Assessment of economic effectiveness and efficient allocation of finance for measures envisaged by the National TB Program was not carried out on the national level.
Under the Global Fund grant, medical and economic reasoning of structural changes within the TB facilities network in the city of Kyiv was carried out in 2012. Research findings were represented at the meeting of Kyiv Healthcare Authority and submitted to members of the city council. Based on recommendations relying on the data obtained, Kyiv facilities were re-arranged, in particular, a unified territorial medical unit in Kyiv was established and a further optimization plan was outlined.
4. To improve the technical and allocative efficiency of the NTP, health interventions should be assessed for their cost–effectiveness before being translated into orders. Cost–effectiveness analysis is a sub-set of health technology assessments. To support and monitor the wider health system reform programmes, consideration should be given to setting up a semiindependent health technology analysis unit or a health policy analysis centre with the cost–effectiveness analysis of TB interventions and a master plan for TB facilities (as part of the re-profiling exercise) included in its terms of reference.