
In a period of 10 years, from 2014 to 2024, about 60% of public investments in the health sector go to the construction and reconstruction of facilities such as hospitals, health centers and others, while only 13.7% of the total funds are devoted to the purchase of medical devices.
A very small percentage of the fund for the purchase of medical equipment raises questions about the provision of quality health services to citizens, and the lack of necessary medical equipment in public hospitals often forces individuals to turn to private hospitals.
According to a report by NDI Albania and the Together for Life Association, public investments financed from the state budget make up 58% of the total public investments in health, while those with foreign funding account for 42%. The initial plans set in billions of lek for public investments have been realized less than anticipated. Specifically, the average planning of public investments with internal and foreign financing for the years 2014-2024 is 27 billion ALL, while 20 billion ALL have been realized, this taking into account the very low amount of investments in 2014.
Meanwhile, referring to the regional distribution of public investments for 10 years, about 82% of the total investment fund was distributed in the city of Tirana, while on average 2-2.4% of the fund was distributed in the cities of Elbasan, Vlorë, Shkodër, Sarandë, Lezhë and Berat. The rest of the public investments belong to other cities of Albania, with a minimum fund of 1% of the total on an annual basis.
Public health spending and coverage policies directly affect households' out-of-pocket payments as part of overall health spending. The most recent data show that out-of-pocket health care spending by families has declined. This year, these expenses are expected to be 35%.
Over the years, the health budget has increased significantly. During the period from 2014 to 2022, the budget for health increased by 57%, reaching the value of 65 billion ALL in 2022 and 95 billion in 2023. For this year, the budget for health and social protection is about 98 billion ALL , 4.06% of GDP or 13.4% of state budget expenditures.