Parliamentary advocates warns about the existence of gaps in the accreditation process in the health system- an important mechanism which helps the country to follow  the quality  of healthcare services.

The report on human rights in Republic of in Moldova in 2013 (http://www.ombudsman.md/sites/default/files/rapoarte/raportul_2013_red_def.pdf )

Ombudsman warns that in recent years some medical institutions work in spite of fact that they are not accredited.

That happens even if the article 3 paragraph ( 2) according to  the Law of evaluation  and accreditation of health no. 552 form 18 of  October, 2001 states that " the Republic of Moldova have the right to run healthcare and pharmaceutical activity, only institutions which have achieved accreditation and assessment and those to whom has an issued certificate of accreditation" 
According to parliamentary advocates, frequently is evaluated and accredited separately each subdivision and not the health care institution in particular. The Register of accredited institutions states that, if one or more divisions of the institution do not reach the quality standards of medical services, the unit is accredited, anyway. For example, due to the public List of accredited medical institutions updated on 13 of January, 2014 , IMPS Scientific Research Institute of Mother and Child Health Care was  accredited on 25 of July, 2014 (accreditation certificate no. 1633 ) still continues its work, having several unaccredited subdivisions ( gastroenterology, pulmonology, pediatric surgery with operating departments ( pediatrics ) , inpatient departments ( pediatrics, maternity ), clinical diagnostic laboratory, bacteriological laboratory, immunological laboratory, pharmacy, milk kitchen). Some institutions are accredited under certain conditions (with major reservations) on a deadline of six months, without being issued the certificate of accreditation.

There are unaccredited institutions that work and are contracted by the National Health Insurance Company (NHIC ), such as PMSI District Hospital Taraclia, IMSP Drochia Family Medical Center (accredited conditioning on 20.12.2013 ) .

The parliamentary advocates find that accredited medical institutions on  one hand, and NHIC, on the other hand , defies the laws in force and assume unreasonable risks if they allow the medical practice to continue . Or, in these medical institutions the patients are exposed to high risk in order to be treated poorly in unsuitable conditions. Among the consequences of this kind of treatment there is also  the risk of death.

Center for Human Rights: Situation in this chapter raises big questions; the society expects more answers from responsible authorities: Does the legislation complies to the requirements for evaluation and accreditation procedure? How can it be considered accredited health care institution which has under-standarts subdivisions? Why a medical institution or subdivision which has not been accredited can continue its work?

Also Ombudsmen share Health Minister the concern about the sobriety of corruption in the health system. According to the statement of the Director of National Health Insurance Company, about 93 % of Moldovans offer informal payments in certain circumstances to doctors and to other medical employees. According to the director NHIC annual amount of such payments amount reaches more than 2 billion lei.

The CHR report on human rights in Moldova in 2013 states that there were 52 registered petitions  in which people are complaining on health care system: the compulsory health insurance and the consequences of non-payment of bonuses for healthcare insurance; organization and quality of medical services provided in public health-care; errors in diagnosis; bad  conditions of the infrastructure of medical institutions; informal payments; quality emergency medical services and lack  or insufficiency of medical transportation , particularly in rural areas. Most of the petitioners do not support the principle of compulsory medical insurance and fines and penalties for non-payment of bonuses within compulsory health insurance in the context of having difficult access to health services, bureaucratic barriers and the phenomenon of informal payments.

Parliamentary Advocates argue that compulsory health insurance has not achieved its purpose - providing an independent system guaranteed by the state and the financial protection of the population in health care as well as equal opportunities in obtaining timely and qualitative health care for all citizens.