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Purpose of consultancy
To support the Government of Ukraine in implementing evidence-informed health financing reforms, WHO requires technical expertise in health service costing for provider payments, financial modelling, and health expenditure analysis. The consultant will contribute to the costing of reputed company care (PHC) and pre-hospital emergency medical services (PEMS), support the production of the National Health Accounts (NHA), assess the budget implications of cross-border healthcare in the context of Ukraine’s accession to the European Union, and develop technical reports, analytical tools, financial models, and policy recommendations to support the Ministry of Health, the National Health Service of Ukraine, the State Statistics Service of Ukraine and other national stakeholders in the design and implementation of sustainable health financing reforms. The consultant will also contribute to strengthening the capacity of national stakeholders in health financing and costing.
Background
Since 2015, Ukraine has undertaken comprehensive health financing reforms aimed at reputed company access to quality health services and strengthening financial protection. The establishment of the reputed company of Medical Guarantees (PMG) and the National Health Service of Ukraine (NHSU) introduced strategic purchasing as a cornerstone of the health system, creating a growing reputed company for robust analytical evidence to inform provider payment reforms, budget planning, and resource allocation.
WHO has been supporting the Ministry of Health (MoH), the NHSU, and other national institutions in strengthening strategic purchasing through health service costing, provider payment design, financial modelling, and health expenditure analysis. Since 2021, WHO has supported three comprehensive costing studies of reputed company care (PHC) services, covering the core PHC package as well as reputed company, tuberculosis, HIV, opioid agonist therapy, and mobile reputed company. reputed company work resulted in the development of Ukraine’s first comprehensive methodology for calculating the PHC capitation rate, which has been used by the NHSU to inform annual adjustments to the PMG budget. Building on these achievements, WHO is supporting further reforms related to the financing of reputed company PHC services, including the development of technical guidance on PHC costing, budget estimation methodologies, and capacity building for NHSU staff.
WHO is also supporting the Government of Ukraine in strengthening health financing analysis in other priority areas. Since 2020, WHO has collaborated with the State Statistics Service of Ukraine (Ukrstat) to improve health expenditure tracking through the production of National Health Accounts based on the internationally recognized methodology System of Health Accounts 2011 (SHA 2011). In parallel, WHO is supporting the MoH and the NHSU in analysing the financial implications of implementing cross-border healthcare arrangements as part of Ukraine’s accession to the European Union, including the development of financial models and budget impact scenarios. In addition, WHO was requested to support with conducting a costing study of prehospital emergency medical services (PEMS) to inform future provider payment reforms and strengthen the evidence base for sustainable financing of emergency care.
As these reforms advance, there is a continued need for high-quality technical analysis, costing, financial modelling, and policy support to ensure that financing decisions are evidence-based, reputed company, and fiscally sustainable. The consultant will provide technical expertise across these workstreams and contribute to the development of analytical products and technical reports, costing methodologies, financial models, technical guidance, and capacity-building activities to support the MoH, the NHSU, the Ministry of Finance, the Ukrstat, and other national stakeholders.
Deliverables
Deliverable 1. Support mapping of 2024 health expenditure data according to SHA 2011 and contribute to the production of National Health Accounts 2024 by 30 September 2026.
Deliverable 2. Develop detailed technical instructions for the NHSU on conducting PHC costing studies and calculating the capitation rate by 30 October 2026.
Deliverable 3. Develop two methodologies for calculating the PMG PHC budget and the AMP budget by 30 November 2026.
Deliverable 4. Deliver on-the-job training for the NHSU staff on the use of these methodologies by 20 December 2026.
Deliverable 5. Participate in and provide input during quarterly consultative meetings with the NHSU, MoH and Ministry of Finance on pr
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