Impact of the conflict on the costs of primary health care and investments in Ukraine: survey of war effects

Overview

This study assesses the impact of the Russian Federation’s invasion of Ukraine in February 2022 on the country’s primary health care (PHC) providers. Ukraine was implementing significant reforms to the PHC system before the invasion, including benefits packages, increased autonomy of providers, capitation-based payments and a choice of preferred PHC provider. Conducted in early 2023, the study involved 86 online questionnaires and 16 interviews with PHC providers. It found that despite initial uncertainty, most providers had stabilized their situation, although ongoing challenges remained, including staff shortages and demographic shifts due to displacement. Changes were noted in patient visits and declarations, with an increase in cardiovascular and mental health cases and a decrease in COVID-19 cases. Funding from the National Health Service of Ukraine had remained relatively consistent, while humanitarian and charitable aid helped to alleviate the financial burden on providers. The study also highlighted additional disruptions such as electricity outages and price increases. These findings offer valuable insights into the evolving PHC landscape in Ukraine during the invasion and possibilities for its future after the invasion, revealing the challenges faced and adaptations made in this challenging environment.