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Republic of Moldova
MDA
Republic of Moldova
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Completed/Cancelled activities

Outcome

Output

Completed

Product/Service: Country support to address health workforce challenges

Technical Area: Health Workforce|Information Systems

Deliverables: Scaling-up of the information system for human resource for health (SIERUSS) and its alignment with WHO Minimum Data Set for HRH registry. Capacity building on health workforce management and planning. Technical assistance in updating the Development Strategy for Human Resources for Health 2016-2025 and setting-up the implementation mechanism

Output

Completed

Product/Service: Developing an advocacy strategy for effective communication of UHC objectives and how to reach them

Technical Area: Communication|Governance

Deliverables: A communication and advocacy strategy to bring the message abou the importance of UHC and how to reach the UHC objectives is developed. Draft messages and coomunication instruments to implement the advocacy strategy are developed and used in the communication process. Technical support in provided to the central health regulatory authority in delivering the right messages and activities in order to call to action

Outcome 1.1

Output

Completed

Product/Service: Strengthening management of quality of care systems

Technical Area: Governance|Service Delivery

Deliverables: An assessment of accreditation standards for health care providers is conducted. A revised version of the accreditation standards is developed with WHO support. Technical support to review the regulations governing the quality councils at health care provider level is provided. Support in piloting of the new regulation of quality councils is provided. Capacity building of key stakeholders in quality of care management is provided through workshops, seminars and study visits.

Output 1.1.1

Completed

Product/Service: Strengthening institutional capacities of the National Agency of Public Health.

Technical Area: Service Delivery

Deliverables: Coordination of care between public health and primary health care services is stronger.

Output 1.1.1

Completed

Product/Service: Strengthen the EMS delivery system

Technical Area: Service Delivery

Deliverables: In depth assessment of the emergency and critical care delivery capacity based on WHO assessment tool Design the reconfiguration strategy for emergency departments Revision of National standard for emergency care and ICU, based on previous performed assessment Capacity building for HCWs in clinical management of critical patients

Output 1.1.1

Completed

Product/Service: Strengthen people-centered PHC

Technical Area: Service Delivery

Deliverables: Assess the PHC system on implementation of PEN 1 and PEN 2 protocols. Transpose and adapt PEN protocols 3, 4 and 5. Implementation of IPC capacities in PHC.

Output 1.1.1

Completed

Product/Service: Performance review of EMS delivery system

Technical Area: Service Delivery

Deliverables: Development of a draft of the National Programme on Emergency Care System

Output 1.1.1

Completed

Product/Service: Management of Quality Health Services

Technical Area: Service Delivery

Deliverables: Support MoH in development of the national patient safety policies and strategies Strengthen capacities of national stakeholders' representatives in quality of care and patient safety

Output 1.1.4

Completed

Product/Service: Supporting policy dialogue to ensure the participation, inclusiveness, transparency, endorsement and implementation of the PHC strategy.

Technical Area: Governance

Deliverables: 1.The governance structures are supported in the implementation of the PHC strategy

Output 1.1.4

Completed

Product/Service: Health Systems Governance support and strengthening for better health outcomes on the way to UHC

Technical Area: Governance

Deliverables: COVID postponed Strengthen overall capacity of national stakeholders in coordination, M&E of health policies and communication. Capacity building for MOH leadership for institutional strengthening for better health outcomes on the way to UHC.

Output 1.1.4

Completed

Product/Service: Technical assistance in strengthening National Health System Strategy and regulation on selected policy areas

Technical Area: Governance

Deliverables: A new National Health Sector Development Strategy is developed through a participative and consultation process with key national stakeholders. A core set of indicators to formally monitor UHC progress is incorporated into national monitoring and evaluation systems

Output 1.1.4

Completed

Product/Service: Policy dialogue platforms for multi-sectoral action is developed

Technical Area: Governance

Deliverables: Two topic specific policy dialgoues are organized to debate among decision makers about selected health care reforms, such as: access to medicines, regionalization specialized services, strengthening PHC services, NCD interventions.

Output 1.1.4

Completed

Product/Service: Developing a communication plan for the implementation of the PHC strategy.

Technical Area: Governance

Deliverables: 1. Improved communication and media relations capacities of senior staff at the Ministry of Health, Labor and Social Protection. 2. PHC reform Communication Strategy and Action Plan for 2-years period is developed.

Output 1.1.4

Completed

Product/Service: Documenting with new evidence policy decisions and actions during the implementation of PHC strategy

Technical Area: Governance

Deliverables: 1. Primary health care practice profile survey is conducted

Output 1.1.5

Completed

Product/Service: Institutionalize best practices on HRH management in line with national HRH strategy

Technical Area: Health Workforce

Deliverables: Redesign the HRH registry including migration of HC workers. Follow the recommendations of HRH strategy assessment.

Output 1.1.5

Completed

Product/Service: Support to health authorities in strengthening health workforce management, planning and retention.

Technical Area: Health Workforce

Deliverables: 1. Mid-term evaluation of the National Human Resources for Health Strategy 2016-2025. 2. Capacities for human resources management in the Ministry and other relevant institutions are strengthened. 3. National Observatory on Human Resources in Health and Regional Health Development Centre on Human Resources for Health under SEE Health Network are strengthened

Outcome 1.2

Output 1.2.1

Completed

Product/Service: Develop the financial protection concept

Technical Area: Health Financing

Deliverables: Build the framework for systematic collection and production of data on financial protection data for better informed health policies

Output 1.2.3

Completed

Product/Service: Update and review the institutional development strategy of the National Health Insurance Company

Technical Area: Health Financing

Deliverables: Coaching, guidance and expertise support is provided to the National Health Insurance Company to review the institutional development strategy.

Outcome 1.3

Output

Completed

Product/Service: Support in improving access to essential medicines, diagnostics and medical devices

Technical Area: Pharma and Medical Products

Deliverables: Review of the Essential Medicines List and methodology to maintain and update the list. Technical assistance in provision of guidance on quality, safety, efficacy of health products

Output 1.3.1

Completed

Product/Service: Harmonize and finalize medicines and medical devices policies in line with EU Regulations

Technical Area: Governance|Pharma and Medical Products

Deliverables: Support with the alignment of the country legislative framework to the EU accession process (law on medicines) New reporting tool for reporting of suspected Adverse Drug Reactions is now available in the Republic of Moldova

Output 1.3.2

Completed

Product/Service: Support to health authorities in improving access to essential medicines

Technical Area: Pharma and Medical Products

Deliverables: 1. Medicines availability and affordability study is performed 2. National capacities in pricing and reimbursement policies improved

Output 1.3.2

Completed

Product/Service: Procurement and supply management system strengthening

Technical Area: Pharma and Medical Products

Deliverables: The National procurement experts and health workers involved in the health procurement process have been provided with necessary technical and capacity-building support, aligned with national priorities.|Support in facilitating the access to ECRI's technical specifications, aligning them closely with the requirements of CCPPH and medical institutions in the Republic of Moldova is initiated.

Activity details

Outcome

Output

On track

Product/Service: Increase access and affordability to medicines

Technical Area:

Deliverables: Series of sprint workshop with all stakeholders to institutionalize health technology assessment. Government Decision on HTA finalized and on the Government agenda for approval. HTA piloting exercise for oncology innovative drugs initiated and to continue in 2025. Digital automation tool to increase the accuracy and speed of external reference pricing implemented to support National Medicines Agency monitoring and prices so that affordability for the general population is improved. The technical unit of the National Medicines Agency was trained to increase their skills in the area of good distribution practices in line with international standards. Two simulated GDP inspections performed.

Outcome 1.1

Output 1.1.1

Ongoing

Product/Service: Health System Governance Support and NHS

Technical Area: Governance|Service Delivery

Deliverables: Capacity buildings on UHC, SDG's, health system building blocks, policy development, M&E, etc. Support in strategies, national plans, regulatory framework development, etc.

Output 1.1.1

On hold

Product/Service: Hospital Master Plan performance review

Technical Area: Service Delivery

Deliverables: Strengthen the hospital sector in the context of the National Health Strategy 2030|Strengthening capacities of hospital managers in Reconstruction Standards for Modernizing District Hospital Infrastructure

Output 1.1.4

Ongoing

Product/Service: Institutionalize best practices on HRH management

Technical Area: Health Workforce

Deliverables: MoH and NAPH capacities in HRH management strengthen. |Finalize development of HRH Registry.

Outcome 1.2

Output 1.2.1

Ongoing

Product/Service: Health financing for UHC. Strengthening the strategic purchasing functions of Health Insurance Fund (CNAM).

Technical Area: Health Financing

Deliverables: Assessment of emergency health care, hospital emergency units' coverage policies and payment methods, as well as costing exercises initiated.|Improvement of DRG payment mechanism, development of a new costing methodology.

Output 1.2.1

Ongoing

Product/Service: Comprehensive health financing policy support in lieu with UHC reforms.

Technical Area: Health Financing|Governance

Deliverables: New evidence on financial protection in MDA health system for 2017-2020. Studying EU countries best practices in insurance coverage and reducing out of pocket expenditures. Basic Benefit Package Revision based on relevant evidence. Implementation of new system of health accounts (SHA 2011).

Output 1.2.2

Ongoing

Product/Service: Comprehensive health financing policy support in lieu with UHC reforms

Technical Area: Health Financing

Deliverables: New evidence on financial protection in MDA health system for 2022-2023|Implementation of new system of health accounts (SHA 2011).

Outcome 4.1

Output 4.1.1

Ongoing

Product/Service: Health Data and Digital Health

Technical Area: Information Systems

Deliverables: eHealth Road Map developed and approved eHealth Record and ePrescription concepts approved Regulatory framework revised in the framework of EU accession Strengthen capacity of IT staff within national authorities