ANNUAL REPORTOF UKRAINIAN PARLIAMENT COMMISSIONER FOR HUMAN RIGHTS 36 CHAPTER 1 Example During a visit to the city of Korostyshiv, Zhytomyr oblast, wage arrears to employees of the municipal non-profit enterprise “D.I.Potekhin Korostyshiv Central District Hospital” of Korostyshiv District Council were revealed. As of October 2019, they amounted to UAH 5.9 million. In the follow-up of the monitoring, the respective requests were sent to Korostyshiv District Council, Korostyshiv City ATC, the Health Department of Zhytomyr State Oblast Administration, and they took appropriate measures. Additional funds were allocated from local budgets to repay the arrears to medical workers. To repay the wage arrears, the Cabinet of Ministers of Ukraine adopted the Ordinances #1112-r of 27 November 2019 “On the Redistribution of Certain State Budget Expenditures Envisaged for the Ministry of Health for 2019 and the Distribution of Medical Subvention from the State Budget to Local Budgets in 2019,” #1328-r of 20 December 2019 “On Redistribution of Certain Expenditures of the State Budget Envisaged for the Ministry of Health for 2019 and Distribution of Medical Subvention from the State Budget to Local Budgets in 2019,” #1336-r of 24 December 2019 “On Redistribution of Certain Expenditures of the State Budget Envisaged for the Ministry of Health for 2019 and Distribution of Medical Subvention from the State Budget to Local Budgets in 2019.” These Ordinances increased the amount of medical subsidy from the State Budget to the local budgets in 2019 by UAH 415.1 million. These measures allowed for repayment of the wage arrears (as of 31 December 2019) in all the regions of Ukraine except for Chernihiv oblast, where outstanding arrears in the amount of UAH 4.6 million remained. Provision of healthcare facilities with medical personnel Insufficient provision of healthcare facilities with qualified personnel makes it impossible to submit declarations on selecting primary care physicians, which violates the rights of citizens to receive adequate healthcare. There is no regulation of the workload and remuneration of general practitioners-family primary care physicians during the replacement of temporarily and/or permanently absent doctors, as well as in the need to provide medical assistance to citizens who are deprived of the opportunity to submit declarations when the maximum acceptable number of declarations has been submitted. Analysis of citizens’ requests to the Commissioner and field monitoring of observance of the right to receive primary care at the place of residence proves that such situation is common, especially in rural areas, and across almost all regions of Ukraine. Example The Commissioner received an appeal from citizen R., a resident of the Brovary district of Kyiv oblast, on renewal of his right to choose a doctor. As a result of the measures taken by the Commissioner, the applicant was invited to contact the doctors of Kalynivka General Family Medicine Clinic and to submit a declaration on selecting a doctor.

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