Management of the health reform project immediately targeted at removing major reasons of the entire system inefficiency, revision of financing principles, as well as implementation of new models of assistance within the basic health care system was started in 2011 in three regions (Dnipropetrovsk, Vinnytsia and Donetsk regions). However, this reform did not cover the entire territory of Ukraine, and no new ways of financing and service provision were introduced. No TB hospitals were re-profiled or closed.
1. TB control should be included in the initial design and pilot implementation of the health care reform. This is an opportunity for the NTP to test new methods of financing and service delivery which can increase the quality of inpatient and outpatient care while readjusting gaps in TB human resources. It also offers an opportunity for re-profiling TB facilities (converting beds without closing facilities). In particular, the role of TB hospitals to offer “roof and food” to patients calls for a wider discussion of this role – especially in TB hospitals − in the social support system.