Over 80% of the population of Romania from the rural area access the basic services of reproductive health and family planning, including free contraceptives, as a result of the partnership contribution of the Initiative for Family Health in Romania (ISFR), carried out by the Ministry of Public Health and the Research Institute and JSI training, with funding from the US Government, through the United States Agency for International Development (USAID), since 2001.
The success of the partnership was due to the use of an implementation strategy based on three components called the "three pillar strategy" - the existence at the same time and at the same time of the trained medical service providers that respond to the needs of the clients, the existence of contraceptives that are distributed free of charge and, the last component, the population informed about the right to counseling and contraception knows where these services are offered.
This strategy was used at the level of primary health care in rural areas. Later, this model of success was extended to urban areas with underprivileged population and to maternities.
Thus, a true "support network" of services in the field has been established: wherever a woman accesses the health system - family doctor, family planning clinic or obstetrics-gynecology sections - she receives specialized information as well as contraceptives.
This strategy highlights Romania as a model in this region of Europe, so specialists from Russia, Ukraine, Georgia, Albania, Armenia, Kazakhstan, Tajikistan, Kyrgyzstan have come to study the approach used in our country.
The impact of this program, meant to increase access to reproductive health services at national level, especially in rural areas, as well as in hard-to-reach urban areas, was significant, contributing significantly to increasing the use of modern methods of contraception, which tripled between 1993 and 2004.
In about 15 years, Romania has managed to dramatically reduce the very large number of abortions since the early 1990s (from 3.4 abortions per woman in 1993 to 0.84 abortions per woman in 2004 - according to the Reproductive Health Studies conducted in years 1993 and 2004), increasing at the same time significantly the rate of use of modern contraceptives (from 10% in 1993 to 34% in 2004 - according to the same source).
The maternal mortality rate is also steadily declining over the years, with 0.17 maternal deaths per 1,000 newborns, compared with 0.83 deaths per 1,000 newborns registered in the early 1990s. in Romania at present, over 9,000 primary health care professionals from rural and urban areas offer free counseling, consultations and contraceptives.
The program includes 52 maternity wards with most beds, so that in 2007 only about 90,000 patients also benefited from family planning services.
Through the national and local campaigns for information, education and communication, we aimed to change the mentality of women regarding contraception and to inform them about the distribution of free contraceptives. The campaigns included a series of activities, such as: press conferences, creation and distribution of informative materials in the community, including in factories, parks, supermarkets, fairs, blocks in poor neighborhoods, actions for informing local decision makers and competitions for journalists. .
In the educational sessions were used innovative tools: "magnetic board", the mini-series "True women", broadcast by TVR and local television stations.
Ministry of Health