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Current issues addressed

Romania’s medical system is mainly hospital-centered, with most of the funds allocated to health care belonging to the hospital environment. However, the distribution of population does not show significant differences: 55.17% of the population lives in the urban areas while 44.93% of the population lives in the countryside.

The needs of the rural population are higher and much more serious compared to those of the people living in the urban areas and, unfortunately, urban areas are where specialized health services are currently concentrated.

For the past three years, we’ve been actively working with a great number of direct beneficiaries, and this has helped us gain important insight concerning the way in which the maldistribution of health services affects the large number of people living in rural areas. We became aware of the major gap between the 21st Century Medicine practiced in university centers and large clinics and the access to medical care for a significant part of Romania's population.

Even though there are national screening programs in place, their results are often less spectacular than we’d hope, since many patients cannot benefit from them because they encounter difficulties reaching the nearest medical center (lack of money, no means of transportation available etc.). A specific example is that of the screening for cervical cancer - even though the program started more than 5 years ago, Romania continues to have the highest prevalence of cervical cancer in Europe.

We propose an approach that identifies the population at risk, and, more importantly, an approach that directly comes to its aid by traveling to underprivileged villages in order to promote and deliver primary medical prevention services.

Another important issue is that a large part of Romania's population has great gaps in their medical education. This, associated with a mentality that does not understand the need for medical prevention leads to disastrous results with a mortality rate and a degree of disability well above that of the average European countries. Not to mention that the financial and human resources needed to solve medical problems detected in advanced stages are much higher, sometimes impossible to bear.