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LIVING IN AUSTRIA

What is Austria’s Mutter-Kind-Pass and how is it changing?

The Mutter-Kind-Pass is hitting the headlines as the Austrian Federal Government plans a reform of the scheme. Here's how it works now, why it is necessary and how it will change in the future.

What is Austria’s Mutter-Kind-Pass and how is it changing?
The Mutter-Kind-Pass enables pregnant women in Austria to access free medical examinations. (Photo by Kristina Paukshtite / Pexels)

The Mutter-Kind-Pass (Mother-Child-Pass) was launched in Austria in 1974 to ensure the health and wellbeing of pregnant women and their babies.

It grants pregnant women free access to essential examinations and consultations, and serves as a record of healthcare.

But big changes are on the cards for the pass as a digitization reform is planned for the coming years, while disputes continue about the cost of the scheme.

Here’s what you need to know about how the Mutter-Kind-Pass works, why it’s necessary and how it will change. 

FOR MEMBERS: What are the rules about turning on the heating in the workplace in Austria?

What is the Mutter-Kind-Pass?

The Mutter-Kind-Pass is a small, yellow passport-style document to provide and track healthcare for pregnant women and young children in Austria.

It is issued to a woman when a pregnancy is confirmed by a doctor and contains records of medical examinations during pregnancy. As well as health check-ups for the child up to five years of age.

The Mutter-Kind-Pass exists to ensure pregnant women and children get the necessary medical care they need.

For example, women in Austria are entitled to five medical check-ups throughout their pregnancy including blood tests, internal examinations, ultrasound scans and consultations with a midwife.

READ ALSO: Reader question: Am I liable for ambulance costs in Austria?

Who can get the Mutter-Kind-Pass and how much does it cost?

Any pregnant woman living in Austria can get the Mutter-Kind-Pass (and subsequent health examinations) for free.

However, all examinations must take place with a doctor that is registered with a health insurance company in Austria.

Women without health insurance need a confirmation of entitlement from the Austrian health insurance fund that is responsible for the area where they live.

This is a required step before any examinations can take place free of charge.

Why is the pass necessary?

The Mutter-Kind-Pass and its mandatory examinations are primarily used to detect any illnesses or possible complications early. 

The expected date of delivery is also entered into the Mutter-Kind-Pass, so the document is needed to receive maternity pay in Austria.

Additionally, proof of examinations are required to receive the full entitlement to childcare allowance (Kinderbetreuungsgeld). This means the pass should be taken to every maternity-related appointment, as recommended by the Österreichische Gesundheitskasse.

How is the Mutter-Kind-Pass being reformed?

On Wednesday 16th November, Minister for Women and Family Affairs Susanne Raab (ÖVP) and Minister of Health Johannes Rauch (Greens) announced a reform of the Mutter-Kind-Pass.

The most notable change will be a transition from the paper booklet to a digital app in 2024, as well as new services and a name change to the Eltern-Kind-Pass (Parent-Child-Pass).

Raab said: “In addition to the services in the area of ​​health care, we will introduce parent advice, which should be a compass for the new phase of life for new parents.”

The new services will include counselling, an extra consultation with a midwife, an additional ultrasound, hearing screenings for newborns, nutritional and health advice, and multilingual information in digital form.

Photo by Juliane Liebermann on Unsplash

In the future, parents-to-be and new parents will also be offered parenting advice when they have their first child, for example on the compatibility of employment and childcare, on the division of parental leave or on the effects of part-time work on pensions.

“The mother-child pass has been an essential part of maternal and child health in Austria for decades. Now we have managed together to further develop this important instrument in a contemporary form”, said Rauch.

READ NEXT: EXPLAINED: What you need to know about parental leave in Austria

The implementation of the parent-child passport is a comprehensive, multi-year project and will begin with digitisation from next year.

The annual budget for the Mutter-Kind-Pass is currently €62 million and an additional €10 million from EU funds has been allocated to cover the cost of the reforms. 

However, there have been debates in recent months about the general cost of the pass. 

As a result there are ongoing negotiations between insurance companies and the Medical Association about the reimbursement of fees for providing healthcare and examinations.

READ ALSO: ‘Better and cheaper’: What foreigners really think about childcare in Austria

Der Standard reports that the Medical Association is threatening to discontinue the Mutter-Kind-Pass at the end of the year if an agreement on doctors fees cannot be reached. If that were to happen, expectant mothers would have to pay for examinations.

Currently, doctors receive €18.02 per examination and the Association is calling for an 80 percent increase.

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LIVING IN AUSTRIA

‘Bad-tempered locals’: Vienna ranked the world’s ‘unfriendliest city’

Foreigners in Vienna say the city offers excellent health and transport benefits but has an exceptionally unfriendly population.

'Bad-tempered locals': Vienna ranked the world's 'unfriendliest city'

The Spanish port city of Valencia is the most popular city among international employees this year, followed by Dubai and Mexico City, according to the “Expat City Ranking 2022” by Internations, a network for people who live and work abroad.

The ranking is based on the annual Expat Insider study, in which almost 12,000 employees worldwide participated this year. The report offers insights into the quality of life, settling in, working, personal finances and the “Expat Basics” index, which covers digital infrastructure, administrative matters, housing and language.

Vienna ranks 27th out of 50 cities in this year’s ranking. Although it scores very well in terms of quality of life, many expats find it difficult to settle in and make friends in the Austrian capital.

READ ALSO: REVEALED: The best and worst districts to live in Vienna (as voted for by you)

Vienna ranks last in the Ease of Settling In Index and also in the Local Friendliness Subcategory. 

Nearly half the respondents in the city (46 percent) say that people are unfriendly towards foreign residents (vs 18 percent globally), and 43 percent rate the general friendliness of the population negatively (vs 17 percent globally). 

An Australian immigrant told Internations they were unhappy with the seemingly “bad tempered locals”, while a survey respondent from the UK said they struggled to get along with the “conservative Austrians” in Vienna.

Unsurprisingly, more than half of the expats in Vienna (54 percent) find it challenging to make friends with the locals (vs 37 percent globally). Moreover, around one-third (32 percent) are unhappy with their social life (vs 26 percent globally), and 27 percent do not have a personal support system in Vienna (vs 24 percent globally). 

“I really dislike the grumpiness and the unfriendliness,” said an immigrant from Sweden.

READ ALSO: The downsides of Vienna you should be aware of before moving there

In the Quality of Life Index, Vienna snagged first place last year, but it reached only seventh place this year. In terms of administrative matters such as getting a visa for residence, Vienna is only 38th, and the federal capital also scores poorly for cashless payment options (42nd).

Where does Vienna shine?

The Austrian city ranked particularly well in categories including Travel and Transit (first place) and Health and Well-being (second place). International employees rated the availability, cost and quality of medical care as particularly good.

“I like how much you can do here and how easy it is to get around by public transport,” said an expat from the US. 

In addition, Vienna is not particularly expensive and ranks ninth worldwide in the personal finance index. 

READ ALSO: Five unwritten rules that explain how Austria works

Vienna ranks 26th out of 50 cities in the Working Abroad Index. Sixty-eight percent of expats rate their job as secure, and two-thirds rate their work-life balance positively – compared to 59 percent and 62 percent globally. However, 23 percent of respondents are dissatisfied with their career opportunities, and a third feel that the corporate culture in Vienna lacks creativity and unconventional thinking.

In the “Expat Basics” index, international employees consider housing in Vienna particularly affordable (9th). In addition, eight out of ten find it easy to open a local bank account (vs 64 percent worldwide).

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