This study is the result of the World Bank research to support Ukraine’s on-going health reform policy debate. It was produced by a team of experts led by Paolo Belli, World Bank Lead Economist and Sector Leader for Human Development. Key authors: Paolo Belli; Yuriy Dzhygyr; Kateryna Maynzyuk. Surveys to collect data for this study were conducted by Kiev International Institute of Sociology, whose team was led by Artem Miroshnichenko. Significant parts of legislative reviews were prepared by Denis Kovryzhenko. The research took place throughout 2013, with field data collected in May-August 2013.