Transcript The status of FCTC in ROMANIA

South-East European Cooperation Process
ROMANIA
South-East European
Cooperation Process
(SEECP)
South-East European Cooperation Process
Romania in SEECP
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NATO considered the SEECP activity complementary to its own
actions of maintaining peace, stability and security in South-Eastern
Europe
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EU also included the SEECP on the participants list to the Stability
Pact for South Eastern Europe (Cologne and Sarajevo, June-July,
1999).
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the most important contribution of the Romanian CiO was the
signing of the "Charter on Good-Neighborly Relations, Stability,
Security and Cooperation in South-Eastern Europe" (Bucharest,
February 12, 2000), which is the fundamental document of this
regional structure of co-operation.
South-East European Cooperation Process
Romanian PH System
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Since 1990 Romanian health sector has begun its slow transition
from a centralized system, to a social health insurance system
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Since 1995, regulations with major impact on the health system at
all levels have been adopted
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In 2006 a comprehensive legislative package replaced almost all the
reform initiatives and decisions: the Health Reform Law
no.95/04.2006. For the first time, all reform regulations are included
in a single document, structured on levels of healthcare and major
topics regarding the system reform.
South-East European Cooperation Process
Health status of the population
Significant problems:
 CVD mortality rates have increased from 1996, the main
killer being ischemic heart diseases and cerebrovascular diseases
 Cancer mortality rates showed also an increase, in
particular breast cancer, cervical cancer, colorectal and
lung cancers
 The incidence of tuberculosis increased from 64.6%000
in 1990 to 105.7%000 in 2005
 The incidence HIV/AIDS increased from 6.5%000 in
1990 to 45.4%000 in 2005.
 Missing of a management plan for reduction of air
pollution
South-East European Cooperation Process
Health status of the population
Areas of success:
 Implementation of the Phare project ‘Improvement of Health Status
Monitoring and Evaluation Capacity in the Framework of Health
Care Reform RO 2002/000-586.04.11.03. with creation of the
National Centre for Prevention and Control of Communicable
Diseases
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Life expectancy at birth increased from 66.56 (males) and 72.65
(females) in 1990 to 68.19 (males) and 75.47 (females) in 2005
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Infant mortality decreased from 24.1%0 in 1990 to 12.4%0 in 2005.
But respiratory disease, especially pneumonia, still remain the main
cause of death in children
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Infectious and parasitic diseases decreased from 19.2%000 (male)
and 7.1%000 (female) in 1990 to 18.3 (male) and 6.0 %000 (female)
in 2005
South-East European Cooperation Process
Governance and Policy in the field of Public
Health Services
Significant problems:
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Mobilization of community participation for the
identification of health needs
The insufficient development of protocols for common
use of standards and databases interfaces. It is
necessary in order to prevent inconsistencies in
reporting, the losses of data sources and multiple
requests of the same data
Surveillance of non-communicable diseases remains a
problem for the policy makers
The insufficient number of personnel in health promotion;
South-East European Cooperation Process
Governance and Policy in the field of Public
Health Services
Areas of success:
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Development of policies, strategies and public health programmes National Health Programs Agency from Ministry of Public Health ;
Epidemiologic surveillance, prevention and control of diseases - The
National Centre for Control of Communicable Diseases;
The Health Insurance Law provides the framework for free market
and competition within provided health services;
Integration of public health concepts, findings, evidences into
policies and local strategies for health programs;
The new strategy for decentralization of the Ministry of Public Health
is in course of elaboration;
The basic services package is stated in legislation and it is
accessible to every person insured.
South-East European Cooperation Process
Socio-economic factors, focusing on the social
determinants of health
Weak points
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An insufficient and over used technology
The poor population with a low health status
Not all quantitative socio-economic indicators are presented in a
systematic way in order to enable predictions and comparisons
South-East European Cooperation Process
Socio-economic factors, focusing on the social
determinants of health
Strong points:
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Macroeconomic stability
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The majority of population is open to make qualitative and
quantitative changes in order to improve their quality of life
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New financial sources and resources for Romania as a EU Member
South-East European Cooperation Process
Conclusions
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Regional cooperation in health is important for the SEE
countries desiring to become EU Members
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Health has an important contribution to the economic
development of the countries
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Understanding the challenges in reforming and
developing the public health services, as well as the
opportunities available to improve the health of the
population will help to build appropriate policies, systems
and services for the development of PHS in the SEE
region.