New HiT for Republic of Moldova

The new HiT (Health Systems in Transition) health system review for the Republic of Moldova assesses the progress of reforms and the broader issues affecting the Moldovan health system. Mandatory health insurance was introduced in 2004 and has become a sustainable financing mechanism.

Excessive infrastructure has been reduced, but there is still room for efficiency gains, and the rationalization of duplicated specialized services remains a key challenge facing the health system. Other challenges include health workforce shortages (particularly in rural areas) and improving equity in financing and access to care by reducing out-of-pocket (OOP) payments. OOP spending on health is dominated by the cost of pharmaceuticals and this is a core focus of reform efforts. The publication was launched on 22-23 November 2012 in Chisinau at the National Health Forum: “Healthy Moldova: Policies, Achievements and Opportunities”. The aim is for the Forum to become an annual event to support intersectoral working to bring health into all policies.