Health and social care in villages in Moldova

Ecaterina Mardarovici

The long period of transition and demographic trends have worsened the overall situation in the country; Moldova faces population reduction, aging population and a growing imbalance between age groups. According to the forecasts of the Academy of Sciences of Moldova, by 2050, the country will face a population decline of about 20 per cent and the number of people over 60 years of age will exceed 35 per cent of the population.

At the moment, the demographic pressure is 2:1 (one employed person supports two people who do not work) and by 2050, the effects of demographic pressure will double, reaching a ratio of 4:1.

According to official statistical data, about 314,000 people are involved in migration, which is nearly 10 per cent of country’s population or 25 per cent of the economically active population. The average age of migrants is 35 years of age. Two thirds of migrants come from rural areas.

People dependent on the care of others, most affected by poverty, face many extreme challenges.

The AGAPEDIA Moldova Foundation’s main goal  is the support, education and protection of children without parental care or whose health and development is in danger within the family; providing health and social services (including homecare) to vulnerable groups of people (dependent persons, the elderly, children, person with disabilities).

Since 2010, Agapedia Moldova engaged in partnership with the Robert Bosch Foundation also for the needy elderly people in rural areas by providing medical and social services at home. Socio-medical home care services in rural areas in Moldova were created and coordinated by - three centres of medical and social home care were in four villages, which provided eventually home care services in 13 villages. The team of social workers and medical assistants was formed through a competition and served especially long-term unemployed women in villages. The centre’s activity is coordinated by a medical assistant, who monitors the activity of the social workers. In collaboration with the Association of Nursing from Moldova, the team went through a theoretical and practical training during two months in order to provide medical and social services at home.

Objectives: 
Increase the quality and accessibility of medical-social home care services in rural areas
Expand expert capacities on home care in Moldova
Raise awareness on home care as a suitable form of medical-social service

Focus of the services:
Increasing the well-being of people dependent on the care of others by strengthening the role and the quality of medical-social care services in the home and community environment