Problem

2.7.4. Insufficiently transparent recruitment procedures at healthcare institutions hinder competition and create opportunities for manifestations of corruption in appointments to such positions

General information about the problem

Corruption risks in the healthcare sector are associated with the conduct of dishonest healthcare professionals. Therefore, an important aspect of anticorruption policy in this field is to prevent unscrupulous persons from providing medical services by improving medical staff recruitment procedures at healthcare institutions.
Information on vacant positions of managers of municipal healthcare institutions is available in a large number of different sources. The scale of this dispersion is even greater when taking into account the total number of all vacant positions at state and municipal healthcare facilities. At the same time, it is common practice for healthcare institutions to post information about vacancies in the news sections of their official websites, where this information quickly moves down and is not visible, or its publication is delayed. This situation makes it difficult to exercise effective control over the selection of medical staff and artificially restricts competition. The most dangerous consequence of this problem is the emergence of corrupt practices.
Since 2018, in accordance with the Procedure for conducting a competitive selection process to fill the position of the manager of a state or municipal healthcare institution, approved by Resolution No. 1094 of the Cabinet of Ministers of Ukraine dated December 27, 2017, for the first time, members of the public can elect the manager of a hospital, as they make up one third of the members of the competition committee. Despite this, in practice, representatives of independent civil society organizations experienced difficulties accessing the competitive selection process. Moreover, Ukrainian courts have repeatedly found that candidates submitted false information to participate in the competitive selection process, which points to the need to improve the competitive selection procedure.
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Implementation of SACP measures within the limits of the problem

The total number of OSR – 2
All measures of the SACP
measures, the implementation of which as of 31.03.2024
is about to begin to be completed
2 1 1 1
5
Implemented In progress Not implemented Not started
Measures implemented (fully and partially) - 2 (40%)

Deadlines for all measures

01.03.2023 - 31.07.2024

Implementation of SACP measures within the scope of the Problem by main main performers

Ministry of Health of Ukraine

40%
5

Achievement of ESR within the limits of the Problem

The total number of OSR – 2

SUMMARIZED GENERAL INFORMATION ON THE IMPLEMENTATION OF THE PROGRAM MEASURES IN TERMS OF DIRECTIONS, PROBLEMS AND EXPECTED STRATEGIC RESULTS

Name of the ESR Name of the measure The main implementer Monitoring results (latest) Performance note % виконаних заходів (fully and partially)
1.1. ESR 2.7.4.1 A publicly accessible single web portal of vacancies at state and municipal healthcare institutions is functioning 2.7.4.1.1. Drafting and submitting to the Cabinet of Ministers of Ukraine a draft resolution of the Cabinet of Ministers of Ukraine on approval of the Regulation on the single website of vacancies at state and municipal healthcare institutions, which stipulates that: 1) open access to the website shall be granted in keeping with the requirements of legislation on the protection of personal data; 2) the website must contain complete information about all available vacancies along with the names and addresses of the relevant healthcare institutions; 3) the website must publish information about the dates of the competitive selection process, the deadline and address for submission of the application for the position; 4) recruitment for vacant positions (including managerial positions) at state and municipal healthcare institutions is carried out exclusively through the website; Ministry of Health of Ukraine The measure was not implemented on time and in full Implemented
200% 8/ 4
1.2. 2.7.4.1.2. Developing and approving a statement of work (“technical assignment”) for the creation of the single website of vacancies at state and municipal healthcare institutions Ministry of Health of Ukraine The measure was not implemented on time and in full Implemented
1.3. 2.7.4.1.3. Developing the design of the single web portal of vacancies at state and municipal healthcare institutions Ministry of Health of Ukraine There is progress in the implementation of the measure In progress
1.4. 2.7.4.1.4. Launching the single web portal of vacancies at state and municipal healthcare institutions Ministry of Health of Ukraine Not started
2.1. ESR 2.7.4.2 Recruitment for managerial positions at state and municipal healthcare institutions shall be carried out by competitive selection committees that must include representatives of the public, in accordance with the established list of essential skills, competencies, and evaluation criteria; the range of public associations that can delegate their representatives to the competitive selection committees has been expanded, and the principles of transparency and openness in their work have been ensured 2.7.4.2.1. Drafting and submitting to the Cabinet of Ministers of Ukraine a draft resolution of the Cabinet of Ministers of Ukraine on amendments to the Procedure for conducting a competitive selection process to fill the position of the manager of a state or municipal healthcare institution, which stipulates that: 1) one half of the seats on competitive selection committees shall be taken by representatives of NGOs in matters relating to healthcare and/or prevention of corruption and anticorruption activities; 2) the qualification requirements for managerial positions at state and municipal healthcare institutions shall be established by said Procedure; 3) there shall be a clear list of qualification criteria for applicants for managerial positions at state and municipal healthcare institutions, which must include professional competency, managerial skills, and integrity; 4) professional competency and managerial skills must be evaluated using a scoring system by each member of the competitive selection committee; 5) conformity to the criterion of integrity shall be assessed according to the standard of “reasonable doubt”; 6) a decision of the competitive selection committee to the effect that an applicant meets the criterion of integrity shall be deemed approved if the majority of committee members representing the community have voted in favor of this decision, and where the votes have tied the votes of committee members representing the community shall prevail. Ministry of Health of Ukraine The measure has not been implemented Not implemented
0% 0/ 1

Key sources on the state of the problem:

Assessment of the situation by international monitoring mechanisms and organizations: