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Browse POLICY Project (1995-2006) Materials

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List entries are alphabetical by title and contain the title, abstract, language, and then the filename which is hyperlinked and will open in a new browser window. Many files are PDFs but some of the older ones are Word documents.


  • Romania has been undergoing a series of health financing reforms designed to reduce heavy dependence on government financing, central planning, and health services monopolized by the state. These reforms include a national health insurance scheme, contraceptive security initiatives, and revolving drug funds at the subnational level. Contraceptive security is important as Romania is trying to shift from a reliance on abortion to more widespread use of contraception. In August 2000, the government approved policies regarding contraceptive security. This study responds to the aforementioned policy needs by presenting findings from a market segmentation analysis of the Romanian FP market. Specifically, the study identifies and defines market segments for FP and presents policy options for better targeting of public and private sector resources.
  • At the start of the new century, Romania faces slow economic growth, rising poverty levels, and low health status, among other challenges. However, certain positive changes have occurred, notably improvements in reproductive health (RH). In August 2000, the government approved policies that paved the way for its groundbreaking approach to contraceptive security. These policies defined contraceptive security in terms of government financing for contraceptive commodities, targeting free public sector contraceptives to vulnerable segments of the population, establishing revolving funds to enable judets (districts) to purchase and sell contraceptives locally to nontargeted clients, and ensuring access especially in rural areas. Ministry of Health and Family (MOHF), in collaboration with the POLICY Project, undertook an assessment in March–May 2001 of how well the new national contraceptive security policies and laws were being translated into action at the service delivery level. Results of the assessment are presented in this paper. The paper starts with a socioeconomic and RH background and policy and program context. It then highlights operational constraints and other findings from the assessment using questions aimed at stimulating dialogue on policy barriers and their implications. These discussions are followed by policy options that might be considered in addressing the various operational barriers. The concluding section summarizes the key policy concerns and identifies what the authors believe are the most critical issues and policy options.
  • This report documents the significance and impact of the first three core packages implemented in Romania, Ukraine, and Nigeria. It also presents key highlights of results achieved through the packages.
  • This paper provides a background on the financing of health care and identifies and discusses reproductive health policy issues in the context of the social health insurance system in Romania.
  • Contraceptive security, defined as a condition when all women and men who need and want contraceptives can obtain them (Sine and Sharma, 2002), is a new concept in Romania. Nonetheless, in August 2000, the government approved—for the first time ever—policies that included a budget line item for contraceptives and the provision of free commodities to vulnerable population sectors. The August 2000 policies were broad, and implementation problems soon emerged. In response, the USAID-funded POLICY Project (POLICY) provided a focused package of technical assistance (TA) that lasted from March 2001 to December 2002 to help the government of Romania (GOR) to target those most in need and improve family planning equity. POLICY assistance contributed to four GOR policy decisions that occurred between 2001 and 2003: 1. Increased Ministry of Health and Family (MOHF) resources for free contraceptives in 2001 and 2002 2. Generic contraceptive formularies covered by social health insurance (2002) 3. Norms for government funding of nongovernmental organizations (NGOs) involved in public health programs, including providing free contraceptives to the poor (approved in 2003) 4. Self-certification of poverty status as documentary proof for access to free contraceptives (2003)