Expert-Grup

How Much Is Spent on Health Care in the Republic of Moldova?

Thursday, 3 November 20168189 views
How Much Is Spent on Health Care in the Republic of Moldova?

Automatically translated summary. The full article is available in Romanian.

A study by the Independent Think Tank “Expert-Grup” examines how health care is financed in the Republic of Moldova. It finds that public funding has stayed at 5.1–5.3% of GDP in recent years, while households cover nearly half of all health spending out of their own pockets.

In nominal terms, public health funding has grown, but in real terms it has fluctuated and turned negative in 2015, with similar prospects for 2016. In 2015 Moldova ranked among the last European countries by the share of public spending in total health expenditure, ahead only of Ukraine. Out-of-pocket payments stand at around 48%, with no improvement expected.

The main public source is health insurance contributions, raised by one percentage point a year in 2013-2015 to 9%. State budget transfers cover almost half of the cost of care for people insured by the Government, according to a Court of Accounts audit. Donor funds tripled in six years, reaching MDL 638 million in 2015, mostly for the World Bank-funded health modernisation project. The study suggests cutting informal employment by 5%, worth about MDL 78 million a year, and reducing informal payments.