Financing preventive health services for children in Romania


Current financial evidence shows that even a relatively small investment of $5 per person in maternal and child healthcare would avoid the preventable death of 147 million children, 32 million stillbirths, and 5 million women in 74 countries by 2035 (Stenberg et al., 2014) social, and economic returns. We costed health systems strengthening and six investment packages for: maternal and newborn health, child health, immunisation, family planning, HIV/AIDS, and malaria. Increasing health expenditure by just $5 per person per year up to 2035 in 74 high-burden countries could yield up to nine times that value in economic and social benefits. These returns include greater gross domestic product (GDP).

Moreover, societies which have been successful at emphasizing investment in children’s healthcare and education over the past years have been outstanding in the health and economic sector (Clark et al., 2020).

Recognizing the importance of prioritizing investment in prevention, this report is the first study in Romania to map and analyze financial flows in preventive health for services targeting children and young adults below 18 years of age. This exercise maps the financial flows both at the national and subnational level, recognizing the important role of regional and local institutions in organizing and delivering relevant preventive health services for children. The analysis covers the period 2018–2020 and so monitors the impact of COVID-19 on the use of health services and financial resources allocation.


  • Rebeca Sabou
  • Monica Georgiana Brînzac
  • Nicoleta Șomlea
  • Ștefan Strilciuc
  • Ilaria Mosca
  • Marius-Ionuț Ungureanu

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