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Many Ukrainian citizens currently lack access to continuous, affordable, and quality healthcare services based on a patient-centered approach.

Ukraine is already preparing for the de-occupation of its territories and is developing plans for stabilization and reintegration. This includes territories that have been under prolonged occupation, such as Crimea and specific areas in Donetsk and Luhansk regions. One of the priority tasks during the liberation of these territories and overcoming the consequences of prolonged occupation is the restoration of the Ukrainian healthcare system in these regions.

For this reason, the Ministry of Health of Ukraine, with expert support from the Health Solutions Foundation, is actively working on a concept for reintroducing the Ukrainian healthcare system in liberated territories. The concept outlines specific approaches and features for restoring healthcare services in areas occupied since 2014.

Challenges in Healthcare Restoration

However, several critical questions arise:

• Will the return of healthcare services to liberated territories be straightforward?
• Will rapid solutions effectively address the challenges encountered during the restoration process?

Key issues include:

• Lack of healthcare reform implementation in these territories.
• Infrastructure problems.
• Shortage of medical personnel.
• Limited access to internet resources, complicating the integration of patient data into the eHealth system (ЕСОЗ).
• Rebuilding trust in Ukrainian healthcare professionals among the local population.

Topics of Public Interest

Given the complexity of these issues and the public interest in the de-occupation of Ukrainian territories, we are launching a series of publications under the hashtag #HealthcareInDeOccupiedTerritories.

In this series, we will address the following important topics:

• Are medical professionals in temporarily occupied territories considered collaborators?
• What is the status of altered (due to wear, repair, reconstruction, new construction, etc.) real estate in temporarily occupied territories?
• How can this property be inventoried (assessed) for its subsequent transfer to providers operating in liberated areas?
• How to restore medical practice for doctors in Crimea, and certain areas of Donetsk and Luhansk regions who have invalid specialist certificates?
• Should individuals who obtained medical degrees during the occupation be employed?
• Can information about patients who were forced to acquire Russian passports during the occupation be included in the eHealth system?