In an ever-evolving society, the issue of gender-based violence remains a topic of crucial importance, with profound impacts on both individuals and communities. In the Republic of Moldova, social and cultural changes are palpable, but the country faces specific challenges in responding to gender-based violence. Moldova ranks among the top European countries for cases in which women have been psychologically or sexually abused at least once in their lives. Nearly three out of four women (73%) in Moldova have experienced some form of domestic violence during their lifetime, and approximately 30 women die each year due to such abuse.

The objectives of this research were to identify the existing national legal frameworks for providing care to victims of gender-based violence within the health system and to analyze the knowledge and capacities of medical staff in managing such cases. The study aimed to pinpoint the strengths and weaknesses of the healthcare infrastructure related to the response to gender-based violence among the population of the Republic of Moldova.

To achieve these objectives, the legal framework of the country was reviewed, focusing on aspects related to the medical system. Additionally, 30 interviews were conducted with social workers, doctors, and nurses to gain insight into their experiences and knowledge on the topic of gender-based violence.

The review revealed significant progress in the legislative field, including the adoption and amendment of laws to protect the rights of victims of gender-based violence. However, challenges persist in the implementation and consistent enforcement of these laws. Support and counseling services for victims have been developed, but access to these resources remains a challenge in certain areas.

Interviews indicated that most health workers are unfamiliar with the clinical management of domestic violence cases, intervening only in severe situations. Institutions lack dedicated projects or research on gender-based violence, and only in recent years have health professionals started participating in related training sessions. Many doctors are not equipped to identify cases of domestic violence or respond appropriately to victims, reflecting a critical gap in knowledge and preparedness.

Awareness efforts to date have been limited to sporadic events with uneven territorial coverage, lacking a systemic approach to informing the general population. The health system also lacks sufficient capacity to document and refer cases of gender-based violence. Statistical data collection remains insufficient, unharmonized across systems, and not disaggregated, further complicating efforts to address this pressing issue effectively.