 12.31.2020. Donetsk oblast 85 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 34 21 685 10 827 10 858

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 28 10 827 6 941 284 ₴ Bronchoscopy 8 256 261 904 ₴ Hysteroscopy 11 477 1 064 176 ₴ Esophagogastroduodenoscopy 20 3 436 2 652 213 ₴ Colonoscopy 15 1 484 1 567 284 ₴ Mammography 15 4 613 941 606 ₴ Cystoscopy 8 561 454 101 ₴ INPATIENT SERVICES 23 10 858 167 394 701 ₴ Health care for newborns 6 791 24 692 368 ₴ in complex neonatal cases Health care during acute myocardial infarction 4 604 14 644 483 ₴ Health care during acute cerebral stroke 12 3 109 76 361 515 ₴ in hospital Health care during childbirth 16 6 354 51 696 335 ₴

TOTAL 34 21 685 174 335 984 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 6 941 284 ₴

10 827 INPATIENT 167 394 701 ₴ 10 858 outpatient TOTAL services inpatient 174 335 984 ₴ 50+50E services Zhytomyr oblast 86 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 996 377 1 208 212 84,6%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 17 886 85+15N 1 022 305

PE Number of Number of Doctor specialty % of OPS 8 042 doctors doctors with OPS Pediatrician 209 74 35,4% Family doctor 551 189 34,3% TOTAL GP 46 7 15,2% 1 022 305 TOTAL 806 270 33,5%

Breakdown of declarations

ЗBY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

34,6% 79,3% – 25,2% family doctor

17,9% 14,8% – 55,1% – female 16,1% 44,9% – male pediatrician 6,3% 5,9% – GP 55+45N60–516+ 6–1725+ 18–3934+ 40–6418+ 65+ 79+615N

Note: Data on the number of declarations are as of 12.31.2020. Zhytomyr oblast 87 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 24 12 325 3 239 9 086

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 18 3 239 2 664 863 ₴ Bronchoscopy 5 14 13 563 ₴ Hysteroscopy 5 55 124 619 ₴ Esophagogastroduodenoscopy 15 1 931 1 488 247 ₴ Colonoscopy 14 815 838 012 ₴ Mammography 1 244 49 805 ₴ Cystoscopy 8 180 150 618 ₴ INPATIENT SERVICES 20 9 086 130 337 403 ₴ Health care for newborns 5 1 446 40 838 025 ₴ in complex neonatal cases Health care during acute myocardial infarction 1 238 6 460 376 ₴ Health care during acute cerebral stroke 6 1 355 33 840 429 ₴ in hospital Health care during childbirth 15 6 047 49 198 573 ₴

TOTAL 24 12 325 133 002 266 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 2 664 863 ₴

3 239 INPATIENT 130 337 403 ₴ 9 086 outpatient TOTAL services inpatient 133 002 266 ₴ 26+74E services Zakarpattia oblast 88 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 996 405 1 253 791 83,1%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 15 846 83+17N 1 041 424

PE Number of Number of Doctor specialty % of OPS 29 173 doctors doctors with OPS Pediatrician 52 13 25,0% Family doctor 713 205 28,8% TOTAL GP 40 9 22,5% 1 041 424 TOTAL 805 227 28,2%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

31,5% 93,5% – 28,7% family doctor

53,8% – female 18,4% 2,3% – 46,2% – male 13,8% pediatrician 7,7% 4,2% – GP 54+46N80–518+ 6–1728+ 18–3932+ 40–6414+ 65+ 94+42N

Note: Data on the number of declarations are as of 12.31.2020. Zakarpattia oblast 89 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 20 13 566 3 309 10 257

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 11 3 309 1 975 491 ₴ Bronchoscopy 5 177 212 837 ₴ Hysteroscopy 2 40 84 816 ₴ Esophagogastroduodenoscopy 9 1 285 984 382 ₴ Colonoscopy 5 391 404 422 ₴ Mammography 5 1 416 289 034 ₴ INPATIENT SERVICES 16 10 257 129 446 219 ₴ Health care for newborns 5 728 24 207 979 ₴ in complex neonatal cases Health care during acute myocardial infarction 2 370 9 475 385 ₴ Health care during acute cerebral stroke 6 1 265 31 537 034 ₴ in hospital Health care during childbirth 12 7 894 64 225 821 ₴

TOTAL 20 13 566 131 421 710 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 1 975 491 ₴

3 309 INPATIENT 129 446 219 ₴ 10 257 outpatient TOTAL services inpatient 131 421 710 ₴ 24+76E services Zaporizhzhia oblast 90 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 1 289 172 1 687 401 80,6%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 55 016 81+19N 1 360 472

PE Number of Number of Doctor specialty % of OPS 16 284 doctors doctors with OPS Pediatrician 230 98 42,6% Family doctor 747 268 35,9% TOTAL GP 120 28 23,3% 1 360 472 TOTAL 1 097 394 35,9%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

35,7% 77,0% –

23,8% family doctor 56,0% – female 20,2% 11,7% – 14,7% 44,0% – male pediatrician 5,5% 11,3% – GP 56+44N60–515+ 6–1724+ 18–3936+ 40–6420+ 65+ 77+1112N

Note: Data on the number of declarations are as of 12.31.2020. Zaporizhzhia oblast 91 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 34 31 957 19 206 12 751

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 27 19 206 11 634 040 ₴ Bronchoscopy 7 1 435 1 545 804 ₴ Hysteroscopy 11 761 1 669 188 ₴ Esophagogastroduodenoscopy 20 4 349 3 441 195 ₴ Colonoscopy 16 2 448 2 576 994 ₴ Mammography 8 9 739 1 987 925 ₴ Cystoscopy 8 474 412 935 ₴ INPATIENT SERVICES 22 12 751 202 536 119 ₴ Health care for newborns 7 1 352 42 442 761 ₴ in complex neonatal cases Health care during acute myocardial infarction 3 766 18 830 757 ₴ Health care during acute cerebral stroke 7 3 311 81 690 589 ₴ in hospital Health care during childbirth 14 7 322 59 572 012 ₴

TOTAL 34 31 957 214 170 159 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 11 634 040 ₴

19 206 INPATIENT 202 536 119 ₴ 12 751 outpatient TOTAL services inpatient 214 170 159 ₴ 60+40E services Ivano-Frankivsk oblast 92 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 1 096 764 1 368 097 82,9%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 13 385 83+17N 1 134 357

PE Number of Number of Doctor specialty % of OPS 24 208 doctors doctors with OPS Pediatrician 231 50 21,6% Family doctor 550 154 28,0% TOTAL GP 277 41 14,8% 1 134 357 TOTAL 1 058 245 23,2%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

32,6% 27,8% 59,2% – family doctor

53,9% – female 16,7% 11,9% – 16,0% 46,1% – male pediatrician 6,9% 28,9% – GP 54+46N70–517+ 6–1729+ 18–3933+ 40–6416+ 65+ 83+611N

Note: Data on the number of declarations are as of 12.31.2020. Ivano-Frankivsk oblast 93 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 32 14 711 4 183 10 528

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 21 4 183 2 967 195 ₴ Bronchoscopy 3 279 299 105 ₴ Hysteroscopy 3 41 102 604 ₴ Esophagogastroduodenoscopy 16 2 111 1 622 898 ₴ Colonoscopy 11 599 608 026 ₴ Mammography 3 990 202 079 ₴ Cystoscopy 5 163 132 483 ₴ INPATIENT SERVICES 27 10 528 133 638 542 ₴ Health care for newborns 5 521 17 503 792 ₴ in complex neonatal cases Health care during acute myocardial infarction 3 458 11 165 642 ₴ Health care during acute cerebral stroke 14 1 693 41 052 457 ₴ in hospital Health care during childbirth 22 7 856 63 916 652 ₴

TOTAL 32 14 711 136 605 737 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 2 967 195 ₴

4 183 INPATIENT 133 638 542 ₴ 10 528 outpatient TOTAL services inpatient 136 605 737 ₴ 28+72E services Kyiv oblast 94 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 1 489 510 1 781 044 89,4%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 61 548 89+11N 1 592 612

PE Number of Number of Doctor specialty % of OPS 41 554 doctors doctors with OPS Pediatrician 248 115 46,4% Family doctor 742 387 52,2% TOTAL GP 146 64 43,8% 1 592 612 TOTAL 1 136 566 49,8%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

33,8% 73,4% – 26,6% family doctor 11,7% – 55,2% – female 15,9% 16,5% 44,8% – male pediatrician 7,2% 14,9% – GP 55+45N70–516+ 6–1727+ 18–3934+ 40–6417+ 65+ 73+1512N

Note: Data on the number of declarations are as of 12.31.2020. Kyiv oblast 95 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 31 12 038 3 946 8 092

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 21 3 946 2 136 781 ₴ Bronchoscopy 2 13 12 594 ₴ Hysteroscopy 3 51 107 813 ₴ Esophagogastroduodenoscopy 18 1 849 1 417 867 ₴ Colonoscopy 10 223 214 128 ₴ Mammography 7 1 786 364 558 ₴ Cystoscopy 4 24 19 820 ₴ INPATIENT SERVICES 25 8 092 113 112 272 ₴ Health care for newborns 5 605 19 260 483 ₴ in complex neonatal cases Health care during acute myocardial infarction 1 75 1 665 624 ₴ Health care during acute cerebral stroke 6 1 943 47 690 216 ₴ in hospital Health care during childbirth 21 5 469 44 495 948 ₴

TOTAL 31 12 038 115 249 052 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 2 136 781 ₴

3 946 INPATIENT 113 112 272 ₴ 8 092 outpatient TOTAL services inpatient 115 249 052 ₴ 33+67E services Kyiv city 96 Primary and specialized health care

Declarations submitted to PHC doctors

PUBLIC

Population CURRENT POPULATION 430 with declarations 2 967 360 MUNICIPAL 73,3%

NUMBER OF DECLARATIONS 2 108 416 SUBMITTED PRIVATE, WITHOUT PE 73+27N 2 175 364 41 491

Number of Number of PE Doctor specialty % of OPS doctors doctors with OPS 25 027 Pediatrician 567 246 43,4% Family doctor 940 538 57,2% TOTAL GP 272 77 28,3% 2 175 364 TOTAL 1 779 861 48,4%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

32,3% 65,5% – 28,2% family doctor

56,7% – female 17,0% 18,6% – 15,4% 43,3% – male pediatrician 7,1% 15,9% – GP 57+43N70–515+ 6–1728+ 18–3932+ 40–6417+ 65+ 65+1619N

Note: Data on the number of declarations are as of 12.31.2020. Kyiv city 97 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 42 60 474 28 332 32 142

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 31 28 332 12 143 158 ₴ Bronchoscopy 7 246 275 952 ₴ Hysteroscopy 9 274 640 392 ₴ Esophagogastroduodenoscopy 17 6 376 4 980 934 ₴ Colonoscopy 15 1 589 1 624 108 ₴ Mammography 18 18 906 3 859 093 ₴ Cystoscopy 9 941 762 679 ₴ INPATIENT SERVICES 22 32 142 467 766 696 ₴ Health care for newborns 11 4 823 140 744 970 ₴ in complex neonatal cases Health care during acute myocardial infarction 3 1 265 31 512 958 ₴ Health care during acute cerebral stroke 11 5 028 124 440 601 ₴ in hospital Health care during childbirth 9 21 026 171 068 167 ₴

TOTAL 42 60 474 479 909 854 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 12 143 158 ₴

28 332 INPATIENT 467 766 696 ₴ 32 142 outpatient TOTAL services inpatient 479 909 854 ₴ 47+53E services Kirovohrad oblast 98 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 689 622 933 109 77,2%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 3 253 77+23N 719 976

PE Number of Number of Doctor specialty % of OPS 27 101 doctors doctors with OPS Pediatrician 134 70 52,2% Family doctor 278 175 62,9% TOTAL GP 95 32 33,7% 719 976 TOTAL 507 277 54,6%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

35,4% 64,3% –

23,4% family doctor 19,7% 15,6% – 55,8% – female 15,7% 44,2% – male pediatrician 5,8% 20,1% – GP 56+44N60–516+ 6–1723+ 18–3935+ 40–6420+ 65+ 64+2016N

Note: Data on the number of declarations are as of 12.31.2020. Kirovohrad oblast 99 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 25 11 497 6 041 5 456

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 20 6 041 2 685 420 ₴ Bronchoscopy 4 287 300 413 ₴ Hysteroscopy 1 4 9 926 ₴ Esophagogastroduodenoscopy 13 1 555 1 219 806 ₴ Colonoscopy 5 273 281 477 ₴ Mammography 9 3 801 775 860 ₴ Cystoscopy 2 121 97 938 ₴ INPATIENT SERVICES 16 5 456 81 992 274 ₴ Health care for newborns 4 348 11 179 463 ₴ in complex neonatal cases Health care during acute myocardial infarction 2 409 10 903 515 ₴ Health care during acute cerebral stroke 6 1 269 32 002 712 ₴ in hospital Health care during childbirth 13 3 430 27 906 583 ₴

TOTAL 25 11 497 84 677 693 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 2 685 420 ₴

6 041 INPATIENT 81 992 274 ₴ 5 456 outpatient TOTAL services inpatient 84 677 693 ₴ 53+47E services Luhansk oblast 100 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 492 045 2 135 913 23,2%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 1 065 23+77N 495 652

PE Number of Number of Doctor specialty % of OPS 2 542 doctors doctors with OPS Pediatrician 71 28 39,4% Family doctor 162 88 54,3% TOTAL GP 107 50 46,7% 495 652 TOTAL 340 166 48,8%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

37,6% 53,9% – family doctor 21,5% 22,8% 56,1% – female 10,3% – 43,9% – male 13,2% pediatrician 5,0% 35,7% – GP 56+44N50–513+ 6–1722+ 18–3938+ 40–6423+ 65+ 54+3610N

Note: Data on the number of declarations are as of 12.31.2020. Luhansk oblast 101 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 16 7 136 3 487 3 649

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 13 3 487 1 868 404 ₴ Bronchoscopy 3 89 96 731 ₴ Hysteroscopy 4 141 324 619 ₴ Esophagogastroduodenoscopy 11 940 736 815 ₴ Colonoscopy 7 251 255 094 ₴ Mammography 5 2 012 410 689 ₴ Cystoscopy 4 54 44 455 ₴ INPATIENT SERVICES 10 3 649 57 843 200 ₴ Health care for newborns 3 319 9 553 566 ₴ in complex neonatal cases Health care during acute myocardial infarction 2 249 6 438 899 ₴ Health care during acute cerebral stroke 5 1 025 25 123 057 ₴ in hospital Health care during childbirth 8 2 056 16 727 678 ₴

TOTAL 16 7 136 59 711 604 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 1 868 404 ₴

3 487 INPATIENT 57 843 200 ₴ 3 649 outpatient TOTAL services inpatient 59 711 604 ₴ 49+51E services Lviv oblast 102 Primary and specialized health care

Declarations submitted to PHC doctors

PUBLIC

Population CURRENT POPULATION 62 with declarations 2 512 084 MUNICIPAL 86,2%

NUMBER OF DECLARATIONS 2 111 324 SUBMITTED PRIVATE, WITHOUT PE 86+14N 2 166 254 20 217

Number of Number of PE Doctor specialty % of OPS doctors doctors with OPS 34 651 Pediatrician 305 85 27,9% Family doctor 1 244 409 32,9% TOTAL GP 252 32 12,7% 2 166 254 TOTAL 1 801 526 29,2%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

33,0% 28,6% 79,5% – family doctor 8,3% – 54,0% – female 15,6% 16,1% 46,0% – male pediatrician 6,6% 12,2% – GP 54+46N70–516+ 6–1729+ 18–3933+ 40–6416+ 65+ 80+128N

Note: Data on the number of declarations are as of 12.31.2020. Lviv oblast 103 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 51 36 414 17 504 18 910

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 35 17 504 9 341 233 ₴ Bronchoscopy 8 502 513 104 ₴ Hysteroscopy 6 171 358 820 ₴ Esophagogastroduodenoscopy 30 5 991 4 584 288 ₴ Colonoscopy 20 1 876 1 835 216 ₴ Mammography 10 8 622 1 759 923 ₴ Cystoscopy 14 342 289 881 ₴ INPATIENT SERVICES 35 18 910 261 413 350 ₴ Health care for newborns 7 1 698 58 568 830 ₴ in complex neonatal cases Health care during acute myocardial infarction 4 1 089 28 739 026 ₴ Health care during acute cerebral stroke 8 2 612 64 179 592 ₴ in hospital Health care during childbirth 27 13 511 109 925 901 ₴

TOTAL 51 36 414 270 754 582 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 9 341 233 ₴

17 504 INPATIENT 261 413 350 ₴ 18 910 outpatient TOTAL services inpatient 270 754 582 ₴ 48+52E services Mykolaiv oblast 104 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 829 561 1 119 862 75,4%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 385 86+14N 844 514

PE Number of Number of Doctor specialty % of OPS 14 568 doctors doctors with OPS Pediatrician 110 41 37,3% Family doctor 401 234 58,4% TOTAL GP 77 21 27,3% 844 514 TOTAL 588 296 50,3%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

34,6% 78,3% – 24,5% family doctor 18,8% 9,0% – 55,9% – female 15,9% 44,1% – male pediatrician 6,2% 12,7% – GP 56+44N60–516+ 6–1725+ 18–3935+ 40–6419+ 65+ 78+139N

Note: Data on the number of declarations are as of 12.31.2020. Mykolaiv oblast 105 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 22 11 117 3 713 7 404

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 18 3 713 2 568 833 ₴ Bronchoscopy 4 189 193 946 ₴ Hysteroscopy 6 149 345 847 ₴ Esophagogastroduodenoscopy 12 1 786 1 371 434 ₴ Colonoscopy 8 378 373 320 ₴ Mammography 3 1 149 234 534 ₴ Cystoscopy 1 62 49 751 ₴ INPATIENT SERVICES 15 7 404 104 815 402 ₴ Health care for newborns 3 559 19 074 694 ₴ in complex neonatal cases Health care during acute myocardial infarction 2 235 6 313 625 ₴ Health care during acute cerebral stroke 7 1 578 38 486 580 ₴ in hospital Health care during childbirth 11 5 032 40 940 503 ₴

TOTAL 22 11 117 107 384 235 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 2 568 833 ₴

3 713 INPATIENT 104 815 402 ₴ 7 404 outpatient TOTAL services inpatient 107 384 235 ₴ 33+67E services Odesa oblast 106 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 1 625 316 2 377 230 73,9%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 48 023 74+26N 1 756 280

PE Number of Number of Doctor specialty % of OPS 82 941 doctors doctors with OPS Pediatrician 306 162 52,9% Family doctor 1 009 370 36,7% TOTAL GP 74 10 13,5% 1 756 280 TOTAL 1 389 542 39,0%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

32,2% 82,6% – 25,4% family doctor

55,9% – female 17,7% 17,1% 13,6% – 44,1% – male pediatrician 7,5% 3,8% – GP 56+44N70–518+ 6–1725+ 18–3932+ 40–6417+ 65+ 83+413N

Note: Data on the number of declarations are as of 12.31.2020. Odesa oblast 107 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 43 22 859 4 983 17 876

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 29 4 983 3 613 679 ₴ Bronchoscopy 4 122 128 700 ₴ Hysteroscopy 13 177 431 842 ₴ Esophagogastroduodenoscopy 23 2 233 1 845 767 ₴ Colonoscopy 10 643 696 140 ₴ Mammography 10 1 576 321 693 ₴ Cystoscopy 6 232 189 536 ₴ INPATIENT SERVICES 30 17 876 244 371 990 ₴ Health care for newborns 8 1 409 50 015 234 ₴ in complex neonatal cases Health care during acute myocardial infarction 3 803 20 607 762 ₴ Health care during acute cerebral stroke 9 2 777 68 899 975 ₴ in hospital Health care during childbirth 23 12 887 104 849 019 ₴

TOTAL 43 22 859 247 985 668 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 3 613 679 ₴

4 983 INPATIENT 244 371 990 ₴ 17 876 outpatient TOTAL services inpatient 247 985 668 ₴ 22+78E services Poltava oblast 108 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 1 114 068 1 386 978 83,4%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 15 081 83+17N 1 156 895

PE Number of Number of Doctor specialty % of OPS 27 746 doctors doctors with OPS Pediatrician 202 95 47,0% Family doctor 646 247 38,2% TOTAL GP 59 9 15,3% 1 156 895 TOTAL 907 351 38,7%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

36,6% 81,5% –

24,3% family doctor 55,5% – female 20,0% 12,9% – 13,8% 44,5% – male pediatrician 5,4% 5,6% – GP 55+45N50–514+ 6–1724+ 18–3937+ 40–6420+ 65+ 81+613N

Note: Data on the number of declarations are as of 12.31.2020. Poltava oblast 109 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 30 17 677 7 523 10 154

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 22 7 523 3 690 372 ₴ Bronchoscopy 3 29 28 094 ₴ Hysteroscopy 6 197 403 734 ₴ Esophagogastroduodenoscopy 17 1 946 1 508 409 ₴ Colonoscopy 13 749 760 516 ₴ Mammography 4 4 518 922 214 ₴ Cystoscopy 4 84 67 405 ₴ INPATIENT SERVICES 18 10 154 155 638 359 ₴ Health care for newborns 5 1 556 43 925 013 ₴ in complex neonatal cases Health care during acute myocardial infarction 3 669 16 784 888 ₴ Health care during acute cerebral stroke 3 1 817 45 201 042 ₴ in hospital Health care during childbirth 12 6 112 49 727 415 ₴

TOTAL 30 17 677 159 328 731 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 3 690 372 ₴

7 523 INPATIENT 155 638 359 ₴ 10 154 outpatient TOTAL services inpatient 159 328 731 ₴ 43+57E services Rivne oblast 110 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 943 950 1 152 961 85,3%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 15 925 85+15N 983 223

PE Number of Number of Doctor specialty % of OPS 23 348 doctors doctors with OPS Pediatrician 164 76 46,3% Family doctor 511 234 45,8% TOTAL GP 87 9 10,3% 983 223 TOTAL 762 319 41,9%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

32,0% 79,1% – 27,5% family doctor 53,9% – female 18,9% 11,7% – 46,1% – male 13,7% pediatrician 7,8% 9,2% – GP 54+46N80–519+ 6–1728+ 18–3932+ 40–6414+ 65+ 79+912N

Note: Data on the number of declarations are as of 12.31.2020. Rivne oblast 111 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 26 14 347 4 355 9 992

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 17 4 355 3 359 972 ₴ Bronchoscopy 2 22 21 313 ₴ Hysteroscopy 3 42 101 130 ₴ Esophagogastroduodenoscopy 15 2 969 2 354 129 ₴ Colonoscopy 9 699 710 016 ₴ Mammography 3 565 115 328 ₴ Cystoscopy 2 58 58 056 ₴ INPATIENT SERVICES 20 9 992 129 308 693 ₴ Health care for newborns 6 1 058 32 020 020 ₴ in complex neonatal cases Health care during acute myocardial infarction 2 491 12 384 911 ₴ Health care during acute cerebral stroke 5 980 24 184 571 ₴ in hospital Health care during childbirth 16 7 463 60 719 192 ₴

TOTAL 26 14 347 132 668 666 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 3 359 972 ₴

4 355 INPATIENT 129 308 693 ₴ 9 992 outpatient TOTAL services inpatient 132 668 666 ₴ 30+70E services Sumy oblast 112 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 832 064 1 068 247 84,1%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 46 715 84+16N 898 269

PE Number of Number of Doctor specialty % of OPS 19 490 doctors doctors with OPS Pediatrician 139 59 42,4% Family doctor 403 133 33,0% TOTAL GP 169 38 22,5% 898 269 TOTAL 711 230 32,3%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

37,3% 63,7% –

24,2% family doctor 20,5% 55,4% – female 10,8% – 44,6% – male 13,0% pediatrician

5,0% 25,5% – GP 55+45N50–513+ 6–1724+ 18–3937+ 40–6421+ 65+ 64+2511N

Note: Data on the number of declarations are as of 12.31.2020. Sumy oblast 113 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 23 17 188 10 041 7 147

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 17 10 041 5 364 537 ₴ Bronchoscopy 4 505 558 733 ₴ Hysteroscopy 7 168 385 946 ₴ Esophagogastroduodenoscopy 12 2 670 2 189 309 ₴ Colonoscopy 8 906 977 098 ₴ Mammography 9 5 681 1 159 606 ₴ Cystoscopy 4 111 93 845 ₴ INPATIENT SERVICES 14 7 147 113 844 410 ₴ Health care for newborns 3 722 22 457 639 ₴ in complex neonatal cases Health care during acute myocardial infarction 2 366 8 959 969 ₴ Health care during acute cerebral stroke 7 2 011 49 492 153 ₴ in hospital Health care during childbirth 9 4 048 32 934 649 ₴

TOTAL 23 17 188 119 208 947 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 5 364 537 ₴

10 041 INPATIENT 113 844 410 ₴ 7 147 outpatient TOTAL services inpatient 119 208 947 ₴ 58+42E services Ternopil oblast 114 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 847 537 1 038 695 83,0%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 332 83+17N 862 253

PE Number of Number of Doctor specialty % of OPS 14 384 doctors doctors with OPS Pediatrician 121 33 27,3% Family doctor 528 199 37,7% TOTAL GP 27 2 7,4% 862 253 TOTAL 676 234 34,6%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

34,1% 87,3% – 26,7% family doctor 53,9% – female 17,7% 10,0% – 15,4% 46,1% – male pediatrician 6,0% 2,8% – GP 54+46N60–515+ 6–1727+ 18–3934+ 40–6418+ 65+ 87+310N

Note: Data on the number of declarations are as of 12.31.2020. Ternopil oblast 115 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 25 9 645 2 422 7 223

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 17 2 422 1 947 271 ₴ Bronchoscopy 1 3 3 245 ₴ Hysteroscopy 3 121 270 860 ₴ Esophagogastroduodenoscopy 14 1 668 1 317 881 ₴ Colonoscopy 9 228 228 429 ₴ Mammography 6 329 67 155 ₴ Cystoscopy 4 73 59 702 ₴ INPATIENT SERVICES 21 7 223 97 074 095 ₴ Health care for newborns 3 646 20 112 742 ₴ in complex neonatal cases Health care during acute myocardial infarction 4 362 9 333 267 ₴ Health care during acute cerebral stroke 7 1 037 25 499 724 ₴ in hospital Health care during childbirth 18 5 178 42 128 363 ₴

TOTAL 25 9 645 99 021 366 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 1 947 271 ₴

2 422 INPATIENT 97 074 095 ₴ 7 223 outpatient TOTAL services inpatient 99 021 366 ₴ 25+75E services Kharkiv oblast 116 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 2 111 647 2 658 461 80,7%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 10 404 81+19N 2 144 459

PE Number of Number of Doctor specialty % of OPS 22 408 doctors doctors with OPS Pediatrician 319 123 38,6% Family doctor 744 345 46,4% TOTAL GP 480 191 39,8% 2 144 459 TOTAL 1 543 659 42,7%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

35,0% 52,5% – 26,1% family doctor 56,5% – female 19,7% 11,1% – 13,8% 43,5% – male pediatrician 5,4% 36,4% – GP 56+44N50–514+ 6–1726+ 18–3935+ 40–6420+ 65+ 53+3611N

Note: Data on the number of declarations are as of 12.31.2020. Kharkiv oblast 117 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 49 41 259 21 862 19 397

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 40 21 862 8 351 967 ₴ Bronchoscopy 5 306 380 191 ₴ Hysteroscopy 7 491 1 017 395 ₴ Esophagogastroduodenoscopy 18 2 573 2 067 288 ₴ Colonoscopy 10 817 850 141 ₴ Mammography 29 17 100 3 490 452 ₴ Cystoscopy 6 575 546 501 ₴ INPATIENT SERVICES 26 19 397 304 571 670 ₴ Health care for newborns 6 1 596 48 663 273 ₴ in complex neonatal cases Health care during acute myocardial infarction 3 1 227 31 878 257 ₴ Health care during acute cerebral stroke 9 5 311 132 394 033 ₴ in hospital Health care during childbirth 21 11 263 91 636 106 ₴

TOTAL 49 41 259 312 923 636 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 8 351 967 ₴

21 862 INPATIENT 304 571 670 ₴ 19 397 outpatient TOTAL services inpatient 312 923 636 ₴ 53+47E services Kherson oblast 118 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 770 229 1 027 913 79,3%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 19 379 79+21N 814 850

PE Number of Number of Doctor specialty % of OPS 25 242 doctors doctors with OPS Pediatrician 156 79 50,6% Family doctor 269 172 63,9% TOTAL GP 143 71 49,7% 814 850 TOTAL 568 322 56,7%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

34,8% 55,4% –

24,4% family doctor 19,0% 14,8% – 55,6% – female 15,9% 44,4% – male pediatrician 6,0% 29,8% – GP 56+44N60–516+ 6–1724+ 18–3935+ 40–6419+ 65+ 55+3015N

Note: Data on the number of declarations are as of 12.31.2020. Kherson oblast 119 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 19 20 239 12 554 7 685

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 16 12 554 5 747 936 ₴ Bronchoscopy 4 624 657 740 ₴ Hysteroscopy 2 13 25 553 ₴ Esophagogastroduodenoscopy 13 3 468 2 623 994 ₴ Colonoscopy 11 884 840 702 ₴ Mammography 9 7 476 1 526 001 ₴ Cystoscopy 3 89 73 945 ₴ INPATIENT SERVICES 15 7 685 118 320 224 ₴ Health care for newborns 4 1 122 34 269 203 ₴ in complex neonatal cases Health care during acute myocardial infarction 1 410 10 101 335 ₴ Health care during acute cerebral stroke 5 1 461 35 775 433 ₴ in hospital Health care during childbirth 13 4 692 38 174 253 ₴

TOTAL 19 20 239 124 068 160 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 5 747 936 ₴

12 554 INPATIENT 118 320 224 ₴ 7 685 outpatient TOTAL services inpatient 124 068 160 ₴ 62+38E services Khmelnytskyi oblast 120 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 1 039 554 1 254 702 86,0%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 22 881 86+14N 1 078 552

PE Number of Number of Doctor specialty % of OPS 16 117 doctors doctors with OPS Pediatrician 196 66 33,7% Family doctor 575 216 37,6% TOTAL GP 105 22 21,0% 1 078 552 TOTAL 876 304 34,7%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

34,8% 75,1% – 24,9% family doctor 55,0% – female 18,9% 12,3% – 15,2% 45,0% – male pediatrician 6,1% 12,6% – GP 55+45N60–515+ 6–1725+ 18–3935+ 40–6419+ 65+ 75+1312N

Note: Data on the number of declarations are as of 12.31.2020. Khmelnytskyi oblast 121 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 34 14 894 5 266 9 628

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 28 5 266 3 614 455 ₴ Bronchoscopy 1 216 209 252 ₴ Hysteroscopy 8 56 120 393 ₴ Esophagogastroduodenoscopy 25 3 359 2 624 668 ₴ Colonoscopy 13 323 327 021 ₴ Mammography 2 1 208 246 577 ₴ Cystoscopy 9 104 86 543 ₴ INPATIENT SERVICES 26 9 628 133 794 275 ₴ Health care for newborns 4 749 22 799 777 ₴ in complex neonatal cases Health care during acute myocardial infarction 1 420 10 910 252 ₴ Health care during acute cerebral stroke 13 1 925 46 923 427 ₴ in hospital Health care during childbirth 20 6 534 53 160 820 ₴

TOTAL 34 14 894 137 408 730 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 3 614 455 ₴

5 266 INPATIENT 133 794 275 ₴ 9 628 outpatient TOTAL services inpatient 137 408 730 ₴ 35+65E services Cherkasy oblast 122 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 966 961 1 192 137 82,4%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 6 582 82+18N 982 145

PE Number of Number of Doctor specialty % of OPS 8 602 doctors doctors with OPS Pediatrician 175 86 49,1% Family doctor 452 259 57,3% TOTAL GP 83 15 18,1% 982 145 TOTAL 710 360 50,7%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

36,2% 75,3% –

23,3% family doctor 21,1% 55,3% – female 13,5% – 14,0% 44,7% – male pediatrician 5,4% 11,2% – GP 55+45N50–514+ 6–1723+ 18–3936+ 40–6421+ 65+ 75+1114N

Note: Data on the number of declarations are as of 12.31.2020. Cherkasy oblast 123 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 31 19 569 12 177 7 392

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 22 12 177 6 438 177 ₴ Bronchoscopy 4 193 205 280 ₴ Hysteroscopy 6 36 81 769 ₴ Esophagogastroduodenoscopy 17 4 228 3 374 900 ₴ Colonoscopy 11 1 153 1 190 424 ₴ Mammography 6 6 179 1 261 257 ₴ Cystoscopy 11 388 324 547 ₴ INPATIENT SERVICES 24 7 392 107 990 539 ₴ Health care for newborns 2 376 12 417 042 ₴ in complex neonatal cases Health care during acute myocardial infarction 3 567 14 560 267 ₴ Health care during acute cerebral stroke 8 1 702 42 391 495 ₴ in hospital Health care during childbirth 19 4 747 38 621 734 ₴

TOTAL 31 19 569 114 428 716 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 6 438 177 ₴

12 177 INPATIENT 107 990 539 ₴ 7 392 outpatient TOTAL services inpatient 114 428 716 ₴ 62+38E services Chernivtsi oblast 124 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 713 221 901 632 81,8%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 17 092 82+18N 737 533

PE Number of Number of Doctor specialty % of OPS 7 220 doctors doctors with OPS Pediatrician 52 28 53,8% Family doctor 450 110 24,4% TOTAL GP 109 8 7,3% 737 533 TOTAL 611 146 23,9%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

31,6% 77,9% – 28,0% family doctor

54,0% – female 16,8% 16,5% 5,6% – 46,0% – male pediatrician 7,2% 16,5% – GP 54+46N70–517+ 6–1728+ 18–3932+ 40–6417+ 65+ 78+166N

Note: Data on the number of declarations are as of 12.31.2020. Chernivtsi oblast 125 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 21 12 078 4 152 7 926

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 10 4 152 2 510 943 ₴ Bronchoscopy 2 76 79 729 ₴ Hysteroscopy 3 43 88 649 ₴ Esophagogastroduodenoscopy 8 1 863 1 437 279 ₴ Colonoscopy 4 463 476 019 ₴ Mammography 2 1 601 326 796 ₴ Cystoscopy 3 106 102 471 ₴ INPATIENT SERVICES 16 7 926 107 935 586 ₴ Health care for newborns 3 726 22 199 759 ₴ in complex neonatal cases Health care during acute myocardial infarction 1 508 13 489 223 ₴ Health care during acute cerebral stroke 3 1 092 26 684 836 ₴ in hospital Health care during childbirth 12 5 600 45 561 768 ₴

TOTAL 21 12 078 110 446 529 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 2 510 943 ₴

4 152 INPATIENT 107 935 586 ₴ 7 926 outpatient TOTAL services inpatient 110 446 529 ₴ 34+66E services Chernihiv oblast 126 Primary and specialized health care

Declarations submitted to PHC doctors

MUNICIPAL Population CURRENT POPULATION with declarations 812 136 991 294 83,6%

PRIVATE, WITHOUT PE NUMBER OF DECLARATIONS SUBMITTED 4 779 84+16N 828 307

PE Number of Number of Doctor specialty % of OPS 11 392 doctors doctors with OPS Pediatrician 136 53 39,0% Family doctor 353 204 57,8% TOTAL GP 97 38 39,2% 828 307 TOTAL 586 295 50,3%

Breakdown of declarations

BY GENDER OF PATIENTS BY AGE OF PATIENTS BY DOCTOR SPECIALTY

36,6% 69,7% –

23,5% family doctor 21,4% 56,0% – female 12,7% – 13,5% 44,0% – male pediatrician 5,0% 17,5% – GP 56+44N50–514+ 6–1724+ 18–3937+ 40–6421+ 65+ 70+1713N

Note: Data on the number of declarations are as of 12.31.2020. Chernihiv oblast 127 Primary and specialized health care

Cases treated, by priority services

Number of providers Total number Number of outpatient Number of inpatient that provided priority of services provided services provided services provided services 23 15 814 8 729 7 085

SERVICES PROVIDERS CASES PAID OUTPATIENT SERVICES 19 8 729 5 881 650 ₴ Bronchoscopy 7 567 641 853 ₴ Hysteroscopy 5 149 306 634 ₴ Esophagogastroduodenoscopy 17 3 734 2 907 312 ₴ Colonoscopy 13 983 1 010 466 ₴ Mammography 3 2 737 558 676 ₴ Cystoscopy 5 559 456 709 ₴ INPATIENT SERVICES 16 7 085 111 949 094 ₴ Health care for newborns 2 281 11 170 293 ₴ in complex neonatal cases Health care during acute myocardial infarction 3 516 13 377 423 ₴ Health care during acute cerebral stroke 9 2 176 53 946 023 ₴ in hospital Health care during childbirth 9 4 112 33 455 355 ₴

TOTAL 23 15 814 117 830 744 ₴

Number of Payment amounts cases treated for services provided

OUTPATIENT 5 881 650 ₴

8 729 INPATIENT 111 949 094 ₴ 7 085 outpatient TOTAL services inpatient 117 830 744 ₴ 55+45E services COVID-19: contracts, testing and treatment

COV ID-19: CONTRACTS, TESTING AND TREATMENT Ukraine 129 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 1 478 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 1 317 25 949 504

Testing and inpatient treatment of COVID-19 254 297 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 49 936 2 862 128 660 43,5% 3,3%

NUMBER OF TESTS 100 admissions+20 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 2 314 954 1 643

Payments to health care providers, by month

4 437 228 371 ₴

4 002 341 585 ₴ 4 billion ₴

3 280 654 734 ₴

3 billion ₴

2 210 946 764 ₴ 2 billion ₴ 1 535 931 698 ₴

1 063 289 272 ₴ 1 006 954 790 ₴ 1 billion ₴ 846 282 455 ₴ 668 013 341 ₴

0 billion ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 19 051 643 008 ₴ Vinnytsia oblast 130 COVID-19: contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 79 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 79 1 53 25

Testing and inpatient treatment of COVID-19 10 496 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 939 115 4 075 64,3% 5,3%

NUMBER OF TESTS 100 admissions+18 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 107 501 78

Payments to health care providers, by month

146 886 743 ₴ 141 337 549 ₴ 140 million ₴

120 million ₴ 120 012 358 ₴

100 million ₴ 86 779 773 ₴

80 million ₴

60 million ₴ 53 998 979 ₴

40 million ₴ 39 989 248 ₴ 37 172 512 ₴ 38 226 624 ₴ 27 882 658 ₴ 20 million ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 692 286 443 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. Volyn oblast 131 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 44 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 43 1 24 19

Testing and inpatient treatment of COVID-19 7 147 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 123 109 4 773 31,5% 2,8%

NUMBER OF TESTS 100 admissions+16 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 74 331 41

Payments to health care providers, by month

140 million ₴ 129 909 197 ₴ 123 808 780 ₴ 120 million ₴

101 022 357 ₴ 100 million ₴ 84 036 903 ₴ 80 million ₴ 70 718 553 ₴

60 million ₴ 47 344 979 ₴ 43 037 651 ₴ 40 million ₴ 39 770 489 ₴ 29 456 628 ₴ 20 million ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 669 105 538 ₴ Dnipropetrovsk oblast 132 COVID-19: contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 83 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 82 1 53 29

Testing and inpatient treatment of COVID-19 13 886 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 2 706 147 9 616 48,0% 2,4%

NUMBER OF TESTS 100 admissions+19 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 120 287 99

Payments to health care providers, by month

308 548 135 ₴ 300 million ₴ 268 413 228 ₴ 250 million ₴

215 954 263 ₴ 200 million ₴

150 million ₴

100 million ₴ 82 388 063 ₴

51 350 569 ₴ 50 million ₴ 41 639 116 ₴ 31 969 413 ₴ 31 770 871 ₴ 30 994 447 ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 1 063 028 105 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. Donetsk oblast 133 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 63 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 58 1 37 25

Testing and inpatient treatment of COVID-19 7 257 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 974 115 6 254 42,3% 2,7%

NUMBER OF TESTS 100 admissions+27 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 78 970 69

Payments to health care providers, by month

206 828 687 ₴ 200 million ₴ 191 294 146 ₴

160 959 583 ₴ 150 million ₴

100 million ₴

60 891 206 ₴ 50 million ₴ 42 239 004 ₴ 29 465 383 ₴ 23 138 639 ₴ 19 564 756 ₴ 6 141 382 ₴ 0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 740 522 785 ₴ Zhytomyr oblast 134 COVID-19: contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 80 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 62 1 58 21

Testing and inpatient treatment of COVID-19 9 643 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 563 131 4 880 51,7% 4,1%

NUMBER OF TESTS 100 admissions+16 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 88 243 78

Payments to health care providers, by month

156 051 076 ₴ 156 948 356 ₴ 150 million ₴

125 560 108 ₴ 125 million ₴

100 million ₴

80 350 825 ₴ 75 million ₴

53 969 677 ₴ 50 million ₴ 48 111 797 ₴ 40 721 976 ₴ 37 628 033 ₴ 29 016 300 ₴ 25 million ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 728 358 148 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. Zakarpattia oblast 135 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 46 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 35 1 28 17

Testing and inpatient treatment of COVID-19 9 706 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 903 94 5 184 36,4% 2,7%

NUMBER OF TESTS 100 admissions+20 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 98 479 53

Payments to health care providers, by month

128 895 866 ₴ 124 198 833 ₴ 120 million ₴

106 280 061 ₴ 100 million ₴

80 million ₴ 75 631 155 ₴ 73 157 493 ₴ 73 641 426 ₴

60 million ₴

41 632 462 ₴ 40 million ₴ 32 083 160 ₴ 25 149 848 ₴ 20 million ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 680 670 303 ₴ Zaporizhzhia oblast 136 COVID-19: contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 69 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 69 1 47 21

Testing and inpatient treatment of COVID-19 9 191 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 2 218 130 4 896 44,3% 3,7%

NUMBER OF TESTS 100 admissions+24 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 145 266 94

Payments to health care providers, by month

250 million ₴ 228 939 245 ₴ 202 396 366 ₴ 200 million ₴

150 million ₴ 145 057 820 ₴

100 million ₴ 89 374 890 ₴ 70 413 967 ₴ 57 647 316 ₴ 50 million ₴ 36 563 957 ₴ 38 147 782 ₴ 24 987 225 ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 893 528 569 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. Ivano-Frankivsk oblast 137 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 53 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 45 1 26 26

Testing and inpatient treatment of COVID-19 16 326 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 2 735 160 5 908 48,3% 3,4%

NUMBER OF TESTS 100 admissions+17 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 55 000 46

Payments to health care providers, by month

200 million ₴ 176 148 542 ₴ 169 124 581 ₴

150 million ₴ 137 015 921 ₴ 130 760 702 ₴ 131 752 226 ₴

100 million ₴ 84 709 146 ₴ 78 588 833 ₴ 57 202 428 ₴ 66 327 903 ₴ 50 million ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 1 031 630 282 ₴ Kyiv oblast 138 COVID-19: contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 56 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 55 0 35 21

Testing and inpatient treatment of COVID-19 10 718 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 2 189 109 5 194 43,7% 3,3%

NUMBER OF TESTS 100 admissions+20 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 137 784 41

Payments to health care providers, by month

140 million ₴ 138 541 783 ₴ 123 536 766 ₴ 120 million ₴

100 million ₴

80 052 362 ₴ 80 million ₴

60 million ₴ 40 746 865 ₴ 40 million ₴ 37 119 346 ₴ 31 420 432 ₴ 26 296 551 ₴ 29 004 490 ₴ 27 141 996 ₴ 20 million ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 533 860 591 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. Kyiv city 139 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 57 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 57 2 28 27

Testing and inpatient treatment of COVID-19 25 999 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 4 472 327 10 691 38,3% 3,3%

NUMBER OF TESTS 100 admissions+17 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 147 224 59

Payments to health care providers, by month

521 874 003 ₴ 500 million ₴

430 326 963 ₴

400 million ₴ 346 144 290 ₴

300 million ₴ 250 414 205 ₴

200 million ₴ 151 571 882 ₴

100 million ₴ 87 642 504 ₴ 68 161 321 ₴ 63 950 224 ₴ 58 057 017 ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 1 978 142 409 ₴ Kirovohrad oblast 140 COVID-19: contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 35 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 35 1 27 7

Testing and inpatient treatment of COVID-19 2 925 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 634 39 2 386 25,6% 2,5%

NUMBER OF TESTS 100 admissions+22 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 52 713 29

Payments to health care providers, by month

70 273 488 ₴ 70 million ₴

60 million ₴ 57 287 973 ₴

50 million ₴

40 million ₴ 34 745 001 ₴

30 million ₴ 22 821 370 ₴ 20 million ₴ 16 984 243 ₴ 11 020 751 ₴ 11 478 328 ₴ 12 171 947 ₴ 10 million ₴ 6 113 348 ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 242 896 448 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. Luhansk oblast 141 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 34 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 27 1 23 10

Testing and inpatient treatment of COVID-19 2 538 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 603 50 2 621 44,7% 1,8%

NUMBER OF TESTS 100 admissions+24 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 31 663 34

Payments to health care providers, by month

73 713 550 ₴

70 million ₴ 64 841 273 ₴

60 million ₴ 58 402 066 ₴

50 million ₴

40 million ₴

30 million ₴ 24 103 017 ₴ 20 million ₴ 18 113 174 ₴ 15 085 684 ₴ 10 161 778 ₴ 10 236 744 ₴ 10 331 177 ₴ 10 million ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 284 988 463 ₴ Lviv oblast 142 COVID-19: contracts, testing and treatment

Testing and inpatient treatment of COVID-19 18 568 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 3 054 169 7 589 45,3% 2,9%

NUMBER OF TESTS 100 admissions+16 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 110 828 101

Payments to health care providers, by month

258 765 443 ₴ 250 million ₴ 229 352 257 ₴ 200 835 468 ₴ 200 million ₴

150 million ₴ 147 540 254 ₴ 135 292 557 ₴ 112 152 887 ₴ 100 million ₴ 83 861 235 ₴

52 038 051 ₴ 50 million ₴ 33 354 215 ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 1 253 192 366 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. Mykolaiv oblast 143 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

Testing and inpatient treatment of COVID-19 6 929 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 443 92 3 610 61,5% 4,2%

NUMBER OF TESTS 100 admissions+21 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 76 638 63

Payments to health care providers, by month

145 615 202 ₴ 140 million ₴

120 million ₴ 116 385 899 ₴

100 million ₴ 94 013 408 ₴

80 million ₴

60 million ₴ 51 895 087 ₴

40 million ₴ 31 627 888 ₴ 23 332 649 ₴ 20 million ₴ 14 957 590 ₴ 15 395 159 ₴ 14 906 937 ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 508 129 820 ₴ Odesa oblast 144 COVID-19: contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 67 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 59 1 48 18

Testing and inpatient treatment of COVID-19 16 590 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 3 375 91 4 697 44,7% 3,8%

NUMBER OF TESTS 100 admissions+20 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 88 421 85

Payments to health care providers, by month

252 033 292 ₴ 250 million ₴

207 218 726 ₴ 200 million ₴ 174 101 675 ₴

150 million ₴ 135 593 577 ₴

100 million ₴ 92 375 068 ₴

50 million ₴ 41 837 432 ₴ 36 368 599 ₴ 30 508 393 ₴ 23 972 261 ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 994 009 023 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. Poltava oblast 145 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 58 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 39 1 33 24

Testing and inpatient treatment of COVID-19 5 597 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 551 109 4 183 43,5% 3,4%

NUMBER OF TESTS 100 admissions+28 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 54 742 63

Payments to health care providers, by month

175 million ₴ 169 697 476 ₴

150 million ₴ 142 882 529 ₴

125 million ₴ 110 552 339 ₴ 100 million ₴

75 million ₴

50 million ₴ 43 475 765 ₴ 45 475 915 ₴

25 million ₴ 24 642 673 ₴ 15 526 117 ₴ 11 865 694 ₴ 12 715 599 ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 576 834 107 ₴ Rivne oblast 146 COVID-19: contracts, testing and treatment

Testing and inpatient treatment of COVID-19 9 413 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 506 94 3 506 46,9% 3,0%

NUMBER OF TESTS 100 admissions+16 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 114 497 66

Payments to health care providers, by month

140 741 928 ₴ 140 million ₴ 128 766 624 ₴

120 million ₴ 109 281 747 ₴

100 million ₴

80 million ₴ 77 176 223 ₴ 72 699 420 ₴

60 million ₴ 58 414 900 ₴ 44 928 180 ₴ 40 million ₴ 32 820 341 ₴ 31 482 012 ₴

20 million ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 696 311 374 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. Sumy oblast 147 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

Testing and inpatient treatment of COVID-19 5 816 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 903 86 4 155 34,2% 7,4%

NUMBER OF TESTS 100 admissions+16 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 73 242 50

Payments to health care providers, by month

141 071 318 ₴ 140 million ₴ 132 286 386 ₴

120 million ₴

101 575 132 ₴ 100 million ₴

80 million ₴ 70 612 704 ₴

60 million ₴

40 million ₴ 37 290 057 ₴ 28 620 201 ₴ 20 661 201 ₴ 20 million ₴ 12 846 466 ₴ 14 204 134 ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 559 167 599 ₴ Ternopil oblast 148 COVID-19: contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 68 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 56 1 40 27

Testing and inpatient treatment of COVID-19 8 267 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 835 119 5 018 33,1% 4,1%

NUMBER OF TESTS 100 admissions+22 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 113 937 69

Payments to health care providers, by month

126 248 275 ₴ 120 million ₴ 120 301 055 ₴ 118 897 491 ₴ 120 178 278 ₴

100 million ₴ 100 421 874 ₴

80 million ₴

61 063 229 ₴ 60 million ₴ 51 634 294 ₴ 42 229 034 ₴ 40 million ₴ 38 338 596 ₴

20 million ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 779 312 124 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. Kharkiv oblast 149 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

Testing and inpatient treatment of COVID-19 18 406 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 3 240 109 6 444 50,8% 3,2%

NUMBER OF TESTS 100 admissions+18 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 115 814 99

Payments to health care providers, by month

250 million ₴ 242 759 040 ₴ 236 963 707 ₴ 236 051 927 ₴

200 million ₴ 187 767 890 ₴

150 million ₴ 124 665 511 ₴

100 million ₴

60 907 323 ₴ 64 146 597 ₴ 53 244 344 ₴ 50 million ₴ 38 314 736 ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 1 244 821 075 ₴ Kherson oblast 150 COVID-19: contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 43 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 33 1 31 11

Testing and inpatient treatment of COVID-19 4 294 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 141 52 2 749 67,4% 4,6%

NUMBER OF TESTS 100 admissions+27 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 68 427 52

Payments to health care providers, by month

104 986 840 ₴ 100 million ₴

84 296 023 ₴ 80 million ₴

65 789 610 ₴ 60 million ₴

40 million ₴ 30 042 987 ₴ 25 835 306 ₴ 20 million ₴ 14 303 263 ₴ 10 287 067 ₴ 5 882 516 ₴ 6 163 683 ₴ 0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 347 587 293 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. Khmelnytskyi oblast 151 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

Testing and inpatient treatment of COVID-19 10 964 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 718 123 5 906 40,3% 2,3%

NUMBER OF TESTS 100 admissions+16 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 88 544 59

Payments to health care providers, by month

165 499 885 ₴ 160 million ₴ 156 122 535 ₴

134 567 613 ₴

120 million ₴ 101 104 591 ₴

80 million ₴

40 million ₴ 37 025 594 ₴

15 032 971 ₴ 15 911 600 ₴ 9 420 974 ₴ 10 668 148 ₴ 0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 645 353 910 ₴ Cherkasy oblast 152 COVID-19: contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 60 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 52 1 38 21

Testing and inpatient treatment of COVID-19 6 483 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds 2 348 of total beds out of total beds 96 4 996 41,3% 2,8%

NUMBER OF TESTS 100 admissions+36 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 107 073 67

Payments to health care providers, by month

163 365 121 ₴ 160 million ₴

132 101 372 ₴

120 million ₴ 102 061 207 ₴

80 million ₴ 64 834 091 ₴

40 million ₴ 29 903 466 ₴ 24 471 230 ₴ 19 204 385 ₴ 19 867 713 ₴ 13 514 318 ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 569 322 903 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. Chernivtsi oblast 153 COVID-19: COVID-19: contracts, testing and treatment contracts, testing and treatment

Testing and inpatient treatment of COVID-19 10 839 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 786 112 4 424 35,6% 2,7%

NUMBER OF TESTS 100 admissions+16 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 102 503 79

Payments to health care providers, by month

128 880 602 ₴ 120 million ₴ 116 354 893 ₴ 109 894 269 ₴

100 million ₴ 95 980 774 ₴ 90 405 697 ₴

80 million ₴ 73 415 624 ₴ 60 379 197 ₴ 60 272 839 ₴ 60 million ₴ 56 966 590 ₴

40 million ₴

20 million ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 792 550 483 ₴ Chernihiv oblast 154 COVID-19: contracts, testing and treatment

NUMBER OF CONTRACTS Breakdown of providers with effective 51 contracts, by service packages Number of providers Number of providers Number of providers NUMBER OF PROVIDERS (service package 28) (service package 29) (service package 31) 48 1 32 18

Testing and inpatient treatment of COVID-19 6 299 (service package 31)

Percentage Percentage Number Total of COVID-19 of COVID-19 of health number beds out beds in the ICU teams of beds of total beds out of total beds 1 977 84 4 905 32,1% 2,8%

NUMBER OF TESTS 100 admissions+31 NUMBER PERFORMED OF MOBILE TEAMS admissions to the ICU BY MOBILE TEAMS 62 827 69

Payments to health care providers, by month

140 million ₴ 139 852 253 ₴

120 million ₴ 117 930 706 ₴

100 million ₴ 90 914 878 ₴

80 million ₴

61 157 975 ₴ 60 million ₴

40 million ₴ 39 203 716 ₴ 27 629 330 ₴ 25 614 825 ₴ 27 028 082 ₴ 20 million ₴ 16 701 082 ₴

0 million ₴ April May June July August September October November December

TOTAL AMOUNTS PAID TO PROVIDERS FOR THE TREATMENT OF PATIENTS WITH CONFIRMED OR SUSPECTED COVID-19 546 032 848 ₴

28 – Emergency care to patients with 29 – Health care provided by mobile teams 31 – Inpatient care for patients with COVID-19 suspected or confirmed COVID-19 caused by created to respond to COVID-19 caused by caused by SARS-CoV-2. SARS-CoV-2. SARS-CoV-2. ELECTRONIC MEDICAL RECORDS Ukraine 156 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 3 245 78 332 14 103 952

Number of EMR generated EMR GENERATED (TOTAL) 51 969 908 118 587 056 37 948 944

20 105 147

5 444 829 2 754 742 363 486

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED6REPORTS3+1+ 3244+18INTERACTIONS++ EPISODES REFERRALS Providers that made EMR entries 3 197 3 232 2 966 Physicians who made EMR entries 71 144 74 020 47 824 Patients whose EMR were entered 13 548 335 13 980 234 6 393 330 51 969 908 37 948 944 20 105 147

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 1 310 1 729 613 Physicians who made EMR entries 12 461 17 913 3 848 Patients whose EMR were entered 2 574 197 854 759 97 341 5 444 829 2 754 742 363 486

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Vinnytsia oblast 157 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 135 3 162 508 267

Number of EMR generated EMR GENERATED (TOTAL) 1 499 516 3 484 950 1 175 801

582 732

117 036 107 977 1 888

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3443+17INTERACTIONS+3+ EPISODES3+ REFERRALS+ Providers that made EMR entries 132 134 125 Physicians who made EMR entries 2 878 3 024 1 841 Patients whose EMR were entered 493 202 505 403 243 708 1 499 516 1 175 801 582 732

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 61 91 29 Physicians who made EMR entries 464 918 88 Patients whose EMR were entered 70 878 38 804 959 117 036 107 977 1 888

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Volyn oblast 158 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 80 2 157 428 378

Number of EMR generated EMR GENERATED (TOTAL) 1 467 581 3 021 751 1 042 640

391 225 81 506 38 344 455 EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3549+14INTERACTIONS+4+ EPISODES2+ REFERRALS+ Providers that made EMR entries 78 79 72 Physicians who made EMR entries 1 955 2 060 1 203 Patients whose EMR were entered 415 045 425 837 152 172 1 467 581 1 042 640 391 225

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 37 48 9 Physicians who made EMR entries 334 453 31 Patients whose EMR were entered 52 702 12 710 246 81 506 38 344 455

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Dnipropetrovsk oblast 159 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 255 6 154 1 295 444

Number of EMR generated EMR GENERATED (TOTAL) 4 483 999 10 642 546 3 376 273

1 816 410 571 675 378 173 16 016

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS

3444+18INTERACTIONS+9+ EPISODES5+1REFERRALS+ Providers that made EMR entries 250 253 222 Physicians who made EMR entries 5 504 5 797 3 609 Patients whose EMR were entered 1 242 514 1 279 526 607 178 4 483 999 3 376 273 1 816 410

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 108 141 60 Physicians who made EMR entries 1 097 1 502 260 Patients whose EMR were entered 266 589 104 709 4 073 571 675 378 173 16 016

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Donetsk oblast 160 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 127 2 976 535 520

Number of EMR generated EMR GENERATED (TOTAL) 1 633 601 3 643 429 1 272 925

513 143 141 454 79 665 2 641

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3545+16INTERACTIONS+6+ EPISODES3+ REFERRALS+ Providers that made EMR entries 121 124 106 Physicians who made EMR entries 2 703 2 828 1 773 Patients whose EMR were entered 510 152 524 751 230 620 1 633 601 1 272 925 513 143

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 67 73 26 Physicians who made EMR entries 465 512 80 Patients whose EMR were entered 80 553 26 788 925 141 454 79 665 2 641

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Zhytomyr oblast 161 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 111 2 555 415 318

Number of EMR generated EMR GENERATED (TOTAL) 1 259 605 2 932 468 981 358

434 103

145 203 111 033 1 166

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS

3443+16INTERACTIONS+6+ EPISODES5+1REFERRALS+ Providers that made EMR entries 111 111 101 Physicians who made EMR entries 2 377 2 431 1 586 Patients whose EMR were entered 394 554 405 843 181 982 1 259 605 981 358 434 103

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 40 53 16 Physicians who made EMR entries 372 683 59 Patients whose EMR were entered 76 883 39 419 696 145 203 111 033 1 166

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Zakarpattia oblast 162 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 100 2 335 319 231

Number of EMR generated EMR GENERATED (TOTAL)

783 603 1 894 203 654 242

286 495

98 100 64 185 7 578

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS

3541+15INTERACTIONS+6+ EPISODES4+1REFERRALS+ Providers that made EMR entries 98 100 89 Physicians who made EMR entries 2 119 2 217 1 424 Patients whose EMR were entered 303 054 312 757 118 752 783 603 654 242 286 495

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 35 55 20 Physicians who made EMR entries 314 561 93 Patients whose EMR were entered 54 982 27 768 1 794 98 100 64 185 7 578

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Zaporizhzhia oblast 163 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 142 3 777 625 738

Number of EMR generated EMR GENERATED (TOTAL) 2 413 764 5 748 113 1 800 431

1 064 879

333 498 122 954 12 587

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3344+20INTERACTIONS+7+ EPISODES4+ REFERRALS+ Providers that made EMR entries 140 142 133 Physicians who made EMR entries 3 432 3 528 2 601 Patients whose EMR were entered 605 691 621 368 328 648 2 413 764 1 800 431 1 064 879

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 52 74 25 Physicians who made EMR entries 564 923 149 Patients whose EMR were entered 129 394 31 166 5 848 333 498 122 954 12 587

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Ivano-Frankivsk oblast 164 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 148 3 312 482 301

Number of EMR generated EMR GENERATED (TOTAL) 1 638 491 3 543 089 1 200 230

520 527

122 837 44 233 16 771

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS

3546+17INTERACTIONS+5+ EPISODES2+1REFERRALS+ Providers that made EMR entries 148 148 136 Physicians who made EMR entries 3 062 3 134 1 722 Patients whose EMR were entered 470 509 479 478 202 288 1 638 491 1 200 230 520 527

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 60 77 31 Physicians who made EMR entries 447 537 339 Patients whose EMR were entered 66 245 11 997 8 603 122 837 44 233 16 771

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Kyiv oblast 165 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 121 3 015 668 100

Number of EMR generated EMR GENERATED (TOTAL) 2 102 110 4 819 277 1 593 422

807 949

177 171 126 187 12 438

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3444+17INTERACTIONS+5+ EPISODES3+ REFERRALS+ Providers that made EMR entries 118 120 113 Physicians who made EMR entries 2 706 2 868 2 030 Patients whose EMR were entered 642 971 664 716 301 388 2 102 110 1 593 422 807 949

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 45 70 25 Physicians who made EMR entries 460 699 194 Patients whose EMR were entered 96 994 27 680 2 562 177 171 126 187 12 438

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Kyiv city 166 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 164 6 856 1 175 299

Number of EMR generated EMR GENERATED (TOTAL) 5 009 263 13 121 295 3 678 915 3 312 090

783 506 249 084 88 437

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 2838+24INTERACTIONS+6+ EPISODES2+1REFERRALS+ Providers that made EMR entries 161 164 146 Physicians who made EMR entries 6 250 6 421 4 382 Patients whose EMR were entered 1 146 132 1 169 331 699 207 5 009 263 3 678 915 3 312 090

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 65 96 32 Physicians who made EMR entries 1 168 1 713 291 Patients whose EMR were entered 299 096 71 870 11 854 783 506 249 084 88 437

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Kirovohrad oblast 167 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 94 1 933 389 821

Number of EMR generated EMR GENERATED (TOTAL) 1 752 261 3 802 901 1 186 975

678 428

148 054 9 002 28 181

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS12+ 3245+18INTERACTIONS+6+ EPISODES+ REFERRALS Providers that made EMR entries 91 92 83 Physicians who made EMR entries 1 679 1 812 1 232 Patients whose EMR were entered 376 740 388 347 178 557 1 752 261 1 186 975 678 428

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 52 32 27 Physicians who made EMR entries 327 142 253 Patients whose EMR were entered 70 296 2 183 6 362 148 054 9 002 28 181

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Luhansk oblast 168 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 56 1 168 237 190

Number of EMR generated EMR GENERATED (TOTAL) 942 983 2 033 631 653 590

276 220

90 509 65 684 4 645

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3446+16INTERACTIONS+6+ EPISODES4+ REFERRALS+ Providers that made EMR entries 54 56 50 Physicians who made EMR entries 1 068 1 099 756 Patients whose EMR were entered 228 944 234 421 97 985 942 983 653 590 276 220

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 22 28 13 Physicians who made EMR entries 229 279 61 Patients whose EMR were entered 43 854 21 244 1 082 90 509 65 684 4 645

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Lviv oblast 169 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 236 5 823 795 484

Number of EMR generated EMR GENERATED (TOTAL) 2 802 577 6 902 254 2 011 536 1 563 351

378 521 139 832 6 437

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3041+24INTERACTIONS+6+ EPISODES4+ REFERRALS+ Providers that made EMR entries 233 236 223 Physicians who made EMR entries 5 305 5 450 3 540 Patients whose EMR were entered 768 298 787 690 436 920 2 802 577 2 011 536 1 563 351

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 79 137 51 Physicians who made EMR entries 793 1 461 269 Patients whose EMR were entered 181 200 47 061 4 870 378 521 139 832 6 437

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Mykolaiv oblast 170 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 89 1 864 406 936

Number of EMR generated EMR GENERATED (TOTAL) 1 247 431 2 728 529 965 949

404 680

72 515 33 976 3 978

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3646+18INTERACTIONS+5+ EPISODES2+ REFERRALS+ Providers that made EMR entries 89 89 86 Physicians who made EMR entries 1 681 1 774 1 129 Patients whose EMR were entered 361 445 405 361 159 271 1 247 431 965 949 404 680

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 34 38 22 Physicians who made EMR entries 259 238 91 Patients whose EMR were entered 34 110 11 084 1 349 72 515 33 976 3 978

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Odesa oblast 171 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 210 3 819 678 971

Number of EMR generated EMR GENERATED (TOTAL) 2 038 653 4 498 305 1 579 221

614 152

121 776 144 438 65 EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3746+18INTERACTIONS+5+ EPISODES6+ REFERRALS+ Providers that made EMR entries 207 209 194 Physicians who made EMR entries 3 520 3 706 2 051 Patients whose EMR were entered 634 797 670 464 213 858 2 038 653 1 579 221 614 152

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 64 110 10 Physicians who made EMR entries 411 908 11 Patients whose EMR were entered 66 993 41 142 50 121 776 144 438 65

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Poltava oblast 172 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 123 2 900 543 670

Number of EMR generated EMR GENERATED (TOTAL) 1 790 340 3 907 177 1 335 859

478 287

171 229 130 348 1 114

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3646+17INTERACTIONS+6+ EPISODES4+ REFERRALS+ Providers that made EMR entries 123 123 112 Physicians who made EMR entries 2 570 2 742 1 662 Patients whose EMR were entered 509 637 535 849 188 383 1 790 340 1 335 859 478 287

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 45 66 24 Physicians who made EMR entries 371 751 82 Patients whose EMR were entered 95 510 39 271 628 171 229 130 348 1 114

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Rivne oblast 173 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 128 2 439 361 119

Number of EMR generated EMR GENERATED (TOTAL) 1 203 687 2 527 400 856 345

325 005 67 429 71 001 3 933 EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3445+13INTERACTIONS+4+ EPISODES4+ REFERRALS+ Providers that made EMR entries 127 128 109 Physicians who made EMR entries 2 289 2 363 1 440 Patients whose EMR were entered 349 654 356 514 145 938 1 203 687 856 345 325 005

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 40 65 14 Physicians who made EMR entries 289 689 51 Patients whose EMR were entered 44 758 22 408 534 67 429 71 001 3 933

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Sumy oblast 174 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 124 2 279 450 264

Number of EMR generated EMR GENERATED (TOTAL) 1 862 460 3 751 137 1 212 907

509 470

116 268 39 570 10 462 EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS

3445+17INTERACTIONS+5+ EPISODES2+1REFERRALS+ Providers that made EMR entries 122 124 117 Physicians who made EMR entries 2 051 2 183 1 387 Patients whose EMR were entered 433 652 447 371 174 953 1 862 460 1 212 907 509 470

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 46 48 23 Physicians who made EMR entries 383 342 125 Patients whose EMR were entered 66 343 9 200 1 793 116 268 39 570 10 462

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Ternopil oblast 175 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 104 2 436 340 757

Number of EMR generated EMR GENERATED (TOTAL) 1 133 087 2 444 976 834 347

305 744 101 176 65 845 4 777 EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3746+17INTERACTIONS+7+ EPISODES4+ REFERRALS+ Providers that made EMR entries 103 103 96 Physicians who made EMR entries 2 211 2 249 1 487 Patients whose EMR were entered 330 391 335 744 129 896 1 133 087 834 347 305 744

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 38 44 10 Physicians who made EMR entries 316 319 47 Patients whose EMR were entered 55 685 22 748 665 101 176 65 845 4 777

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Kharkiv oblast 176 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 226 5 842 1 340 334

Number of EMR generated EMR GENERATED (TOTAL) 6 267 616 13 645 581 4 389 018

1 976 870 762 051 210 490 39 536

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3346+14INTERACTIONS+6+ EPISODES2+ REFERRALS+ Providers that made EMR entries 223 226 215 Physicians who made EMR entries 5 285 5 438 3 577 Patients whose EMR were entered 1 288 871 1 331 278 593 570 6 267 616 4 389 018 1 976 870

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 113 122 41 Physicians who made EMR entries 1 001 1 286 310 Patients whose EMR were entered 317 941 67 269 10 370 762 051 210 490 39 536

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Kherson oblast 177 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 85 1 923 463 406

Number of EMR generated EMR GENERATED (TOTAL) 1 693 836 3 750 720 1 264 720

565 022 151 663 73 214 2 265 EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3346+14INTERACTIONS+6+ EPISODES2+ REFERRALS+ Providers that made EMR entries 85 85 80 Physicians who made EMR entries 1 757 1 843 1 257 Patients whose EMR were entered 452 319 461 255 202 956 1 693 836 1 264 720 565 022

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 37 50 19 Physicians who made EMR entries 481 476 111 Patients whose EMR were entered 78 073 24 761 1 415 151 663 73 214 2 265

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Khmelnytskyi oblast 178 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 106 3 003 562 352

Number of EMR generated EMR GENERATED (TOTAL) 2 512 067 5 526 649 1 625 699

917 374

272 825 109 506 89 178

EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS

3243+17INTERACTIONS+4+ EPISODES2+1REFERRALS+ Providers that made EMR entries 106 106 98 Physicians who made EMR entries 2 773 2 836 1 910 Patients whose EMR were entered 550 345 556 275 262 535 2 512 067 1 625 699 917 374

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 53 64 36 Physicians who made EMR entries 712 669 592 Patients whose EMR were entered 136 449 32 151 26 516 272 825 109 506 89 178

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Cherkasy oblast 179 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 96 2 440 410 516

Number of EMR generated EMR GENERATED (TOTAL) 1 344 817 3 289 107 1 078 557

598 638

126 803 138 407 1 885 EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 3443+17INTERACTIONS+3+ EPISODES3+1REFERRALS+ Providers that made EMR entries 95 96 89 Physicians who made EMR entries 2 253 2 324 1 754 Patients whose EMR were entered 399 827 408 282 218 314 1 344 817 1 078 557 598 638

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 39 68 15 Physicians who made EMR entries 361 928 34 Patients whose EMR were entered 64 819 63 734 520 126 803 138 407 1 885

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Chernivtsi oblast 180 Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 92 2 219 329 040

Number of EMR generated EMR GENERATED (TOTAL) 1 249 368 2 949 204 883 856

578 307

135 125 101 898 650 EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3443+18INTERACTIONS++ EPISODES3REFERRALS+ Providers that made EMR entries 90 391 + 84 Physicians who made EMR entries 2 009 2 078 1 248 Patients whose EMR were entered 318 205 326 148 160 190 1 249 368 883 856 578 307

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 37 44 12 Physicians who made EMR entries 340 429 45 Patients whose EMR were entered 66 227 22 855 447 135 125 101 898 650

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. Chernihiv oblast 181 Electronic medical records Electronic medical records

NUMBER OF PROVIDERS NUMBER OF PHYSICIANS NUMBER OF PATIENTS THAT MADE EMR ENTRIES WHO MADE EMR ENTRIES WHOSE EMR WERE ENTERED 93 2 125 455 267

Number of EMR generated EMR GENERATED (TOTAL) 1 837 192 3 978 364 1 294 128

584 046

156 899 99 696 6 403 EPISODES INTERACTIONS REFERRALS DIAGNOSIS FOLLOW-UP PROCEDURES GENERATED REPORTS 1 3444+17INTERACTIONS++ EPISODES2REFERRALS+ Providers that made EMR entries 92 393 + 87 Physicians who made EMR entries 1 866 1 990 1 324 Patients whose EMR were entered 424 123 453 875 186 720 1 837 192 1 294 128 584 046

interactions episodes referrals

DIAGNOSIS REPORTS FOLLOW-UP PROCEDURES Providers that made EMR entries 41 35 23 Physicians who made EMR entries 510 502 182 Patients whose EMR were entered 62 314 35 820 3 192 156 899 99 696 6 403

reports follow-ups procedures

Note: The number of generated medical records is provided without records marked as false. AFFORDABLE MEDICINES Ukraine 183 Affordable medicines

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 135 e-prescriptions 8 143 11 751 499

PRIVATE (WITHOUT PE) 703 877 114 – private (without PE) +76N 799 313 917 – private (without PE) +138N 568 – municipal 1 545 501 – municipal 461 – PE PE 892 081 – PE

AVERAGE COST 389 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 80,70 ₴ 1 227 1 891 863

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 9 124 195 63,07%

66,6% – female 35,71% 33,4% – male 2 223 495

402 343 1 466 1,05% Bronchial Cardiovascular Type II Rheumatic 0,03% 0,14% asthma diseases diabetes diseases 378+19+ mellitus1+ 67+33N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+36+63+ 940 027 661 ₴

PRIVATE (WITHOUT PE) MUNICIPAL PE 745 920 103 ₴ 126 528 007 ₴ 67 579 550 ₴

Notes: Number of contracted pharmacies as of 12.31.2020. Average estimated cost is based on issued prescriptions. Number of active units in the contract as of 12.31.2020. Payments are provided by the place of registration of a legal entity. Vinnytsia oblast 184 Affordable medicines

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 12 e-prescriptions 321 546 421

PRIVATE (WITHOUT PE) 17 88282 – private (without PE) +57N 78424 715 – private (without PE) +814N 17 – municipal 43 233 – municipal 22 – PE PE 78 473 – PE

AVERAGE COST 29 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 73,30 ₴ 58 79 188

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS

408 123 61,49%

37,56% 64,7% – female 35,3% – male 120 865

17 385 48 0,83% Bronchial Cardiovascular Type II Rheumatic 0,02% 0,10% asthma diseases diabetes diseases 4+75+22+1mellitus 65+35N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+38+61+ 34 160 750 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 3 334 570 ₴ 24 761 085 ₴ 6 065 095 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 3 e-prescriptions 155 267 484

PRIVATE (WITHOUT PE) 11 90141 – private (without PE) +5N 67178 889 – private (without PE) +303N 7 – municipal 79 528 – municipal 7 – PE PE 9 067 – PE

AVERAGE COST 2 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 90,00 ₴ 16 51 224

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 211 456

57,90%

40,68% 65,8% – female 34,2% – male 48 107

7 916 5 1,20% Bronchial Cardiovascular Type II Rheumatic 0,03% 0,19% asthma diseases diabetes diseases 3+79+18+1mellitus 66+34N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+41+58+ 15 312 030 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 6 785 461 ₴ 7 934 225 ₴ 592 345 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 2 e-prescriptions 711 1 227 364

PRIVATE (WITHOUT PE) 56 86611 – private (without PE) +122N 75925 197 – private (without PE) +223N 86 – municipal 268 097 – municipal 14 – PE PE 34 070 – PE

AVERAGE COST 15 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 77,70 ₴ 73 161 458

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS

961 947 67,21%

69,4% – female 31,93% 30,6% – male 234 176

31 158 83 0,75% Bronchial Cardiovascular Type II Rheumatic 0,01% 0,09% asthma diseases diabetes diseases 3+78+19+1mellitus 70+30N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+32+67+ 114 140 213 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 22 404 827 ₴ 89 012 309 ₴ 2 723 077 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 2 e-prescriptions 368 623 708

PRIVATE (WITHOUT PE) 26 90328 – private (without PE) +5N 91569 957 – private (without PE) +36N 20 – municipal 17 279 – municipal 20 – PE PE 36 472 – PE

AVERAGE COST 12 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 92,50 ₴ 40 101 376

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 493 551 63,93%

70,1% – female 35,14% 29,9% – male 114 653

15 480 24 0,87% Bronchial Cardiovascular Type II Rheumatic 0,01% 0,06% asthma diseases diabetes diseases 2+79+18+1mellitus 70+30N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+35+64+ 35 265 132 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 1 629 406 ₴ 31 243 581 ₴ 2 392 145 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 11 e-prescriptions 321 476 416

PRIVATE (WITHOUT PE) 15 85273 – private (without PE) +87N 75358 409 – private (without PE) +187N 27 – municipal 84 335 – municipal 21 – PE PE 33 672 – PE

AVERAGE COST 16 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 70,60 ₴ 42 76 681

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 380 658

58,86%

39,85% 67,9% – female 32,1% – male 81 871

13 858 29 1,17% Bronchial Cardiovascular Type II Rheumatic 0,01% 0,11% asthma diseases diabetes diseases 3+80+17+1mellitus 68+32N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+40+59+ 21 542 876 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 5 323 403 ₴ 14 341 892 ₴ 1 877 581 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 2 e-prescriptions 203 333 845

PRIVATE (WITHOUT PE) 13 86175 – private (without PE) +113N 80266 901 – private (without PE) 4 +119N 2 – municipal 002 – municipal 26 – PE PE 62 942 – PE

AVERAGE COST 31 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 86,80 ₴ 46 57 560

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 255 485

57,10%

41,09% 62,3% – female 37,7% – male 63 956

14 359 45 1,56% Bronchial Cardiovascular Type II Rheumatic 0,04% 0,20% asthma diseases diabetes diseases 4+77+19+1mellitus 62+38N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+41+57+ 24 874 351 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 370 295 ₴ 18 763 602 ₴ 5 740 454 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 8 e-prescriptions 297 601 954

PRIVATE (WITHOUT PE) 26 84251 – private (without PE) +8N 78470 493 – private (without PE) +11N 23 – municipal 68 025 – municipal 23 – PE PE 63 436 – PE

AVERAGE COST 12 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 97,90 ₴ 46 100 510

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 471 548 65,55%

67,7% – female 33,30% 32,3% – male 106 898

23 466 42 0,93% Bronchial Cardiovascular Type II Rheumatic 0,06% 0,17% asthma diseases diabetes diseases 4+78+18+1mellitus 65+35N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+33+66+ 53 730 112 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 6 347 946 ₴ 42 421 521 ₴ 4 960 645 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 8 e-prescriptions 238 327 609

PRIVATE (WITHOUT PE) 23 82196 – private (without PE) +513N 78254 348 – private (without PE) +418N 11 – municipal 13 391 – municipal 31 – PE PE 59 870 – PE

AVERAGE COST 28 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 82,40 ₴ 59 61 171

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS

236 532 60,50%

37,50% 62,7% – female 37,3% – male 74 669

16 391 17 1,55% Bronchial Cardiovascular Type II Rheumatic 0,08% 0,37% asthma diseases diabetes diseases 5+72+23+1mellitus 63+37N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+38+60+ 22 796 770 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 1 862 677 ₴ 16 503 226 ₴ 4 430 867 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 15 e-prescriptions 429 427 717

PRIVATE (WITHOUT PE) 37 86376 – private (without PE) +113N 81347 434 – private (without PE) +181N 42 – municipal 75 688 – municipal 11 – PE PE 4 595 – PE

AVERAGE COST 12 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 81,10 ₴ 64 75 738

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS

318 730 60,90%

37,72% 65,6% – female 34,4% – male 94 202

14 706 79 1,19% Bronchial Cardiovascular Type II Rheumatic 0,04% 0,15% asthma diseases diabetes diseases 3+75+22+1mellitus 66+34N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+38+61+ 39 158 906 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 6 427 498 ₴ 32 382 659 ₴ 348 748 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 1 e-prescriptions 782 557 114

PRIVATE (WITHOUT PE) 88 93730 – private (without PE) +70N 57317 515 – private (without PE) +430N 52 – municipal 239 599 – municipal 0 – PE PE 0 – PE

AVERAGE COST 1 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 106,40 ₴ 90 107 166

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS

68,75% 412 533

65,4% – female 34,6% – male 29,93% 120 112

23 954 515 1,11% Bronchial Cardiovascular Type II Rheumatic 0,06% 0,15% asthma diseases diabetes diseases 4+74+22+1mellitus 65+35N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+30+69+ 119 225 135 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 23 137 807 ₴ 96 060 749 ₴ 26 580 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 2 e-prescriptions 181 292 719

PRIVATE (WITHOUT PE) 13 87156 – private (without PE) +94N 92269 862 – private (without PE) +4N 17 – municipal 11 672 – municipal 8 – PE PE 11 185 – PE

AVERAGE COST 7 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 75,20 ₴ 22 45 128

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 235 232

63,08%

67,7% – female 36,12% 32,3% – male 50 222

7 262 3 0,79% Bronchial Cardiovascular Type II Rheumatic 0,02% asthma diseases diabetes diseases 0,00% 2+80+17+1mellitus 68+32N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 01+3+36+63+ 14 793 061 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 838 352 ₴ 13 183 839 ₴ 770 870 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 1 e-prescriptions 186 242 738

PRIVATE (WITHOUT PE) 4 55102 – private (without PE) +396N 3790 167 – private (without PE) +549N 72 – municipal 130 585 – municipal 12 – PE PE 21 986 – PE

AVERAGE COST 7 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 79,00 ₴ 12 44 691

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 196 962

59,72%

38,70% 69,3% – female 30,7% – male 37 775

7 987 14 1,45% Bronchial Cardiovascular Type II Rheumatic 0,05% 0,08% asthma diseases diabetes diseases 3+81+16+1mellitus 69+31N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+39+60+ 15 674 533 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 10 011 497 ₴ 3 744 744 ₴ 1 918 292 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 7 e-prescriptions 587 733 754

PRIVATE (WITHOUT PE) 65 94550 – private (without PE) +15N 93687 864 – private (without PE) +25N 7 – municipal 11 792 – municipal 30 – PE PE 34 098 – PE

AVERAGE COST 27 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 73,90 ₴ 99 125 590

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 563 060 63,78%

63,1% – female 34,72% 36,9% – male 141 869

28 729 96 1,25% Bronchial Cardiovascular Type II Rheumatic 0,06% 0,20% asthma diseases diabetes diseases 4+77+19+1mellitus 63+37N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+35+64+ 125 706 283 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 872 244 ₴ 122 286 156 ₴ 2 547 883 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 1 e-prescriptions 195 423 425

PRIVATE (WITHOUT PE) 15 87170 – private (without PE) +13N 75318 563 – private (without PE) +1114N 0 – municipal 48 068 – municipal 25 – PE PE 56 794 – PE

AVERAGE COST 20 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 76,10 ₴ 36 58 578

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 329 875 63,14%

67,7% – female 35,77% 32,3% – male 80 748

12 784 18 0,99% Bronchial Cardiovascular Type II Rheumatic 0,01% 0,08% asthma diseases diabetes diseases 3+78+19+1mellitus 68+32N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+36+63+ 26 347 303 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 3 357 996 ₴ 18 583 763 ₴ 4 405 544 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 4 e-prescriptions 501 519 680

PRIVATE (WITHOUT PE) 41 94472 – private (without PE) +3N 87451 877 – private (without PE) +67N 15 – municipal 29 069 – municipal 14 – PE PE 38 734 – PE

AVERAGE COST 14 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 89,20 ₴ 59 85 261

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS

388 020 64,70%

67,2% – female 34,13% 32,8% – male 110 157

21 465 38 1,08% Bronchial Cardiovascular Type II Rheumatic 0,02% 0,07% asthma diseases diabetes diseases 4+75+21+1mellitus 67+33N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+34+65+ 39 642 808 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 2 630 990 ₴ 33 760 428 ₴ 3 251 390 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 1 e-prescriptions 313 482 999

PRIVATE (WITHOUT PE) 16 91287 – private (without PE) +18N 83400 767 – private (without PE) 7 +215N 1 – municipal 337 – municipal 25 – PE PE 74 895 – PE

AVERAGE COST 6 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 74,40 ₴ 23 80 690

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 377 267 62,73%

66,2% – female 36,25% 33,8% – male 93 363

12 323 46 0,95% Bronchial Cardiovascular Type II Rheumatic 0,01% 0,06% asthma diseases diabetes diseases 3+78+19+1mellitus 66+34N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+36+63+ 28 898 742 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 630 932 ₴ 23 038 589 ₴ 5 229 221 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 4 e-prescriptions 273 293 903

PRIVATE (WITHOUT PE) 14 91248 – private (without PE) +36N 93271 827 – private (without PE) 8 +34N 9 – municipal 851 – municipal 16 – PE PE 13 225 – PE

AVERAGE COST 15 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 81,80 ₴ 33 57 517

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 233 601

56,23%

41,89% 66,4% – female 33,6% – male 45 833

14 453 16 1,63% Bronchial Cardiovascular Type II Rheumatic 0,05% 0,19% asthma diseases diabetes diseases 5+79+16+1mellitus 66+34N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+42+56+ 13 430 797 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 814 421 ₴ 11 801 958 ₴ 814 419 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 3 e-prescriptions 201 385 256

PRIVATE (WITHOUT PE) 12 93187 – private (without PE) +25N 89344 863 – private (without PE) 6 +29N 3 – municipal 083 – municipal 11 – PE PE 34 310 – PE

AVERAGE COST 10 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 77,00 ₴ 25 60 137

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 299 752 63,00%

68,1% – female 36,12% 31,9% – male 75 810

9 681 13 0,77% Bronchial Cardiovascular Type II Rheumatic 0,02% 0,09% asthma diseases diabetes diseases 3+78+20+1mellitus 68+32N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+36+63+ 8 893 974 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 393 522 ₴ 5 944 078 ₴ 2 556 374 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 6 e-prescriptions 223 368 540

PRIVATE (WITHOUT PE) 4 85190 – private (without PE) +411N 68249 709 – private (without PE) +1418N 8 – municipal 52 584 – municipal 25 – PE PE 66 247 – PE

AVERAGE COST 26 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 61,20 ₴ 36 53 856

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 288 235

61,11%

37,45% 61,8% – female 38,2% – male 66 359

13 914 32 1,25% Bronchial Cardiovascular Type II Rheumatic 0,01% 0,18% asthma diseases diabetes diseases 4+78+18+1mellitus 62+38N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+37+61+ 11 486 818 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 2 766 672 ₴ 3 950 266 ₴ 4 769 881 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 6 e-prescriptions 673 917 921

PRIVATE (WITHOUT PE) 91 92619 – private (without PE) +62N 88811 720 – private (without PE) +102N 38 – municipal 83 922 – municipal 16 – PE PE 22 279 – PE

AVERAGE COST 18 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 73,60 ₴ 115 132 832

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 726 997 65,10%

68,2% – female 33,98% 31,8% – male 161 444

29 442 38 0,73% Bronchial Cardiovascular Type II Rheumatic 0,03% 0,17% asthma diseases diabetes diseases 3+79+18+1mellitus 68+32N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+34+65+ 81 857 824 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 6 245 086 ₴ 73 713 720 ₴ 1 899 018 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 9 e-prescriptions 202 312 419

PRIVATE (WITHOUT PE) 19 74149 – private (without PE) +620N 68212 022 – private (without PE) +1814N 12 – municipal 57 549 – municipal 41 – PE PE 42 848 – PE

AVERAGE COST 24 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 90,90 ₴ 52 49 779

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 256 353

64,41%

66,8% – female 34,70% 33,2% – male

46 189

9 849 28 0,72% Bronchial Cardiovascular Type II Rheumatic 0,02% 0,15% asthma diseases diabetes diseases 3+82+15+1mellitus 67+33N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+35+64+ 19 725 319 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 4 248 474 ₴ 12 516 943 ₴ 2 959 902 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 13 e-prescriptions 292 476 570

PRIVATE (WITHOUT PE) 57 87255 – private (without PE) +76N 85403 585 – private (without PE) +105N 20 – municipal 46 912 – municipal 17 – PE PE 26 073 – PE

AVERAGE COST 18 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 69,20 ₴ 88 80 079

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 370 062

61,07%

37,44% 66,1% – female 33,9% – male 87 469

18 919 120 1,39% Bronchial Cardiovascular Type II Rheumatic 0,02% 0,08% asthma diseases diabetes diseases 4+78+18+1mellitus 66+34N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+37+61+ 28 866 632 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 3 389 598 ₴ 23 808 888 ₴ 1 668 145 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 7 e-prescriptions 160 359 068

PRIVATE (WITHOUT PE) 18 5385 – private (without PE) +389N 58207 866 – private (without PE) +366N 61 – municipal 128 666 – municipal 14 – PE PE 22 536 – PE

AVERAGE COST 12 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 85,50 ₴ 37 67 742

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 274 858 62,23%

65,1% – female 36,41% 34,9% – male 69 193

14 990 27 1,18% Bronchial Cardiovascular Type II Rheumatic 0,04% 0,15% asthma diseases diabetes diseases 4+77+19+1mellitus 65+35N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+36+62+ 24 449 591 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 10 213 156 ₴ 12 267 225 ₴ 1 969 210 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 7 e-prescriptions 158 223 363

PRIVATE (WITHOUT PE) 9 74117 – private (without PE) +1115N 74165 267 – private (without PE) +13N 18 – municipal 29 234 – municipal 23 – PE PE 28 862 – PE

AVERAGE COST 20 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 85,50 ₴ 36 39 450

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 175 429

60,28%

37,63% 62,6% – female 37,4% – male 37 624

10 286 24 1,62% Bronchial Cardiovascular Type II Rheumatic 0,07% 0,40% asthma diseases diabetes diseases 5+79+17+1mellitus 63+37N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+38+60+ 9 799 469 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 2 491 180 ₴ 4 486 750 ₴ 2 821 539 ₴

PHARMACIES

Number Number MUNICIPAL of used of pharmacies 0 e-prescriptions 173 329 512

PRIVATE (WITHOUT PE) 13 95164 – private (without PE) +5N 95314 100 – private (without PE) +5N 0 – municipal 0 – municipal 9 – PE PE 15 412 – PE

AVERAGE COST 7 NUMBER OF PATIENTS OF ISSUED PRESCRIPTIONS WHO RECEIVED MEDICINES 75,90 ₴ 20 52 917

Breakdown of used e-prescriptions

BY DISEASES BY GENDER OF PATIENTS BY AGE OF PATIENTS 257 929

62,13%

36,60% 67,3% – female 32,7% – male 59 931

11 586 66 1,11% Bronchial Cardiovascular Type II Rheumatic 0,03% 0,13% asthma diseases diabetes diseases 4+78+18+1mellitus 67+33N 0–5 6–17 18–39 40–64 65+ TOTAL Payments to pharmacies 11+3+37+62+ 10 248 232 ₴

MUNICIPAL PRIVATE (WITHOUT PE) PE 0 ₴ 9 407 906 ₴ 840 326 ₴

NATIONAL HEALTH SERVICE 2020 OF UKRAINE ANNUAL REPORT Annual Report 2020 National Health Service of Ukraine