Public Health Reform

Country: 
Moldova, Republic of
Area of competence: 
Health Policy and Financing
Donor organization: 
EU (European Union)
Start of Project: 
05/2005
End of Project: 
12/2007
Staff-month: 
138
Value of service: 
€ 1,558,000
Partner Organisations: 
GVG
Description of Project: 

The health care system in Moldova is in transition from the old Semashko model based on state management, centralised administration, planning and financing, and free provision of health care. This transition has proven to be difficult and costly, leaving the health care system significantly under-funded. The current situation is characterised by continued shortages of pharmaceuticals, diagnostics and interventions, inability to maintain facilities and equipment as well as extreme low salaries, resulting in poor motivation, malpractice and under-the-table payments. The overall objective of the project was to support a sustainable, effective and efficient health care system in Moldova. The specific objectives were to strengthen management capacity in the health system (including the health insurance system) through training, performance measurement, improvement of health finance and information systems, accompanied by public awareness campaigns regarding the health sector reform and patients' rights.

Description of Services: 

Improvement of the health services planning and financial management procedures in the health care system and pilot in 2 regions (covering costs of services and tariffs at central level, cost-saving/income producing measures, improvement of budgeting and calculation for regional service provision planning, etc.);
Development of performance indicators for primary and secondary health care services, included in the contracts between the National Health Insurance Company and health providers;
The model of decentralized PHC had been developed and accepted by the Government for country- wide implementation;
Improvement of the knowledge and skills of health managers, nurses and family doctors through training in collaboration with selected training institutions (more than 2500 professionals have been trained);
Strengthening training institutions through conceptual and material support, including twinning with European and regional institutions;
Improvement of the health information system at national and regional levels including advice on data collection and analysis, software and hardware as well as training needs. Software for ambulatory health care institutions had been developed and installed in two pilot regions and tested by the MoH for country-wide distribution;
Conducting community awareness campaigns regarding health sector reforms and patients’ rights.

Project Volume: 
€ 2,000,000