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Beyond Budget Execution: Financial and Operational Indicator Profiles in Bacău County's Maternal and Child Health
Oana Lia Botezatu Mocondoi1, Veronica Mocanu2, Irina Mihaela Eșanu3
1Doctoral School, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.
Healthcare (Basel, Switzerland)
|August 13, 2026
Summary
Financial monitoring alone is insufficient for public health programs. Integrating financial and operational indicators provides a clearer picture of performance and resource allocation for women's and children's health initiatives.
Area of Science:
- Public Health
- Health Services Research
- Health Economics
Background:
- Financial monitoring of public health programs often relies on budget execution rates.
- Budget execution indicators may not fully capture operational performance or resource utilization.
- Evaluating integrated financial and operational performance is crucial for effective program management.
Purpose of the Study:
- To evaluate the financial and operational performance of Romania's National Programme for Women's and Children's Health.
- To examine the relationship between resource utilization, program activity, coverage, and implementation profiles.
- To assess the adequacy of budget execution indicators in reflecting overall program performance.
Main Methods:
- Longitudinal descriptive observational study using aggregated administrative data from Bacău County, Romania (2021-2024).
- Analysis of financial indicators (budget, expenditure, cost per beneficiary) and operational indicators (activity volume, coverage, continuity).
- Monetary values adjusted to constant 2024 prices; descriptive and comparative trend analyses performed.
Main Results:
- Mean budget execution rate was 84.08%, with significant variation across interventions.
- Screening interventions showed high activity and low unit costs; prophylactic/nutritional interventions had higher expenditure.
- Reported coverage varied significantly, especially for neonatal hearing screening; similar budget execution rates correlated with diverse operational profiles.
Conclusions:
- Budget execution rates alone are inadequate for assessing public health program performance.
- Integrated monitoring of financial and operational indicators is essential for effective program management.
- Improved resource allocation can be achieved through a comprehensive performance evaluation approach.
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