In 2025, Mykolaiv plans to spend ₴212 million on health care in 2025

Mykolaiv wants to allocate ₴212 million for health care in 2025. Archive photo «NikVesti" Mykolaiv wants to allocate ₴212 million for health care in 2025. Archive photo NikVesti

During 2025, 212 million hryvnias are planned to be allocated from the city budget of Mykolaiv to support medical facilities and services for community residents.

Such information is contained in the materials for the draft budget of Mykolaiv for 2025, published on the website of the finance department of the Mykolaiv City Council.

In total, 212 million hryvnias are earmarked for health care, of which 119.8 million hryvnias will be allocated from the general budget fund, and 92.1 million hryvnias from the special fund, in particular from the development budget. The main part of the funds, 192 million hryvnias, will go to the Department of Health Protection of the Mykolaiv City Council.

What are the funds going to be spent on:

  • 77.5 million hryvnias — to support six city hospitals:
    1. City Hospital №1;
    2. Children's Hospital №2;
    3. City Hospital №3;
    4. City Hospital №4;
    5. City Hospital №5;
    6. Emergency medical care hospital.
  • 6.1 million hryvnias — for maternity hospital №3 for medical assistance to pregnant women, women in labor and newborns.
  • 33 million hryvnias to support seven centers of primary health care.
  • 3.25 million hryvnias for dental prostheses and hearing aids for privileged categories of the population.
  • 14.6 million hryvnias — to cover expenses for:
    1. reagents for laboratory research;
    2. vascular and joint prostheses;
    3. consumables for cardiology research;
    4. provision of means of care for the disabled.
  • 4.6 million hryvnias — for the provision of medical products for children with rare diseases, as well as for the free provision of medicines for certain categories of patients.
  • 8.6 million hryvnias — for the completion of repairs of medical facilities, in particular:
    1. 6.6 million — for the restoration of dispensary №5 after a missile strike,
    2. 2 million — for the repair of the rehabilitation department in hospital №4.
  • 72.4 million hryvnias — for the purchase of new medical equipment and updating the material and technical base of hospitals.

Separately, 19.7 million hryvnias are planned to be allocated for capital repairs of hospitals, modernization of fire alarm systems and reconstruction of premises for the creation of modern medical centers, in particular, a children's diagnostic center with shelter and a rehabilitation center for war victims.

How health care expenditures from the Mykolaiv budget changed in 2023, 2024, and 2025. Screenshot from the document How health care expenditures from the Mykolaiv budget changed in 2023, 2024, and 2025. Screenshot from the document
We would like to remind you that in 2025, the number of Primary Health Care Centers in Mykolaiv will be reduced and their employees will be laid off.

Reduction of staff at Mykolaiv polyclinics

The idea to reduce the number of primary care centers became known as early as June 2024. By order of the mayor Oleksandr Sienkevych, a working group was created to audit their economic efficiency.

Deputies Serhiy Kartsev, Olena Kiseliova, Olena Kuzmina, Oleksandr Medvedev, Hanna Nord, Hanna Remennikova, Yelyzaveta Trishchanovych, vice mayor Anatolii Petrov, mayor's advisor Ivan Smirenskyi, head of the city health department Iryna Shamrai, director of the finance department Vira Sviatelyk, Tetyana Dymitrova, Head of the Municipal Property Department of the City Council, Yevhen Yuzvak, Director of the Legal Department.

The other day, in a comment to NikVesti, the head of the city's health care department, Iryna Shamrai, said that seven primary health care centers in Mykolaiv are planned to be reorganized on the instructions of the Ministry of Health of Ukraine.

It is planned to reduce them to two or four institutions. According to Iryna Shamrai, this will save the city budget up to 27 million hryvnias per year.

«Currently, there are six outpatient clinics in the center, and there will be 18 outpatient clinics. There are eight outpatient clinics in the second center, and there will be 21. I want to tell you that this does not affect the quality in any way, because all the funds from the city budget, which are allocated for various needs, are proportionally distributed among patients,» she said.

Later, the mayor of Mykolaiv explained in a video address to the citizens that the cuts will not apply to doctors, administrative staff will be laid off.

«How many people will be laid off, how many will be reduced? These are legal entities, of which we have to make 4 out of 7. The number of dispensaries will increase by one. How many medical workers will be laid off? None. Administrative staff will be reduced. What will it give to the people of Mykolaiv? Saving budget funds on salaries of administrative staff,» said Oleksandr Sienkevych.

At the same time, Mykolaiv City Council deputy Mykola Kapatsyna believes that the proposal of the health care department to reduce primary health care centers is due to the need to save budget funds.

His colleague, Olena Kiseliova, deputy of the Mykolaiv City Council, elected from the «European Solidarity» party, has the opposite opinion. She urged Mayor Oleksandr Sienkevych to abandon the reorganization of seven primary health care centers.

Deputy of the Mykolaiv City Council Artem Illiuk also criticized the idea of reducing seven centers of primary health care to two or four, which is motivated by the need to save budget funds.

Tetiana Dombrovska, head of the «Servant of the People» faction in the Mykolaiv City Council, does not support the idea of optimization. At the same time, deputy and member of the working group on optimization Serhii Kantor refused to comment. He considers it inappropriate to comment on this situation until the working group has completed its analysis.

And Ivan Smyrenskyi, adviser to the Mykolaiv city mayor, supported the optimization of primary health care centers. He stated that the merger or consolidation of a number of institutions into one legal entity is a worldwide practice.

It should also be noted that the National Health Service of Ukraine did not give any recommendations for «optimization» of primary health care centers in Mykolaiv.

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