Herams Ukraine Baseline Report 2023

HeRAMS Ukraine Preliminary Baseline Report 2023
HeRAMS Ukraine Baseline Report 2023:

Operational status of the health system
November 2022 - May 2023
A comprehensive mapping of
the operational status of health
facilities
I
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steps are taken to ensure accuracy and reliability, all data are subject to continuous verification and change.
II
Table Of Content
Acronyms................................................................................................................................................... V
HeRAMS Team.......................................................................................................................................... VI
Executive Summary.................................................................................................................................. VII
Methodology............................................................................................................................................. IX
Conclusions................................................................................................................................................ X
Interpretation Guide................................................................................................................................ XIV
OPERATIONAL STATUS OVERVIEW..........................................................................................................15
Building condition.....................................................................................................................................17
Equipment condition.................................................................................................................................19
Functionality..............................................................................................................................................21
Accessibility..............................................................................................................................................23
BASIC AMENITIES.....................................................................................................................................25
Water.........................................................................................................................................................26
Water. Main sources..................................................................................................................................28
Waste segregation....................................................................................................................................30
Final disposal of sharps............................................................................................................................32
Final disposal of infectious waste............................................................................................................ 34
Waste Treatment Methods........................................................................................................................36
Power........................................................................................................................................................38
Power sources.......................................................................................................................................... 40
Heating......................................................................................................................................................42
Heating sources....................................................................................................................................... 44
Cold chain................................................................................................................................................ 46
Cold chain power sources........................................................................................................................ 48
HEALTH SERVICE DOMAINS OVERVIEW..................................................................................................50
Health service domains by oblast. Round 1..............................................................................................52
Health service domains by oblast. Round 2..............................................................................................57
GENERAL CLINICAL AND EMERGENCY CARE SERVICES....................................................................... 64
Basic Emergency Care..............................................................................................................................65
Advanced Syndrome-based management................................................................................................67
Outpatient services for primary care........................................................................................................69
Outpatient department for specialized care.............................................................................................71
III
Minor trauma definitive management.......................................................................................................73
Emergency and elective surgery...............................................................................................................75
Orthopedic/trauma ward.......................................................................................................................... 77
Inpatient critical care management..........................................................................................................79
Inpatient critical care management..........................................................................................................80
CHILD HEALTH AND NUTRITION..............................................................................................................81
EPI.............................................................................................................................................................82
COMMUNICABLE DIDEASES.................................................................................................................... 84
Tuberculosis..............................................................................................................................................85
MDRTB......................................................................................................................................................87
Local priority diseases..............................................................................................................................89
Management of severe and/or complicated communicable diseases.....................................................91
SEXUAL AND REPRODUCTIVE HEALTH (STIS AND HIV/AIDS).................................................................95
HIV testing and counseling, pre-exposure prophylaxis............................................................................96
PMTCT......................................................................................................................................................98
Antiretroviral treatment...........................................................................................................................100
SEXUAL AND REPRODUCTIVE HEALTH (MATERNAL AND NEWBORN CARE).......................................102
Antenatal care.........................................................................................................................................103
Skilled care during childbirth..................................................................................................................105
Basic Emergency Obstetric Care.............................................................................................................107
Comprehensive Emergency Obstetric Care............................................................................................109
Postpartum care..................................................................................................................................... 111
SEXUAL AND REPRODUCTIVE HEALTH (SEXUAL VIOLENCE)............................................................... 113
Clinical management of rape survivors.................................................................................................. 114
Emergency contraception....................................................................................................................... 116
Post-exposure prophylaxis...................................................................................................................... 118
NONCOMMUNICABLE DISEASES (NCDS)..............................................................................................120
Asthma and Chronic Obstructive Pulmonary Disease............................................................................121
Availability of cancer diagnostics services.............................................................................................123
Availability of cancer treatment services................................................................................................125
Hypertension...........................................................................................................................................127
Medical assistance in acute cerebral stroke..........................................................................................129
Medical assistance for acute myocardial infarction...............................................................................131
Diabetes..................................................................................................................................................133
Psychological first aid.............................................................................................................................135
Outpatient management of mental disorders.........................................................................................137
IV
HeRAMS Ukraine Baseline Report 2023: Operational status of the health system
Acronyms
eHealth Electronic Health Information System
EPI Expanded Programme on Immunization
HeRAMS The Health Resources and Services Availability Monitoring System
HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome
ICU Intensive care unit
MDRTB Multidrug-resistant tuberculosis
MHPSS Mental Health and Psychosocial Support
MOH Ministry of Health
NCD Non-Communicable Diseases
PHC Primary Health Centre
PMTCT Prevention of Mother to Child Transmission
STI Sexually Transmitted Infections
WHO World Health Organization
V
HeRAMS Team
Country team
ASSAF, Denise BRUNI, Emanuele
Health Information Officer - Epidemiologist Incident Manager
YASHCHENKO, Mariia AREGAY, Aron Kassahun

National Professional Officer (Health Service Monitoring) Lead, Health Information and Risk Assessment
BYSTROV, Roman
National Consultant, Data Analyst
HQ team
PETRAGALLO, Samuel
Health Information Systems Specialist
FUHRER, Caroline
Health Information Systems Specialist
BRECHARD, Raphael
Consultant
Feel free to contact our team if you have any questions:

eu_ukr_herams@who.int
VI
Executive Summary
The Health Resources and Services Availability Monitoring System (HeRAMS) collected data from 1,098
public healthcare facilities in Ukraine from November 2022 to January 20231 in the 10 oblasts of Ukraine
most affected by the war. Due to the unstable security situation in Khersonska oblast, data collection was
initially facilitated by a third-party monitoring group specializing in health assessments. However, following
the baseline data collection, the Khersonska oblast health department took responsibility for updating the
data and expanding the data collection.
In parallel with the ongoing update of the data in the most affected oblasts, data was collected from late
March to May 2023 for the remaining 13 oblasts and Kyiv city with the exception of Luhanska oblast and
Avtonomna Respublika Krym as well as areas of Donetska, Khersonska, and Zaporizka oblasts under the
temporary military control of the Russian Federation. In total data from 2,333 public healthcare facilities was
collected.
Information was collected on the functionality of healthcare facilities, as well as the extent of damages, basic
amenities, and service availability in the following domains:
• Trauma and general services
• Child health and nutrition
• Communicable diseases
• Sexual and reproductive health
• Maternal and newborn care
• Non-communicable diseases (NCDs)
• Mental health and psychosocial support (MHPSS)
The data collected by HeRAMS showed that healthcare facilities are functioning, and services related to
primary healthcare are widely available across the country. However, more specialized services such as
chemotherapy, mammography, and the multidrug-resistant tuberculosis diagnostics and treatment are inter-
rupted which is largely due to the lack of personnel and medical equipment.
Service disruptions are most visible in oblasts impacted by the conflict. Overall, 96% of the assessed health-
care facilities are fully functioning.
However, in Donetska oblast around a third (27%) of healthcare facilities are non-functioning, while another
third (36%) are partially functional due to a lack of security and structural damage to the healthcare facil-
ities. Additionally, half (50%) of all facilities in Donetska oblast are partially damaged and 10% have been
destroyed since the beginning of the full-scale war on 24 February 2022.
In Khersonska oblast, 43% of healthcare facilities are functioning, even though 71% sustained partial or total
damage to their building, and 58% of health facilities sustained partial or total damage to their equipment.
The condition of medical equipment is particularly concerning in Kharkivska and Donetska oblasts, where
23% and 55% of facilities, respectively, report fully or partially damaged medical equipment.
In all assessed oblasts, trauma and general services are widely available, but more specialized medical ser-
vices are interrupted due to lack of personnel and medical supplies and equipment.
1 Data has been collected from 99.99% of all public healthcare facilities in the priority oblasts.
VII
Less than 1% of healthcare facilities report disruption to non-communicable diseases clinics.
However, almost two-thirds (69%) of facilities in Khersonska oblast, more than half (55%) of healthcare
facilities in Donetska oblast, and over a third (40%) of facilities in Sumska oblast do not provide skilled care
during childbirth. The situation in these oblasts is similar for basic emergency obstetric care, caused primar-
ily by the lack of trained personnel.
Additionally, specialized diagnostics such as mammography screening have been disrupted in the majority
of oblasts with the exception of Vinnytska oblast. The proportion of facilities that no longer offer mammog-
raphy screenings ranges from 11% in Zaporizka to 66.7% in Ivano-Frankivska oblast. The situation is com-
parable for cancer diagnostics such as cystoscopies, bronchoscopies, and prostate biopsies. The primary
reasons for the unavailability are, once more, lack of specialized medical equipment and personnel.
In summary, the all-country baseline data collection has shown that health services are generally available
across Ukraine.
In areas that were not directly affected by military action, most services are widely available across all do-
mains. The infrastructure and basic amenities are also in good condition, compared to areas that were on
the frontline of the conflict. This is because these areas were not subject to the same level of destruction
and damage as the frontline areas.
In conflict-affected areas, including those that the Ukraine Government has recently regained control of, key
services are not available due to damages to buildings, lack of medical equipment, and lack of specialized
personnel.
If diagnostic services such as mammography and biopsy and cancer treatment continue to be disrupted,
this will almost certainly have a negative impact on public health, as early detection of noncommunicable
diseases and subsequent treatments will be delayed. The unavailability of basic emergency obstetric care in
certain oblasts is a further cause of concern and poses a significant threat to maternal health.
VIII
Methodology
Since November 2022, the Health Resources and Services Availability Monitoring System (HeRAMS) has
collected data from 2,333 healthcare facilities, which represents virtually all public healthcare facilities in
all oblasts of Ukraine with the exception of Luhanska oblast and Avtonomna Respublika Krym, including
healthcare facilities along the frontline. However, if no data were available for the areas of Donetska, Kher-
sonska, and Zaporizka oblasts under the temporary military control of the Russian Federation, they were
excluded from analysis. Private healthcare facilities were excluded from the data collection because they
represent only a small fraction of the healthcare facilities across Ukraine. Instead, the data collection focused
on public healthcare facilities.
Multiple data collection rounds, determined geographically, were conducted: Round 1 data collection
began in November 2022 and ended in February 2023, in nine most conflict-affected oblasts: Odeska,
Mykolaivska, Zaporizka, Kharkivska, Donetska, Sumska, Chernihivska, Kyivska, and Dnipropetrovska oblasts.
In all oblasts but Khersonska oblast, subnational focal points nominated by the oblasts’ health departments
were initially engaged in data collection. These focal points attended a two-day in-person training workshop
to ensure familiarity with the questionnaire and ensure a common understanding of key concepts such as
‘accessibility’ and ‘functionality’ of a healthcare facility.
Due to the unstable security situation in Khersonska oblast, data collection was initially facilitated by a
third-party monitoring group specializing in health assessments. However, following the baseline data col-
lection, the Khersonska oblast health department took responsibility for updating the data and expanding
the data collection.
In March 2023, data collection began in the 13 remaining oblasts of Ukraine and Kyiv city by subnational fo-
cal points who had been nominated by the oblasts or Kyiv city health departments (Zhytomyrska, Vinnytska,
Cherkaska, Poltavska, Khmelnytska, Rivnenska, Kirovohradska, Volynska, Lvivska, Ternopilska, Chernivetska,
Ivano-Frankivska, Zakarpatska oblasts, and Kyiv City). The focal points had completed a standard two-day,
in-person training prior to beginning data collection.
The questionnaire and training materials were adapted to the local context and translated into Ukrainian.
All healthcare facilities included in the master healthcare facility list provided by the National Health Ser-
vice of Ukraine were contacted. The overall response rate at the end of Round 1 was over 99%. For Round
2, the dataset was completed in accordance with the initial master healthcare facility list. The most recent
data update for Round 1 was centrally initiated in mid-April, ensuring that data from the Round 1 regions are
chronologically comparable with the data from other oblasts.
Basic cleaning and logic checks were performed on the raw data to meet quality standards. Additional qual-
ity assurance was piloted thought through a third-party on-site data verification of 70 healthcare facilities
located in a 10 to 50 kilometers zone from either the state border or the frontline in Donetska, Kharkivska, and
Zaporizka oblasts through the third-party monitoring group. The data in the HeRAMS platform varied only
in 6.37% of cases from the observations of the monitoring group. In half of the cases the variations occurred
due to context and situation changes.
IX
Conclusions
The conclusions of this report were generated through an interpretation workshop held on 7-9 of June 2023.
The workshop brought together 70 representatives from 23 oblasts and Kyiv city, including officers and
management from oblast Health Departments, representatives from oblast Medical Information Centers,
subnational Public Health Centers, and healthcare facilities.
During the workshop, participants discussed the following key findings:
Building and equipment damage: The most affected oblasts were Donetska, Kharkivska, and Khersonska
mainly due to armed conflict. In less affected areas, healthcare facilities sustain damage due to insufficient
maintenance. Because the network of emergency medical care centers is decentralized, and damage to
ambulances is not reported in the HeRAMS platform, emergency medical care centers reported the lowest
percentage of damage.
Functionality and accessibility: It was noted by the participants that despite the damage to healthcare
facilities, indicators of functionality and accessibility are quite high. Frontline areas (North-Eastern, Eastern,
South-Eastern, and Southern parts of Ukraine) had the lowest availability and functionality, followed by Cen-
tral oblasts and North-Western oblasts, and finally Western oblasts, which had the highest availability and
functionality. Lack of security was mentioned as the primary cause of inaccessibility and ineffectiveness.
However, shortage of medical personnel and physical obstacles (e.g., distance, damaged roads) were also
reported and, according to the participants of the interpretation workshop, additional information is required
to determine which critical infrastructure is damaged, which access barriers exist and which medical per-
sonnel is required. The majority of healthcare facilities did not report financial obstacles. In terms of types
of healthcare facilities, emergency medical centers and multiprofile healthcare facilities had the highest
functionality and accessibility indicators.
Availability of energy supply, cold chain, heating, water supply and their sources: During the workshop
participants discussed that the availability of energy supply, cold chain, heating, water supply and their
sources are interconnected. They are mostly reported to be received from the public network, which makes
healthcare facilities dependent on their functioning. For example, healthcare facilities need to maintain a
cold chain to store vaccines and other medical supplies. Participants also highlighted that there is sufficient
availability of energy and heating. However, there are reports of lack of financial resources and equipment in
cases where basic amenities are impeded. This can lead to disruptions in health care delivery.
Medical waste disposal: Participants highlighted that there is a persistent nationwide problem with waste
disposal, including medical waste. This is why no significant differences in the availability of waste disposal
(including acute and infectious waste) were reported between the oblasts. Participants expressed concerns
about the suboptimal ways of waste disposal that were reported. In the discussion, it was mentioned that
more than 50% of facilities dispose of waste off-site, delegating this function to the external vendors. The
main obstacles to on-site waste disposal are the lack of equipment and funding.
X
Service domains: During the overview of service domains, it was noted that the availability of services
depends on proximity to the frontline. The main reasons for inaccessibility, regardless of the region, are the
lack of personnel and equipment. The participants speculated that the high percentage of personnel short-
ages was associated with the outflow of qualified workers abroad (brain drain). The highest percentage of
non-availability and partial availability was presented by reproductive health, maternal and newborn care,
noncommunicable diseases and mental health domains. In the Central and Western oblasts, the common
reason for service unavailability was lack of finances. In the meantime, throughout the country, the leading
reason for limited availability of mental and sexual reproductive health services was lack of training and
capacity building.
Basic emergency care, advanced care based on syndromes, emergency inpatient care: During the
discussion of the indicators for basic emergency care, advanced care based on syndromes, and emergency
inpatient care, it was noted that conflict-affected oblasts reported the lowest availability of these services.
The group discussed the differences in the impediments to these services i.e., the common barrier was lack
of equipment, however for the emergency inpatient care one of the leading barriers was lack of personnel.
It was emphasized that inadequate availability of basic emergency care is unacceptable, even though the
lowest availability was reported by primary healthcare institutions.
Treatment of minor injuries: In terms of complete treatment of minor injuries, it was concluded that it is fully
available in the healthcare facilities mostly when specialized personnel is available (e.g., surgeons, trauma-
tologists). The reported barriers to service delivery were lack of medical equipment and capacity building.
Emergency and planned surgical operations and orthopedic/trauma department: Regional differences
were discussed, and the principal barrier to service delivery in the conflict-affected oblasts was shortages of
personnel, whereas in other oblasts the principal barrier was lack of financial resources.
Outpatient services of primary medical care, outpatient department specialized care, and outpatient
care for mental disorders: Although it was discussed that the availability of outpatient services is quite
high, the data indicate that only in 12% cases outpatient care for mental disorders is available at the primary
healthcare level. The main barrier was lack of training, particularly at the primary level, and lack of person-
nel in all types of healthcare facilities. Whereas lack of equipment was the main obstacle to the delivery of
outpatient specialized care.
Noncommunicable Diseases (NCDs): The group discussed the widespread availability of services for hy-
pertension, diabetes, asthma, and COPD, while the availability of services for cancer diagnosis and treatment
services was low. The services for acute myocardial infarction and acute cerebral stroke were deemed to be
available in all fully qualified and equipped healthcare facilities. The group hypothesized that several health-
care facilities reported obstacles to providing services for myocardial infarction and acute cerebral stroke,
such as lack of qualified personnel and equipment.
The availability of services for diabetes, asthma, and COPD varied geographically, with the lowest availability
in the most conflict-affected oblasts mainly due to lack of personnel. Similarly, there were no significant
differences between oblasts in terms of the accessibility of cancer treatments and diagnostics. Participants
in the interpretation workshop hypothesized that this could be due to the fact that cancer services are pri-
marily offered in specialized healthcare facilities (monoprofile and multiprofile healthcare facilities). Lack
of diagnostic equipment was cited as the most prevalent barrier to cancer diagnosis. In this regard, it was
stated that there were no non-instrumental cancer screening indicators at the primary healthcare level. Ad-
ditionally, the most frequently cited obstacle to cancer treatment was lack of personnel.
XI
Furthermore, it was highlighted that the humanitarian aid did not meet the needs of patients with hyperten-
sion, diabetes, asthma, and COPD due to the short remaining shelf-life of the provided medications and the
fact that the delivered pharmaceuticals were not typical of Ukrainian prescription practices.
Moreover, the group expressed doubt that lack of personnel and medical equipment in primary healthcare
facilities to the hypertension diagnosis and treatment.
Sexual and reproductive health (maternal and newborn care): It was discussed that antenatal care,
postnatal care, and prevention of mother-to-child transmission of HIV (PMTCT) were insufficiently provided
in healthcare facilities, including primary healthcare facilities. Lack of personnel and training were cited as
obstacles to these services. Donetsk and Kherson regions exhibited the lowest availability. Even though the
state and NGOs/INGOs provide a substantial amount of resources for HIV-related services, the group found
it concerning that there is a lack of medical supplies for PMTCT.
The availability of skilled care during childbirth, basic emergency obstetric care, and comprehensive emer-
gency obstetric was the lowest in the most conflict-affected oblasts, even though the services are available
at the national level. Personnel and equipment shortages were reported for all childbirth-related services.
The group questioned the reported availability of skilled birth attendants at several primary health care
facilities in Ukraine.
Sexual Violence: The clinical management of rape survivors, including first psychological aid, emergency
contraception, and post-contact prevention, was reported to be extremely limited in availability at the level of
primary healthcare, regardless of the oblast. Common barriers cited for these services were lack of person-
nel and training, whereas for emergency contraception, the primary barriers were lack of medical supplies
and financial resources. Concerning immunization, the group did not reach a consensus on whether or not
88% of Expanded Program on Immunization availability at the primary healthcare level was sufficient, nor
did they agree on whether or not there were differences in the program between oblasts. Again, the group
questioned the accuracy of the obstacles reported by the primary healthcare facilities, specifically the lack
of personnel and lack of equipment.
Epidemic and emergency preparedness: Despite the fact that epidemic and emergency preparedness
was generally available across healthcare facilities with limited availability of emergency capacities cited
lack of personnel and medical equipment as the primary obstacles. Local priority infectious diseases, and
the management of patients with complex or complicated course of infectious diseases were deemed wide-
ly available across, but even less so in conflict-affected oblasts. In instances in which service delivery was
unavailable, lack of personnel was cited as the primary obstacle.
HIV and Tuberculosis (TB): Due to the limited availability of these services at the primary healthcare level,
the group could not agree on whether the availability of HIV testing, appropriate counseling, pre-exposure
prophylaxis, and ART could be deemed high. For example, the majority of ART was provided by specialized
healthcare facilities. Due to the substantial external support for HIV-related services, the group was once
more alarmed by the data indicating lack of medical supplies for ART provision.
In conflict-affected oblasts, tuberculosis and multidrug-resistant tuberculosis services are less accessible. In
all the participating oblasts, the same obstacles were cited, namely lack of personnel and equipment. During
the course of tuberculosis treatment, the patient has a choice between primary care and a specialized insti-
tution. Therefore, the group suggested that it would be advantageous to differentiate the data on barriers by
XII
the types of healthcare facilities in order to determine which personnel were required (general physicians
or tuberculosis specialists).
XIII
Interpretation Guide
Indicator status
Arc charts
For each indicator, an arc chart provides an overview of the overall
status (i.e. functionality, availability, sufficiency, etc.), hereafter referred
to as “availability”. The total number of health facilities included in the
analysis of an indicator is shown inside the arc chart. It is important to
note that the total number of health facilities included in the analysis XX
of an indicator can vary due to the exclusion of non-operational and
Available Partially available Not available
non-reporting health facilities from subsequent analyses.
Column charts Donut charts

Column charts display the status of an indicator by Each donut chart represents a
region. The number of health facilities in oblast is type of health facility. The percent-
shown below the region’s name. age of health facilities for which
Region A
the indicators was available or
(n=xx)
partially available is shown inside
Region B
the donut while the total num- Health(n=xx) facility type
(n=xx)
ber of health facilities included is
Available Partially available Not available shown at the bottom of the chart, below the health
facility type name. If an indicator was not available in
any health facility, the number inside the chart will
display the percentage of health facilities for which
the indicator was partially or not available.
Reasons of unavailability
If an indicator was not or only partially available, main reasons of unavailability (i.e. causes of damage, reasons for
non-functionality, etc.) were collected. Similarly, indicators assessing availability and sufficiency of basic amenities may
have a sub-question gathering additional information on the type of amenity available. Alike reasons of unavailability,
types of amenities are only evaluated if the amenity was at least partially available. For simplicity reasons, causes of
damage, non-functionality and inaccessibility, reasons of unavailability, types of basic amenities, and type of support
provided by partners are hereafter commonly referred to as “reasons”.
Donut charts Bar charts

Each donut chart indicates Bar charts depicting reasons fol- Region A
(n = xx)
the percentage of health fa- low the same logic as donut charts
cilities having reported a giv- and exclude health facilities where
en reason. The total number the indicator was fully available.
of health facilities reporting The number of health facilities re-
at least one reasons is shown porting at least one reason is dis-
below the chart header. played below the region’s name.
Important: The denominators for reasons charts exclude health facilities where the indicator was fully available or in
the case of basic amenities not available. It should further be noted that health facilities could report up to three reasons
for each indicator. Thus, the sum of all reasons may exceed 100%.
XIV
OPERATIONAL STATUS
OVERVIEW
Operational status overview, 05.05.23
O p e r a t i on al
P a r t i a lly o p e r a t ional
N o t o p e r a t i o nal
16
Building condition
Building condition overview Building condition by health facility type
88%
88% 83% 88%
11% 17% 11%
PHC Emergency Multi

medical profile
2313
Center care center hospital
(n=1010) (n=24) (n=861)
12%
<1%
86% 87%
Intact building or insignificant damage Fully damaged 14% 13%
Partially damaged
Mono
profile Other
hospital
(n=372) (n=46)
Main causes of damage
(n = 284)
Conflict / Lack of Natural Man

attack / made Other
looting maintenance disaster disaster
86% 12% 1% <1% 9%
Not damaged
Partially damaged
Fully damaged
Not operational
Not reporting
17
Building condition
Building condition by oblast. Round 1* Main causes of damage by oblast. Round 1**
Odeska Chernihivska 78% 11% 11%
128 5
(n=133) (n=16)
Dnipropetrovska Dnipropetrovska 90% 10%

145 10
(n=155) (n=10)
Sumska Donetska 100%

81 9
(n=90) (n=60)
Kyivska Kharkivska 82% 11% 4%

84 16
(n=100) (n=49)
Zaporizka Khersonska 100%

80 22
(n=102) (n=32)
Chernihivska Kyivska 88% 6% 6%

53 15 1
(n=69) (n=16)
Mykolaivska Mykolaivska 87% 4% 9%

60 21
(n=81) (n=21)
Kharkivska Odeska 43% 57%

111 47 2
(n=160) (n=5)
Donetska Sumska 89% 11%

45 50 10
(n=105) (n=9)
Khersonska Zaporizka 100%

13 31 1
(n=45) (n=22)
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Intact building or insignificant damage Natural disaster Lack of maintenance
Partially damaged Man-made disaster Other
Fully damaged Conflict / attack / looting
Building condition by oblast. Round 2* Main causes of damage by oblast. Round 2**
Rivnenska Cherkaska 50% 50%
87
(n=87) (n=2)
Ivano Frankivska Chernivetska 33% 67%

97 1
(n=98) (n=2)
Zakarpatska Ivano-Frankivska 100%

73 1
(n=74) (n=1)
Volynska Khmelnytska 100%

62 1
(n=63) (n=2)
Vinnytska Kirovohradska 9% 64% 27%

115 2
(n=117) (n=8)
Ternopilska Kyiv City

88 2 88% 12%
(n=90) (n=8)
Cherkaska Lvivska
84 2 20% 60% 20%
(n=86) (n=4)
Khmelnytska Poltavska
74 2 33% 67%
(n=76) (n=3)
Chernivetska Ternopilska
72 2 67% 33%
(n=74) (n=2)
Poltavska Vinnytska
99 3 50% 50%
(n=102) (n=2)
Lvivska Volynska
130 4 100%
(n=134) (n=1)
Kyiv City Zakarpatska
90 8 50% 50%
(n=98) (n=1)
Zhytomyrska
89 8 Zhytomyrska 75% 25%
(n=97)
(n=8)
Kirovohradska 0% 25% 50% 75% 100%
69 8
(n=77)
Natural disaster Lack of maintenance
0% 25% 50% 75% 100% Conflict / attack / looting Other
Intact building or insignificant damage
Partially damaged
*
Chart excludes health facilities where the service is not normally provided.
** Chart includes health facilities where the causes/barriers were indicated.
18
Equipment condition
Equipment condition overview Equipment condition by health facility type
91%
91% 83% 92%
8% 17% 7%
PHC Emergency Multi

medical profile
2313
(n=1010) (n=24) (n=861)
8%
1%
90% 96%
Not damaged Fully damaged 8% 2%
Partially damaged
Mono
profile Other
hospital
(n=372) (n=46)
Main causes of damage
(n = 207)
Conflict / Lack of Natural Man

attack / made Other
looting maintenance disaster disaster
89% 8% <1% <1% 6%
Not damaged
Partially damaged
Fully damaged
Not operational
Not reporting
19
Equipment condition
Equipment condition by oblast. Round 1* Main causes of damage by oblast. Round 1**
Dnipropetrovska Chernihivska 89% 11%
152 3 (n=9)
(n=155)
Odeska Dnipropetrovska 67% 33%

128 5 (n=3)
(n=133)

83 7 (n=58)
(n=90)
Chernihivska Kharkivska 92% 5%

60 8 1 (n=37)
(n=69)
Khersonska 100%
Zaporizka
86 16 (n=26)
(n=102)
Kyivska 83% 11% 6%
Mykolaivska (n=17)
68 11 2
(n=81)
Mykolaivska 86% 7% 7%
Kyivska (n=13)
83 17
(n=100)
Odeska 33% 67%
Kharkivska (n=5)
123 29 8
(n=160)
Sumska 100%
Donetska (n=7)
47 41 17
(n=105)
Zaporizka 100%
Khersonska (n=16)
19 25 1
(n=45)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
Man-made disaster Lack of maintenance
Not damaged Partially damaged Fully damaged Conflict / attack / looting Other
Equipment condition by oblast. Round 2* Main causes of damage by oblast. Round 2**
Zakarpatska Cherkaska 100%
74 (n=1)
(n=74)
Volynska Chernivetska 33% 67%

63 (n=2)
(n=63)
Kirovohradska 100%
Rivnenska (n=1)
87
(n=87)
Kyiv City 67% 33%
Khmelnytska (n=3)
76
(n=76)
Lvivska 33% 67%
Ivano Frankivska (n=3)
98
(n=98)
Poltavska 33% 67%
Vinnytska (n=3)
116 1
(n=117)
Ternopilska 50% 50%
(n=1)
Zhytomyrska
96 1
(n=97)
Vinnytska 50% 50%
(n=1)
Ternopilska
89 1
(n=90) Zhytomyrska 100%
(n=1)
Cherkaska
85 1 0% 25% 50% 75% 100%
(n=86)
Natural disaster Lack of maintenance
Kirovohradska Conflict / attack / looting Other
76 1
(n=77)
Lvivska
131 3
(n=134)
Chernivetska
72 2
(n=74)
Poltavska
99 3
(n=102)
Kyiv City
95 3
(n=98)
0% 25% 50% 75% 100%

Not damaged Partially damaged
*
20
Functionality
Functionality overview Functionality by health facility type
93%
93% 96% 94%
6% 4% 4%
PHC Emergency Multi

medical profile
2305
(n=1006) (n=24) (n=857)
6%
2%
90% 85%
Fully Functioning Non-Functioning 7% 9%
Partially Functioning
Mono
profile Other
hospital
(n=372) (n=46)
Main causes of non-functionality
(n = 161)
Lack of Damage of the Lack of Lack of Lack of Lack of

health physical
security facility staff access equipment finances
80% 47% 16% 13% 9% 5%
Lack of
medical Other
supplies
4% 10%
Fully functioning
Partially functioning
Non-functioning
Destroyed
21
Functionality
Functionality by oblast. Round 1* Main causes of non-functionality by oblast. Round 1**
Chernihivska Dnipropetrovska 83% 17%
68 (n=6)
(n=68)
Odeska Donetska 12% 5%3% 42% 30% 4%

132 1 (n=57)
(n=133)
Kharkivska 9% 9% 6% 6% 21% 44% 6%
Kyivska (n=18)
99 1
(n=100)
Khersonska 7% 4%5% 18% 31% 24% 9%
Sumska (n=19)
88 2
(n=90)
Kyivska 50% 50%
Dnipropetrovska (n=1)
149 4
(n=155) 2 Mykolaivska 30% 40% 30%
(n=5)
Mykolaivska
76 5
(n=81) Odeska 50% 50%
(n=1)
Kharkivska
140 13
(n=158) 5 Sumska 100%
(n=2)
Khersonska
25 17 2 Zaporizka
(n=44) 3% 8% 76% 7%
(n=47)
Zaporizka 0% 25% 50% 75% 100%
55 44 3
(n=102)
Lack of staff Lack of finances
Donetska
38 36 27 Lack of medical supplies Lack of security
(n=101) Lack of equipment Damage of the health facility
0% 25% 50% 75% 100%
Lack of physical access Other
Fully Functioning Non-Functioning

Partially Functioning
Functionality by oblast. Round 2* Main causes of non-functionality by oblast. Round 2**

74 (n=1)
(n=74)
Kyiv City 25% 25% 50%
Volynska (n=3)
63
(n=63) Zhytomyrska 50% 50%
(n=1)
Vinnytska 0% 25% 50% 75% 100%
117
(n=117)
Lack of staff Damage of the health facility
Ternopilska Lack of finances Other
90
(n=90)
Rivnenska
87
(n=87)
Poltavska
102
(n=102)
Lvivska
134
(n=134)
Kirovohradska
77
(n=77)
Khmelnytska
76
(n=76)
Ivano Frankivska
98
(n=98)
Chernivetska
74
(n=74)
Zhytomyrska
96 1
(n=97)
Cherkaska
85 1
(n=86)
Kyiv City
95 3
(n=98)
0% 25% 50% 75% 100%

Fully Functioning Partially Functioning
*
22
Accessibility
Accessibility overview Accessibility by health facility type
93%
92% 92% 96%
5% 8% 2%
PHC Emergency Multi

medical profile
2287
(n=1001) (n=24) (n=853)
4%
2%
92% 88%
Fully accessible Not accessible 6% 12%
Partially accessible
Mono
profile Other
hospital
(n=366) (n=43)
Main causes of inaccessibility
(n = 123)
Physical Not designed for Other

Insecurity people with Financial
barrier limited mobility barriers
88% 25% 7% 2% 24%
Fully accessible
Partially accessible
Not accessible
Not operational
23
Accessibility
Accessibility by oblast. Round 1* Main causes of inaccessibility by oblast. Round 1**
Odeska Chernihivska 100%
132 1
(n=133) (n=1)
Kyivska Dnipropetrovska 50% 25% 25%

99 1
(n=100) (n=3)
Chernihivska Donetska 67% 19% 14%

67 1
(n=68) (n=24)
Dnipropetrovska Kharkivska 47% 20% 33%

150 3
(n=153) (n=10)
Sumska Khersonska 44% 25% 4% 27%

87 3
(n=90) (n=23)
Mykolaivska Kyivska 100%

76 5
(n=81) (n=1)
Kharkivska Mykolaivska 25% 38% 25% 12%

143 9
(n=153) 1 (n=5)
Zaporizka Odeska 100%

52 47 2
(n=101) (n=1)
Donetska Sumska 50% 25% 25%

44 17 32
(n=93) (n=3)
Khersonska Zaporizka 94% 6%

19 10 13
(n=42) (n=47)
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Fully accessible Not accessible Insecurity Not designed for people with limited mobility
Partially accessible Physical barrier Other barriers
Accessibility by oblast. Round 2* Main causes of inaccessibility by oblast. Round 2**

Zakarpatska Chernivetska 50% 50%
74 (n=1)
(n=74)
Kyiv City 100%
Volynska (n=1)
63
(n=63)
Rivnenska 100%
(n=2)
Vinnytska
117
(n=1)
Ternopilska 0% 25% 50% 75% 100%
90
(n=90)
Financial Other barriers
Poltavska Not designed for people with limited mobility
102
(n=102)
Lvivska
134
(n=134)
Kirovohradska
77
(n=77)
Khmelnytska
76
(n=76)
Ivano Frankivska
98
(n=98)
Cherkaska
86
(n=86)
Kyiv City
97 1
(n=98)
Zhytomyrska
96 1
(n=97)
Chernivetska
73 1
(n=74)
Rivnenska
85 2
(n=87)
0% 25% 50% 75% 100%

Fully accessible Partially accessible
*
24
BASIC AMENITIES
Water
Water overview Availability by health facility type
96%
94% 96% 96%
6% 4% 4%
PHC Emergency Multi

medical profile
2182
(n=945) (n=24) (n=824)
4%
<1% 98% 98%
Available Not available 2% 2%
Partially available
Mono
profile Other
Main causes of unavailability hospital
(n=349) (n=40)
(n = 96)
Lack of Lack of Lack of Lack of Lack of

financial
equipment supplies resources staff training
79% 42% 33% 4% 2%
Main sources of water

(n = 2180)
Piped Tube Protected dug Protected Tanker

Supply well/
Network borehole well spring truck
91% 20% 7% 4% 3%
Unprotected dug Surface Rain Unprotected

Other
well water water spring
1% 1% <1% <1% 4%
Available
Partially available
Not available
Not normally provided
Not operational
Not reporting
26
Water
Availability by oblast. Round 1* Main causes of unavailability by oblast. Round 1**
Chernihivska Chernihivska 50% 50%
67 1 (n=1)
(n=68)
Sumska Dnipropetrovska 10% 10% 50% 30%

88 2 (n=5)
(n=90)
Dnipropetrovska Donetska 3% 33% 55% 9%

148 5 (n=23)
(n=153)
Kyivska Kharkivska 80% 20%

95 5 (n=8)
(n=100)
Khersonska 57% 43%
Kharkivska
144 7 (n=5)
(n=152) 1
Kyivska 62% 38%
Mykolaivska (n=5)
75 6
(n=81)
Odeska (n=6)
118 15
(n=133)
Odeska 10% 32% 42% 16%
Zaporizka (n=15)
37 6
(n=43)
Sumska 100%
Khersonska (n=2)
23 4 1
(n=28)
Zaporizka 10% 50% 40%
Donetska (n=6)
38 23
(n=61)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
Lack of staff Lack of equipment
Available Not available Lack of training Lack of financial resources
Partially available Lack of supplies

Zakarpatska Cherkaska
74 100%
(n=74) (n=1)
Volynska Chernivetska
63 50% 50%
(n=63) (n=2)
Vinnytska Ivano-Frankivska 100%

117 (n=3)
(n=117)
Kyiv City Kirovohradska 20% 20% 60%

98 (n=3)
(n=98)
Lvivska 17% 50% 33%
Khmelnytska
76 (n=3)
(n=76)
Poltavska 50% 50%
Ternopilska (n=2)
89 1
(n=90)
Rivnenska 100%
Cherkaska (n=3)
85 1
(n=86)
Ternopilska 100%
Poltavska (n=1)
100 2
(n=102)
Zhytomyrska 50% 50%
Zhytomyrska (n=2)
95 2
(n=97) 0% 25% 50% 75% 100%
Lvivska Lack of supplies Lack of financial resources

131 3
(n=134) Lack of equipment
Chernivetska
72 2
(n=74)
Ivano Frankivska
95 3
(n=98)
Rivnenska
84 3
(n=87)
Kirovohradska
74 3
(n=77)
0% 25% 50% 75% 100%

Available Partially available
*
27
Water. Main sources

Main sources of water. Round 1*
(n = 907)
Piped Tube Protected dug Tanker Protected

Supply well/
Network borehole well truck spring
95% 16% 5% 5% 3%
Unprotected dug Surface Rain Unprotected

Other
well water water spring
1% <1% <1% <1% 5%

Chernihivska Dnipropetrovska Donetska Kharkivska
(n=68) (n=153) (n=61) (n=151)
100%
75%
50%
25%
0%
Khersonska Kyivska Mykolaivska Odeska
(n=27) (n=100) (n=81) (n=133)
100%
75%
50%
25%
0%
Sumska Zaporizka
(n=90) (n=43)
100%
75%
50%
25%
0%
Piped Supply Network Unprotected dug well
Tube well/ borehole Surface water
Protected dug well Rain water
Tanker truck Unprotected spring
Protected spring Other
28
Water. Main sources
(n = 1273)
Piped Tube Protected dug Protected Tanker

Supply well/
Network borehole well spring truck
87% 23% 8% 4% 2%
Surface Unprotected dug Rain Unprotected

Other
water well water spring
1% <1% <1% <1% 3%

Cherkaska Chernivetska Ivano-Frankivska Khmelnytska
(n=86) (n=74) (n=98) (n=76)
100%
75%
50%
25%
0%
Kirovohradska Kyiv City Lvivska Poltavska
(n=77) (n=98) (n=134) (n=102)
100%
75%
50%
25%
0%
Rivnenska Ternopilska Vinnytska Volynska
(n=87) (n=90) (n=117) (n=63)
100%
75%
50%
25%
0%
Zakarpatska Zhytomyrska
(n=74) (n=97)
100%
75%
50%
25%
0%
Piped Supply Network Surface water
Tube well/ borehole Unprotected dug well
Protected dug well Rain water
Protected spring Unprotected spring
Tanker truck Other
29
Waste segregation
Waste segregation overview Availability by health facility type
93%
92% 88% 94%
7% 12% 6%
PHC Emergency Multi

medical profile
2182
(n=945) (n=24) (n=824)
6%
<1%
95% 85%
Partially available
Mono
profile Other
hospital
(n=349) (n=40)
Main causes of unavailability
(n = 153)

financial
equipment resources staff supplies training
80% 54% 9% 7% 4%
Available
Partially available
Not available
Not operational
Not reporting
30
Waste segregation
Khersonska Chernihivska 38% 62%
27 1 (n=5)
(n=28)
Odeska Dnipropetrovska 7% 60% 33%

126 6 (n=10)
(n=133) 1

143 9 (n=11)
(n=153) 1
Sumska Kharkivska 13% 60% 27%

84 5 (n=12)
(n=90) 1
Khersonska 50% 50%
Chernihivska
63 4 (n=1)
(n=68) 1
Kyivska 7% 60% 33%
Mykolaivska (n=11)
75 6
(n=81)
Mykolaivska 56% 44%
Kharkivska (n=6)
140 10
(n=152) 2
Odeska 25% 8% 42% 25%
Zaporizka (n=7)
39 3
(n=43) 1
Sumska 12% 38% 50%
Kyivska (n=6)
89 11
(n=100)
Donetska (n=4)
50 11
(n=61)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%

Volynska Cherkaska 8% 33% 58%
63 (n=7)
(n=63)
Vinnytska Chernivetska 14% 43% 43%

117 (n=4)
(n=117)
Ivano-Frankivska 6% 22% 44% 28%
Kyiv City
93 3 (n=10)
(n=98) 2
Khmelnytska 10% 10% 50% 30%
Zakarpatska (n=5)
70 4
(n=74)
Kirovohradska 18% 36% 45%
Chernivetska (n=5)
70 4
(n=74)
Kyiv City 57% 43%
Lvivska (n=5)
126 8
(n=134)
Lvivska 58% 42%
Kirovohradska (n=8)
72 4
(n=77) 1
Poltavska 8% 8% 38% 46%
Khmelnytska (n=8)
71 5
(n=76)
Rivnenska 11% 67% 22%
Rivnenska (n=6)
81 6
(n=87)
Ternopilska 50% 50%
(n=9)
Poltavska
94 6
(n=102) 2 Zakarpatska 67% 33%
(n=4)
Cherkaska
79 7
(n=86) Zhytomyrska 8% 8% 62% 23%
(n=9)
Zhytomyrska
88 8 0% 25% 50% 75% 100%
(n=97) 1
Ternopilska
(n=90)
81 9 Lack of training Lack of financial resources
Lack of supplies
Ivano Frankivska
88 7
(n=98) 3
0% 25% 50% 75% 100%
Available Not available
Partially available
*
31
Final disposal of sharps

Final disposal of sharps overview Availability by health facility type
89%
88% 92% 89%
7% 8% 9%
PHC Emergency Multi

medical profile
2182
8%
(n=945) (n=24) (n=824)
4%
90% 80%
Partially available
Mono
profile Other
hospital
(n=349) (n=40)
(n = 247)

financial
equipment resources training staff supplies
73% 55% 10% 8% 8%
Available
Partially available
Not available
Not operational
Not reporting
32
Final disposal of sharps
Mykolaivska Chernihivska 40% 60%
76 5 (n=8)
(n=81)
Dnipropetrovska Dnipropetrovska 10% 5% 55% 30%

138 10 (n=15)
(n=153) 5
Kharkivska Donetska 7% 73% 20%

137 12 (n=12)
(n=152) 3
Chernihivska Kharkivska 5% 5% 55% 35%

60 4 (n=15)
(n=68) 4
Khersonska 11% 11% 22% 33% 22%
Odeska
116 12 (n=7)
(n=133) 5
Kyivska 3% 9% 3% 50% 34%
Sumska (n=20)
77 6
(n=90) 7
Mykolaivska 62% 38%
Zaporizka (n=5)
36 7
(n=43)
Odeska 12% 9% 3% 41% 34%
Donetska (n=17)
49 12
(n=61)
Sumska 16% 47% 37%
Kyivska (n=13)
80 15 5
(n=100)
Zaporizka 9% 9% 64% 18%
Khersonska (n=7)
21 7
(n=28)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%

Vinnytska Cherkaska 7% 4% 15% 30% 44%
117 (n=14)
(n=117)
Volynska Chernivetska 16% 5% 47% 32%

60 2 (n=11)
(n=63) 1
Poltavska Ivano-Frankivska 33% 42% 25%

97 2 (n=7)
(n=102) 3
Khmelnytska 6% 61% 33%
91 5
(n=98) 2
Zakarpatska (n=11)
68 5
(n=74) 1
Kyiv City 8% 8% 38% 46%
Kyiv City (n=8)
90 3
(n=98) 5
Lvivska 9% 9% 50% 32%
Lvivska (n=15)
119 8
(n=134) 7
Poltavska 38% 62%
Zhytomyrska (n=5)
85 9
(n=97) 3
Rivnenska 26% 11% 26% 37%
Rivnenska (n=11)
76 5
(n=87) 6
Ternopilska 7% 60% 33%
Ternopilska (n=12)
78 5
(n=90) 7
Volynska 60% 40%
(n=3)
Kirovohradska
66 7
(n=77) 4 Zakarpatska 10% 30% 60%
(n=6)
Chernivetska
63 7
(n=74) 4 Zhytomyrska 9% 9% 4% 43% 35%
(n=12)
Cherkaska
72 13 1
(n=86) 0% 25% 50% 75% 100%
Khmelnytska Lack of staff Lack of equipment

63 12 1 Lack of training Lack of financial resources
(n=76)
Lack of supplies
0% 25% 50% 75% 100%
Partially available
*
33
Final disposal of infectious waste

Final disposal of infectious waste overview Availability by health facility type
88%
87% 92% 89%
8% 4% 8%
PHC Emergency Multi

medical profile
2182
8% (n=945) (n=24) (n=824)
4%
89% 75%
Partially available
Mono
profile Other
hospital
(n=349) (n=40)
(n = 262)

financial
equipment resources supplies training staff
73% 56% 10% 10% 9%
Available
Partially available
Not available
Not operational
Not reporting
34
Final disposal of infectious waste
64 1 (n=4)
(n=68) 3
Mykolaivska Dnipropetrovska 4% 7% 48% 41%

74 7 (n=19)
(n=81)
Zaporizka Donetska 6% 6% 65% 24%

38 5 (n=12)
(n=43)
Kharkivska Kharkivska 8% 4%4% 50% 33%

134 10 (n=18)
(n=152) 8
Khersonska 17% 17% 17% 33% 17%
Dnipropetrovska
134 10 (n=9)
(n=153) 9
Kyivska 3% 10% 52% 35%
Sumska (n=18)
78 6
(n=90) 6
Mykolaivska 64% 36%
Odeska (n=7)
115 14 4
(n=133)
Odeska 15% 6% 6% 38% 35%
Kyivska (n=18)
82 16 2
(n=100)
Sumska 14% 5% 38% 43%
Donetska (n=12)
49 12
(n=61)
Khersonska (n=5)
19 9
(n=28)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%

Vinnytska Cherkaska 8% 29% 25% 38%
117 (n=14)
(n=117)
Poltavska Chernivetska 14% 5% 45% 36%

97 3 (n=12)
(n=102) 2
Ivano Frankivska Ivano-Frankivska 33% 44% 22%

93 2 (n=5)
(n=98) 3
Volynska Khmelnytska 6% 6% 56% 31%

59 2 (n=12)
(n=63) 2
Zakarpatska Kirovohradska 9% 5% 50% 36%

67 4 (n=14)
(n=74) 3
Kyiv City Kyiv City 6% 6% 41% 47%

86 5 (n=12)
(n=98) 7
Rivnenska Lvivska 7% 7% 3% 48% 34%

76 5 (n=18)
(n=87) 6
Ternopilska Poltavska 38% 62%

78 5 (n=5)
(n=90) 7
Lvivska Rivnenska 5% 24% 10% 29% 33%

116 10 (n=11)
(n=134) 8
Zhytomyrska
83 11 3 (n=12)
(n=97)
Volynska 17% 50% 33%
Khmelnytska
64 12 (n=4)
(n=76)
Zakarpatska 8% 8% 31% 54%
Chernivetska (n=7)
62 5 7
(n=74)
Zhytomyrska 5% 62% 33%
Cherkaska (n=14)
72 9 5
(n=86)
0% 25% 50% 75% 100%
Kirovohradska
63 10 4 Lack of staff Lack of equipment
(n=77)
Lack of training Lack of financial resources
0% 25% 50% 75% 100% Lack of supplies
Partially available
*
35
Waste Treatment Methods

Waste
(n treatment methods. Round 1
= 882)
Collected for
medical waste Incinerated
disposal off Autoclaved
other
site
57% 26% 11%
Two chamber Buried in

incinerator, Burning in a
850 lined,
protected pit protected pit
1000°C
2% 1% <1%
Open Open
dumping Others
burning without treatment
<1% <1% 32%
Waste treatment methods by oblast. Round 1

(n=65) (n=148) (n=61) (n=149)
100%
75%
50%
25%
0%
(n=21) (n=98) (n=81) (n=131)
100%
75%
50%
25%
0%
Sumska Zaporizka
(n=85) (n=43)
100%
75%
50%
25%
0%
Collected for medical waste disposal off-site
Autoclaved
Incinerated other
Two chamber incinerator, 850-1000°C
Burning in a protected pit
Buried in lined, protected pit
Open burning
Open dumping without treatment
Others
36
Waste Treatment Methods
(nWaste treatment methods. Round 2
= 1233)
Collected for
medical waste Incinerated
disposal off Autoclaved
other
site
59% 24% 9%
Two chamber Buried in

incinerator, Burning in a
850 lined,
protected pit protected pit
1000°C
3% 1% 1%
Open Open
dumping Others
without treatment burning
<1% <1% 24%
Waste treatment methods by oblast. Round 2

(n=85) (n=70) (n=96) (n=76)
100%
75%
50%
25%
0%
(n=74) (n=93) (n=127) (n=100)
100%
75%
50%
25%
0%
(n=82) (n=84) (n=117) (n=62)
100%
75%
50%
25%
0%
(n=73) (n=94)
100%
75%
50%
25%
0%
Collected for medical waste disposal off-site
Autoclaved
Incinerated other
Two chamber incinerator, 850-1000°C
Burning in a protected pit
Buried in lined, protected pit
Open dumping without treatment
Open burning
Others
37
Power
Power overview Availability by health facility type
94% 96% 97%

96%
6% 4% 3%
PHC Emergency Multi

Center medical profile
2182
care center hospital
(n=945) (n=24) (n=824)
4%
97% 100%
Available Partially available 3%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 95)
Lack of Lack of Lack of

financial
equipment resources supplies
85% 44% 36%
Main power sources

(n = 2182)
National Solar
electricity Generator Others
network system
99% 75% 1% <1%
Available
Partially available
Not available
Not operational
Not reporting
38
Power
Dnipropetrovska Chernihivska 22% 44% 33%
149 4 (n=4)
(n=153)
Sumska Dnipropetrovska 57% 43%

85 5 (n=4)
(n=90)

64 4 (n=13)
(n=68)
Kharkivska Kharkivska 13% 60% 27%

141 11 (n=11)
(n=152)
Khersonska 43% 43% 14%
Mykolaivska
75 6 (n=5)
(n=81)
Kyivska 13% 57% 30%
Odeska (n=18)
117 16
(n=133)
Zaporizka (n=6)
37 6
(n=43)
Odeska 26% 44% 29%
Khersonska (n=16)
23 5
(n=28)
Sumska 33% 67%
Kyivska (n=5)
82 18
(n=100)
Donetska (n=6)
48 13
(n=61)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
Lack of supplies Lack of financial resources
Available Partially available Lack of equipment

Volynska Chernivetska 100%
63 (n=1)
(n=63)
Ternopilska Kirovohradska 50% 50%

90 (n=1)
(n=90)
Lvivska 50% 50%
Rivnenska (n=1)
87
(n=87)
Poltavska 50% 50%
Kyiv City (n=1)
98
(n=98)
Vinnytska 100%
Khmelnytska (n=1)
76
(n=76)
Zakarpatska 100%
(n=1)
Ivano Frankivska
98
(n=1)
Cherkaska
86 0% 25% 50% 75% 100%
(n=86)
Lvivska
(n=134)
133 1 Lack of equipment
Vinnytska
116 1
(n=117)
Poltavska
101 1
(n=102)
Zhytomyrska
96 1
(n=97)
Kirovohradska
76 1
(n=77)
Zakarpatska
73 1
(n=74)
Chernivetska
73 1
(n=74)
0% 25% 50% 75% 100%

*
39
Power sources
Main power sources. Round 1
(n = 909)
National Solar
network system
99% 75% 1% <1%
Main power sources by oblast. Round 1

(n=68) (n=153) (n=61) (n=152)
100%
75%
50%
25%
0%
(n=28) (n=100) (n=81) (n=133)
100%
75%
50%
25%
0%
Sumska Zaporizka
(n=90) (n=43)
100%
75%
50%
25%
0%
National electricity network Solar system
Generator Others
40
Power sources
(n = 1273)
National Solar
network system
100% 76% 1% <1%

(n=86) (n=74) (n=98) (n=76)
100%
75%
50%
25%
0%
(n=77) (n=98) (n=134) (n=102)
100%
75%
50%
25%
0%
(n=87) (n=90) (n=117) (n=63)
100%
75%
50%
25%
0%
(n=74) (n=97)
100%
75%
50%
25%
0%
National electricity network Solar system
Generator Others
41
Heating
Heating overview Availability by health facility type
97%
96% 96% 97%
4% 4% 3%
PHC Emergency Multi

medical profile
2182
(n=945) (n=24) (n=824)
3%
<1%
98% 100%
Available Not available 2%
Partially available
Mono
profile Other
hospital
(n=349) (n=40)
(n = 74)

financial
equipment resources supplies staff training
85% 49% 22% 1% 1%
Main heating sources

(n = 2177)
Autonomous Public Autonomous

heating with centralized electric Others
boiler room heating heating
55% 50% 14% 4%
Available
Partially available
Not available
Not operational
Not reporting
42
Heating
Sumska Chernihivska 50% 50%
89 1 (n=1)
(n=90)
Chernihivska Dnipropetrovska 60% 40%

67 1 (n=3)
(n=68)

150 3 (n=11)
(n=153)
Mykolaivska Kharkivska 18% 47% 35%

77 4 (n=10)
(n=81)
Kharkivska
142 8 (n=6)
(n=152) 2
Kyivska 6% 56% 38%
Kyivska (n=10)
90 10
(n=100)
Mykolaivska 43% 57%
Odeska (n=4)
118 15
(n=133)
Odeska 19% 50% 31%
Zaporizka (n=15)
36 6 1
(n=43)
Sumska 100%
Donetska (n=1)
50 10 1
(n=61)
Khersonska (n=7)
22 5 1
(n=28)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%

Zhytomyrska Cherkaska 100%
97 (n=1)
(n=97)
Chernivetska 67% 33%
Zakarpatska (n=2)
74
(n=74)
Poltavska 50% 50%
(n=1)
Vinnytska
117
(n=117) Ternopilska 33% 33% 33%
(n=1)
Rivnenska
87 Volynska
(n=87) 100%
(n=1)
Lvivska 0% 25% 50% 75% 100%
134
(n=134)
Lack of equipment
Kyiv City
98
(n=98)
Kirovohradska
77
(n=77)
Khmelnytska
76
(n=76)
Ivano Frankivska
98
(n=98)
Poltavska
101 1
(n=102)
Ternopilska
89 1
(n=90)
Cherkaska
85 1
(n=86)
Volynska
62 1
(n=63)
Chernivetska
72 2
(n=74)
0% 25% 50% 75% 100%

*
43
Heating sources
Main heating sources. Round 1
(n = 904)
Public Autonomous Autonomous

centralized heating with electric Others
heating boiler room heating
60% 47% 14% 5%
Main heating sources by oblast. Round 1

(n=68) (n=153) (n=60) (n=150)
100%
75%
50%
25%
0%
(n=27) (n=100) (n=81) (n=133)
100%
75%
50%
25%
0%
Sumska Zaporizka
(n=90) (n=42)
100%
75%
50%
25%
0%
Public centralized heating Autonomous electric heating
Autonomous heating with boiler room Others
44
Heating sources
Main heating sources. Round 2
(n = 1273)
Autonomous Public Autonomous

heating with centralized electric Others
boiler room heating heating
60% 44% 13% 4%
Main heating sources by oblast. Round 2

(n=86) (n=74) (n=98) (n=76)
100%
75%
50%
25%
0%
(n=77) (n=98) (n=134) (n=102)
100%
75%
50%
25%
0%
(n=87) (n=90) (n=117) (n=63)
100%
75%
50%
25%
0%
(n=74) (n=97)
100%
75%
50%
25%
0%
Autonomous heating with boiler room Autonomous electric heating
Public centralized heating Others
45
Cold chain
Cold chain overview Availability by health facility type
96%
98% 93% 96%
2% 7% 2%
PHC Emergency Multi

medical profile
1956
(n=924) (n=14) (n=752)
2%
2%
88% 84%
Partially available
Mono
profile Other
hospital
(n=234) (n=32)
(n = 79)

financial
equipment resources supplies staff training
75% 48% 11% 10% 4%
Main power sources

(n = 1924)
Public
power Generator Gas Solar Other
network
98% 75% 3% <1% 4%
Available
Partially available
Not available
Not operational
Not reporting
46
Cold chain
Sumska Dnipropetrovska 20% 20% 60%
85 (n=4)
(n=85)
Chernihivska Donetska 80% 20%

63 (n=8)
(n=63)
Kharkivska 12% 75% 12%
Dnipropetrovska
127 1 (n=6)
(n=131) 3
Khersonska 25% 12% 25% 38%
Kyivska (n=5)
90 4
(n=94)
Kyivska 17% 50% 33%
Mykolaivska (n=4)
67 3
(n=70)
Mykolaivska 50% 50%
Kharkivska (n=3)
120 4
(n=126) 2
Odeska 4%4% 61% 30%
Zaporizka (n=16)
39 2
(n=43) 2 Zaporizka 14% 57% 29%
(n=4)
Odeska
107 9
(n=123) 7 0% 25% 50% 75% 100%
Donetska Lack of staff Lack of equipment

(n=51)
Lack of supplies
Khersonska
22 2 3
(n=27)
0% 25% 50% 75% 100%
Partially available

Zhytomyrska Cherkaska 50% 50%
89 (n=2)
(n=89)
Volynska Chernivetska 25% 75%

52 (n=3)
(n=52)
Vinnytska
105 (n=2)
(n=105)
Khmelnytska 75% 25%
Rivnenska (n=3)
75 1
(n=76)
Lvivska (n=6)
120 2
(n=122)
Kyiv City 50% 50%
93 1
(n=95) 1
Lvivska 20% 40% 40%
Kyiv City (n=2)
91 1
(n=93) 1
Poltavska 25% 50% 25%
Cherkaska (n=3)
77 1
(n=79) 1 Rivnenska 100%
(n=1)
Zakarpatska
59 2
(n=61) Ternopilska 40% 40% 20%
(n=3)
Poltavska
82 3
(n=85) Zakarpatska 20% 40% 40%
(n=2)
Ternopilska
75 2 0% 25% 50% 75% 100%
(n=78) 1
Khmelnytska
(n=73) 1 Lack of supplies
Chernivetska
64 2
(n=67) 1
Kirovohradska
62 4
(n=68) 2
0% 25% 50% 75% 100%
Partially available
*
47
Cold chain power sources

(n = 794)
Public
network
98% 76% 3% <1% 5%

(n=63) (n=128) (n=49) (n=124)
100%
75%
50%
25%
0%
(n=24) (n=94) (n=70) (n=116)
100%
75%
50%
25%
0%
Sumska Zaporizka
(n=85) (n=41)
100%
75%
50%
25%
0%
Public power network Solar
Generator Other
Gas
48
Cold chain power sources
(n = 1130)
Public
network
99% 74% 4% <1% 4%

(n=78) (n=66) (n=94) (n=72)
100%
75%
50%
25%
0%
(n=66) (n=92) (n=122) (n=82)
100%
75%
50%
25%
0%
(n=76) (n=77) (n=105) (n=52)
100%
75%
50%
25%
0%
(n=59) (n=89)
100%
75%
50%
25%
0%
Public power network Solar
Generator Other
Gas
49
HEALTH SERVICE
DOMAINS OVERVIEW
Health service domains overview

Availability of services by domains Barriers to service domains delivery
Trauma and General 92% 6% Trauma and General 21% 8% 11% 42% 18%
Services Services
Child Health 95% 4% 37% 14% 7% 28% 14%

Child Health
Communicable Diseases 94% 4% 32% 15% 9% 27% 18%

Communicable Diseases
Sexual and 89% 7% 4% Sexual and 18% 16% 35% 8% 22%

Reproductive Health Reproductive Health
Maternal and Newborn 89% 8% Maternal and Newborn 22% 12% 30% 13% 23%
Care Care
Non Communicable 87% 8% 5% Non Communicable 25% 12% 10% 37% 15%
Diseases Diseases
MHPSS 86% 10% 4%

MHPSS 35% 29% 14% 9% 13%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%

Available Partially available Not available Lack of staff Lack of medical equipment
Lack of medical supplies
51
Health service domains by oblast. Round 1
Chernihivska
Trauma and General Trauma and General 24% 12% 9% 38% 16%
94% 5%
Services Services
96% Child Health 32% 14% 41% 14%

Child Health
96% 3% Communicable Diseases 40% 8% 8% 28% 16%

Sexual and 92% 3%4% Sexual and 13% 10% 52% 10% 16%
Care Care
Diseases Diseases
MHPSS 75% 22% MHPSS 26% 45% 19% 10%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Dnipropetrovska
94% 5%
Services Services
96% 3% Child Health 56% 6% 6% 25% 6%

Child Health
98% Communicable Diseases 24% 12% 17% 37% 10%

Sexual and 94% 4% Sexual and 16% 9% 43% 5% 28%

Maternal and Newborn 92% 7% Maternal and Newborn 5% 57% 32%

Care Care
Non Communicable 93% 5% Non Communicable 20% 17% 12% 34% 17%
Diseases Diseases
MHPSS 90% 8% MHPSS 18% 23% 36% 23%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
52
Donetska

80% 15% 5%
Services Services
89% 7% 4% Child Health 63% 3% 10% 20% 3%

Child Health
88% 6% 5% Communicable Diseases 46% 8% 10% 24% 12%

Sexual and 85% 10% 5% Sexual and 37% 16% 43%

Maternal and Newborn 67% 19% 14% Maternal and Newborn 45% 18% 29% 6%
Care Care
Diseases Diseases
MHPSS 78% 20% MHPSS 47% 24% 18% 6% 6%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Kharkivska
91% 8%
Services Services
93% 5% Child Health 41% 16% 35% 6%

Child Health


Maternal and Newborn 89% 8% 4% Maternal and Newborn 30% 6% 19% 32% 13%
Care Care
Diseases Diseases
MHPSS 94% 5% MHPSS 69% 15% 15%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
53
Khersonska

77% 18% 5%
Services Services
83% 17% Child Health 44% 15% 7% 30% 4%

Child Health
85% 13% Communicable Diseases 56% 29% 9%

Care Care
Non Communicable 68% 20% 12% Non Communicable 51% 6% 8% 33%

Diseases Diseases
MHPSS 73% 27% MHPSS 44% 11% 11% 11% 22%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Kyivska
87% 11%
Services Services
88% 9% 4% Child Health 25% 17% 7% 28% 24%

Child Health

Care Care
Diseases Diseases
MHPSS 67% 22% 11% MHPSS 30% 28% 14% 13% 14%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
54
Mykolaivska
96% 4%
Services Services
96% 4% Child Health 50% 21% 14% 14%

Child Health
96% 4% Communicable Diseases 40% 12% 20% 28%

Sexual and 92% 6% Sexual and 26% 26% 33% 12%

Maternal and Newborn 94% 6% Maternal and Newborn 27% 27% 27% 18%
Care Care

Diseases Diseases
MHPSS 82% 16% MHPSS 50% 27% 12% 8% 4%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Odeska
91% 7%
Services Services
94% 4% Child Health 42% 13% 4% 29% 13%

Child Health

Sexual and 88% 7% 5% Sexual and 16% 22% 37% 24%

Care Care

Diseases Diseases
MHPSS 85% 7% 8% MHPSS 43% 29% 7% 5% 17%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
55
Sumska
89% 8%3%
Services Services
96% Child Health 50% 21% 8% 8% 12%

Child Health
92% 4%4% Communicable Diseases 30% 25% 7% 17% 21%


Care Care

Diseases Diseases
MHPSS 79% 11% 9% MHPSS 36% 38% 10% 13%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Zaporizka

93% 6%
Services Services
93% 6% Child Health 11% 22% 56% 11%

Child Health

Sexual and 91% 5%5% Sexual and 29% 6% 41% 24%

Care Care
Non Communicable 90% 9% Non Communicable 15% 22% 63%

Diseases Diseases
MHPSS 89% 11% MHPSS 50% 17% 17% 17%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
56
Health service domains by oblast. Round 2

Cherkaska
93% 6%
Services Services
92% 5% Child Health 46% 9% 9% 26% 11%

Child Health


Care Care

Diseases Diseases
MHPSS 90% 7%3% MHPSS 42% 32% 5% 11% 11%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Chernivetska
92% 6%
Services Services
98% Child Health 25% 17% 8% 17% 33%

Child Health

Maternal and Newborn 89% 7%4% Maternal and Newborn 18% 24% 13% 11% 34%
Care Care
Diseases Diseases
MHPSS 91% 6%3% MHPSS 42% 42% 17%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
57
Ivano-Frankivska
93% 6%
Services Services
97% Child Health 25% 8% 12% 38% 17%

Child Health


Care Care

Diseases Diseases
MHPSS 95% 3% MHPSS 38% 12% 12% 38%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Khmelnytska

94% 5%
Services Services
94% 4% Child Health 54% 19% 15% 12%

Child Health


Care Care
Diseases Diseases
MHPSS 88% 12% MHPSS 10% 35% 15% 20% 20%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
58
Kirovohradska
90% 8%
Services Services
91% 8% Child Health 29% 8% 15% 27% 21%

Child Health

Care Care
Non Communicable 83% 10% 7% Non Communicable 24% 10% 42% 22%
Diseases Diseases
MHPSS 86% 11% MHPSS 29% 12% 25% 12% 21%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Kyiv City

94% 5%
Services Services
98% Child Health 38% 15% 15% 31%

Child Health

Sexual and 94% 6% Sexual and 19% 14% 43% 24%

Care Care

Diseases Diseases
MHPSS 80% 14% 6% MHPSS 21% 39% 18% 7% 14%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
59
Lvivska

90% 6%3%
Services Services
94% 3%
3% Child Health 23% 13% 7% 32% 25%
Child Health
93% 4%
Care Care

Diseases Diseases
MHPSS 88% 6% 5% MHPSS 38% 20% 5% 20% 18%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Poltavska

93% 7%
Services Services
97% Child Health 26% 21% 11% 26% 16%

Child Health


Care Care
Diseases Diseases
MHPSS 91% 9% MHPSS 20% 27% 47% 7%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
60
Rivnenska
93% 6%
Services Services
94% 4% Child Health 52% 19% 15% 15%

Child Health


Maternal and Newborn 91% 5%5% Maternal and Newborn 43% 9% 26% 22%
Care Care

Diseases Diseases
MHPSS 85% 8% 7% MHPSS 52% 24% 14% 10%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Ternopilska

91% 7%
Services Services
95% 5% Child Health 29% 15% 15% 32% 9%

Child Health


Care Care
Diseases Diseases
MHPSS 90% 4%6% MHPSS 30% 45% 20% 5%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
61
Vinnytska
Trauma and General 100% Trauma and General 11% 11% 44% 33%
Services
Services
Child Health 100%
Child Health 50% 50%
Communicable Diseases 100%
Sexual and 99% Sexual and 60% 40%

Maternal and Newborn 99%

Care Maternal and Newborn 67% 33%
Care
Non Communicable 100%
Diseases
Non Communicable 100%
MHPSS 100% Diseases
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Volynska
96% 3%
Services Services
96% Child Health 54% 38% 8%

Child Health


Care Care
Non Communicable 91% 5%3% Non Communicable 12% 22% 3% 38% 25%
Diseases Diseases
MHPSS 81% 16% MHPSS 17% 56% 17% 11%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
62
Zakarpatska
91% 8%
Services Services
98% Child Health 20% 30% 10% 30% 10%

Child Health

Care Care

Diseases Diseases
MHPSS 89% 8% MHPSS 36% 29% 7% 14% 14%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Zhytomyrska
94% 4%
Services Services
95% 5% Child Health 48% 8% 5% 32% 8%

Child Health

Care Care

Diseases Diseases
MHPSS 84% 13% MHPSS 42% 27% 15% 12% 4%
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
63
GENERAL CLINICAL
AND EMERGENCY
CARE SERVICES
Basic Emergency Care

Service availability Service availability by health facility type
67% 4%
<1%
56% 96% 87%
5% 4% 3%
PHC Emergency Multi

29% medical profile
2181
(n=945) (n=24) (n=823)
48% 42%
Partially available Not normally provided
Mono
profile Other
hospital
(n=349) (n=40)
Main barriers impeding service delivery
(n = 94)

medical medical financial
equipment supplies staff training resources
68% 32% 28% 28% 23%
Available
Partially available
Not available
Not operational
Not reporting
65
Basic Emergency Care
Service availability by oblast. Round 1* Main barriers impeding service delivery by oblast. Round 1**
112 1 (n=3)
(n=113)
Mykolaivska Dnipropetrovska 100%

51 1 (n=1)
(n=52)
Zaporizka Donetska 29% 14% 14% 29% 14%

26 1 (n=7)
(n=27)
Sumska Kharkivska 31% 23% 46%

42 1 (n=6)
(n=44) 1
Khersonska 18% 9% 36% 36%
Odeska
99 6 (n=6)
(n=105)
Kyivska 10% 29% 14% 24% 24%
Kharkivska (n=10)
97 6
(n=103)
Mykolaivska 100%
Chernihivska (n=1)
48 3
(n=51)
Odeska 22% 56% 22%
Kyivska (n=6)
64 9 1
(n=74)
Sumska 33% 67%
Donetska (n=2)
31 5 2
(n=38)
Zaporizka 100%
Khersonska (n=1)
19 6
(n=25)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
Lack of staff Lack of medical equipment
Partially available Lack of medical supplies
67 (n=4)
(n=67)
Ivano Frankivska Chernivetska 33% 33% 33%

46 (n=2)
(n=46)
Volynska (n=4)
48 1
(n=49)
Kirovohradska 14% 7% 21% 36% 21%
Zhytomyrska (n=6)
65 1
(n=67) 1
Kyiv City 25% 50% 25%
Chernivetska (n=3)
55 2
(n=57)
Lvivska 23% 15% 8% 46% 8%
Kyiv City (n=9)
65 3
(n=68)
Poltavska 33% 17% 33% 17%
Poltavska (n=4)
78 4
(n=82)
Rivnenska 20% 20% 20% 40%
(n=4)
Rivnenska
62 4
(n=66)
Ternopilska 23% 8% 8% 46% 15%
(n=7)
Cherkaska
55 4
(n=59) Volynska 50% 50%
(n=1)
Khmelnytska
53 4
(n=57) Zakarpatska 10% 20% 30% 40%
(n=5)
Lvivska
102 9 Zhytomyrska
(n=111) 25% 50% 25%
(n=2)
Zakarpatska
56 5 0% 25% 50% 75% 100%
(n=61)
Ternopilska Lack of training Lack of financial resources
61 7
(n=68) Lack of medical supplies
Kirovohradska
51 5
(n=57) 1
0% 25% 50% 75% 100%
Partially available
*
66
Advanced Syndrome-based management

4%
<1%
61%
3% 100% 77%
2% 6%
35%
PHC Emergency Multi
medical profile
2180
(n=945) (n=24) (n=822)
27% 2%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 89)

medical financial medical
equipment staff resources supplies training
64% 63% 22% 16% 11%
Available
Partially available
Not available
Not operational
Not reporting
67
Advanced Syndrome-based management
Mykolaivska Chernihivska 50% 17% 33%
33 1 (n=3)
(n=34)
Kharkivska Dnipropetrovska 33% 67%

46 2 (n=4)
(n=48)
Zaporizka Donetska 67% 25% 8%

19 1 (n=8)
(n=20)
Dnipropetrovska Kharkivska 20% 20% 40% 20%

60 3 (n=2)
(n=64) 1
Odeska
47 4 (n=6)
(n=51)
Kyivska 29% 14% 29% 29%
Chernihivska (n=5)
27 3
(n=30)
Mykolaivska 100%
Sumska (n=1)
25 2
(n=28) 1
Odeska 33% 17% 50%
Kyivska (n=4)
29 5
(n=34)
Sumska 38% 12% 38% 12%
Donetska (n=3)
17 7 1
(n=25)
Zaporizka 100%
Khersonska (n=1)
10 6
(n=16)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
36 (n=3)
(n=36)
Khmelnytska Chernivetska 9% 27% 55% 9%

35 (n=6)
(n=35)
Volynska Ivano-Frankivska 17% 17% 50% 17%

23 1 (n=3)
(n=24)
Kyiv City Kirovohradska 13% 7% 13% 40% 27%

38 2 (n=7)
(n=40)
Kyiv City 50% 50%
Cherkaska
34 3 (n=2)
(n=37)
Lvivska 33% 17% 6% 22% 22%
Rivnenska (n=11)
32 3
(n=35)
Poltavska 30% 10% 40% 20%
Zhytomyrska (n=5)
31 2
(n=34) 1
Rivnenska 67% 33%
25 3
(n=28)
Poltavska (n=5)
39 5
(n=44)
Volynska 100%
Zakarpatska (n=1)
23 3
(n=26)
Zakarpatska 43% 14% 43%
Ternopilska (n=3)
35 5
(n=40)
Chernivetska (n=3)
26 6
(n=32)
0% 25% 50% 75% 100%
Lvivska Lack of staff Lack of medical equipment
42 6 5
(n=53) Lack of training Lack of financial resources
Kirovohradska
24 6 1
(n=31)
0% 25% 50% 75% 100%
Partially available
*
68
Outpatient services for primary care

2%
61%
<1%
96% 17% 43%
2% 83% <1%
37%
PHC Emergency Multi
medical profile
2181
(n=945) (n=24) (n=823)
18% 32%
Available Not available <1% 2%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 37)

financial medical medical
resources supplies equipment staff training
43% 41% 41% 30% 5%
Available
Partially available
Not available
Not operational
Not reporting
69
Outpatient services for primary care
Mykolaivska Chernihivska 100%
51 (n=1)
(n=51)
Chernihivska Dnipropetrovska 20% 40% 20% 20%

44 1 (n=3)
(n=45)
Dnipropetrovska Donetska 33% 33% 33%

88 3 (n=3)
(n=91)
Kharkivska 14% 14% 57% 14%
Odeska (n=4)
88 4
(n=92)
Khersonska 50% 50%
Kharkivska (n=1)
86 4
(n=90)
Kyivska 29% 14% 43% 14%
Sumska (n=4)
56 2
(n=59) 1
Odeska 33% 33% 33%
Zaporizka (n=4)
18 1
(n=19)
Sumska 17% 17% 17% 33% 17%
Kyivska (n=3)
65 3
(n=69) 1
Khersonska (n=1)
14 1
(n=15) 0% 25% 50% 75% 100%
Donetska
18 3 Lack of staff Lack of medical equipment
0% 25% 50% 75% 100%

Partially available
Zhytomyrska Cherkaska 100%
65 (n=1)
(n=65)
Volynska Khmelnytska 25% 25% 50%

37 (n=3)
(n=37)
Vinnytska
81 (n=2)
(n=81)
Kyiv City 50% 25% 25%
Rivnenska (n=3)
52
(n=52)
Lvivska 100%
62
(n=62)
Chernivetska (n=1)
55
(n=55)
Ternopilska 100%
Lvivska (n=1)
107 1
(n=108)
Zakarpatska 100%
Poltavska (n=1)
59 1
(n=60) 0% 25% 50% 75% 100%
Ternopilska Lack of staff Lack of medical equipment
54 1
(n=55) Lack of medical supplies Lack of financial resources
Cherkaska
50 1
(n=51)
Zakarpatska
44 1
(n=45)
Kirovohradska
45 2
(n=47)
Kyiv City
52 3
(n=55)
Khmelnytska
47 2
(n=50) 1
0% 25% 50% 75% 100%
Partially available
*
70
Outpatient department for specialized care

1%
<1% 68% 28% 4% 41%
2% 96% 1%
PHC Emergency Multi

31% medical profile
2181
(n=945) (n=24) (n=823)
15% 28%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 38)

equipment resources staff supplies training
53% 45% 42% 26% 8%
Available
Partially available
Not available
Not operational
Not reporting
71
Outpatient department for specialized care
Zaporizka Chernihivska 25% 25% 25% 25%
3 (n=2)
(n=3)
Odeska Dnipropetrovska 50% 25% 25%

61 2 (n=3)
(n=63)
Kharkivska Donetska 100%

62 3 (n=1)
(n=65)
44 3
(n=47)
Mykolaivska (n=2)
28 2
(n=30)
Kyivska 33% 33% 33%
Chernihivska (n=4)
20 2
(n=22)
Kyivska (n=2)
32 4
(n=36)
Odeska 33% 33% 33%
Sumska (n=2)
24 2
(n=27) 1
Sumska 25% 12% 12% 25% 25%
Donetska (n=3)
5 1
(n=6) 0% 25% 50% 75% 100%
Khersonska
0% 25% 50% 75% 100%

Partially available
17 (n=2)
(n=17)

28 (n=1)
(n=28)
Ivano-Frankivska 50% 50%
Ternopilska
26 (n=1)
(n=26)
Kirovohradska 17% 17% 33% 33%
Khmelnytska (n=2)
21
(n=21)
Kyiv City 100%
Lvivska (n=1)
71 2
(n=73)
Lvivska 33% 67%
Chernivetska (n=2)
31 1
(n=32)
Poltavska 50% 50%
Kyiv City (n=2)
27 1
(n=28)
Rivnenska 50% 50%
(n=2)
Ivano Frankivska
19 1
(n=20)
(n=2)
Zhytomyrska
18 1
(n=1)
Cherkaska
27 1 0% 25% 50% 75% 100%
(n=29) 1
Poltavska
(n=28)
Rivnenska
26 1
(n=28) 1
Kirovohradska
24 1
(n=26) 1
Zakarpatska
21 2
(n=23)
0% 25% 50% 75% 100%
Partially available
*
72
Minor trauma definitive management

6%
<1%
46% 4% 89%
57%
9% 96% 2%
37% Emergency Multi
PHC medical profile
2181
(n=945) (n=24) (n=823)
20% 22%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 126)

supplies training equipment staff resources
52% 35% 32% 22% 18%
Available
Partially available
Not available
Not operational
Not reporting
73
Minor trauma definitive management
47 2 (n=2)
(n=49)
Kharkivska Dnipropetrovska 25% 17% 33% 17% 8%

88 4 (n=9)
(n=92)
Odeska Donetska 25% 20% 35% 15% 5%

85 5 (n=10)
(n=90)
Zaporizka Kharkivska 17% 33% 50%

33 2 (n=4)
(n=35)
Khersonska 29% 14% 29% 14% 14%
Dnipropetrovska
83 9 (n=5)
(n=92)
Kyivska 24% 35% 29% 12%
Sumska (n=9)
44 5
(n=49)
Mykolaivska 33% 17% 33% 17%
Mykolaivska (n=5)
38 5
(n=43)
Odeska 12% 50% 12% 25%
Kyivska (n=5)
59 7 2
(n=68)
Sumska 25% 38% 25% 12%
Khersonska (n=5)
15 5
(n=20)
Zaporizka 50% 50%
Donetska (n=2)
23 9 1
(n=33)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
Vinnytska Cherkaska 67% 33%
81 1 (n=3)
(n=82)
Volynska Chernivetska 8% 33% 33% 25%

40 1 (n=8)
(n=41)
Zhytomyrska (n=4)
53 2
(n=55)
Cherkaska (n=3)
47 3
(n=50)
Kirovohradska 12% 38% 12% 25% 12%
Khmelnytska (n=5)
46 3
(n=49)
Kyiv City 29% 57% 14%
50 4
(n=54)
Lvivska 30% 50% 10% 10%
(n=9)
Ternopilska
59 6
(n=65) Poltavska 6% 38% 31% 6% 19%
(n=9)
Kyiv City
48 5
(n=53) Rivnenska 14% 29% 29% 29%
(n=5)
Lvivska
85 8 Ternopilska
(n=94) 1 12% 12% 12% 38% 25%
(n=6)
Rivnenska
47 5 Vinnytska
(n=52) 33% 33% 33%
(n=1)
Kirovohradska
37 5 Volynska 100%
(n=42) (n=1)
Poltavska Zakarpatska
59 9 5% 14% 33% 29% 19%
(n=68) (n=9)
Chernivetska Zhytomyrska 50% 50%

40 7 1
(n=48) (n=2)
0% 25% 50% 75% 100%
Zakarpatska
35 9
(n=44) Lack of staff Lack of medical equipment
0% 25% 50% 75% 100%
Partially available
*
74
Emergency and elective surgery

2%
<1% 67% <1% 100% 75%
<1% 4%
PHC Emergency Multi

31% medical profile
2181
(n=945) (n=24) (n=823)
13% 5%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 48)

staff equipment resources supplies training
60% 60% 27% 19% 12%
Available
Partially available
Not available
Not operational
Not reporting
75
Emergency and elective surgery
Zaporizka Chernihivska 50% 50%
19 (n=1)
(n=19)
Mykolaivska Dnipropetrovska 43% 14% 29% 14%

27 (n=3)
(n=27)
Donetska 62% 12% 25%
Chernihivska
27 1 (n=5)
(n=28)
Kharkivska 100%
Sumska (n=2)
26 1
(n=27)
Khersonska 22% 11% 22% 33% 11%
Kharkivska (n=4)
42 2
(n=44)
Kyivska 25% 25% 25% 25%
Kyivska (n=2)
32 2
(n=34)
Odeska 50% 50%
48 3
(n=51)
Sumska 33% 33% 33%
(n=1)
Odeska
41 3
(n=45) 1 0% 25% 50% 75% 100%
Donetska Lack of staff Lack of medical equipment

(n=21)
Khersonska
7 4
(n=11)
0% 25% 50% 75% 100%
Partially available
Zakarpatska Cherkaska 33% 33% 33%
16 (n=1)
(n=16)

30 (n=1)
(n=30)
Khmelnytska Ivano-Frankivska 14% 14% 14% 43% 14%

31 (n=3)
(n=31)
Cherkaska (n=3)
31 1
(n=32)
Kyiv City 50% 50%
Rivnenska (n=3)
26 1
(n=27)
Lvivska 20% 10% 40% 30%
Volynska (n=7)
19 1
(n=20)
Chernivetska (n=2)
19 1
(n=20)
Rivnenska 50% 50%
Poltavska (n=1)
37 2
(n=39)
(n=2)
Ternopilska
30 1
(n=32) 1 Volynska 100%
(n=1)
Zhytomyrska
28 1
(n=30) 1 Zhytomyrska 67% 33%
(n=2)
Kyiv City
29 3 0% 25% 50% 75% 100%
(n=32)
Ivano Frankivska
(n=29)
Kirovohradska
22 3
(n=25)
Lvivska
37 3 4
(n=44)
0% 25% 50% 75% 100%
Partially available
*
76
Orthopedic/trauma ward
74%
<1% 100% 58%
<1%
3% <1% 7%
PHC Emergency Multi

medical profile
2181
22%
(n=945) (n=24) (n=823)
<1% 100%
Available Not available <1%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 78)

equipment staff resources training supplies
63% 56% 21% 17% 14%
Available
Partially available
Not available
Not operational
Not reporting
77
Orthopedic/trauma ward
Chernihivska Chernihivska 100%
22 1 (n=1)
(n=23)
Dnipropetrovska Dnipropetrovska 40% 20% 20% 20%

35 3 (n=4)
(n=39) 1
Kharkivska Donetska 38% 25% 12% 25%

24 4 (n=4)
(n=28)
Mykolaivska Kharkivska 11% 22% 11% 44% 11%

19 4 (n=4)
(n=23)
Sumska
18 3 2 (n=4)
(n=23)
Kyivska 31% 12% 19% 31% 6%
Kyivska (n=7)
23 4 3
(n=30)
Mykolaivska 100%
Zaporizka (n=4)
6 2
(n=8)
Odeska 47% 7% 7% 40%
Donetska (n=11)
9 3 1
(n=13)
Sumska 33% 11% 44% 11%
Odeska (n=5)
24 10 1
(n=35)
Khersonska (n=2)
6 4
(n=10)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
Volynska Cherkaska 14% 14% 14% 43% 14%
18
(n=18) (n=3)
Vinnytska Chernivetska 25% 25% 25% 25%

26 (n=2)
(n=26)
Rivnenska Ivano-Frankivska 17% 17% 67%

19 1 (n=4)
(n=20)
Zakarpatska Khmelnytska 20% 20% 20% 40%

13 1 (n=2)
(n=14)
Khmelnytska Kirovohradska 67% 33%

25 2 (n=2)
(n=27)
Ternopilska Kyiv City 33% 33% 33%

24 1 (n=2)
(n=26) 1
Lvivska 33% 33% 33%
Kirovohradska
21 1 (n=6)
(n=23) 1
Zhytomyrska (n=4)
25 2
(n=28) 1
Rivnenska 100%
Cherkaska (n=1)
23 3
(n=26)
Chernivetska (n=2)
13 1
(n=15) 1
Zakarpatska 50% 50%
Poltavska (n=1)
24 4
(n=28)
Zhytomyrska 20% 20% 40% 20%
Kyiv City (n=3)
12 2
(n=14)
0% 25% 50% 75% 100%
Ivano Frankivska
(n=28)
24 3 1 Lack of staff Lack of medical equipment
Lvivska Lack of medical supplies
26 1 5
(n=32)
0% 25% 50% 75% 100%
Partially available
*
78
Inpatient critical care management

2%
<1%
62% <1% 100% 77%
<1% 4%
35%
PHC Emergency Multi
medical profile
2181
(n=945) (n=24) (n=823)
35% 8%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 60)

68% 57% 28% 13% 5%
Available
Partially available
Not available
Not operational
Not reporting
79
Inpatient critical care management
15 (n=2)
(n=15)
Donetska 60% 27% 13%
Mykolaivska (n=9)
32
(n=32)
58
(n=58)
(n=3)
Chernihivska
28 2
(n=30) Kyivska 33% 22% 33% 11%
(n=3)
Kharkivska
51 4 Odeska
(n=55) 29% 14% 43% 14%
(n=4)
Odeska Sumska
49 4 44% 22% 33%
(n=53) (n=5)
0% 25% 50% 75% 100%
Kyivska
34 3
Sumska Lack of medical supplies
21 4 1
(n=26)
Khersonska
11 3
(n=14)
Donetska
17 2 7
(n=26)
0% 25% 50% 75% 100%
Partially available
Vinnytska Chernivetska 100%
38 (n=1)
(n=38)
Khmelnytska Ivano-Frankivska 17% 17% 50% 17%

32 (n=3)
(n=32)
Cherkaska
34 (n=6)
(n=34)
Kyiv City 50% 50%
Rivnenska (n=2)
28 1
(n=29)
Lvivska 30% 40% 30%
Zakarpatska (n=7)
23 1
(n=24)
Poltavska 38% 12% 38% 12%
Volynska (n=3)
23 1
(n=24)
Rivnenska 100%
Chernivetska (n=1)
22 1
(n=23)
Ternopilska 33% 17% 17% 33%
Kyiv City (n=3)
38 2
(n=40)
Volynska 100%
Zhytomyrska (n=1)
32 1
(n=34) 1 Zakarpatska 50% 50%
(n=1)
Poltavska
39 3
(n=2)
Ivano Frankivska
35 2
(n=38) 1 0% 25% 50% 75% 100%
Ternopilska Lack of staff Lack of medical equipment

(n=37) 1
Lvivska
48 3
(n=55) 4
Kirovohradska
24 6
(n=30)
0% 25% 50% 75% 100%
Partially available
*
80
CHILD HEALTH
AND NUTRITION
EPI
1%
<1%
88% 100% 26%
49% 49% 2% 1%
PHC Emergency Multi

medical profile
2181
(n=945) (n=24) (n=823)
7% 20%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 42)

50% 43% 33% 26% 12%
Available
Partially available
Not available
Not operational
Not reporting
82
EPI
78 1 (n=1)
(n=79)
Kharkivska Dnipropetrovska 100%

68 1 (n=1)
(n=69)
Chernihivska Donetska 100%

36 1 (n=1)
(n=37)
Odeska Kharkivska 33% 33% 33%

69 1 (n=1)
(n=71) 1
Khersonska 50% 50%
Sumska
42 2 (n=1)
(n=44)
Kyivska 25% 12% 38% 25%
Mykolaivska (n=7)
38 2
(n=40)
Donetska (n=2)
19 1
(n=20)
Odeska 33% 33% 33%
Khersonska (n=2)
8 1
(n=9)
Sumska 33% 33% 17% 17%
Kyivska (n=2)
54 5
(n=61) 2
Zaporizka (n=3)
15 3
(n=18)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
Zhytomyrska Cherkaska 44% 22% 22% 11%
52 (n=5)
(n=52)
Zakarpatska Chernivetska 33% 33% 33%

34 (n=1)
(n=34)
Ivano-Frankivska 100%
Vinnytska (n=1)
65
(n=65)
Khmelnytska 100%
Poltavska (n=1)
53
(n=53)
59 1
(n=60)
Kyiv City 50% 50%
Kyiv City (n=1)
49 1
(n=50)
Lvivska 67% 33%
(n=2)
Lvivska
88 1
(n=90) 1 Rivnenska 50% 17% 17% 17%
(n=4)
Chernivetska
37 1
(n=38) Ternopilska 33% 33% 33%
(n=2)
Khmelnytska
33 1
(n=34) Volynska 100%
(n=1)
Volynska
27 1 0% 25% 50% 75% 100%
(n=28)
47 2
Kirovohradska
34 3
(n=37)
Rivnenska
42 3
(n=46) 1
Cherkaska
31 4 1
(n=36)
0% 25% 50% 75% 100%
Partially available
*
83
COMMUNICABLE
DISEASES
Tuberculosis
72%
35% 100% 26%
2%
<1% 2% 2%
PHC Emergency Multi

26% medical profile
2181
(n=945) (n=24) (n=823)
7% 10%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 45)

staff equipment resources training supplies
60% 33% 33% 22% 13%
Available
Partially available
Not available
Not operational
Not reporting
85
Tuberculosis
Kharkivska Dnipropetrovska 33% 33% 33%
28 (n=1)
(n=28)
Chernihivska Donetska 100%

31 (n=3)
(n=31)
Khersonska 100%
Dnipropetrovska
36 1 (n=1)
(n=37)
Kyivska 27% 18% 9% 27% 18%
Mykolaivska (n=7)
26 3
(n=29)
Odeska (n=3)
23 2
(n=26) 1
Odeska 50% 33% 17%
Sumska (n=3)
22 1 2
(n=25)
Sumska 43% 29% 14% 14%
Khersonska (n=3)
7 1
(n=8)
Zaporizka 50% 50%
(n=1)
Donetska
19 2
(n=22) 1 0% 25% 50% 75% 100%
Kyivska Lack of staff Lack of medical equipment

(n=40)
Zaporizka
3 1
(n=4)
0% 25% 50% 75% 100%
Partially available
13 (n=3)
(n=13)
Vinnytska Chernivetska 67% 33%

33 (n=2)
(n=33)
Lvivska Ivano-Frankivska 50% 50%

24 (n=1)
(n=24)
Khmelnytska 100%
24 1
(n=25)
Zakarpatska (n=5)
24 1
(n=25)
Kyiv City 100%
Rivnenska (n=1)
23 1
(n=24)
Poltavska 20% 40% 20% 20%
Khmelnytska (n=2)
21 1
(n=22)
Rivnenska 100%
Poltavska (n=1)
39 2
(n=41)
Zhytomyrska (n=3)
41 3
(n=44)
Zakarpatska 100%
(n=1)
Chernivetska
22 2
(n=24) Zhytomyrska 33% 33% 33%
(n=3)
Cherkaska
27 3 0% 25% 50% 75% 100%
(n=30)
Ternopilska
(n=30) 1
Kyiv City
7 1
(n=8)
Kirovohradska
21 5
(n=26)
0% 25% 50% 75% 100%
Partially available
*
86
MDRTB
2%
5%
40% 42%
53% 4% 6%
41%
PHC Multi
profile
1306
Center hospital
(n=770) (n=457)
36% 44%
Mono
profile Other
hospital
(n=70) (n=9)
(n = 89)

staff equipment training resources supplies
55% 38% 37% 22% 18%
Available
Partially available
Not available
Not operational
Not reporting
87
MDRTB
Chernihivska Dnipropetrovska 33% 33% 33%
31
(n=31) (n=1)
Dnipropetrovska Donetska 100%

36 1 (n=3)
(n=37)

26 2 (n=2)
(n=28)
Khersonska 67% 33%
Mykolaivska (n=3)
26 2
(n=29) 1
Kyivska 26% 22% 43% 9%
Donetska (n=12)
19 2
(n=22) 1
Zaporizka (n=3)
3 1
(n=4)
Odeska 27% 40% 20% 13%
Sumska (n=8)
18 4 3
(n=25)
Sumska 33% 33% 25% 8%
(n=7)
Kyivska
28 9 3
(n=40) Zaporizka 50% 50%
(n=1)
Odeska
18 5 3 0% 25% 50% 75% 100%
(n=26)
Khersonska
(n=8)
0% 25% 50% 75% 100%
Partially available
33 (n=6)
(n=33)
Poltavska Chernivetska 25% 12% 38% 25%

40 1 (n=5)
(n=41)
Zakarpatska Ivano-Frankivska 14% 29% 29% 14% 14%

24 1 (n=4)
(n=25)
Khmelnytska 60% 40%
Rivnenska (n=4)
22 1
(n=24) 1
Zhytomyrska (n=6)
40 4
(n=44)
Kyiv City 100%
Kyiv City (n=1)
7 1
(n=8)
Lvivska 21% 36% 21% 7% 14%
Volynska (n=6)
11 2
(n=13)
Poltavska 50% 50%
21 4
(n=25)
Rivnenska 50% 50%
Khmelnytska (n=2)
18 3 1
(n=22)
Ternopilska 40% 20% 10% 20% 10%
Cherkaska (n=7)
24 4 2
(n=30)
Volynska 67% 33%
(n=2)
Chernivetska
19 4 1
(n=24)
Zakarpatska 50% 50%
(n=1)
Kirovohradska
20 5 1
(n=26) Zhytomyrska 50% 50%
(n=4)
Ternopilska
23 5 2
(n=30) 0% 25% 50% 75% 100%
Lvivska Lack of staff Lack of medical equipment

(n=24)
0% 25% 50% 75% 100%
Partially available
*
88
Local priority diseases

66% 3%
<1%
85% 12% 68%
3% 88% 4%
31% PHC Emergency Multi

medical profile
2181
(n=945) (n=24) (n=823)
18% 32%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 67)

48% 40% 27% 25% 22%
Available
Partially available
Not available
Not operational
Not reporting
89
Local priority diseases
Dnipropetrovska Chernihivska 33% 17% 33% 17%
109 1 (n=3)
(n=110)
Sumska Dnipropetrovska 100%

51 1 (n=1)
(n=53) 1
Mykolaivska Donetska 20% 40% 20% 20%

46 2 (n=3)
(n=48)
Chernihivska Kharkivska 14% 14% 14% 50% 7%

55 3 (n=8)
(n=58)
Khersonska 100%
Odeska
91 3 (n=3)
(n=96) 2
Kyivska 29% 29% 7% 21% 14%
Donetska (n=8)
36 3
(n=39)
Mykolaivska 50% 50%
Kharkivska (n=2)
88 8
(n=96)
Odeska 50% 20% 10% 20%
Kyivska (n=5)
69 7
(n=77) 1
Sumska 40% 40% 20%
Khersonska (n=2)
16 3
(n=19)
Zaporizka 43% 29% 14% 14%
Zaporizka (n=4)
12 4
(n=16)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
39 (n=2)
(n=39)
Chernivetska 50% 50%
Vinnytska
85 (n=2)
(n=85)
Ivano-Frankivska 100%
Khmelnytska (n=1)
59
(n=59)
Lvivska (n=6)
104 1
(n=105)
Kyiv City 100%
67 1
(n=68)
Lvivska 50% 50%
Kyiv City (n=1)
58 1
(n=59)
(n=2)
Rivnenska
57 1
(n=58) Rivnenska 100%
(n=1)
Poltavska
68 2
(n=70) Ternopilska 12% 25% 38% 25%
(n=5)
Cherkaska
58 2 Zakarpatska
(n=60) 40% 40% 20%
(n=4)
Chernivetska
54 2 Zhytomyrska 25% 25% 25% 25%
(n=56)
(n=3)
Zhytomyrska 0% 25% 50% 75% 100%
71 3
(n=74)
60 5 Lack of medical supplies
(n=65)
Zakarpatska
45 4
(n=49)
Kirovohradska
46 6
(n=52)
0% 25% 50% 75% 100%

*
90
Management of severe and/or complicated

communicable diseases
77%
3% 100% 49%
<1% 3%
1%
<1%
PHC Emergency Multi

medical profile
2181
22%
(n=945) (n=24) (n=823)
11% 2%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 40)

staff equipment training supplies resources
68% 42% 20% 10% 8%
Available
Partially available
Not available
Not operational
Not reporting
91
Management of severe and/or complicated
communicable diseases
34 1
(n=35) (n=2)

16 1
(n=17) (n=1)
Donetska Donetska 100%

13 1
(n=14) (n=1)
Chernihivska Kharkivska 33% 17% 50%

20 2
(n=22) (n=4)
Sumska Khersonska 67% 33%

19 1
(n=21) 1 (n=2)
Kyivska Kyivska 20% 20% 60%

25 1
(n=28) 2 (n=3)
Odeska Mykolaivska 100%

35 3
(n=40) 2 (n=1)
Zaporizka Odeska 50% 12% 12% 25%

6 1
(n=7) (n=5)
Kharkivska Sumska 50% 25% 25%

22 3 1
(n=26) (n=2)
Khersonska Zaporizka 50% 50%

3 1 1
(n=5) (n=1)
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Available Not available Lack of staff Lack of medical supplies
Partially available Lack of training Lack of medical equipment
Zakarpatska Cherkaska 67% 33%
13 (n=2)
(n=13)
Volynska Chernivetska 100%

16 (n=1)
(n=16)
Vinnytska Ivano-Frankivska 50% 50%

21 (n=1)
(n=21)
Poltavska (n=4)
25
(n=25)
Kyiv City 100%
Khmelnytska (n=1)
20
(n=20)
Lvivska 50% 33% 17%
Rivnenska (n=3)
24 1
(n=25)
Rivnenska 100%
Ternopilska (n=1)
23 1
(n=24)
Ternopilska 50% 50%
17 1
(n=18)
Zhytomyrska 75% 25%
Chernivetska (n=4)
15 1
(n=16)
0% 25% 50% 75% 100%
Kyiv City Lack of staff Lack of medical equipment
13 1
Cherkaska
22 2
(n=24)
Lvivska
26 1
(n=29) 2
Zhytomyrska
23 3 1
(n=27)
Kirovohradska
20 3 1
(n=24)
0% 25% 50% 75% 100%
Partially available
*
92
Readiness of epidemic and emergency

situations
74%
<1% 100% 48%
2% <1% 9%
4%
PHC Emergency Multi

medical profile
2181
20%
(n=945) (n=24) (n=823)
13% 100%
Available Not available 1%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 122)

69% 61% 48% 13% 11%
Available
Partially available
Not available
Not operational
Not reporting
93
Readiness of epidemic and emergency
situations
Mykolaivska Chernihivska 27% 18% 27% 27%
17 2 (n=5)
(n=19)
Dnipropetrovska Dnipropetrovska 40% 50% 10%

39 3 (n=5)
(n=44) 2

7 1 (n=8)
(n=8)
Kyivska Kharkivska 25% 17% 50% 8%

21 2 4 (n=7)
(n=27)
Khersonska 67% 33%
Kharkivska
23 5 2 (n=2)
(n=30)
Kyivska 27% 18% 9% 18% 27%
Chernihivska (n=6)
13 3 2
(n=18)
Odeska (n=2)
30 5 7
(n=42)
Odeska 31% 4% 8% 23% 35%
Sumska (n=12)
15 3 4
(n=22)
Sumska 31% 6% 31% 31%
Khersonska (n=7)
4 2
(n=6)
Zaporizka 100%
Donetska (n=1)
11 5 3
(n=19)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
29 (n=6)
(n=29)
Zakarpatska Chernivetska 67% 33%

13 1 (n=2)
(n=14)
Rivnenska Ivano-Frankivska 17% 11% 17% 33% 22%

24 1 (n=9)
(n=26) 1
Khmelnytska 75% 25%
Chernivetska (n=3)
15 2
(n=17)
Khmelnytska (n=7)
21 2
(n=24) 1
Kyiv City 17% 17% 50% 17%
Kyiv City (n=4)
24 4
(n=28)
Lvivska 29% 10% 33% 29%
Volynska (n=9)
14 3
(n=17)
Poltavska 29% 14% 43% 14%
Poltavska (n=4)
16 2 2
(n=20)
Rivnenska 67% 33%
Cherkaska (n=2)
22 6
(n=28)
Ternopilska 25% 5% 10% 40% 20%
Lvivska (n=9)
27 4 5
(n=36)
Volynska 14% 14% 43% 29%
(n=3)
Ivano Frankivska
19 7 2
(n=28)
(n=1)
Ternopilska
18 7 2
(n=27) Zhytomyrska 40% 7% 40% 13%
(n=8)
Zhytomyrska
15 7 1
(n=23) 0% 25% 50% 75% 100%
Kirovohradska Lack of staff Lack of medical equipment

(n=17)
0% 25% 50% 75% 100%
Partially available
*
94
SEXUAL AND
REPRODUCTIVE HEALTH
(STIS AND HIV/AIDS)
HIV testing and counseling, pre-exposure

prophylaxis
74%
81% 100% 81%
3% 3% 2%
<1%
PHC Emergency Multi

medical profile
2182
24% Center care center hospital
(n=945) (n=24) (n=824)
45% 30%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 63)

supplies staff resources training equipment
60% 27% 25% 21% 21%
Available
Partially available
Not available
Not operational
Not reporting
96
HIV testing and counseling, pre-exposure
prophylaxis
31 (n=1)
(n=31)

66 (n=2)
(n=66)

131 1 (n=3)
(n=133) 1
Kharkivska 17% 33% 33% 17%
Chernihivska (n=5)
61 1
(n=62)
Khersonska 75% 25%
Kyivska (n=3)
78 2
(n=80)
Kyivska 25% 50% 25%
Kharkivska (n=2)
103 5
(n=108)
Odeska 25% 12% 38% 12% 12%
Odeska (n=5)
102 4
(n=107) 1
Sumska 14% 29% 29% 29%
Donetska (n=4)
46 3
(n=49)
0% 25% 50% 75% 100%
Sumska Lack of staff Lack of medical equipment
59 4
Khersonska
18 2
(n=21) 1
0% 25% 50% 75% 100%
Partially available
Vinnytska Cherkaska 20% 60% 20%
74 (n=3)
(n=74)
Khmelnytska Chernivetska 11% 11% 44% 22% 11%

63 (n=5)
(n=63)
Ivano Frankivska Ivano-Frankivska 50% 50%

74 1 (n=1)
(n=75)
Kyiv City
79 2 (n=3)
(n=81)
Kyiv City 50% 50%
Rivnenska (n=2)
56 1
(n=58) 1
Lvivska 25% 38% 25% 12%
Cherkaska (n=5)
70 3
(n=73)
Poltavska 22% 11% 33% 33%
Lvivska (n=4)
107 5
(n=112)
Rivnenska 50% 50%
Zhytomyrska (n=2)
64 3
(n=67)
Ternopilska 67% 33%
Poltavska (n=3)
80 4
(n=84)
Volynska 20% 40% 20% 20%
Kirovohradska (n=4)
60 3
(n=63)
(n=3)
Ternopilska
54 3
(n=57)
Zhytomyrska 25% 75%
(n=3)
Zakarpatska
51 2
(n=54) 1 0% 25% 50% 75% 100%
Chernivetska Lack of staff Lack of medical equipment

(n=53) 1
Volynska
29 3
(n=33) 1
0% 25% 50% 75% 100%
Partially available
*
97
PMTCT
3%
<1%
58%
30% 100% 57%
3% 2%
38%
PHC Emergency Multi
medical profile
2182
(n=945) (n=24) (n=824)
22% 12%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 75)

supplies staff training equipment resources
47% 45% 40% 29% 25%
Available
Partially available
Not available
Not operational
Not reporting
98
PMTCT
Zaporizka Chernihivska 33% 33% 33%
9 (n=2)
(n=9)

91 2 (n=2)
(n=93)

38 2 (n=2)
(n=40)
Mykolaivska (n=3)
49 3
(n=52)
Khersonska 57% 14% 14% 14%
Donetska (n=5)
31 2
(n=33)
Kyivska 11% 33% 22% 17% 17%
Kharkivska (n=11)
45 2
(n=48) 1
Odeska (n=3)
57 3
(n=61) 1
Odeska 11% 33% 33% 22%
Sumska (n=4)
35 4
(n=41) 2
Sumska 23% 23% 23% 8% 23%
Kyivska (n=6)
43 9 2
(n=54) 0% 25% 50% 75% 100%
Khersonska
0% 25% 50% 75% 100%

Partially available
22 (n=3)
(n=22)
Ternopilska Chernivetska 25% 50% 25%

27 (n=3)
(n=27)
Poltavska Ivano-Frankivska 18% 9% 27% 27% 18%

50 (n=5)
(n=50)
Khmelnytska 100%
Khmelnytska
27 1 (n=1)
(n=28)
Kirovohradska 12% 12% 38% 25% 12%
Volynska (n=4)
18 1
(n=19)
Kyiv City 50% 50%
Rivnenska (n=3)
32 1
(n=34) 1
Lvivska 32% 21% 16% 21% 11%
Kyiv City (n=7)
38 3
(n=41)
Cherkaska (n=2)
35 3
(n=38)
Volynska 100%
Kirovohradska (n=1)
37 3
(n=41) 1
Chernivetska (n=4)
26 2
(n=29) 1
Zhytomyrska (n=4)
30 2
(n=34) 2 0% 25% 50% 75% 100%
Lvivska
48 4
(n=55) 3 Lack of training Lack of financial resources
Zakarpatska
22 4
(n=26)
Ivano Frankivska
20 4 1
(n=25)
0% 25% 50% 75% 100%
Partially available
*
99
Antiretroviral treatment
76%
6% 100% 41%
<1% 2%
1%
1%
PHC Emergency Multi

medical profile
2182
21%
(n=945) (n=24) (n=824)
18% 12%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 52)

supplies staff training equipment resources
63% 42% 33% 29% 19%
Available
Partially available
Not available
Not operational
Not reporting
100
Antiretroviral treatment
Chernihivska Dnipropetrovska 33% 33% 33%
22 (n=1)
(n=22)

45 1 (n=1)
(n=46)
Mykolaivska Kharkivska 33% 33% 33%

33 1 (n=2)
(n=34)
Khersonska 50% 50%
Donetska (n=1)
18 1
(n=19)
Kyivska 33% 33% 33%
Kharkivska (n=3)
24 2
(n=26)
Kyivska (n=1)
35 2
(n=38) 1
Odeska 25% 25% 38% 12%
Khersonska (n=5)
8 1
(n=9)
Sumska 20% 30% 30% 20%
Odeska (n=4)
35 2
(n=40) 3
Zaporizka 100%
Sumska (n=2)
18 1 3
(n=22) 0% 25% 50% 75% 100%
Zaporizka
0% 25% 50% 75% 100%

Partially available
15 (n=2)
(n=15)
Poltavska Chernivetska 17% 17% 17% 17% 33%

23 1 (n=2)
(n=24)
Kyiv City Ivano-Frankivska 18% 18% 36% 27%

17 1 (n=5)
(n=18)
Khmelnytska 50% 50%
Zakarpatska
12 1 (n=2)
(n=13)
Kirovohradska 17% 17% 17% 33% 17%
Vinnytska (n=2)
12 1
(n=13)
Kyiv City 33% 33% 33%
Kirovohradska (n=1)
24 2
(n=26)
Lvivska 33% 25% 25% 8% 8%
Cherkaska (n=7)
23 2
(n=25)
Poltavska 100%
Rivnenska (n=1)
17 1
(n=19) 1
Rivnenska 50% 50%
Ternopilska (n=2)
16 1
(n=18) 1
Ternopilska 67% 33%
Khmelnytska (n=2)
11 1
(n=13) 1
Vinnytska 100%
Chernivetska (n=1)
9 1 1
(n=11)
Zakarpatska 50% 50%
Zhytomyrska (n=1)
14 1 3
(n=18)
Zhytomyrska 12% 25% 25% 25% 12%
(n=4)
Lvivska
24 2 5
(n=31) 0% 25% 50% 75% 100%
Ivano Frankivska Lack of staff Lack of medical equipment

(n=13)
0% 25% 50% 75% 100%
Partially available
*
101
SEXUAL AND
REPRODUCTIVE HEALTH
(MATERNAL AND
NEWBORN CARE)
Antenatal care
<1%
4%
58%
23% 100% 62%
7% 3%
37% Emergency Multi
PHC medical profile
2182
(n=945) (n=24) (n=824)
19% 15%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 103)

staff supplies training equipment resources
49% 43% 39% 28% 22%
Available
Partially available
Not available
Not operational
Not reporting
103
Antenatal care
Zaporizka Dnipropetrovska 18% 9% 55% 18%
8 (n=8)
(n=8)
Chernihivska Donetska 47% 20% 20% 7% 7%

26 (n=8)
(n=26)
Kharkivska 30% 10% 30% 30%
Mykolaivska (n=6)
30 2
(n=32)
Khersonska 47% 6% 29% 12% 6%
Odeska (n=9)
55 6
(n=61)
Kyivska 12% 25% 19% 12% 31%
Kharkivska (n=8)
55 5
(n=61) 1
71 8
(n=79)
Odeska 30% 30% 10% 30%
(n=6)
Kyivska
42 7 1
(n=50) Sumska 27% 40% 13% 20%
(n=7)
Sumska
28 5 2
(n=35) 0% 25% 50% 75% 100%
Donetska Lack of staff Lack of medical equipment

(n=21)
Khersonska
6 8 1
(n=15)
0% 25% 50% 75% 100%
Partially available
24 (n=5)
(n=24)
Vinnytska Chernivetska 12% 38% 12% 12% 25%

30 (n=4)
(n=30)
Khmelnytska Ivano-Frankivska 20% 10% 30% 40%

26 1 (n=5)
(n=27)
Khmelnytska 50% 50%
Poltavska
41 2 (n=1)
(n=43)
Ternopilska (n=4)
38 2
(n=41) 1
Kyiv City 50% 50%
Kyiv City (n=2)
25 2
(n=27)
Lvivska 23% 8% 23% 23% 23%
Rivnenska (n=7)
31 1
(n=34) 2
Lvivska (n=2)
68 6
(n=75) 1
Rivnenska 60% 40%
Kirovohradska (n=3)
33 4
(n=37)
Ternopilska 29% 29% 14% 14% 14%
Zakarpatska (n=3)
32 3
(n=36) 1
Zakarpatska 12% 25% 38% 12% 12%
34 5
(n=39)
Zhytomyrska 25% 8% 25% 17% 25%
(n=9)
Chernivetska
27 2
(n=31) 2 0% 25% 50% 75% 100%
Cherkaska Lack of staff Lack of medical equipment

(n=33)
Zhytomyrska
34 9
(n=43)
0% 25% 50% 75% 100%
Partially available
*
104
Skilled care during childbirth

83%
<1% 8% 34%
<1% 92% 1%
<1%
medical profile
2182
15% (n=945) (n=24) (n=824)
13% 2%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 43)

staff equipment resources training supplies
56% 37% 30% 28% 26%
Available
Partially available
Not available
Not operational
Not reporting
105
Skilled care during childbirth
Odeska Chernihivska 50% 50%
24 1 (n=1)
(n=25)
Kyivska Dnipropetrovska 50% 50%

18 1 (n=1)
(n=19)
Dnipropetrovska Donetska 50% 50%

17 1 (n=6)
(n=18)
Chernihivska Kharkivska 33% 17% 50%

14 1 (n=4)
(n=15)
Khersonska 42% 16% 32% 5% 5%
Mykolaivska
12 1 (n=9)
(n=13)
Kyivska 100%
Kharkivska (n=1)
24 2
(n=28) 2
Mykolaivska 100%
Zaporizka (n=1)
4 1
(n=5)
Odeska 50% 50%
Sumska (n=1)
9 6
(n=15)
Sumska 33% 13% 20% 13% 20%
Donetska (n=6)
5 4 2
(n=11)
Zaporizka 100%
Khersonska (n=1)
4 4 5
(n=13)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
Zakarpatska Cherkaska 33% 67%
12 (n=2)
(n=12)
Chernivetska 33% 33% 33%
Volynska (n=1)
13
(n=13)
Vinnytska (n=1)
18
(n=18)
(n=4)
Rivnenska
16
(n=16) Lvivska 100%
(n=1)
Poltavska
13 Ternopilska
(n=13) 100%
(n=2)
Kyiv City Zhytomyrska
9 33% 33% 33%
(n=9) (n=1)
Ivano Frankivska 0% 25% 50% 75% 100%

16
Lvivska Lack of medical supplies
26 1
(n=27)
Khmelnytska
17 1
(n=18)
Zhytomyrska
12 1
(n=13)
Chernivetska
12 1
(n=13)
Cherkaska
17 2
(n=19)
Ternopilska
12 1
(n=14) 1
Kirovohradska
14 3 1
(n=18)
0% 25% 50% 75% 100%
Partially available
*
106
Basic Emergency Obstetric Care

82%
<1% 8% 36%
<1% 4% <1%
<1%
medical profile
2182
16% (n=945) (n=24) (n=824)
13% 100%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 33)

70% 48% 24% 21% 21%
Available
Partially available
Not available
Not operational
Not reporting
107
Basic Emergency Obstetric Care
18 (n=1)
(n=18)
Kyivska Donetska 50% 25% 25%

21 1 (n=4)
(n=22)
Kharkivska 40% 60%
Chernihivska (n=3)
14 1
(n=15)
Odeska (n=3)
26 2
(n=28)
Kyivska 100%
Mykolaivska (n=1)
12 1
(n=13)
Mykolaivska 100%
Kharkivska (n=1)
17 1 2
(n=20)
Odeska 50% 50%
(n=2)
Zaporizka
5 1
(n=6) Sumska 35% 18% 24% 12% 12%
(n=6)
Khersonska
5 2 1
(n=8) Zaporizka 100%
(n=1)
Sumska
9 6 0% 25% 50% 75% 100%
(n=15)
Donetska Lack of training Lack of financial resources
5 2 2
0% 25% 50% 75% 100%
Partially available
12 (n=1)
(n=12)
Chernivetska 25% 25% 25% 25%
Volynska (n=2)
13
(n=13)
Kirovohradska 50% 50%
Vinnytska (n=2)
21
(n=21)
Lvivska 25% 25% 25% 25%
Poltavska (n=2)
14
(n=14)
Rivnenska 100%
(n=1)
Kyiv City
8
(n=8) Ternopilska 33% 67%
(n=2)
Khmelnytska
17
(n=1)
Ivano Frankivska
16 0% 25% 50% 75% 100%
(n=16)
Cherkaska Lack of training Lack of financial resources
20 1
(n=21)
Rivnenska
16 1
(n=17)
Zhytomyrska
13 1
(n=14)
Lvivska
25 2
(n=27)
Kirovohradska
19 1
(n=21) 1
Ternopilska
13 1
(n=15) 1
Chernivetska
12 1
(n=14) 1
0% 25% 50% 75% 100%
Partially available
*
108
Comprehensive Emergency Obstetric Care

84%
<1% 100% 34%
<1% <1%
<1%
<1% PHC Emergency Multi
medical profile
2182
15% (n=945) (n=24) (n=824)
13% 100%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 27)

70% 56% 30% 22% 15%
Available
Partially available
Not available
Not operational
Not reporting
109
Comprehensive Emergency Obstetric Care
Mykolaivska Chernihivska 50% 50%
11 (n=1)
(n=11)
Dnipropetrovska Donetska 100%

18 (n=2)
(n=18)
Odeska (n=3)
26 1
(n=27)
Kyivska (n=2)
19 1
(n=20)
Kyivska 50% 50%
Chernihivska (n=1)
13 1
(n=14)
Odeska 50% 50%
Kharkivska (n=1)
17 3
(n=20) Sumska 36% 18% 18% 18% 9%
(n=4)
Zaporizka
4 1
(n=5) Zaporizka 100%
(n=1)
Donetska
5 2 0% 25% 50% 75% 100%
(n=7)
Sumska Lack of training Lack of financial resources
8 4
(n=12)
Khersonska
3 1 1
(n=5)
0% 25% 50% 75% 100%
Partially available
Zakarpatska Cherkaska 25% 25% 25% 25%
11 (n=3)
(n=11)
Chernivetska 33% 33% 33%
Volynska (n=1)
13
(n=13)
Vinnytska (n=2)
19
(n=19)
Lvivska 100%
Kyiv City (n=1)
8
(n=8)
Poltavska 100%
(n=1)
Khmelnytska
17
(n=17) Rivnenska 100%
(n=1)
Ivano Frankivska
16
(n=16) Ternopilska 33% 67%
(n=2)
Lvivska
25 1 Zhytomyrska
(n=26) 33% 33% 33%
(n=1)
Rivnenska 0% 25% 50% 75% 100%
16 1
(n=17)
Zhytomyrska Lack of training Lack of financial resources
13 1
Poltavska
12 1
(n=13)
Chernivetska
12 1
(n=13)
Kirovohradska
15 1
(n=17) 1
Ternopilska
12 1
(n=14) 1
Cherkaska
16 2 1
(n=19)
0% 25% 50% 75% 100%
Partially available
*
110
Postpartum care
1%
<1%
61% 100% 47%
51% 2% 1%
47%
PHC Emergency Multi

medical profile
2182
(n=945) (n=24) (n=824)
16% 10%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 45)

71% 36% 31% 22% 9%
Available
Partially available
Not available
Not operational
Not reporting
111
Postpartum care
Zaporizka Donetska 67% 17% 17%
11 (n=5)
(n=11)
86
(n=86)
Khersonska 75% 25%
Chernihivska (n=3)
36
(n=36)
Kyivska 18% 27% 45% 9%
(n=6)
Odeska
68 1
(n=69) Mykolaivska 50% 50%
(n=2)
Mykolaivska
40 2 Odeska
(n=42) 33% 33% 33%
(n=1)
Sumska Sumska
40 1 33% 17% 17% 33%
(n=43) 2 (n=3)
0% 25% 50% 75% 100%
Kharkivska
61 3
(n=66) 2 Lack of staff Lack of medical equipment
Kyivska Lack of medical supplies
49 6
(n=55)
Donetska
23 2 3
(n=28)
Khersonska
7 2 1
(n=10)
0% 25% 50% 75% 100%
Partially available
Zakarpatska Cherkaska 50% 38% 12%
33 (n=4)
(n=33)

56 (n=1)
(n=56)
Ivano-Frankivska 50% 50%
Poltavska
51 (n=1)
(n=51)
Khmelnytska (n=2)
35
(n=35)
Kyiv City 33% 33% 33%
Zhytomyrska (n=2)
54 1
(n=55)
Lvivska 50% 17% 33%
47 1
(n=48)
Rivnenska 100%
Rivnenska (n=1)
43 1
(n=44)
(n=3)
Chernivetska
32 1
(n=33) Volynska 100%
(n=1)
Volynska
30 1
(n=1)
Lvivska
80 2 0% 25% 50% 75% 100%
(n=84) 2
Kirovohradska
(n=40)
1
Kyiv City
28 2
(n=30)
Ternopilska
39 2
(n=42) 1
Cherkaska
42 3
(n=46) 1
0% 25% 50% 75% 100%
Partially available
*
112
SEXUAL AND
REPRODUCTIVE HEALTH
(SEXUAL VIOLENCE)
Clinical management of rape survivors

2%
5%
61%
23% 100% 50%
6% 5%

medical profile
2182
(n=945) (n=24) (n=824)
21% 5%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 148)

training staff resources supplies equipment
63% 59% 16% 7% 5%
Available
Partially available
Not available
Not operational
Not reporting
114
Clinical management of rape survivors
28 2 (n=3)
(n=31) 1
Sumska Dnipropetrovska 50% 33% 17%

29 2 (n=10)
(n=33) 2
Kharkivska Donetska 58% 33% 8%

55 6 (n=9)
(n=63) 2
Dnipropetrovska Kharkivska 50% 29% 14% 7%

46 8 2 (n=8)
(n=56)
Odeska
55 9 3 (n=9)
(n=67)
Kyivska 25% 43% 11% 7% 14%
Mykolaivska (n=14)
26 5 1
(n=32)
Kyivska (n=6)
36 9 5
(n=50)
Odeska 25% 69% 6%
Zaporizka (n=12)
10 3 1
(n=14)
Sumska 43% 57%
Donetska (n=4)
14 8 1
(n=23)
Zaporizka 57% 14% 14% 14%
Khersonska (n=4)
5 5 4
(n=14)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
34 (n=8)
(n=34)
Chernivetska Chernivetska 33% 33% 33%

22 1 (n=1)
(n=23)
Poltavska Ivano-Frankivska 50% 25% 25%

39 2 (n=3)
(n=41)
Khmelnytska Khmelnytska 25% 50% 25%

28 1 (n=2)
(n=30) 1
Ivano Frankivska Kirovohradska 50% 50%

26 2 (n=5)
(n=29) 1
Kyiv City Kyiv City 20% 60% 20%

27 5 (n=5)
(n=32)
Kirovohradska Lvivska 28% 44% 6% 22%

23 4 1 (n=11)
(n=28)
Lvivska Poltavska 33% 67%

48 5 6 (n=2)
(n=59)
Zhytomyrska Rivnenska 62% 25% 12%

28 7 (n=7)
(n=35)
Zakarpatska
24 5 1 (n=7)
(n=30)
Rivnenska
28 4 3 (n=5)
(n=35)
Cherkaska (n=6)
31 7 1
(n=39)
Zhytomyrska 50% 50%
Volynska (n=7)
17 4 1
(n=22)
0% 25% 50% 75% 100%
Ternopilska
(n=30)
0% 25% 50% 75% 100% Lack of medical supplies
Partially available
*
115
Emergency contraception
74%
4% 100% 44%
3%
1% 5%
3%
PHC Emergency Multi

medical profile
2182
20%
(n=945) (n=24) (n=824)
12% 2%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 118)

supplies resources staff equipment training
79% 40% 14% 9% 8%
Available
Partially available
Not available
Not operational
Not reporting
116
Emergency contraception
Dnipropetrovska Chernihivska 100%
41 6 2 (n=7)
(n=49)

29 5 1 (n=8)
(n=35)
Zaporizka Donetska 33% 67%

4 1 (n=6)
(n=5)
Mykolaivska Kharkivska 100%

18 4 1 (n=6)
(n=23)
Khersonska 33% 67%
Kyivska
25 3 5 (n=2)
(n=33)
Kyivska 7% 14% 43% 14% 21%
Odeska (n=8)
34 6 5
(n=45)
Khersonska (n=5)
6 2
(n=8)
Odeska 12% 6% 47% 6% 29%
Chernihivska (n=11)
17 3 4
(n=24)
Sumska 17% 50% 8% 25%
Sumska (n=7)
17 2 5
(n=24)
Zaporizka 50% 50%
Donetska (n=1)
10 2 4
(n=16)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
23 1 (n=5)
(n=24)
Ivano Frankivska Chernivetska 25% 25% 50%

23 2 (n=2)
(n=25)
Kyiv City Ivano-Frankivska 40% 40% 20%

11 1 (n=2)
(n=12)
Chernivetska Khmelnytska 40% 60%

14 1 (n=4)
(n=16) 1
Volynska Kirovohradska 9% 9% 45% 9% 27%

11 1 (n=6)
(n=13) 1
Cherkaska Kyiv City 100%

23 1 4 (n=1)
(n=28)
Khmelnytska Lvivska 10% 10% 40% 10% 30%

15 3 1 (n=8)
(n=19)
Lvivska Poltavska 57% 14% 29%

30 4 4 (n=5)
(n=38)
Poltavska Rivnenska 14% 43% 43%

18 4 1 (n=5)
(n=23)
Ternopilska Ternopilska 50% 50%

17 2 3 (n=5)
(n=22)
Kirovohradska Vinnytska 50% 50%

18 3 3 (n=1)
(n=24)
Rivnenska Volynska 33% 67%

15 2 3 (n=2)
(n=20)
Zakarpatska Zakarpatska 80% 20%

12 1 3 (n=4)
(n=16)
Zhytomyrska Zhytomyrska 17% 58% 8% 17%

14 5 2 (n=7)
(n=21)
0% 25% 50% 75% 100% 0% 25% 50% 75% 100%
Available Not available Lack of staff Lack of medical equipment

Partially available Lack of training Lack of financial resources
*
117
Post-exposure prophylaxis
1%
2%
69% 9% 4% 52%
2% 96% 4%
PHC Emergency Multi

27% medical profile
2182
(n=945) (n=24) (n=824)
21% 12%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 85)

supplies resources staff training equipment
68% 35% 27% 20% 8%
Available
Partially available
Not available
Not operational
Not reporting
118
Post-exposure prophylaxis
Zaporizka Chernihivska 100%
6 (n=4)
(n=6)

56 2 (n=3)
(n=59) 1
Mykolaivska Donetska 25% 25% 50%

27 1 (n=3)
(n=29) 1
Kharkivska 17% 17% 33% 17% 17%
Kharkivska (n=4)
42 4
(n=46)
Khersonska 50% 50%
Chernihivska (n=2)
26 2
(n=30) 2
Kyivska 8% 17% 42% 17% 17%
Donetska (n=6)
18 2
(n=21) 1
Kyivska (n=2)
35 3
(n=41) 3
Odeska 18% 9% 45% 27%
Odeska (n=8)
37 5 3
(n=45)
Sumska 8% 8% 46% 15% 23%
Khersonska (n=8)
5 2
(n=7) 0% 25% 50% 75% 100%
Sumska
0% 25% 50% 75% 100%

Partially available
27 (n=2)
(n=27)
Ternopilska Chernivetska 33% 33% 33%

23 1 (n=1)
(n=24)

20 1 (n=2)
(n=21)
Chernivetska
18 1 (n=4)
(n=19)
Volynska (n=6)
16 1
(n=17)
Kyiv City 100%
Cherkaska (n=1)
29 2
(n=31)
Lvivska 22% 22% 33% 22%
22 1
(n=24) 1
Poltavska 14% 57% 14% 14%
Poltavska (n=4)
30 3
(n=34) 1
Khmelnytska (n=5)
20 4
(n=24)
Ternopilska 100%
Lvivska (n=1)
31 3 4
(n=38)
Volynska 100%
Rivnenska (n=1)
22 1 4
(n=27)
(n=5)
Kirovohradska
25 5 1
(n=31)
(n=6)
Zhytomyrska
21 3 3
(n=27) 0% 25% 50% 75% 100%
Zakarpatska Lack of staff Lack of medical equipment

(n=21)
0% 25% 50% 75% 100%
Partially available
*
119
NONCOMMUNICABLE
DISEASES (NCDS)
Asthma and Chronic Obstructive Pulmonary

Disease
72% 87% 8% 84%

2%
<1% 3% 92% 2%
PHC Emergency Multi

26% medical profile
2182
(n=945) (n=24) (n=824)
9% 35%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 52)

48% 37% 25% 25% 25%
Available
Partially available
Not available
Not operational
Not reporting
121
Asthma and Chronic Obstructive Pulmonary
Disease
27 (n=2)
(n=27)
Dnipropetrovska Dnipropetrovska 50% 50%

116 2 (n=2)
(n=118)

56 1 (n=3)
(n=57)
Kharkivska (n=2)
99 2
(n=101)
Khersonska 75% 25%
Odeska (n=4)
100 3
(n=103)
Kyivska 15% 23% 15% 31% 15%
Mykolaivska (n=6)
59 2
(n=61)
Chernihivska (n=2)
57 2
(n=59)
Odeska 60% 20% 20%
Donetska (n=3)
40 3
(n=43)
Sumska 100%
Kyivska (n=1)
75 6
(n=81) 0% 25% 50% 75% 100%
Khersonska
0% 25% 50% 75% 100%

Partially available
Vinnytska Cherkaska 100%
91 (n=2)
(n=91)
Poltavska Chernivetska 100%

78 1 (n=1)
(n=79)
Zhytomyrska Ivano-Frankivska 38% 25% 38%

76 1 (n=4)
(n=77)
Kyiv City Khmelnytska 33% 67%

59 1 (n=2)
(n=60)
Rivnenska
57 1 (n=3)
(n=58)
Kyiv City 100%
Chernivetska (n=1)
53 1
(n=54)
Lvivska 22% 22% 44% 11%
Ternopilska (n=4)
65 2
(n=67)
Poltavska 50% 50%
Cherkaska (n=1)
63 1
(n=65) 1
Rivnenska 100%
Khmelnytska (n=1)
59 2
(n=61)
Zakarpatska (n=2)
53 2
(n=55)
Volynska 100%
Lvivska (n=3)
103 3
(n=107) 1
74 4
(n=78)
Zhytomyrska 100%
Kirovohradska (n=1)
54 3
(n=57)
0% 25% 50% 75% 100%
Volynska
0% 25% 50% 75% 100%

Partially available
*
122
Availability of cancer diagnostics services

<1%
12%
18% 100% 56%
54% 9% 20%

medical profile
2182
(n=945) (n=24) (n=824)
23% 25%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 292)

87% 33% 23% 17% 13%
Available
Partially available
Not available
Not operational
Not reporting
123
Availability of cancer diagnostics services
64 10 1 (n=12)
(n=75)
Mykolaivska Dnipropetrovska 16% 21% 16% 37% 11%

23 7 (n=11)
(n=30)
Kharkivska Donetska 32% 8% 12% 45%

60 23 1 (n=19)
(n=84)
Chernihivska Kharkivska 20% 11% 9% 52% 7%

27 12 (n=24)
(n=39)
Sumska
21 11 1 (n=13)
(n=33)
Kyivska 17% 12% 6% 46% 19%
Zaporizka (n=26)
12 8
(n=20)
Odeska (n=7)
29 20
(n=49)
Odeska 26% 12% 41% 18%
Kyivska (n=20)
27 25 1
(n=53)
Sumska 13% 22% 9% 35% 22%
Donetska (n=12)
12 18 1
(n=31)
Khersonska (n=8)
6 10 3
(n=19)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
36 1 (n=11)
(n=37)
Kyiv City Chernivetska 13% 7% 7% 53% 20%

45 6 (n=9)
(n=51)
Poltavska Ivano-Frankivska 13% 3% 10% 53% 20%

43 10 (n=16)
(n=53)
Khmelnytska Khmelnytska 20% 10% 60% 10%

30 7 (n=7)
(n=37)
Ternopilska Kirovohradska 25% 4% 46% 25%

33 6 2 (n=11)
(n=41)
Kyiv City 17% 8% 50% 25%
Zakarpatska
24 4 3 (n=6)
(n=31)
Lvivska 18% 13% 55% 13%
Rivnenska (n=23)
27 7 1
(n=35)
Poltavska 17% 22% 50% 11%
Cherkaska (n=10)
31 10 1
(n=42)
Zhytomyrska (n=8)
29 13
(n=42)
Ternopilska 27% 7% 13% 47% 7%
Chernivetska (n=8)
20 9
(n=29)
Vinnytska 100%
Kirovohradska (n=1)
24 11
(n=35)
Volynska 12% 12% 56% 19%
Volynska (n=10)
21 10
(n=31)
Zakarpatska 7% 7% 21% 43% 21%
Lvivska (n=7)
46 20 3
(n=69)
28 14 2
(n=44)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
*
124
Availability of cancer treatment services

88%
2% 100% 16%
<1% 6%
PHC Emergency Multi

medical profile
2182
3% (n=945) (n=24) (n=824)
8%
7% 2%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 87)

equipment staff supplies training resources
69% 59% 39% 28% 26%
Available
Partially available
Not available
Not operational
Not reporting
125
Availability of cancer treatment services
Mykolaivska Chernihivska 42% 17% 33% 8%
4 (n=5)
(n=4)

7 1 (n=3)
(n=8)

16 3 (n=1)
(n=19)
Kharkivska 32% 18% 14% 32% 5%
Donetska (n=10)
3 1
(n=4)
Khersonska 50% 12% 25% 12%
Sumska (n=4)
5 1 2
(n=8)
Kyivska 29% 7% 14% 43% 7%
Kharkivska (n=7)
14 8 2
(n=24)
Odeska 28% 11% 22% 28% 11%
Odeska (n=7)
8 5 2
(n=15)
Sumska 38% 25% 12% 12% 12%
Kyivska (n=3)
8 4 3
(n=15)
Zaporizka 50% 50%
Khersonska (n=1)
3 3 1
(n=7) 0% 25% 50% 75% 100%
Chernihivska
0% 25% 50% 75% 100%

Partially available
5 (n=1)
(n=5)
Rivnenska Chernivetska 14% 14% 43% 29%

8 1 (n=3)
(n=9)
Volynska Ivano-Frankivska 50% 50%

5 1 (n=1)
(n=6)
Cherkaska Khmelnytska 14% 43% 43%

5 1 (n=4)
(n=6)

9 1 1 (n=3)
(n=11)
Ivano Frankivska Kyiv City 23% 38% 8% 23% 8%

4 1 (n=5)
(n=5)
Lvivska 17% 17% 25% 33% 8%
Khmelnytska
10 2 2 (n=6)
(n=14)
Poltavska 20% 7% 20% 33% 20%
Chernivetska (n=7)
7 2 1
(n=10)
Rivnenska 100%
Zhytomyrska (n=1)
11 4 1
(n=16)
Ternopilska 15% 15% 23% 23% 23%
Kyiv City (n=7)
11 4 1
(n=16)
Volynska 50% 50%
Lvivska (n=1)
12 3 3
(n=18)
Ternopilska (n=2)
11 5 2
(n=18)
Zhytomyrska 23% 15% 23% 31% 8%
Poltavska (n=5)
8 7
(n=15)
0% 25% 50% 75% 100%
Kirovohradska
(n=5)
Partially available
*
126
Hypertension
77%
93% 12% 87%
<1%
<1% 88% <1%
<1%
PHC Emergency Multi

medical profile
2182
(n=945) (n=24) (n=824)
19% 45%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 16)

staff equipment supplies training resources
62% 38% 19% 6% 6%
Available
Partially available
Not available
Not operational
Not reporting
127
Hypertension
Zaporizka Chernihivska 100%
30 (n=1)
(n=30)
Donetska 100%
Kyivska
86 (n=2)
(n=86)
Khersonska 100%
Kharkivska (n=1)
102
(n=102)
Mykolaivska 100%
122
(n=122)
Odeska 25% 25% 25% 25%
(n=4)
Sumska
68 1
(n=69) Sumska 100%
(n=1)
Mykolaivska
67 1 0% 25% 50% 75% 100%
(n=68)
Chernihivska Lack of medical supplies Lack of financial resources
57 1
(n=58)
Odeska
102 4
(n=106)
Khersonska
20 1
(n=21)
Donetska
40 2
(n=42)
0% 25% 50% 75% 100%

Zhytomyrska Cherkaska 33% 33% 33%
80 (n=1)
(n=80)
Ivano-Frankivska 33% 33% 33%
Zakarpatska (n=1)
57
(n=57)
Khmelnytska 33% 67%
Volynska (n=2)
43
(n=43)
Rivnenska 100%
Vinnytska (n=1)
94
(n=94)
Ternopilska 100%
(n=1)
Poltavska
85 0% 25% 50% 75% 100%
(n=85)
Lvivska
Lack of staff Lack of medical supplies
112 Lack of training Lack of medical equipment
(n=112)
Kyiv City
73
(n=73)
Kirovohradska
57
(n=57)
Chernivetska
52
(n=52)
Ivano Frankivska
77 1
(n=78)
Ternopilska
68 1
(n=69)
Cherkaska
66 1
(n=67)
Rivnenska
64 1
(n=65)
Khmelnytska
58 2
(n=60)
0% 25% 50% 75% 100%
Partially available
*
128
Medical assistance in acute cerebral stroke

84%
<1% 100% 29%
<1% 7%
PHC Emergency Multi

2%
3% medical profile
2182
(n=945) (n=24) (n=824)
11%
<1% 2%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 99)

equipment staff resources supplies training
89% 44% 28% 21% 20%
Available
Partially available
Not available
Not operational
Not reporting
129
Medical assistance in acute cerebral stroke
Mykolaivska Chernihivska 22% 11% 11% 33% 22%
9 (n=4)
(n=9)
Kyivska Dnipropetrovska 12% 12% 62% 12%

16 2 1 (n=5)
(n=19)

5 1 (n=5)
(n=6)
Kharkivska 27% 13% 7% 47% 7%
18 4 1
(n=23)
Khersonska 50% 50%
Chernihivska (n=2)
9 3 1
(n=13)
Kyivska 29% 14% 43% 14%
Kharkivska (n=3)
18 5 3
(n=26)
Odeska 33% 10% 10% 33% 14%
Odeska (n=9)
18 4 5
(n=27)
Sumska 21% 26% 42% 11%
Khersonska (n=8)
3 2
(n=5)
Zaporizka 50% 50%
Donetska (n=1)
7 3 2
(n=12) 0% 25% 50% 75% 100%
Sumska
0% 25% 50% 75% 100%

Partially available
9
(n=9) (n=7)
Vinnytska Chernivetska 15% 15% 38% 31%

9 (n=5)
(n=9)

15 3 (n=7)
(n=18)
Poltavska Khmelnytska 67% 33%

10 1 1 (n=2)
(n=12)

8 2 (n=8)
(n=10)
Kyiv City 25% 12% 38% 25%
Khmelnytska (n=3)
8 2
(n=10)
Lvivska 20% 20% 10% 30% 20%
Zhytomyrska (n=5)
11 4
(n=15)
Ternopilska (n=2)
9 1 3
(n=13)
Rivnenska 20% 10% 10% 40% 20%
Lvivska (n=5)
11 1 4
(n=16)
Ternopilska 20% 10% 20% 40% 10%
Rivnenska (n=4)
9 2 3
(n=14)
Zakarpatska 50% 50%
Chernivetska (n=2)
8 3 2
(n=13)
Cherkaska (n=4)
10 7
(n=17)
0% 25% 50% 75% 100%
Ivano Frankivska
Kirovohradska
5 5 3
(n=13)
0% 25% 50% 75% 100%
Partially available
*
130
Medical assistance for acute myocardial

infarction
87%
<1% 100% 14%
<1% 12%
PHC Emergency Multi

medical profile
2182
5% (n=945) (n=24) (n=824)
6%
3% 2%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 140)

81% 44% 32% 24% 24%
Available
Partially available
Not available
Not operational
Not reporting
131
Medical assistance for acute myocardial
infarction
Mykolaivska Chernihivska 17% 17% 17% 33% 17%
3 (n=6)
(n=3)

4 1 (n=4)
(n=5)
Dnipropetrovska Donetska 22% 6% 11% 50% 11%

10 4 (n=9)
(n=14)
Kharkivska 36% 7% 36% 21%
Sumska (n=7)
8 2 4
(n=14)
Kyivska (n=2)
8 4 3
(n=15)
Kyivska 8% 23% 46% 23%
Khersonska (n=7)
2 1 1
(n=4)
Odeska 33% 12% 8% 29% 17%
Kharkivska (n=11)
9 8 3
(n=20)
Sumska 31% 31% 6% 31%
Odeska (n=6)
7 12 6
(n=25)
Zaporizka 50% 50%
Chernihivska (n=1)
2 5 1
(n=8) 0% 25% 50% 75% 100%
Donetska
0% 25% 50% 75% 100%

Partially available
9 (n=11)
(n=9)
Volynska Chernivetska 7% 21% 14% 43% 14%

7 1 (n=6)
(n=8)

6 4 (n=9)
(n=10)
Lvivska Khmelnytska 25% 25% 50%

8 2 5 (n=5)
(n=15)
Zhytomyrska Kirovohradska 25% 4% 12% 42% 17%

5 6 (n=10)
(n=11)
Kyiv City 9% 18% 9% 36% 27%
Poltavska (n=4)
4 5
(n=9)
Lvivska 15% 23% 46% 15%
Zakarpatska (n=7)
4 4 1
(n=9)
Poltavska 36% 9% 45% 9%
Rivnenska (n=5)
7 7 2
(n=16)
Rivnenska 18% 12% 18% 41% 12%
Ternopilska (n=9)
5 4 5
(n=14)
Ternopilska 19% 19% 10% 38% 14%
Cherkaska (n=9)
6 11
(n=17)
Chernivetska (n=1)
3 4 2
(n=9)
4 6 3
(n=13)
Zhytomyrska 18% 9% 9% 55% 9%
Khmelnytska (n=6)
2 5
(n=7)
0% 25% 50% 75% 100%
Kirovohradska Lack of staff Lack of medical equipment
1 7 3
Partially available
*
132
Diabetes
73%
90% 4% 84%
3%
<1%
3% 96% 4%
PHC Emergency Multi

medical profile
2182
(n=945) (n=24) (n=824)
10% 38%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 71)

staff supplies equipment training resources
58% 42% 28% 15% 14%
Available
Partially available
Not available
Not operational
Not reporting
133
Diabetes
Mykolaivska Chernihivska 100%
65 1 (n=3)
(n=66)

120 2 (n=2)
(n=122)
Kyivska Donetska 55% 9% 18% 18%

78 3 (n=7)
(n=82) 1

95 5 (n=5)
(n=100)
Khersonska 50% 12% 12% 25%
Sumska
56 3 (n=5)
(n=59)
Kyivska 43% 14% 14% 29%
Chernihivska (n=4)
55 3
(n=58)
Mykolaivska 50% 50%
Zaporizka (n=1)
27 2
(n=29)
Odeska 50% 6% 19% 12% 12%
Odeska (n=9)
98 9
(n=107)
Sumska 75% 25%
Donetska (n=3)
37 6 1
(n=44)
Zaporizka 50% 50%
Khersonska (n=2)
13 4 1
(n=18)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
94 (n=6)
(n=94)
Lvivska Chernivetska 100%

108 1 (n=1)
(n=109)
Zhytomyrska Ivano-Frankivska 14% 14% 29% 29% 14%

83 1 (n=3)
(n=84)
Poltavska Khmelnytska 50% 25% 25%

80 1 (n=3)
(n=81)
Chernivetska Kirovohradska 40% 20% 20% 20%

54 1 (n=3)
(n=55)
Volynska Kyiv City 17% 17% 33% 33%

45 1 (n=2)
(n=46)
Ternopilska Lvivska 33% 33% 33%

65 2 (n=1)
(n=67)
Kyiv City Poltavska 50% 50%

60 2 (n=1)
(n=62)
Ivano Frankivska Rivnenska 67% 33%

72 3 (n=3)
(n=75)
Ternopilska 50% 50%
Khmelnytska
58 3 (n=2)
(n=61)
Volynska 100%
Rivnenska
58 2 (n=1)
(n=61) 1
Zakarpatska 67% 33%
Kirovohradska (n=3)
57 3
(n=60)
Zhytomyrska 100%
Zakarpatska (n=1)
53 3
(n=56)
0% 25% 50% 75% 100%
Cherkaska
(n=68) 1
Partially available
*
134
Psychological first aid

6%
1%
50% 17% 68%
54% 8% 83% 7%
39%
PHC Emergency Multi
medical profile
2182
(n=945) (n=24) (n=824)
34% 32%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 160)

training staff resources equipment supplies
54% 52% 23% 11% 8%
Available
Partially available
Not available
Not operational
Not reporting
135
Psychological first aid
Kharkivska Chernihivska 18% 45% 9% 27%
92 5 (n=9)
(n=97)

20 2 (n=9)
(n=22)
Odeska Donetska 45% 27% 9% 9% 9%

86 5 (n=7)
(n=96) 5
Dnipropetrovska Kharkivska 62% 25% 12%

76 6 (n=5)
(n=85) 3
Khersonska 33% 17% 17% 33%
Khersonska
11 2 (n=2)
(n=13)
Kyivska 35% 41% 9% 12%
Sumska (n=21)
39 8
(n=47)
Chernihivska (n=10)
40 9
(n=49)
Odeska 29% 36% 7% 29%
Mykolaivska (n=10)
37 9 1
(n=47)
Sumska 20% 60% 10% 10%
Donetska (n=8)
19 6 1
(n=26)
Kyivska (n=2)
43 16 5
(n=64)
0% 25% 50% 75% 100%
0% 25% 50% 75% 100%
51 (n=8)
(n=51)
Poltavska Chernivetska 33% 33% 33%

62 3 (n=3)
(n=65)
Ivano Frankivska Ivano-Frankivska 50% 50%

58 2 (n=3)
(n=61) 1
Ternopilska Khmelnytska 17% 33% 50%

55 2 (n=4)
(n=58) 1
Chernivetska Kirovohradska 50% 38% 12%

43 3 (n=6)
(n=46)
Lvivska Kyiv City 19% 31% 19% 12% 19%

85 6 (n=11)
(n=91)
Khmelnytska Lvivska 45% 9% 18% 27%

44 4 (n=6)
(n=48)
Kirovohradska Poltavska 50% 33% 17%

44 6 (n=3)
(n=50)
Zhytomyrska Rivnenska 50% 33% 8% 8%

53 8 (n=8)
(n=61)
Cherkaska
46 6 2 (n=3)
(n=54)
Volynska 11% 67% 11% 11%
Zakarpatska
40 6 1 (n=7)
(n=47)
Zakarpatska 33% 25% 8% 17% 17%
Rivnenska (n=7)
42 6 2
(n=50)
Kyiv City (n=8)
55 10 1
(n=66)
0% 25% 50% 75% 100%
Volynska
(n=37)
Partially available
*
136
Outpatient management of mental disorders

1%
4%
68% 12% 4% 50%
4% 96% 5%
PHC Emergency Multi

27% medical profile
2182
(n=945) (n=24) (n=824)
14% 18%
Mono
profile Other
hospital
(n=349) (n=40)
(n = 101)

training staff supplies resources equipment
48% 47% 40% 16% 12%
Available
Partially available
Not available
Not operational
Not reporting
137
Outpatient management of mental disorders
1 (n=8)
(n=1)

28 1 (n=7)
(n=29)
Odeska Donetska 40% 20% 40%

45 4 (n=3)
(n=51) 2
Kharkivska 100%
39 6 1
(n=46)
Mykolaivska (n=4)
24 5
(n=29)
Kyivska 23% 15% 27% 19% 15%
Donetska (n=13)
12 3
(n=15)
Sumska (n=5)
24 3 3
(n=30)
Odeska 27% 45% 18% 9%
Chernihivska (n=6)
23 7 1
(n=31)
Sumska 33% 42% 17% 8%
Kyivska (n=6)
28 9 4
(n=41) 0% 25% 50% 75% 100%
Khersonska
0% 25% 50% 75% 100%

Partially available
30 (n=2)
(n=30)
Chernivetska Chernivetska 50% 50%

21 1 (n=1)
(n=22)
Cherkaska Ivano-Frankivska 25% 25% 25% 25%

27 2 (n=2)
(n=29)
Zakarpatska Khmelnytska 40% 40% 20%

25 1 (n=4)
(n=27) 1
Ivano Frankivska Kirovohradska 40% 40% 20%

21 1 (n=4)
(n=23) 1
Ternopilska Kyiv City 25% 50% 12% 12%

24 1 (n=5)
(n=27) 2
Kirovohradska Lvivska 31% 23% 8% 23% 15%

30 4 (n=7)
(n=34)
Khmelnytska Poltavska 17% 83%

28 4 (n=5)
(n=32)
Rivnenska Rivnenska 50% 17% 17% 17%

28 1 3 (n=4)
(n=32)
Lvivska
46 4 (n=3)
(n=53) 3
Volynska 14% 57% 14% 14%
Zhytomyrska
26 4 (n=5)
(n=30)
Zakarpatska 50% 50%
Poltavska (n=2)
27 5
(n=32)
Volynska (n=4)
16 5
(n=21)
0% 25% 50% 75% 100%
Kyiv City
(n=13)
Partially available
*
138
139

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HeRAMS Ukraine Preliminary Baseline Report 2023

HeRAMS Ukraine Baseline Report 2023:

© World Health Organization 2023

EPI Expanded Programme on Immunization

HeRAMS The Health Resources and Services Availability Monitoring System

HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome

ICU Intensive care unit

MDRTB Multidrug-resistant tuberculosis

MHPSS Mental Health and Psychosocial Support

MOH Ministry of Health

NCD Non-Communicable Diseases

PHC Primary Health Centre

PMTCT Prevention of Mother to Child Transmission

STI Sexually Transmitted Infections

WHO World Health Organization

YASHCHENKO, Mariia AREGAY, Aron Kassahun

Feel free to contact our team if you have any questions:

During the workshop, participants discussed the following key findings:

Column charts Donut charts

Donut charts Bar charts

PHC Emergency Multi

Conflict / Lack of Natural Man

Dnipropetrovska Dnipropetrovska 90% 10%

Sumska Donetska 100%

Kyivska Kharkivska 82% 11% 4%

Zaporizka Khersonska 100%

Chernihivska Kyivska 88% 6% 6%

Mykolaivska Mykolaivska 87% 4% 9%

Kharkivska Odeska 43% 57%

Donetska Sumska 89% 11%

Khersonska Zaporizka 100%

Ivano Frankivska Chernivetska 33% 67%

Zakarpatska Ivano-Frankivska 100%

Volynska Khmelnytska 100%

Vinnytska Kirovohradska 9% 64% 27%

Ternopilska Kyiv City

PHC Emergency Multi

Conflict / Lack of Natural Man

Odeska Dnipropetrovska 67% 33%

Sumska Donetska 100%

Chernihivska Kharkivska 92% 5%

Volynska Chernivetska 33% 67%

0% 25% 50% 75% 100%

PHC Emergency Multi

Lack of Damage of the Lack of Lack of Lack of Lack of

80% 47% 16% 13% 9% 5%

Odeska Donetska 12% 5%3% 42% 30% 4%

Fully Functioning Non-Functioning

Functionality by oblast. Round 2* Main causes of non-functionality by oblast. Round 2**

0% 25% 50% 75% 100%

PHC Emergency Multi

Physical Not designed for Other

88% 25% 7% 2% 24%

Kyivska Dnipropetrovska 50% 25% 25%

Chernihivska Donetska 67% 19% 14%

Dnipropetrovska Kharkivska 47% 20% 33%

Sumska Khersonska 44% 25% 4% 27%

Mykolaivska Kyivska 100%

Kharkivska Mykolaivska 25% 38% 25% 12%