Analysis of Healthcare Expenditure in the Republic of Moldova
Automatically translated summary. The full text is available in Romanian.
Independent Think Tank “Expert-Grup” analysed healthcare spending in the Republic of Moldova, looking at the recent level of public funding, its sources and its weight compared with other European countries. The study was prepared under a project on the budget process, supported by the Soros Foundation-Moldova.
Public funding for healthcare has stayed at 5.1–5.3% of GDP. In real terms it fluctuates and was negative in 2015, with a similar outlook for 2016. In 2015 Moldova ranked among the last European countries for the share of public spending in total health spending, ahead only of Ukraine. Out-of-pocket payments stand at around 48% of the total, with no improvement expected.
The main source is health insurance contributions, raised by one percentage point a year in 2013–2015 to 9%. A Court of Accounts audit found that state transfers cover only about half of the cost of insuring categories covered by the Government. Donor funding tripled in six years to 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 for the insurance funds, and reducing informal payments.
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