Skopje, Republic of Macedonia

Abstract: Health care in Macedonia is provided through an extensive net of health care organizations. After the independence, the need for central resource management led to the transformation of disjointed system of municipally-funded health services to a social insurance-funded model with central coordination and planning. The health sector management project supported by the World Bank addressed different reforms targeting health financing and management, primary and preventive health care and drugs policy and procurement. A lesson to be learned from the previous experience in the country is that increased competencies on national and local level have to go hand-in-hand with planning and setting standards, as well as coordination capacities