Healthcare in Moldova

The Republic of Moldova has a double epidemiological burden as rates of both communicable and noncommunicable diseases have steadily increased since independence. The main causes of death in the Republic of Moldova are diseases of the circulatory system followed by cancer and diseases of the digestive system. Many of these deaths can be attributed to very heavy alcohol and tobacco consumption – 57.6% of total male mortality and 62.3% of female mortality in 2010 could be attributed to smoking-related causes while 18.8% of male mortality and 13.7% of female mortality were related to alcohol consumption. Though incidence of chronic liver disease and cirrhosis has decreased over the last five years, this remains a very significant overall cause of mortality in the Republic of Moldova (118.95 per population of 100 000 men and 89.82 per population of 100 000 women in 2010). [9]

The economic and social crises have negatively influenced the population's mental health: a continuous increase in the incidence of mental health disorders has been registered (500.22 per 100 000 general population in 2005 and 576.13 per 100 000 general population in 2009).[10] [9]

However, the key challenges in communicable disease control in the Republic of Moldova are tuberculosis (TB) and HIV/AIDS. Incidence of TB has been rising since 1990 and has more than doubled, reaching 182 per 100 000 population in 2010, the most dramatic increase being registered in children. The TB mortality rate increased from 16.9 per 100 000 people in 2000 to 23 in 2010, and rates in prisons are even much higher. [9]

Moldova is among the few countries in the world which reached its Millennium objective of reducing child mortality, registering a mortality rate of 13.4 to 1,000 live births in 2011 in children under 5 (compared to 23.3 in 2000). The most frequent causes of young children’s deaths in Moldova are accidents, intoxications, traumas, as well as diseases of the respiratory apparatus – causes which can be prevented if parents and caregivers would supervise children better.[11]

Infant mortality The infant mortality rate has been falling steadily since the mid-1990s reaching 11.8 per 1000 live births in 2010, which is close to average for countries of the CIS (11.7 per 1000 live births in 2010), but still more than double the European Union average of 4.2 per 1000 live births in 2010. Maternal mortality levels have fluctuated widely, reaching a low of 16 per 100 000 births in 2006 and 21 maternal deaths per 100 000 live births in 2013. This is almost double the average for countries of the European Union, which was 6.1 in 2010. However, actual numbers are low (18 in 2010, 7 in 2009) and as there are only around 40 000 births annually each tragic death increases the maternal mortality rate substantially.[9]

Child immunization Child immunization levels have been consistently high in the Republic of Moldova for all vaccine-preventable diseases, and in 2010, 97.1% of children were immunized against measles, 97.9% of infants were vaccinated against TB, 97.4% against polio and 97.6% against hepatitis B. The combined vaccination for diphtheria, pertussis and tetanus (DPT) covered 89.8% of infants in 2010, and vaccination against Haemophilus influenzae type b covered 61.2% of infants.[9] Sexually transmitted infections sharply increased following independence, with syphilis showing one of the biggest increases (71.51 per 100 000 population in 2008).[9]

Timofei Moșneaga Republican Clinical Hospital

• Republican Clinic of Stomatology (Dentistry), Chișinău[14]
• Timofei Moșneaga Republican Clinical Hospital, Chișinău (founded in 1817, 795 beds)[14][15]
• Republican Clinical Hospital for Traumatology and Orthopedics[15]
• Emilian Coțaga Children's Republican Clinical Hospital, Chișinău, founded in 1955[15]
• Ministry of Health Clinical Hospital, Chișinău[15]
• Emergency Medicine Institute, Chișinău
• Republican Clinical Psychiatric Hospital[15]
• Republican Dermatovenerology Dispensary [15]
• Republican Ftiziopneumology Hospital, Vorniceni[15]
• Toma Ciorbă Infectious Diseases Clinical Hospital, Chișinău[14]
• Cardiology Institute, Chișinău[14][15]
• Chiril Draganiuc Institute of Phthisiopneumology, Chișinău[15]
• Oncological Institute[15]
• Diomid Gherman Institute of Neurology and Neurosurgery, Chișinău[15]
• Republican Narcology Dispensary[15]
• Republican National Scientific and Practical Center for Emergency Medicine, Chișinău, 627 beds[15]
• Mother and Child Institute, Chișinău[14][15]
• Republican Psychiatric Hospital, Bălți[15]
• Republican Psychiatric Hospital, Orhei[15]

District Hospital Anenii Noi[15] District Hospital Basarabeasca[15] District Hospital Briceni[15] District Hospital Cahul[14][15] District Hospital Cantemir[15] District Hospital Călăraşi[15] District Hospital Căușeni[15] District Hospital Cimișlia[15] District Hospital Criuleni[15] District Hospital Donduşeni[15] District Hospital Drochia[15] Dubăsari District (No hospital) District Hospital Edineț[15] District Hospital Făleşti[15] District Hospital Floreşti[15] District Hospital Glodeni[15]

District Hospital Hînceşti[15] District Hospital Ialoveni[15] District Hospital Leova[15] District Hospital Nisporeni[15]B District Hospital Ocniţa[15] District Hospital Orhei[15] District Hospital Rezina[15] District Hospital Rîşcani[15] District Hospital Sîngerei[15] District Hospital Soroca[15] District Hospital Străşeni[15] District Hospital Şoldăneşti[15] District Hospital Ștefan Vodă[15] District Hospital Taraclia[15] District Hospital Teleneşti[15] District Hospital Ungheni[15]

Anenii Noi Basarabeasca Briceni Cantemir Călărași Căușeni Cimișlia Dondușeni Drochia Dubăsari Edineț Fălești Florești Glodeni Hîncești Ialoveni Leova Nisporeni Ocnița Orhei Rezina Rîșcani Sîngerei Soroca Șoldănești Ștefan Vodă Taraclia Telenești Ungheni Strășeni Cahul CHIȘINĂU Comrat Bălți Tiraspol Romania Ukraine

District hospitals in major cities:

• District Hospital Ceadâr-Lunga (City)[15]
• District Hospital Comrat (City)[14][15]
• District Hospital Vulcăneşti (City)[15]
• District Hospital Balti (City)[14]

• Municipal Clinical Hospital for Children No. 1, Chisinau[15]
• Gheorghe Paladi Municipal Clinical Hospital, Chișinău[15]
• Holy Trinity Municipal Clinical Hospital, Chisinau[15]
• Valentin Ignatenco Children's Municipal Clinical Hospital, Chisinau[15]
• Municipal Clinical Hospital, Bălţi[15]
• St. Michael the Archangel Municipal Clinical Hospital, Chisinau, established in 1829[15][16]
• Municipal Clinical Ftiziopneumology Hospital[15]
• Municipal Maternity Nr. 2, Chisinau[15]
• Municipal Clinical Hospital for Children with Infectious Diseases, Chisinau[15]
• Municipal Clinical Hospital No. 4, Chisinau[15]

• Central Military Hospital, Chisinau[17]
• Medpark International Hospital, Chisinau[18][19]
• Medpark Clinic, Chisinau[14]
• Vivodent Clinic, Chisinau[14]

The following hospitals are in the break-away Province of Transnistria

• Republican Clinical Hospital Tiraspol, Transnistria[14]