Fragility of the support system in the context of the ageing society

Abstract

Accelerated population ageing is one of the most pressing demographic and social challenges for the Republic of Moldova. People aged 60 and over comprise a quarter of the population, and their share is steadily increasing, directly impacting the demand for permanent care. The study analyzes this demand's current and future dimensions, focusing on disparities by residence and gender and the pressure on an underdeveloped social support system. The research highlights significant vulnerabilities by linking empirical data from 2024 with demographic projections for 2030 and 2040, including rural areas with limited access to social services. The results indicate a significant increase in the number of people aged 75+ who will require constant support, highlighting the need to expand social infrastructure, attract qualified staff and develop effective public policies. Without strategic interventions and the allocation of adequate resources, the social support system risks becoming incapable of responding to the growing needs, seriously affecting the well-being of the elderly population and long-term social stability. The study provides clear recommendations for adapting social and public health policies in the context of demographic change.