Gender – understood as the social norms, roles and relationships of and between groups of women and men – has an important influence on how needs for long-term care arise, evolve, are experienced and addressed. This project aimed to develop and apply a gender approach in strengthening the integrated delivery of health and social services for long-term care. It seeked to provide guidance on assessing and implementing policies and integrated services that contribute to equity, eliminate discrimination and challenge gender stereotypes. A draft framework for gender and long-term care has been developed based on a literature review. This framework has been applied to the analysis of the situation in Romania by means of secondary data analysis and a country mission that included expert interviews with government officials, stakeholders and experts.