Center For Health Policies and Studies

The Strategy is part of the Global Fund to Fight AIDS, Tuberculosis and Malaria program implemented in Moldova by the Center for Health Policies and Studies (PAS Center) and was examined by the joint meeting of representatives of Chiril Draganiuc Institute of Phthisiopulmonology, National Tuberculosis Control Program and relevant community organizations, which took place on November 22, 2017.

The Strategy was developed by Prof. Dr. habil. Constantin Marin.

The Tuberculosis Regional Eastern European and Central Asian Project (TB-REP) on strengthening health systems for effective tuberculosis (TB) and drug-resistant TB prevention and care is a three- year project that began in 2016. It is funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria and implemented by the Center for Health Policies and Studies of the Republic of Moldova as the principal recipient and the WHO Regional Office for Europe as the technical lead agency, in collaboration with partners, namely TB Europe Coalition (through Alliance for Public Health Ukraine), Stop TB Partnership, and technical expertise of London School of Economics and Political Science, European Respiratory Society London School of Hygiene and Tropical Medicine.

The project support 11 countries of eastern European and central Asian in addressing outdate models of TB care in order to tackle the high burden of TB and MDR-TB. The project assists countries in implementing effective and efficient TB service delivery systems with sustainable financing.

This newsletter summarizes project key activities and achievements during June-December 2017.

This operational research was conducted with the support from the Global Fund to Fight AIDS, Tuberculosis and Malaria. The research method was developed by the staff of the Center for Health Policies and Studies (PAS Center). The research included 318 people identified in the SYME-TB who met the chart audit criteria which included being informed of having multidrug-resistant tuberculosis (MDR-TB) in 2012 and having had the result of treatment prior to December 2015.

A key deliverable of the TB-REP project, the People-Centered Model of TB Care: Blueprint for EECA Countries is now available and is formally launched to representatives of 11 TB REP countries in Chisinau, Moldova today, June 30. 

Its goal is to shift care closer to people and communities.  This entails moving towards ambulatory treatment and care, strengthening services involving primary care, and better integrating care across various providers, levels and settings within health systems.

We would like to thank all TB-REP partners, the Writing Committee and the Members of the TB-REP Scientific Working Group for their contributions. This has the potential to be a game changer in improving TB response in OUR region and if implemented, will have an impact on the epidemic and improve the lives of people affected by TB.

This is the electronic calculation tool for planning inpatient care capacities based on disease resistance profile. The explanations on its use are presented in Annex 2 (page 38) of the People Centered Model of TB Care: Blueprint for EECA Countries. The bed forecasting tool sets out the instructions for following these suggested actions and example results.  It contains 18 steps, divided into two stages. A number of brief explanatory notes are also included.

The evaluation of opioid substitution treatment services in Moldova was conducted under the program "Strengthening the HIV control in Moldova, 2015 - 2017", financed by the Global Fund to Fight AIDS, Tuberculosis and Malaria, and implemented by the Centre for Health Policies and Studies in collaboration with the Republican Narcological Dispensary. 

Qualitative Study on Primary School Children point-of-sale advertising and promotion of cigarettes focuses on determining the reaction of the children towards advertisement and promotion of tobacco products in points of sales. The main findings of the study showed that in points of sales, all the consumers, regardless of age or the fact that they are or are not smokers are exposed to the influence of the slogans and images that stimulate smoking.



This operational research was conducted with the support from the Global Fund. The original design was developed by the staff of the Centre for Health Policies and Studies. UNAIDS RCA ECA has provided technical assistance to finalise the study protocol, the data collection and to oversee parts of data collection.

Despite the fact that tuberculosis is quite known and spread, it is a stigmatizing disease in the Moldovan society, and is linked with moral prejudices, especially in rural areas, among elder people, population with lower education levels and persons with lower socio-economic status. Every fourth person considers that it is a shame to have tuberculosis and slightly more than a half of the respondents (56%) think that persons with tuberculosis would not disclose their TB status. The main reason is the fear of being avoided by community (both at work and in the community of friends, relatives and acquaintances). The majority of respondents believe that people change their attitudes towards persons who have tuberculosis (59%), and commonly try to avoid them (77%).

In the current negotiations for Deep and Comprehensive Free Trade Area Agreement, the European Union (EU) requires the Republic of Moldova to introduce in the national legislation data exclusivity as a new form of intellectual property protection. Data exclusivity would allow pharmaceutical companies to hold exclusive rights over their clinical test data for a defined period of time. In essence, this measure ensures the exclusive right and market monopoly of originator drugs for a maximum of 11 years and the European Union promotes this measure to return initial investments that lead to discovering an innovative pharmaceutical entity. To support its position, the European Union brings several arguments that are discussed below in this document.

The Maternal and child health equity analysis was commissioned by UNICEF Moldova to describe and assess 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. This situational analysis focuses on the differences in various categories and to confirm whether and if these groups, of the child and woman populations, of the country may suffer disproportionately.