1731-7398 Health promotion for older people in Lithuania: Between bureaucratic and financial constraints Pavlova Milena author Murauskiene Liubove author Miteniece Elina author Sowa Agnieszka author Kowalska-Bobko Iwona author Domagała Alicja author Groot Wim author Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands / Top Institute Evidence-Based Education Research (TIER), Maastricht University, The Netherlands Institute of Public Health, Faculty of Medicine, Vilnius University, Vilnius, Lithuania; Public Enterprise “MTVC” (“Training, Research and Development Centre”), Verkiu, Vilnius, Lithuania Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands Department of Social Policy, Institute of Labour and Social Studies, Warsaw, Poland Instytut Zdrowia Publicznego, Uniwersytet Jagielloński Collegium Medicum, Kraków Instytut Zdrowia Publicznego, Wydział Nauk o Zdrowiu, Uniwersytet Jagielloński Collegium Medicum, Kraków Correspondence to: Milena Pavlova Correspondence to: Liubove Murauskiene Correspondence to: Elina Miteniece Correspondence to: Agnieszka Sowa a.sowa@ipiss.com.pl Correspondence to: Iwona Kowalska-Bobko Correspondence to: Alicja Domagała Alicja.Domagala@uj.edu.pl Correspondence to: Wim Groot 30 01 2017 Tom 15, Numer 1 2017 116 124 Copyright © 2017 2017 <div id="cke_pastebin">The health system in Lithuania has a strong focus on hospital treatment. Overall, there is a lack of sufficient funds explicitly devoted to public health. This country report draws upon several national reports focused on the Lithuanian health system and other country-specific sources in order to outline the major institutional and financing challenges for health promotion in Lithuania, specifically for older adults. As suggested in our review, the key problems in public health services in Lithuania, including health promotion for older persons, are the bureaucratic and financial constraints, a lack of intersectoral cooperation, staff shortages and capacity problems. The implementations of public health initiatives greatly depend on the political will and the government’s ability to implement policies, which are still weak in Lithuania. Moreover, the public health legislation lacks clarity and fails to provide an adequate base for local-level evidence-based interventions. 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