Acasă

Center For Health Policies and Studies

Baseline Study on Project Indicator Baseline Patient Information in hospitals of Cahul, Orhei and Edinet

Period November, 2015 - December, 2015
Budget 3,600 USD
Donor GIZ Quality Improvement of Health Services
Description

Provision of a baseline of the indicator “patient satisfaction” for the hospitals in Cahul, Orhei and Edinet. Operational short grant that fed the baseline indicator into the GIZ project on Quality Improvement of Health Services in Hospitals in Moldova

Policy analysis of non-communicable diseases in Moldova

Period November, 2015 - January, 2016
Budget USD 12,000
Donor Swiss Tropical and Public Health Institute
Description

The goal was to conduct an in-depth analysis of the current status, strengths and challenges of the policy framework for Non-Communicable Diseases (NCDs) prevention in Moldova.

Based on desk review, develop a report which will address a number of themes pertaining to overview of national policy and regulatory framework, funding stream, public helath systecm intersectoral collaboration, role of local public authorities and barriers in access to care.

UNFPA Survey on Financial Flows for Family Planning in 2014 in the Republic of Moldova

Period October, 2015 - October, 2016
Budget USD 11,252.00
Donor UNFPA Moldova
Description

The main purpose of the survey was to improve data quality and build national capacity of the public authorities and national institutions to monitor resource flows and develop evidence-based and cost efficient policies on reproductive health, including family planning. The survey included mapping and survey of expenditures from national and international resources for family planning and forecast future expected national budget for family planning for 2016 and 2017. The survey included national government  departments,  private sector and national health insurance company, NGOs and donor agencies

End-of project evaluation of the interventions aimed to promote an integrated approach to developing services for most-at-risk adolescents and youth implemented during March 2012- December 2014

Period December, 2014 - October, 2015
Budget 16,305 USD
Donor UNICEF Moldova
Description

The main purpose of the evaluation was to assess end of project results and achievements in relation to the project objectives and document good practices, lesson learned for future programming.

1. To assess the improvement of the first-line aid for project beneficiaries (vulnerable and excluded youth)
2.  To evaluate coordination and capacity of professionals to provide quality services through the circles of solidarity
3.  To measure the increase of HIV/AIDS awareness on the part of the young people.
4. To evaluate contribution of the project to improvement of government policy on vulnerable youth

Hospital Governance in the Republic of Moldova 2014

Period March, 2014 - December, 2014
Budget USD 8,000
Donor Friedrich Ebert Stichtung Foundation
Description

The goal of the study was to analyse the hospital governance model in Republic of Moldova and its conformity to current international theoretical models, best practices and successful models.

This study has been conducted as part of the alternative mechanisms independent of existing public mechanisms andto provide further information on hospital governance framework. This study comes as a support to Ministry of Health in developing public policies in hospital sector, offers valid and relevant information on hospital governance. The study can be applied to assess progress in achieving objectives of the National Health Policy and National Health Development Strategy 2007-2017, of the Government Activity Program for the years 2013-2014 and for the Roadmap on Accelerating Reforms, Addressing the Needs of Health Sector through Investment Policies.

Access to compensated medicines in Moldova 2014

Period January, 2014 - December, 2014
Budget USD 39,655
Donor Soros Foundation Moldova/Open Society Foundation
Description

The goal of this study was to identify barriers ain the current system of reimbursed medicines at regulatory, operational and financial level, to identify opinions and practices of population in accesing medicines and the impact on health status.

This study has been conducted to measure contribution of reimbursed medicines to access to medicines in the Repubic of Moldova. It includes an analysis of policy and regulatory framework, a population-based survey of users of medicines (a national sample of 2217 respondents) and a qualitative study of key stakeholders.

Analysis of Access to Health Services Module of MICS survey, Moldova

Period September, 2012 - June, 2015
Budget MDL 299,805
Donor UNICEF Moldova
Description

The overall goal was to assess the access to health care services, including, self-medication, access to primary health care, access to specialized health services and hospital services with focus on equity.

The Center for Health Policies and Studies provided data analysis and developed the report of the 2012 Access to Health Services Survey (2012 AHSS) desk review and qualitative research. 2012 AHSS was carried out as part of Moldova Multiple Indicator Cluster Survey (MICS) in 2012. The  2012 AHSS report describes the access of Moldovan population to health services and  health expenditures at last episode of illness and provides a comparison of these to the baseline data collected in 2000 before the introduction of health insurance. In addition, it provides a cross-sectional picture of health coverage dimensions based on Tanahashi framework based on the data collected in both Access to Health Module and MICS 2012.

Barriers and Facilitating Factors in Access to Health Services in the Republic of Moldova

Period August, 2011 - June, 2012
Budget USD 25,236
Donor WHO Euro, WHO Moldova
Description

This report specifically aims to:
(a)  review the impact of the 2009 and  2010  amendments to the Law on  Mandatory  Health  Insurance  for  the  poor and uninsured (Parliament  of  Republic of Moldova, 2009, 2010c);
(b)  explore  the  barriers  and  facilitating  factors  in  access  to  health  services  in the Republic of Moldova, with a specific focus on barriers experienced by socially excluded populations and other vulnerable/high risk groups.

The  domains  of  the  Tanahashi  framework  (availability, accessibility, acceptability, contact and eff ective coverage) underpin the research and analysis of findings in this report. This framework is particularly useful for ascertaining challenges  to  universal  coverage  –  defined  by  the  WHO  as  access  to  key  promotive,  
preventive, curative and rehabilitative health interventions for all at an affordable  cost, thereby achieving equity in access. The study looks in particular at how the population’s access to health services has been affected by the recent efforts (2009–2011) to extend health services coverage.

This  is  the  first  comprehensive  research  carried  out  in  the  Republic  of  Moldova  that  identifies  bottlenecks  and  facilitating  factors  for  access  to  health  care  by  using  the  Tanahashi dimensions of health coverage as the assessment framework. While many of the qualitative findings are common knowledge for both providers and users of health services, the added value of the Tanahashi dimensions is that they allow assessment of  the  interlinkages  and  symbiotic  nature  of  access  barriers,  the  role  of  wider  social  determinants of health, human interaction and motivating factors between providers and users; going beyond the pure technical assessment of the inputs and outputs of health system analysis. 

Evaluation of the Integrated Management of Childhood Illness (IMCI) programme in the Republic of Moldova

Period December, 2010 - August, 2011
Budget USD 27,128
Donor UNICEF Moldova
Description

The main goal of the evaluation was to assess the impact of IMCI program  on health of children in the Republic of Moldova and identify barriers to ensure sustainability, acceptance and integration of the program.

The objectives were the following:  

a) Evaluation of the relevance, effectiveness, efficiency and contribution to the general policy framework of mother and child health;  

b) Impact evaluation of child health outcomes, taking into account baseline situation, timetable of interventions and assessment of gender and vulnerable group dimensions where needed. The results of the evaluation were to be used by the Government, health authorities and external donors in planning further health strategies for children under 5 years and their families.

Health Monitor: Access and Quality of Hospital Services in the Opinion of the General Population of the Republic of Moldova

Period December, 2009 - December, 2011
Budget USD 16,425
Donor Soros Foundation-Moldova
Description

The main goal of the study was to identify the level of satisfaction and quality perception of diagnostic, treatment and accomodation in hospitals.

The main objectives were to identify factors that determine the functional performance of hospitals, as well as barriers in receiving appropriate health care by looking at the following aspects: access to facilities, management of hospital admission and inpatient treatment; key aspects in quality of services as perceived by the patients, aspects related to out-of-pocket payments and financial access to inpatient services; level of satisfaction with hospital services at different levels of care. The study was a household survey  that included 1,204 respondents randomly selected that have been admitted ot theo hospital in the past 12 months. This study has been conducted as part of the alternative mechanisms independent of existing public mechanisms and to provide further information on on quality and accessibility of health services, equity mechanisms and on impact of policies and interventions in health sector.

Study on analysis of equity in mother and child health

Period July, 2009 - October, 2009
Budget MDL 287,500
Donor UNICEF Moldova
Description

The study describes and assesses the extent of inequalities in maternal and child indicators and other key indicators causally relating to maternal and child health in the Republic of Moldova.

The equity analysis is based on the concept of multi-factorial determinants of health, taking into account that inequalities in health arise from, and are maintained by unequal distribution of welfare, knowledge, lifestyle practices, attainment of employment, access to education, water and sanitation system, food production and social support. The study focuses on describing the state of maternal and child health inequity in Moldova through the analysis of the three types of indicators: high-level outcomes, key intermediate outcomes, and structural outcomes. In doing so, both descriptive and quantitative techniques were applied. This included the collection and description of data available from other related surveys, but also the quantitative techniques (concentration curve, concentration index, significance tests, etc) in order to attempt to quantify of the degree of inequity as it relates to wealth.

Risk Factors Associated with Tuberculosis Directly Observed Treatment Default and Failure in the Republic of Moldova

Period September, 2007 - October, 2009
Budget Cost sharing
Donor The Global Fund to Fight Against AIDS,Tuberculosis and Malaria
Description

The goal was to identify and measure factors associated with DOT failure and default, in order to suggest suitable measures to increase the treatment success rate.

The study was designed to examine qualitatively and quantitatively the factors associated with TB defaults and failures. The quantitative part of the study examines the factors associated with treatment defaults and failures in TB patients, while the qualitative study explores the opinion of providers (primary health care and TB specialists) on factors associated with poor treatment outcomes.

Operational research on HIV prevalence among new TB cases in Moldova

Period September, 2007 - April, 2008
Budget USD 14,000
Donor USAID, WHO
Description

Study goal: to estimate HIV prevalence among newly registered TB cases in 2007 in the Republic of Moldova.
Objectives:
• To estimate HIV prevalence among TB new detected cases in Moldova
• To estimate HIV knowledge among TB patients in Moldova
• To reveal TB patients attitudes towards HIV/AIDS
• To measure HIV VCT coverage of TB patients.
The study aimed to determine the accuracy of the estimated HIV prevalence in TB patients. Another focus was to observe the rate of accepting the HIV testing if the testing was preceded by pre-test counseling and followed by post-test counseling. In addition, it evaluated the standard HIV knowledge, acceptance and VCT behavior among TB patients. The study had two components: serological and quantitative components. The serological component allowed estimating HIV prevalence among new TB cases, the knowledge and behavioral component one allowed assessing key knowledge on HIV/AIDS and reveal attitudes towards HIV/AIDS of the target group.  The results will allow extending research findings about HIV prevalence and HIV testing to the whole TB community in Moldova. Moreover, it can serve as a basis for planning comprehensive strategies and interventions to address HIV/TB challenges.

Implementing Participatory Social Accountability for Better Health, 2016-2019

Period October, 2016 - September, 2019
Budget USD 730,000
Donor The World Bank / Global Partnership for Social Accountability
Description

The overall goal of this project is to inform users of health services in selected rayons about the performance, quality, and efficiency of hospitals and primary care clinics within a certain radius of their residence in order to improve service delivery. 

The project consist of four components: 

(1)   Promoting citizen monitoring of hospital performance;

(2)   Strengthening performance based incentive program in family medicine through social audits of primary healthcare institutions; 

(3)   Creating an enabling environment for informed public dialogue in health; and 

Facilitating knowledge and learning to enhance effectiveness of social accountability interventions

TB-REP TB Regional Eastern Europe and Central Asia Project on Strengthening Health Systems for Effective TB and Drug Resistant-TB Care, 2016-2018

Period January, 2016 - December, 2018
Budget USD 6,051,191.00
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The overall goal of this project is to decrease the burden of TB disease and halt the spread of drug resistance in the 11 EECA countries by increasing political commitment and translating evidence into the implementation of patient centred TB models of care. The project has two main objectives:

(1) To increase political commitment to end TB through regional cooperation and evidence sharing for effective and sustainable transformation of health systems;

(2) To support countries to implement effective and efficient TB service delivery systems with sustainable financing.

The 11 TB-REP countries are Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, the Republic of Moldova, Tajikistan, Turkmenistan, Ukraine and Uzbekistan. Organizations participating in TB-REP include the Moldovan nongovernmental organization PAS Center as the principal recipient, World Health Organization Regional Office for Europe as strategic partner, the London School of Hygiene and Tropical Medicine, the London School of Economics and Political Science, the European Respiratory Society, the Stop TB Partnership, the TB Europe Coalition and the Alliance for Public Health Ukraine.

Strengthening Tuberculosis control in the Republic of Moldova, 2015-2017

Period July, 2015 - December, 2017
Budget EUR 6,116,310.00
Donor Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The project goal is to reduce the burden of tuberculosis (including M/XDR-TB) in Moldova by ensuring universal access to quality diagnosis and treatment, implementing sustainable patient-centered approaches, addressing the needs of high-risk groups and strengthening NTP management capacity.

The project implementation is focused on five objectives:

(1) To ensure universal access to timely and quality diagnosis of all forms of TB including M/XDR-TB

(2) To ensure universal access to quality treatment of all forms of TB including M/XDR-TB

(3) To strengthen patient-centered approaches to M/XDR-TB treatment

(4) To improve management of HIV-associated tuberculosis

(5) To strengthen national TB control program management, coordination, monitoring and evaluation

Strengthening HIV control in Republic of Moldova, 2015-2017

Period January, 2015 - December, 2017
Budget EUR 8,248,729.00
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

Overall project goal is to support an effective response to HIV in the Republic of Moldova in order to reduce prevalence among KAP and AIDS related mortality through improving access KAP to essential HIV prevention, diagnostic, treatment, care and support services. The project is constructed around 3 main Objectives: (1) To increase access to evidence-based HIV prevention; (2) To ensure universal access to comprehensive HIV treatment, care and support; and (3) To strengthen community capacity and ensure program sustainability. The key planned activities are:

  • provide prevention programs to PWID and their partners;
  • provide prevention programs to SW and their clients;
  • provide preventions programs to MSM and transgender people.
  • ensure access to PMTCT services;
  • ensure access to ARV treatment, care, support and monitoring;
  • strengthen Health Information System and M&E; 
  • ensure community system strengthening;
  • remove legal barriers to access;
  • increase of National AIDS Program capacity.

Principal Recipient PAS Center is responsible for components dealing with HIV prevention among key affected populations, ARV care and support, community system strengthening, legal support for PLHIV and KAP, and prevention programs evaluation (IBBS survey). Principal Recipient PCIMU is responsible for the ARV treatment component, strengthening national M&E system and component relevant to the increase of capacity of National AIDS program and program sustainability. Project’s Target Group/Beneficiaries are:

  • People who inject drugs;
  • Sexual workers;
  • Men who have sex with men and transgender population;
  • Pregnant women (Transnistria);
  • PLHIV. 

Advocating for the Creation of the National Coordinating Council for Tobacco Control and the Development and Passage of National Comprehensive FCTC-Compliant Legislation - Smoke Free Moldova

Period February, 2011 - March, 2017
Budget USD 46,619 per year
Donor Bloomberg Philanthropies through Tobacco - Free Kids Action Fund
Description

The project aim improvement of the national legal framework according to WHO Framework Convention on Tobacco Control provisions and development of an efficient implementing mechanism. It has three objectives as following: 

(1) To promote establishment and build capacity of the National Coordinating Council for Tobacco Control.

(2) To advocate for the strong FCTC-compliant tobacco control legislation through NCCTC.

(3) To advocate for the passage of the FCTC-compliant legislation.

 

Empowerment of People with Tuberculosis and Communities in Moldova, 2010-2015

Period October, 2010 - June, 2015
Budget EUR 7,434,590.72
Donor Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The overall goal  is to reduce the burden of Tuberculosis in the Republic of Moldova. The implementation of the grant is based on the following objectives: 

First Implementation Period (October, 2010- December, 2012)

  • To ensure universal access to diagnosis and treatment of drug-resistant tuberculosis;
  • Mobilize resources to support community-level partnerships;
  • Remove barriers to care for poor and other vulnerable communities;
  • Strengthen the health system and engage all available partners in TB control;
  • Advocacy, communication and social mobilization (ACSM);
  • Integrate TB services on both sides of the prison walls; and
  • Operational research in priority issues of TB.

 Second Implementation Period (January, 2013- June,2015)

  • To strengthen community involvement and foster partnerships for effective TB control; and
  • To ensure successful TB case management through patient support and strengthening health system capacities. 

Reducing HIV-related burden in the Republic of Moldova, 2010 - 2014

Period January, 2010 - December, 2014
Budget EUR 12,057,410.00
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

Overall project goal was to ensure prevention among key affected populations, reduction of the negative impact of the epidemic through provision of care, treatment and support to PLHIV.

The project was constructed around three main Objectives:

(1) To develop capacity and ensure sustainability;

(2) To support PLHIV, PWID and ensure sustainability; and

(3) To ensure engagement of civil society and key affected populations and promote human rights.

The key activities implemented to reach these objectives were:

  • iimproving previously achieved performances to ensure higher accessibility for PLHIV to medical and no-medical services;
  •  institutionalizing capacity building of service providers in HIV/AIDS through e-learning;
  • monitoring and supervision of social assistance for PLHIV;
  • increasing quality of life and improving OST adherence;
  • psycho-social support to PWID and ensuring OST adherence;
  • supporting children infected and affected by HIV/AIDS;
  • strengthening Regional Social Centers for PLHIV;
  • assessing the situation on human rights and HIV;
  • providing legal support and litigation; and
  • ensuring engagement of civil society and key affected population.

Direct target group/beneficiaries of this project are: HIV infected adults and children.

Indirect target group are: Health and social protection specialists, namely: key stakeholders at the national and relevant line institutions, primary health care providers, infectious disease physicians, MDT Care Team professionals, members of ARV teams, students of Medical University and Colleges, students of social assistance departments within Moldovan Universities, social assistants, public health managers, service providers in HIV/AIDS, NGOs and lawyers, actively working in HIV/AIDS etc.

Health Monitor for Good Governance in Moldova Project

Period January, 2010 - December, 2016
Budget USD 48,745.00 per year
Donor Soros Foundation - Moldova and Open Society Foundations
Description

The goal of the project is to maintain and develop sustainable mechanisms for independent and neutral monitoring of health policies in order to promote good governance in the Moldova’s health system. The objective is to monitor central and local health authorities’ actions through constant monitoring of public policy development and subsequent reflection in mass media. The project aims to solve problems in the health system by establishing a broad dialogue between the central government (Ministry of Health), consumers of health services, civil society, multilateral and bilateral international institutions, and the other parties as well, by creating a mechanism to monitor the health system situation and the impact of policies and interventions on the health reforms stipulated in the governmental policy documents, sectoral and intersectoral policies in the field of health. This information is accessible to the public, for those who will make decisions and also for foreign partners and other stakeholders.

Rapid Tests for Drug Resistance to Detect Extensively Drug-Resistant Tuberculosis

Period September, 2009 - August, 2014
Budget USD 241,137.54
Donor National Institute of Allergy and Infectious Diseases (NIAID); University of California, San-Diego; Cooperative Research Partnerships for Biodefense and Emerging Diseases.
Description

The project goal is to reduce the average XDR-TB detection time from months to a week.  XDR-TB detection time will be defined as the number of days from initiation of testing to recording of final results of all drugs for each test. The objectives are:

- To reduce the average XDR-TB detection time from months to a week.

- To determine agreement between rapid tests and standard DST results.

- To identify the genetic basis of discordant results from Aim 2.

- To characterize XDR-TB strains globally.

The Open Medical Institute (OMI) - Salzburg Medical Seminars International

Period May, 2007 - December, 2016
Budget USD 4,000.00 per year
Donor American Austrian Foundation, Austrian Federal Ministry for Education, Science and Culture and The Open Society Foundations
Description

Overall project goal is to development of human resources in the health sector. The project is constructed on the following objective: Systematic strengthening of human and organizational capacity across the entire spectrum of institutions (hospitals, clinics, districts' administration in health sector, medical university, medical colleges) and health problems (including infectious diseases, the training of the professionals in health, extension of the medical services in primary health care, and quality improvement, etc.)

Those wishing to apply must fulfill the following criteria:

- English speaking, mid-career level, practicing physicians with teaching responsibilities from Central and Eastern Europe, Central Asia and the former Soviet Union.

- Board and tuition is provided by the organizer. A limited number of fellowships are available for applicants from other countries

- For first time applicants, the age requirement is between 30 and 45 years of age, and for seminar alumni who are reapplying, up to 50 years

- Certified specialist in the medical topic of the seminar or in final year of training

- Publications: in mother tongue, and particularly in English

- Uploaded proof of required documentation (see application process)

- Country coordinator recommendation (when applicable)