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in Albania - Instituti i Shendetit Publik

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INTERNATIONAL PUBLIC HEALTH CONFERENCE IN TIRANA, ALBANIACurrent challenges of the health care system <strong>in</strong><strong>Albania</strong>Qamil Dika 1 , Genc Burazeri 2,31Health Insurance Institute, Tirana, <strong>Albania</strong>;2Faculty of Public Health, University of Medic<strong>in</strong>e, Tirana, <strong>Albania</strong>;3Institute of Public Health, Tirana, <strong>Albania</strong>.There have been several efforts to reconstruct the<strong>Albania</strong>n health sector along with economic recovery<strong>in</strong> the past decade. Thus, a National Strategy forSocioeconomic Development came <strong>in</strong>to force <strong>in</strong>2002 as the frame for susta<strong>in</strong>able development.Subsequently, it was changed <strong>in</strong> 2005 to the NationalStrategy for Development and Integration andaligned with the European Union (EU) agenda andthe Millennium Development Goals.A Long-Term Strategy on the Development of theHealth System was approved and endorsed <strong>in</strong> 2004and is focused on the core functions of the healthsystem. In the past few years, health legislation isbe<strong>in</strong>g thoroughly revised with focus on the lawsrelated to f<strong>in</strong>anc<strong>in</strong>g of health services. The HealthInsurance Fund established <strong>in</strong> 1995 is grow<strong>in</strong>grapidly <strong>in</strong> terms of service packages provided.However, the <strong>Albania</strong>n M<strong>in</strong>istry of Heath recognizesthe need to reorganize health services on a costefficiencybasis.Furthermore, there are several challenges for the<strong>Albania</strong>n health care system which should be taken<strong>in</strong>to consideration: (i) poor health <strong>in</strong>frastructure andscarce resources caused by several major crises <strong>in</strong> thepast couple of decades; (ii) fragmented subsidizationof the health needs of the population (funds aredivided between the M<strong>in</strong>istry of Health, the HealthInsurance Fund and the M<strong>in</strong>istry of Labor); (iii)outdated, weak and <strong>in</strong>efficient public health services,which are still unable to meet the challenges of the(double) burden of diseases related to socioeconomic,lifestyle and environmental determ<strong>in</strong>ants and risks.Keywords: A lbania, health reform, health system, m<strong>in</strong>istryof health.ALBANIAN MEDICAL JOURNAL SUPPLEMENT55

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