1. Crisis Monitoring at Community Level in the Republic of Moldova Trends: Survey 1&2 Supported by UNDP UNICEF UNIFEM 1 Olesea Cruc, IDIS ‘Viitorul’

2. UNDP, UNICEF, UNIFEM Initiative of UNDP, UNICEF, UNIFEM Implemented by: IDIS ‘Viitorul’ CBS AXA

3. Survey methodology Data collection period Survey#: 8.11.2009 – 10.11.2010 Survey#2: 19.02 – 15.03.2010 Survey size: 1000 respondents, 10 communities 100 respondents per community Panel survey, with rotation of 20% of households Data collection methods: Administrative data: administrative fische filled in by LPA, education and health institutions; Household level: Individual interviews (face to face) with the household head. Pilot localities Todiresti (Ungheni) Cuhurestii de Sus (Floresti) Vascauti (Floresti) Oniscani (Calarasi) Budesti (Mun. Chisinau) Horesti (Ialoveni) Lucesti (Cahul) Rosu (Cahul) Galaseni (Riscani) Dezghingea (UTAG) 3

4. Evolution of the household financial situation over the last 3 months – mainly negative, but registering an insignificant improvement 4

5. Prognosis of household’s financial situation for the next 3 months – winter effects are off 5

6. Causes for worsening of the financial situation – stable incomes, increasing expenses DecemberMarch Increase in prices for food, clothes, services 69.9%67.2% Beginning of the cold period of the year / heating costs 70.3%56.1% Sickness, increase in health costs 38.0%33.9% Decrease of prices of agricultural products produced by themselves 28.5%17.4% Job loss 20.0%14.6% Decrease in sale of individual businesses 17.3%13.9% Decrease in salary 16.3%13.2% Reduction of remittance amounts 9.0%20.3% Delayed payment of pensions / social payments 4.5%4.0% 6

7. Products for which expenses have been reduced DecemberMarch Clothes and footwear 65.0%79.2% Trips outside the locality 43.8%50.9% Utility services 48.1%48.9% Food products 29.5%29.6% Other current expenses 45.5%29.6% Alcoholic beverages and tobacco 40.7%28.4% Education 5.0%19.0% Health 7.6% 7

8. Food security – a reality for 14% of households 8

9. The study data show that the crisis has passed the critical point and households begin to assess their financial capacity less negative than in December 2009; The economic crisis is manifested at the community level through worsening of household financial status, caused by increase of price and cost of living. The dynamic of financial capacity of households in the last three months and expectations of this development on the following three months are mostly negative Among the most vulnerable groups from this point of view are household with 3 and more children and those with a single parent; The main risk sources for family budgets in the period December 2009 - March 2010 are: the increase of prices for goods and services, housing and heating costs associated with increased spending for health; During the assessed period four out of ten households have reduced their consumption expenses. 9 Generally, the socio-economic situation seems to be improving compared to the end of 2009.

10. HEALTH: Non-accession of health services upon need 10

11. Women constantly reported more cases of not affording themselves to visit the doctor 11

12. Causes for non-accession of health services upon need DecemberMarch Lack of funds for medicine 39.2%38.0% Lack of funds for paying for the services/consultation 29.9%27.4% Minor problem/negligence 21.1%23.6% Lack of funds for going to the hospital 16.5%20.9% Lack of a health insurance policy 14.0%13.5% Lack of trust in doctors’ professionalism 3.5%3.0% Other 0.9%2.0% 12

13. Administrative data regarding health population show a better situation December 2009 March 2010 Trend Number of population with social diseases 172162-5.8 New cases of sicknesses 1044734-29.7 Among 0-2 years old 15343-71.9 3-6 years old 309114-63.1 7-15 years old 38187-77.2 Number of trauma cases among children 83-62.5 Number of population without health insurance 50094512-9.9 Number of malnourished children 0-3 years old 2010-50.0 Number of malnourished children 4-7 years old 2013-35.0 Number of children with 1 st and 2 nd disability degree 9691-5.2 13

14. Sadness, exhaustion and anxiety are specific for rural population 14

15. Health trends The access of the population to health services remains very limited. Two thirds of households undergo the risk of not affording themselves the access to medical services upon need, mainly because of lack of finances; The study data reveal an improvement of population health for the first quarter of the year. Compared with December 2010 there is a decrease of new cases of sickness in the general of the population, and among children as well. The number of malnourished children and of social diseases has also decreased; The most vulnerable segments from the perspective of access to health services are the pensioners and households with persons with disabilities; During the study period the coverage of medical insurance decreased with 10%; 15

16. School non-attendance – a common practice 16

17. Causes of school non-attendance (during last month) December 2009 March 2010 Sickness 77.6%74.6% Helped parent at work 20.4%20.6% Lack of shoes or clothes 20.4%19.0% Lack of financial resources for school supplies and other payments 12.2%15.9% Physical disability 2.0%4.8% Remained at home to take care of siblings 2.0%3.2% No transport means 0.0%1.6% 17

18. Relationship between parents and children Did it happen during last 3 months to: December 2009 March 2010 Reprimanding the children 50.8%43.4% Raising the voice 33.3%33.8% Other punishments 20.5%24.4% Physical violence 2.1%1.8% Complaints from the children regarding problems at schools (with other colleagues, etc.) 13.6%10.0% 18

19. Education At the moment the study doesn’t indicate essential changes in the children education; A widely spread practice is children missing classes. Apart from such reasons as health problems, child labor is another cause of school non-attendance; Children are often subject to reprimands and punishments, but very rarely by physical violence. 19

20. Crisis response strategies at household level December 2009 March 2010 More intense work in the household/farm 68.1%69.4% Request for social assistance from the State 29.2%30.8% Trying to get a job 22.3%23.2% Asking for help from relatives, friends, parents, children 22.4%16.7% Looking for a better job than the existing one 12.7%15.2% Loans 20.5%15.1% Looking for an additional job to the existing one 15.9%13.4% More working hours 10.1%12.9% Do not intend to increase the incomes 10.3%9.6% Other 1.1% 0.6% 20

21. Adapting the life style to the crisis December 2009 March 2010 Trend Substituting more expensive food products with the cheaper ones 72.7%76.1% ↑ Reducing the expenses for entertainment 71.5%72.9% - Production of more food products for own consumption 59.6%65.2% ↑ Less frequent general medical tests 52.8%58.4% ↑ Giving up the procurement of other products but for the food products 52.3%49.2% ↓ Reducing the consumption of food products 46.0%44.8% - Procurement of more second-hand products 45.7%44.7% - Giving up the health insurance policy 33.6%41.6% ↑ Less information (non-procurement of newspapers) 46.7%38.6% ↓ Involvement of household members in seasonal works outside the locality 26.1%35.6% ↑ Involvement of household’s children in seasonal works outside the locality 8.7%8.9% - School dropout (school, kindergarten) 6.6%6.7% - 21

22. Perceived impact of the crisis at community level 22

23. Social benefits – more requests, less beneficiaries: administrative data December 2009 March 2010 Trend Nr. of new requests for social benefits 3843891.3 Including women 337331-1.8 Including under the new law on social aid 9417384.0 Nr. of beneficiaries of social benefits 720470-34.7 Including women 629318-49.4 Including under the new law on social aid 358172-52.0 23

24. Crisis at the community level Population perception of the crisis is manifested by: increased morbidity, increased poverty and intensification of migration processes. On the other hand, administrative data do not confirm intensification of migration processes, neither increased unemployment during the period December 2009 - March 2010; The introduction of the new Law on social aid seems to "disconnect" from the social benefits system an important part of its former beneficiaries. In particular this refers to families with children (needs in-depth study); Reducing the number of beneficiaries of social benefits involves increasing pressure on the LPA, in the form of financial aid requests increase. 24

25. THANK YOU FOR ATTENTION! 25